Pilot Carbon Monoxide Poisoning Following Engine Exhaust Leak

Casualties unknown • Deadhorse, AK, US

A pilot collapsed after landing following an aircraft bounce, later testing positive for high levels of carbon monoxide caused by a fractured engine muffler tube.

What happened

During the landing phase of flight, the aircraft bounced several times on the runway. Shortly after exiting the aircraft, the pilot collapsed.

Following the incident, blood samples were taken from the pilot three hours after landing. The results indicated a carbon monoxide level of 22.1%.

The investigation

Investigators examined the left engine muffler and discovered that the overboard tube had broken loose from the muffler at the weld point. This failure allowed exhaust gases to enter the cockpit via the aircraft's heater system.

The investigation revealed a .022 inch deep groove on the overboard tube, caused by it rubbing against the engine cowling. This abrasion was located on the same side where the crack originated. The muffler had been installed during a 100-hour inspection 68 hours prior to the event. The manufacturer of the muffler could not be verified.

Probable cause

The failure of the left engine muffler overboard tube, which allowed exhaust gases to enter the cockpit through the heating system, resulting in carbon monoxide poisoning of the pilot.

Frequently asked questions

What happened in the 1988-11-22 Cessna A185F accident near Deadhorse, AK?

A pilot collapsed after landing following an aircraft bounce, later testing positive for high levels of carbon monoxide caused by a fractured engine muffler tube.

What aircraft was involved and where did it happen?

The accident on 1988-11-22 involved a Cessna A185F, registration N20752, operated by Cape Smythe Air Service, at Deadhorse, AK.

What was the probable cause of the accident?

The failure of the left engine muffler overboard tube, which allowed exhaust gases to enter the cockpit through the heating system, resulting in carbon monoxide poisoning of the pilot.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001213X27179. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.

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