ANC04LA043

NTSB accident investigation · Piper PA-24-250 · West Palm Beach, FL · March 20, 2004

Accident · No injuriesLimited investigationFinal report
Date
March 20, 2004, 17:00 local (22:00 UTC)
Place
West Palm Beach, FL
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N6583RPiper PA-24-250
Weather
Visual (VMC) · Day
Status
Completed · report October 28, 2004
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Ft. Lauderdale FSDO-17
FAA report
20040320021569A
Case key
58939

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 incorrect assembly of the fuel selector valve by maintenance personnel, and the pilot's failure to make a precautionary landing to assess the fuel situation and lack of movement of the right fuel tank indicator. which resulted in fuel starvation and the loss of engine power during cruise flight.

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 system,selector/valve - reversed
Maintenance,alignment - incorrectOther maintenance personnelCause
Precautionary landing - not performedPilot in commandCause
Forced landingEmergency descent/landing
In flight collision with terrain/waterEmergency descent/landing
Terrain condition - plowed/furrowed

Analysis

During the first flight after having maintenance performed on the airplane's fuel system, the pilot reported a total loss of engine power in cruise flight. During the flight the pilot and pilot-rated passenger discussed the lack of movement of the right fuel indicator needle with both main tanks in the "ON" position. After the loss of engine power, the pilot asked the more experienced pilot-rated passenger to take the controls for the landing. The airplane landed in a plowed field. After landing, the pilots noted that the right main tank was full, and the left main tank was empty. An inspection of the fuel system found the right fuel selector valve was assembled incorrectly, and actually blocked the flow of fuel from the right main tank when selected to the "ON" position.

Factual narrative

On March 20, 2004, about 1700 eastern standard time, a Piper PA-24-250 airplane, N6583R, received substantial damage when it collided with terrain about 12 miles northeast of West Palm Beach, Florida, during an emergency landing following a total loss of engine power in cruise flight. The airplane was being operated by the pilot as a visual flight rules (VFR) local personal flight under Title 14, CFR Part 91. The pilot and pilot-rated passenger were not injured. Visual meteorological conditions prevailed, and no flight plan was filed. The flight departed Palm Beach County Park Airport, West Palm Beach, about 1520.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), on March 20, the pilot/owner said he was conducting the first flight in the airplane after its release from maintenance. He said the right main fuel tank had been replaced, and the right fuel tank selector had been reconditioned. Additionally, four engine cylinders had been replaced. The pilot/owner said he was flying with the left and right fuel tank selectors in the "main" position, presumably drawing fuel from both main tanks. He said he and the pilot-rated passenger discussed the lack of movement of the right fuel gauge indicator compared to the movement of the left fuel gauge indicator. The pilot/owner stated the right fuel gauge had always been "sluggish," and continued the flight to "run-in" the new engine cylinders. He said 80 minutes into the flight, about 1,200 feet agl, the airplane had a total loss of engine power, and emergency procedures failed to restart the engine. The pilot/owner said he requested the more experienced, commercial certificated flight instructor passenger to take the controls for the landing, which he did. The pilot on the controls selected a road for landing, but was unable to reach the road, and landed in a cultivated field. After landing, both pilots visually inspected the fuel tanks, and noted that the right main fuel tank was full, and the left main fuel tank was empty. The pilot/owner said the airplane sustained damage to both wings, fuselage, tail, landing gear, flaps, and propeller.

During an inspection of the airplane on March 20, the IIC disassembled the recently reconditioned right fuel selector valve. The fuel valve was installed on the selector stem 180 degrees out of the correct position, blocking fuel flow from the right main tank when in the "on" position, and allowing fuel flow only from the left main tank.

Aircraft

Registration
N6583R
Reported as
Piper PA-24-250
Category
Airplane
Serial number
1842
Airframe hours
2,811
Engine
Lycoming O-540-B1A, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Ralf Koklar
Registered owner
RASA Air Inc.
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · February 4, 2004 · 11 hours before
Departed
KLNA · Lantana, FL

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
64
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
April 3, 2002
Seat
Right
Flight hours
3,130 total · 4 in this make and model · 2,630 as pilot in command · 114 in the last 90 days · 18 in the last 30 days · 0 in the last 24 hours
Role
Pilot
Age
46
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
January 31, 2003
Seat
Left
Flight hours
329 total · 187 in this make and model · 230 as pilot in command · 22 in the last 90 days · 20 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F
Altimeter
30.20 inHg

FAA reports on this event · 1

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