ANC03LA039

NTSB accident investigation · Cessna 207 · Aniak, AK · April 5, 2003

Accident · No injuriesLimited investigationFinal report
Date
April 5, 2003, 13:30 local (17:30 UTC)
Place
Aniak, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N207SECessna 207
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 2003
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA-AL-ANC FSDO 03
FAA report
20030405009309A
Case key
56757

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's improper fuel management, and subsequent fuel starvation during cruise flight. A factor contributing to the accident was unsuitable terrain for a forced landing.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - nonmechanicalCruise
Fluid,fuel - starvationCause
Fuel management - improperPilot in commandCause
Forced landingEmergency descent/landing
In flight collision with objectEmergency descent/landing
Terrain condition - none suitableFactor
Object - tree(s)

Analysis

The commercial certificated pilot was conducting a cross-country maintenance test flight following a recent engine overhaul. The airplane's engine was recently installed by company maintenance personnel, and the pilot was putting flight hours on the engine. During the flight, the engine oil pressure was indicating about 50 psi. The pilot made a slight change in the engine rpm and manifold pressure settings, and the oil pressure rose rapidly to the top of the operating range. The engine cylinder and oil temperature readings did not change. The engine then lost power. The pilot switched the fuel selector from the left tank to the right tank and activated the engine boost pump. Engine power was not restored, and he switched the selector back to the left tank. The pilot indicated the engine sounded as if it were firing on all cylinders, but only at an idle. The pilot also reported that, "I do not know whether the left fuel tank was completely exhausted of fuel or not. The engine went from power to idle immediately, without any sputtering or coughing." During a forced landing, the airplane collided with trees. An FAA inspector traveled to the accident scene and examined the airplane. He reported that the left fuel tank was empty. The right fuel tank contained about 15 gallons of fuel. He found no evidence of fuel leaking, and the engine and propeller controls were properly attached. The inspector started the engine, but due to broken engine mounts, the engine was not operated above an idle, however throttle movement was applied enough to elicit an increase in rpm. The FAA inspector also reported that the operator sent the engine to a maintenance facility where it operated at full power on an engine test stand.

Factual narrative

On April 5, 2003, about 1330 Alaska standard time, a wheel-equipped Cessna 207 airplane, N207SE, sustained substantial damage when it lost engine power and collided with trees during a forced landing, about 16 miles northwest of Aniak, Alaska. The airplane was being operated as a visual flight rules (VFR) cross-country maintenance test flight from St. Mary's, Alaska, to Aniak, under Title 14, CFR Part 91, when the accident occurred. The airplane was operated by Hageland Aviation Inc., Anchorage, Alaska. The commercial certificated pilot, the sole occupant, was not injured. Visual meteorological conditions prevailed, and VFR company flight following procedures were in effect.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), on April 5, the director of operations for the operator reported that the airplane's engine was recently installed by company maintenance personnel after the engine was overhauled. The engine was overhauled by a maintenance facility in Anchorage, and the pilot was putting flight hours on the engine. The director of operations said the pilot noticed a change in the engine oil pressure, and the engine began to lose power. The pilot made a forced landing in remote terrain. During the emergency landing, the airplane collided with trees and received damage to the right main landing gear, the nose gear, and the fuselage.

In the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1) submitted by the pilot, the pilot reported that during the flight, the engine oil pressure was indicating about 50 psi. He made a slight change in the engine rpm and manifold pressure settings, and the oil pressure rose rapidly to the top of the operating range. The engine cylinder and oil temperature readings did not change. The pilot climbed the airplane to about 2,800 feet msl, and discussed the engine parameters with other company personnel via radio. As the airplane was approaching Aniak, the pilot said the engine lost power. He switched the fuel selector from the left tank to the right tank and activated the engine boost pump. Engine power was not restored, and he switched the selector back to the left tank. The pilot indicated the engine sounded as if it was firing on all cylinders, but only at an idle. The pilot also indicated that, "I do not know whether the left fuel tank was completely exhausted of fuel or not. The engine went from power to idle immediately, without any sputtering or coughing."

A Federal Aviation Administration (FAA) aviation safety inspector from the Anchorage Flight Standards District Office (FSDO) traveled to the accident scene on April 9, 2003, and examined the accident airplane. He reported that the left fuel tank was empty. The right fuel tank contained about 15 gallons of fuel. He found no evidence of fuel leaking, and the engine and propeller controls were properly attached. The inspector started the engine, but due to broken engine mounts, the engine was not operated above an idle, however throttle movement was applied enough to elicit an increase in rpm.

The FAA inspector also reported that the operator sent the engine to a maintenance facility in Anchorage where it was installed and operated on an engine test stand. On April 16, the engine was operated on the stand at full power.

Aircraft

Registration
N207SE
Reported as
Cessna 207
Category
Airplane
Serial number
20700237
Engine
Continental IO-520-F, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Flight test · Part 91
Operator
Hageland Aviation Inc.
Registered owner
Gussic Ventures
Airworthiness certificate
Standard, Normal
Departed
PASM · St. Mary'S, AK
Destination
PANI · Aniak, AK
Flight plan
Company VFR

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
47
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
25,000 total · 15,000 in this make and model · 184 in the last 90 days · 70 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
6,500 ft broken
Temperature
-0 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N207SE · 1

Matched to the same aircraft by N-number and date.