NTSB Identification: MIA84FA251.
The docket is stored on NTSB microfiche number 26444.
Scheduled 14 CFR
Accident occurred Friday, September 07, 1984 in NAPLES, FL
Aircraft: CESSNA 402C, registration: N89PB
Injuries: 1 Fatal,2 Serious,3 Minor.

NTSB investigators either traveled in support of this investigation or conducted a significant amount of investigative work without any travel, and used data obtained from various sources to prepare this aircraft accident report.

SHORTLY AFTER TAKEOFF, BOTH ENGS LOST POWER & A WHEELS UP LANDING WAS MADE IN AN OPEN FIELD. THE ACFT WAS DESTROYED BY IMPACT & FIRE. AN INVESTIGATION REVEALED THAT THE ACFT HAD BEEN REFUEL WITH JET-A FUEL RATHER THAN 100 LOW LEAD AVGAS. THE LINEMAN HAD INADVERTENTLY USED THE JET-A FUEL TRUCK WHICH WAS IDENTICAL TO THE AVGAS TRUCK EXCEPT FOR A DECAL, APPX 4' BY 16', WHICH IDENTIFIED THE TYPE OF FUEL. THE LINEMAN STATED THAT HIS TRAINING CONSISTED OF APPX 30 MIN OF READING THE COMPANY MAINTENANCE MANUAL ON HOW TO REFUEL THE DIFFERENT COMPANY ACFT, THEN WAS GIVEN ON-THE-JOB TRAINING FOR A BRIEF TIME. WHEN HE WENT TO REFUEL N89PB PRIOR TO THE ACCIDENT FLT, HE WENT TO THE PARKING SPACE WHERE THE AVGAS TRUCK WAS NORMALLY PARKED, BUT ON THAT OCCASION, THE JET-A FUEL TRUCK WAS THERE.

The National Transportation Safety Board determines the probable cause(s) of this accident to be:

FLUID,FUEL GRADE..IMPROPER

The National Transportation Safety Board determines the probable cause(s) of this accident to be:

MAINTENANCE,SERVICE OF AIRCRAFT/EQUIPMENT..IMPROPER..GROUND PERSONNEL




Contributing Factors

HABIT INTERFERENCE..GROUND PERSONNEL


Contributing Factors

INADEQUATE SURVEILLANCE,INADEQUATE PROCEDURE..COMPANY/OPERATOR MGMT

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