Engine failure and forced landing of N89PB due to fuel contamination

1 fatality • Naples, United States of America • Takeoff (climb)

A flight involving an aircraft experienced total engine power loss shortly after takeoff, resulting in a crash in an open field following the accidental use of Jet-A fuel instead of Avgas.

What happened

During the climb phase of flight, the aircraft type experienced a complete loss of power in both engines. The pilot attempted an emergency wheels-up landing in an open field to mitigate the impact. Upon contact with the terrain, the aircraft sustained significant damage and was subsequently destroyed by fire.

Findings

The investigation determined that the engine failure was caused by the use of incorrect fuel grade. Specifically, the N8im had been refueled with Jet-A fuel instead of the required 100LL Avgas. This error occurred because a ground crew member utilized a Jet-A fuel truck that was visually nearly identical to the standard Avgas truck, differing only by a small decal.

Several contributing factors were identified regarding the fueling process:

  • The ground personnel's training was insufficient, consisting of only a brief period of reading the maintenance manual and limited on-the-job instruction.
  • The fuel truck was parked in the usual location for Avgas servicing, leading to the error.
  • There was a lack of adequate surveillance and oversight from company management regarding fueling procedures.
  • Improper maintenance and servicing practices contributed to the improper fuel grade being loaded into the engines.

Probable cause

The total loss of engine power was caused by the accidental loading of Jet-A fuel into an aircraft requiring Avgas due to inadequate ground personnel training and insufficient management oversight.

Frequently asked questions

What happened in the 1984-09-07 Cessna 402 accident near Naples, United States of America?

A flight involving an aircraft experienced total engine power loss shortly after takeoff, resulting in a crash in an open field following the accidental use of Jet-A fuel instead of Avgas.

Were there any fatalities in the 1984-09-07 Cessna 402 accident?

The accident was fatal, resulting in 1 fatality.

What aircraft was involved and where did it happen?

The accident on 1984-09-07 involved a Cessna 402, registration N89PB, operated by Provincetown-Boston Airline - PBA, at Naples, United States of America.

What was the probable cause of the accident?

The total loss of engine power was caused by the accidental loading of Jet-A fuel into an aircraft requiring Avgas due to inadequate ground personnel training and insufficient management oversight.

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