SERS · AEROSPATIALE SA-315B · 1990-08-07 · TOK, AK, USA
Event
NTSB number
ANC90LA135
Event ID
20001212X23857
Type
Accident
Date
1990-08-07
Location
TOK, AK, USA
Coordinates
63.18085, -143.099975
Injuries
Highest injury
SERS
Fatal
0
Serious
1
Minor
0
Uninjured
0
Total aboard
1
Aircraft
Make
AEROSPATIALE
Model
SA-315B
Registration
N58000
FAR Part
133
Engines
1
Damage
SUBS
Conditions
Light
DAYL
Weather
VMC
Probable cause
IMPROPER INSTALLATION OF THE FUEL FILTER ELEMENT IN THE AIRCRAFT BY COMPANY/MAINTENANCE PERSONNEL, AND SUBSEQUENT CONTAMINATION OF THE FUEL SYSTEM BY UNFILTERED FUEL. FACTORS RELATED TO THE ACCIDENT WERE: INADEQUATE DESIGN OF THE FUEL FILTER ASSEMBLY, WHICH ALLOWED THE IMPROPER INSTALLATION OF THE FILTER ELEMENT, THE MECHANICS LACK OF FAMILIARITY WITH THE AIRCRAFT, AND FAILURE OF GROUND PERSONNEL TO INSURE THAT FUEL FROM THE FUEL TANKER WAS FREE OF CONTAMINATION.