NTSB CAROL · Event
Event ERA18LA033
Aircraft involved
Probable cause & findings
The in-flight leakage of fuel from the fuel injection system's mixture shaft onto the hot turbocharger, which resulted in an in-flight fire, and the pilot's inability to see the runway due to reduced visibility conditions and conduct a successful landing.
Factual narrative
On November 22, 2017, about 1845 eastern standard time, a Cessna 421C, N421RX, was substantially damaged during a forced landing shortly after takeoff from Northern Maine Regional Airport (PQI), Presque Isle, Maine. The commercial pilot was not injured; two crewmembers, and one passenger sustained minor injuries. The airplane was operated by Fresh Air LLC under the provisions of Title 14 Code of Federal Regulations part 135 as an air medical flight. Day, instrument meteorological conditions prevailed, and an instrument flight rules flight plan was filed. The flight originated at PQI about 1840 and was destined for Bangor International Airport (BGR), Bangor, Maine.The pilot reported that the preflight inspection of the airplane and ground operations were uneventful. After taking off on runway 19, the pilot retracted the landing gear and turned off the landing lights. He then observed flames coming from the left engine nacelle. He immediately retarded the throttle and turned off the fuel boost pump; however, the fire persisted. He feathered the propeller, shut down the engine, and maneuvered the airplane below the clouds to remain in the traffic pattern at PQI. He attempted to keep the runway environment in sight while drifting in and out of clouds. He was unable to align the airplane for a landing on runway 19, so he attempted to land on runway 10. The pilot realized the airspeed was dropping and the airplane would not reach runway 10, so he landed in an adjacent field. After touchdown, the landing gear broke away and the airplane came to a stop in the grass. The PQI reported weather at 1848 included, overcast clouds at 1,400 ft and broken clouds at 800 ft, with 5 statute miles visibility in light snow and mist. The pilot reported that the clouds were at 500 ft with rain and snow at the time of the accident. An inspector with the Federal Aviation Administration responded to the accident site and examined the wreckage. The airplane came to rest in an upright position. The landing gear were separated, and structural damage to the wings and lower fuselage was evident. Initial examination of the left engine revealed soot on the nacelle louver vents and some localized white discoloration near the turbocharger area. Subsequent examination of the engine revealed soot and a darkening of the area below and behind the fuel injector system near the turbocharger. The top engine cowling, which exhibited paint bubbling and discoloration from exposure to intense heat, was placed over the top of the engine and the damage was consistent with the area above the fuel injector system. The fuel system was then pressurized with 40psi of air and the sound of escaping air was heard in and around the mixture control arm of the fuel injector system. A mixture of water/soap was sprayed on the area where air was heard, and bubbles were immediately observed. Other areas of the engine were also sprayed with the water/soap mixture and no other signs of leaks were observed. The area where the leak was observed was consistent with fuel dripping and being blown onto the hot turbocharger in flight. The fuel injector system was removed, and blue staining was observed in and around the mixture arm. A pressure check of the exhaust system was also conducted. No leaks were observed at any welds or joints. A review of the engine logbook entries did not reveal evidence of any recent maintenance or repair on the fuel injection system. An annual inspection was completed on June 2, 2017 and a 100-hr inspection was completed on September 13, 2017. After takeoff, the commercial pilot saw flames coming from the left engine nacelle area. He retarded the throttle and turned off the fuel boost pump; however, the fire continued. He then feathered the propeller, shut down the engine, and maneuvered the airplane below the clouds to remain in the local traffic pattern. He attempted to keep the runway environment in sight while drifting in and out of clouds. He was unable to align the airplane for landing on the departure runway, so he attempted to land on another runway. When he realized that the airspeed was decreasing and that the airplane would not reach the runway, he landed it on an adjacent grass field. After touchdown, the landing gear separated, and the airplane came to a stop. The airframe sustained substantial damage to the wings and lower fuselage. Examination of the left engine revealed evidence of a fuel leak where the fuel mixture control shaft inserted into the fuel injector body, which likely resulted in fuel leaking onto the hot turbocharger in flight and the in-flight fire. A review of recent maintenance records did not reveal any entries regarding maintenance or repair of the fuel injection system. The pilot reported clouds as low as 500 ft with rain, snow, and reduced visibility at the time of the accident, which likely reduced his ability to see the runway and maneuver the airplane to land on it. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- C Aircraft-Aircraft power plant-Engine fuel and control-Fuel controlling system-Damaged/degraded - C
- C Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Low ceiling-Contributed to outcome - C
Verbatim from NTSB's published report. Source file
NTSB_2017_ERA18LA033.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
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- Semantic Scholar 2025 · Article (Applied Sciences)
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- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
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- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
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In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Just Culture in Aviation: A Metaphorical Study on Aircraft Maintenance Students
Just Culture, a sub-dimension of safety culture, has been a prominent and debated topic in aviation safety in recent years.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Performance PRISM: A Comprehensive Framework For Performance Measurement In Aircraft Maintenance
Aircraft maintenance is governed by rigorous safety requirements and high operational complexity, demanding robust performance measurement frameworks to ensure optimal maintenance practices.
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