NTSB CAROL · Event
Event LAX91LA200
Aircraft involved
Probable cause & findings
THE LOSS OF POWER IN THE FRONT ENGINE DUE TO THE IMPROPER AND INCOMPLETE INSTALLATION OF THE ENGINE IN THE AIRCRAFT BY A MECHANIC.
Factual narrative
THE AIRCRAFT WAS ON A GO AROUND AT ABOUT 30 FT AGL WHEN THE FRONT ENGINE QUIT. THE PLT RETARDED BOTH THROTTLES AND LANDED; THE AIRCRAFT OVERRAN THE DEPARTURE END OF THE RUNWAY AND COLLIDED WITH A FENCE. THE FRONT ENGINE WAS OVERHAULED AND INSTALLED IN THE AIRCRAFT 2 HRS PRIOR TO THE ACCIDENT. EXAMINATION OF THE ENGINE REVEALED NUMEROUS DISCREPANCIES RELATING TO INCOMPLETE INSTALLATION OF THE ENGINE: TOOLS LEFT IN THE ENG COMPARTMENT; LOOSE AND NOT CONNECTED OIL AND FUEL LINES; IMPROPERLY CONNECTED THROTTLE AND MIXTURE CONTROLS; ETC. THE TURBO CONTROLLER WAS FOUND MISADJUSTED AND NOT PROPERLY CONTROLLING THE WASTE GATE VALVE. THE FUEL PRESSURE WAS SET EXCESSIVELY HIGH, WHICH CAUSED THE ENGINE TO QUIT WHEN RUN IN A TEST CELL. THE AIRCRAFT LOGBOOKS SHOWED THAT THE ENGINE INSTALLATION HAD BEEN SIGNED OFF BY AN AIRFRAME AND POWERPLANT MECHANIC AS COMPLETE. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1991_LAX91LA200.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 (stall). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- NASA NTRS 2026 · Conference Paper
Computational Analysis of Steady State Aerodynamics of Transonic Truss-Braced Wing Configuration in Deep Stall
This study presents a computational investigation of steady state aerodynamics of the Subsonic Ultra-Green Aircraft Research (SUGAR) Transonic Truss-Braced Wing (TTBW) configuration over a wide range …
- arXiv 2023 · arXiv preprint
Automating Bird Diverter Installation through Multi-Aerial Robots and Signal Temporal Logic Specifications
This paper tackles the task assignment and trajectory generation problem for bird diverter installation using a fleet of multi-rotors.
- arXiv 2023 · arXiv preprint
Variation of Critical Crystallization Pressure for the Formation of Square Ice in Graphene Nanocapillaries
Two-dimensional square ice in graphene nanocapillaries at room temperature is a fascinating phenomenon and has been confirmed experimentally.
- arXiv 2023 · arXiv preprint
Polycrystallinity enhances stress build-up around ice
Damage caused by freezing wet, porous materials is a widespread problem, but is hard to predict or control. Here, we show that polycrystallinity makes a great difference to the stress build-up process…
- arXiv 2022 · arXiv preprint
Enhanced Prediction of Three-dimensional Finite Iced Wing Separated Flow Near Stall
Icing on three-dimensional wings causes severe flow separation near stall. Standard improved delayed detached eddy simulation (IDDES) is unable to correctly predict the separating reattaching flow due…
- Embry-Riddle Scholarly Commons 2021 · Journal article (JAAER)
Analysis on the Negative Emotional, Physiological, and Cognitive Responses Elicited from of the Activation of a Stall Alarm
Failing to identify an aerodynamic stall can lead to the inability of an aircraft to sustain flight. To warn pilots of an impending or fully-developed stall, many aircraft have safety devices installe…
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