NTSB CAROL · Event
Event WPR16LA078
Aircraft involved
Probable cause & findings
Improper assembly of a fuel hose, which restricted the fuel supply to the carburetor and resulted in a loss of engine power during the initial climb after takeoff.
Factual narrative
On March 2, 2016, about 1300 Pacific standard time, a Boeing A75N1 (PT17), N63555, touched down hard during a forced landing following a loss of engine power during the initial climb at Palm Springs International Airport, Palm Springs, California. The airline transport pilot sustained minor injuries and the passenger was seriously injured. The airplane was substantially damaged. Palm Springs Air Museum Inc. was operating the airplane under the provisions of 14 Code of Federal Regulations Part 91. The local sightseeing flight was originating at the time. Visual meteorological conditions prevailed, and no flight plan had been filed.The pilot reported that the engine lost power passing through 400 ft after takeoff from runway 31L. He saw houses and other obstacles straight ahead and decided to turn around to land on runway 13R. The airplane landed hard on the runway centerline but came to rest aligned about 30° left of the runway heading. During the initial examination, the forward end of the fuselage sustained crush damage around the front cockpit. The throttle lever in the cockpit would not move due to the damage; all linkages were connected from the cockpit to the carburetor. The mixture lever in the cockpit would not move due to the damage; all linkages were connected from the cockpit to the carburetor. Examination of the wreckage established flight control continuity for all flight controls. Portions of the bottom cylinders, numbers four and five, fractured and separated. A clear blue fluid, consistent with the smell of Avgas, was drained from the gascolator, and a water paste test had no reaction indicating that water contamination was not present. All fittings that could be reached were tight. A black fluid consistent with motor oil was evident on the dipstick. There was no external evidence of catastrophic mechanical malfunction. A follow-up examination revealed that the exhaust tube coloration was light brown in color. The air filter was clean. There was no discoloration in the intake tube at the filter. The crankshaft was rotated using the propeller; there were no metallic sounds or binding. All valves except for the damaged bottom two cylinders moved approximately the same amount of lift in firing order. The gears in the accessory case turned freely. Thumb compression was obtained on all cylinders in firing order except for the two damaged bottom cylinders. The carburetor was removed and disassembled. The floats were metal; the bowl contained no fluid. The accelerator pump operated without resistance. The throttle lever would not move; the housing was crushed; the butterfly valve was almost vertical (fully open). The mixture lever moved freely from stop to stop. The carburetor heat arm was crushed at the box, and the rod end at the bellcrank fractured and separated along a jagged and angular plane. The fuel line was removed from the gascolator to the carburetor and nothing drained out from the line. The line was connected back to the gascolator and the fuel selector valve was turned on; blue fluid came out of the line. The line was removed again and an obstruction was seen near one end of the line. The firesleeve was removed on the hose. The hose went into the fitting at a slight angle that was not visible with the firesleeve in place. The line was cut close to the obstruction. The inner surface of the hose appeared cut and curled into the hose at the fitting. An entry in the maintenance logbooks dated October 20, 1967, recorded that all new gas lines were made. There were no entries after that to indicate any work was performed on the gas line hoses. The airline transport pilot reported that, shortly after takeoff on the local sightseeing flight, the engine experienced a partial loss of power about 400 ft above ground level. The pilot initiated a turn back to the airport and subsequently landed hard on the runway, substantially damaging the airplane. During the postaccident engine examination, an obstruction was found in one end of the fuel hose between the gascolator to the carburetor. The firesleeve on the hose was removed, which revealed that the hose entered the fitting at a slight angle that was not visible with the firesleeve in place. To facilitate further examination, the hose was cut close to the obstruction. The inner surface of the hose appeared cut and curled into the hose near the fitting, consistent with the improper assembly of the hose and fitting. It is likely that the curled piece of hose acted as a flapper valve that either restricted or cut off fuel flow to the carburetor. The high demand for fuel during takeoff depleted the supply of fuel in the carburetor and resulted in the loss of power. Although maintenance log entries indicated that the last replacement of the fuel hoses occurred 49 years before the accident, given the condition of the hoses, it is likely that a subsequent replacement was performed but not documented. 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 systems-Fuel system-Fuel distribution-Incorrect service/maintenance - C
Verbatim from NTSB's published report. Source file
NTSB_2016_WPR16LA078.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)
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…
- 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.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
Low-Resource Automatic Speech Recognition Domain Adaptation – A Case-Study in Aviation Maintenance
With timeliness and efficiency being critical in the aviation maintenance industry, the need has been growing for smart technological solutions that optimize and streamline the different underlying ta…
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
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.
Browse the full corpus — academia portal ↗