MIA05LA071
2005-03-07 · Merritt Island, Florida, United States · None · 1 aircraft · Status: Completed
Airport COI
N9446P has since been reassigned. It is now registered to a different aircraft (CESSNA T206H, built 2012), which was not involved in this event.
Aircraft involved
Probable cause & findings
The owner/pilot/mechanics inadequate installation of a fuel line resulting in a fuel leak, partial loss of engine power, and force landing in swampy terrain.
Factual narrative
On March 7, 2005, about 1300 eastern standard time, a Piper PA-24-260, N9446P, registered to and operated by a private individual, as a Title 14 CFR Part 91 maintenance test flight, crashed in a swampy area on the shoreline of the New Found Harbor Lagoon, during a return to the airport after takeoff, at the Merritt Island Airport, Merritt Island , Florida. Visual meteorological conditions prevailed and no flight plan was filed. The airline transport-rated pilot received no injuries, and the airplane incurred substantial damage. The flight was originating at the time. The owner/pilot mechanic stated the purpose of the flight was for a maintenance test flight of a newly overhauled engine, which he performed. It was a normal power takeoff, departing from runway 11, and at approximately 300 feet of altitude, the engine slowly started losing power. He elected to return to the airport by turning towards the left. During the return to airport maneuver, he switched the fuel selector from the left tank to right tank, and then back to left tank. The partial loss of power did not correct. He could not maintain altitude and impacted with the swampy terrain, on the west side of the lagoon. The owner/pilot mechanic added the airplane had been sitting in the hanger for about 6 weeks awaiting the overhauled engine, which included new ECI cylinders and crankcase shaft. The fuel system was overhauled about one year before. He performed two ground run up checks to the engine to about 2,200 rpms. He did not note any discrepancies during those checks. He had about 60 to 70 gallons of fuel on board. He did not refuel before the accident flight. He noted, during the accident flight, the fuel flow indicator went from 28 to 17. After the recovery of the accident airplane an engine examination was conducted by the owner/pilot mechanic and a representative of New Piper Aircraft with FAA oversight. During the fuel flow test, the electrical fuel pump was energized; the fuel out line at the fuel servo supplying fuel to the flow divider was observed spraying fuel and the B-nut was found loose. The fuel flow test was stopped. The line's B-nut was tightened and the test resumed. The fuel mixture test noted a mixture rich fuel flow of approximately 7 gallons an hour while mixture lean noted a fuel flow of approximately 4 gallons an hour. A review of the accident airplane's maintenance log book pages provided by the owner/pilot mechanic documents the overhauled engine was installed on March 6, 2005. "The engine was removed and reinstalled after complete overhaul, new shock mounts installed, engine ground run with no defects and all operations normal. Work completed per Lycoming O/H # 60294-7" (Textron Lycoming, Part number 60294-7, Overhaul Manual for Direct Drive Engine). Textron Lycoming, Service Instruction No. 1427B, outlines for the overhauled engine to have a ground run check up to full-static recommended power for a period of no more then 10 seconds. The full-static power for the accident airplane as per the airplane's flight manual is 2,700 rpm, with turbocharger control off. After operating the engine at full power, allow for cooling, check idle mixture and shutdown. The Piper PA-24-260, Comanche, Service Manual, 7A-33, details the procedures for engine installation, including cautions and warning pertaining to fluid leaks on the airframe components. The owner/pilot mechanic stated that during a maintenance test flight for a newly overhauled engine, he slowly started losing engine power at approximately 300 feet of altitude during the initial takeoff climb. He elected to turn left to return to the airport and not having enough altitude impacted with the swampy terrain, on the west side of lagoon. During the return to airport maneuver, he switched the fuel selector from the left tank to right tank and then back to left tank with no correction to the partial loss of power. He noted the fuel flow indicator want from 28 to 17. The owner/pilot mechanic performed two ground run up checks to the engine to about 2,200 rpms. He did not note any discrepancies during those checks. After the recovery of the accident airplane an engine examination was conducted by the owner/pilot mechanic and a representative of the New Piper Aircraft, Inc. with FAA oversight. During the fuel flow test, the electrical fuel pump was energized; the fuel out line at the fuel servo supplying fuel to the flow divider was observed spraying fuel and the B-nut was found loose. The fuel flow test was stopped. The line's B-nut was tightened and the test resumed. A test of the fuel mixture flow noted a rich mixture flow of approximately 7 gallons an hour while a mixture lean noted a flow of approximately 4 gallons an hour. A review of the accident airplane's maintenance log book document the engine installation work was completed per Lycoming O/H # 60294-7 (Textron Lycoming, Part number 60294-7, Overhaul Manual for Direct Drive Engine). Textron Lycoming, Service Instruction No. 1427B, outlines for the overhauled engine to have a ground run check up to full-static recommended power for a period of no more then 10 seconds. The full-static power for the accident airplane as per the airplane's flight manual is 2,700 rpm, with turbocharger control off. After operating the engine at full power, allow for cooling, check idle mixture and shutdown. The Piper PA-24-260, Comanche, Service Manual, 7A-33, details the procedures for engine installation; including cautions and warning pertaining to fluid leaks on the airframe components. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_2005_MIA05LA071.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
Search this event elsewhere
External sources are reported, not agency: signal that something happened, not fact about what happened.
- TallyAero Live Wire Aviation press
- NTSB CAROL Agency ↗
- NTSB Docket Agency ↗
- Aviation Safety Network Aviation press ↗
- Kathryn's Report Aviation press ↗
- Aviation Herald Aviation press ↗
- AVweb Aviation press ↗
- Pilots of America Community ↗
- Reddit /r/flying Community ↗
- FlightAware Aviation press ↗
- AOPA accident database Aviation press ↗
- Google News News ↗
- DuckDuckGo News ↗
Related research
Matched on aircraft type or causal vocabulary (stall, maintenance). All research papers
- Embry-Riddle Scholarly Commons 2023 · Conference paper The Value of Strong Partnerships to Build a Successful Aviation Maintenance Career Pathway Program for Transitioning Military Service Members
The aerospace industry is competing with other industries for a qualified workforce, and many of those competing industries are investing heavily in creating workforce development pipelines.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- 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 …
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- Semantic Scholar 2025 · Article (Applied Sciences) Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.