AAIB Bulletin: 4/2010
Mooney M20J 201 · Maintenance Manual
Overview
This document is an Aircraft Accident Report concerning the Mooney M20J 201, registration N321KL, which experienced a loss of engine power shortly after takeoff. The report details the circumstances leading to the accident, including pre-flight inspections and maintenance history. It highlights the importance of thorough fuel system checks and the potential hazards of water contamination in fuel tanks. The report serves as a reminder for pilots and maintenance personnel to ensure proper fuel tank management and adherence to safety protocols to prevent similar incidents in the future.
- The Mooney M20J 201 experienced a loss of engine power shortly after takeoff due to fuel contamination.
- A loose-fitting fuel tank cap allowed water to enter the left fuel tank, leading to the incident.
- The pilot found water in the left fuel tank during pre-flight but deemed it clear after further checks.
- Post-accident, approximately 500 ml of water was found in the left fuel tank and throughout the fuel system.
- Proper fitting of fuel caps and thorough pre-flight inspections are critical to prevent similar accidents.
Document
Source
Originally published by assets.publishing.service.gov.uk. Sprinkle hosts a reference copy with an added summary, specifications and searchable full text.
Document details
- Type
- Maintenance Manual
- Year
- 2010
- Pages
- 2
- File size
- 341 KB
- Publisher
- assets.publishing.service.gov.uk
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- Pilot's Operating Handbook / AFM
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In this document
Accident Synopsis
The Mooney M20J 201, N321KL, experienced a loss of engine power at approximately 50 feet after takeoff. The pilot conducted a forced landing on an adjacent grass runway, resulting in damage to the aircraft. The investigation revealed water contamination in the left fuel tank due to a loose-fitting filler cap.
Pre-Flight Inspection
During the pre-flight inspection, the pilot found a small amount of water in the left fuel tank. Despite taking additional fuel samples, the pilot proceeded with the flight after determining the fuel was clear. The right fuel tank showed no signs of water contamination.
Maintenance History
Prior to the accident, the aircraft underwent an annual inspection and repainting, which included the area around the left fuel tank filler port. The aircraft was parked outside for several weeks, during which adverse weather conditions may have contributed to water entering the fuel system.
Investigation Findings
Post-accident investigations revealed that the left fuel tank contained approximately 500 ml of water, which had contaminated the fuel system. The investigation could not determine why the pre-flight inspection failed to identify this significant amount of water.
Safety Recommendations
The report emphasizes the need for pilots to ensure that fuel tank caps are properly fitted and to conduct thorough pre-flight inspections to prevent water contamination. It references previous incidents related to fuel contamination in similar aircraft.
Safety notes
- Water can enter the fuel tank through a loose fitting or damaged cap. This should be corrected as soon as possible.
Full document text
37 © Crown copyright 2010 AAIB Bulletin: 4/2010 N321KL EW/G2009/12/15 ACCIDENT Aircraft Type and Registration: Mooney 201 M20J, N321KL No & Type of Engines: 1 Lycoming IO-360 SeR A&C piston engine Year of Manufacture: 1981 Date & Time (UTC): 28 December 2009 at 1500 hrs Location: Stapleford Aerodrome, essex Type of Flight: Private Persons on Board: Crew - 1 Passengers - None Injuries: Crew - None Passengers - N/A Nature of Damage: Damage to propeller, aerials and abrasions to the underside of the fuselage Commander’s Licence: Private Pilot’s Licence Commander’s Age: 46 years Commander’s Flying Experience: 351 hours (of which 10 were on type) Last 90 days - 11 hours Last 28 days - 1 hour Information Source: Aircraft Accident Report Form submitted by the pilot Synopsis Following a pre-flight inspection, during which a small quantity of water was found in the left fuel tank, the aircraft took off and the landing gear was retracted. At about 50 ft the engine lost power and the pilot made a forced landing on an adjacent grass runway but had insufficient time to lower the landing gear. Subsequent maintenance activity identified a loose-fitting filler cap on the left fuel tank and a significant quantity of water also present in that tank and throughout the fuel system. No water was found in the right fuel tank. Since its previous uneventful flight the aircraft had been parked outside for about three weeks during which the weather conditions had included snow and rain. History of the flight During the pre-flight inspection, the pilot noticed that the fuel sample from the left fuel tank contained a small amount of water. Two further samples were taken before the pilot judged that the fuel was clear of water. No water was evident in the sample taken from right fuel tank. He started the engine with the right fuel tank selected, before switching to the left tank prior to taxi. The pilot allowed the engine temperature to normalise before the engine power checks were completed and the aircraft lined up for takeoff from Runway 22L at Stapleford. The takeoff appeared normal and the landing gear was retracted but at a height of about 50 ft the engine suddenly lost power. The stall warning activated and the pilot pitched the aircraft nose down, 38 © Crown copyright 2010 AAIB Bulletin: 4/2010 N321KL EW/G2009/12/15 during which the engine was felt to surge before losing power again. The pilot closed the throttle and elected to land back on the runway, but there was insufficient time to extend the landing gear. The aircraft touched down on the adjacent grass Runway 22R and, following a ground slide of approximately 100 metres, came to a stop with 170 metres of runway remaining. The uninjured pilot vacated the aircraft through the cabin door. The aircraft sustained damage to the propeller, underside-mounted aerials and abrasions to the lower fuselage. Pilot’s comments The pilot stated that some weeks prior to the accident, the aircraft had been flown to Thurrock Aerodrome where the aircraft’s annual inspection had been carried out. At the same time, sections of the aircraft were repainted, including the area around the left fuel tank filler port. The aircraft was then parked outside for about ten days. On 4 December 2009 the pilot arrived to reposition the aircraft to Stapleford Aerodrome. The left fuel tank was visually confirmed as being empty and 50 litres of fuel were uploaded. The pilot recalled carrying out a water drain check of both fuel tanks and that he found no evidence of water. He also recalled that the flight to Stapleford Aerodrome was conducted on the right fuel tank. The aircraft remained parked outside until the accident flight on 28 December 2009. Weather conditions in the weeks prior to the accident had included both rain and snow. Following the accident, the aircraft was recovered to a maintenance organisation where the left fuel tank filler cap was found to be incorrectly fitted. The pilot stated that almost immediately after the accident he had visually checked the left fuel tank quantity, but could not recall finding the left tank filler cap loose or if he had then replaced the cap correctly. Both fuel tanks were drained and the contents examined. In addition to about 50 litres of fuel in the left tank, that tank also contained about 500 ml of water. water was also found throughout the fuel system, up to the fuel injectors. A very small amount of water was recovered from the right fuel tank. It was not possible to determine why the pilot’s pre-flight inspection had failed to identify the presence of the significant quantity of water that was subsequently found in the left fuel tank. A search of the AAIB and CAA databases for this aircraft type revealed four events between 1984 and 2002 relating to contamination of fuel tanks with water. The aircraft manufacturer’s Service and Maintenance Manual contains the following relevant warning: ‘Water can enter the fuel tank through a loose fitting or damaged cap. This should be corrected as soon as possible.’








