ANC08LA085

NTSB accident investigation · Cessna 185 · McCarthy, AK · July 4, 2008

Accident · No injuriesLimited investigationFinal report
Date
July 3, 2008, 17:30 local (Jul 4, 2008, 01:30 UTC)
Place
McCarthy, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N80596Cessna 185
Defining event
Enroute-cruise: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed · report May 6, 2009
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Anchorage, FSDO-03
FAA report
20080703841029A
Case key
68452

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 which resulted in fuel starvation and a loss of engine power during cruise flight. Contributing to the accident was an aerodynamic stall during the emergency landing, the pilot's fatigue, and his unfamiliarity with the airplane.

Findings · 6

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Fuel systemAircraft › Aircraft systems · Incorrect use/operationCessna A185F: 1 caseAll aircraft: 181 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna A185F: 6 casesAll aircraft: 1,681 casesProbable cause
Knowledge: knowledge of equipmentPersonnel issues › Experience/knowledge · PilotCessna A185F: 2 casesAll aircraft: 69 casesProbable cause
Alertness/FatiguePersonnel issues › Physical · PilotCessna A185F: 1 caseAll aircraft: 48 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna A185F: 12 casesAll aircraft: 1,391 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementCessna A185F: 8 casesAll aircraft: 1,695 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The solo commercial pilot was on a flight in conjunction with a lodge operation under 14 Code of Federal Regulations Part 91. The pilot said that he ran one main fuel tank dry 10 minutes into the flight and that, after switching fuel tanks, he turned on the auxiliary fuel pump but was unable to restart the engine. During a forced landing on a sandbar, the airplane stalled about 10 feet in the air, landed hard, and nosed over, damaging the wings and fuselage. The pilot said that he had learned the procedure of running a fuel tank dry in-flight from a more experienced pilot and that it was a fairly common operating procedure. He reported that there were no known mechanical problems with the airplane prior to the accident. He wrote that he thought fatigue and unfamiliarity with the airplane may have contributed to the accident. The airplane's Pilot Operating Handbook (POH) states that takeoff and landing should be made with the fuel tank selector valve in the "BOTH" position to prevent inadvertent operation on an empty tank. The POH further describes the procedure if the pilot "desires to completely exhaust a fuel tank quantity in flight." The restart procedure after the engine has quit due to fuel starvation is "immediately switch to a tank containing fuel at the first indication of fuel pressure fluctuation and/or power loss. Then place the right half of the auxiliary fuel pump switch in the "ON" position momentarily (3 to 5 seconds) with the throttle at least 1/2 open. Excessive use of the auxiliary fuel pump and full rich mixture can cause flooding of the engine."

Factual narrative

On July 3, 2008, about 1730 Alaska daylight time, a Cessna 185 airplane, N80596, sustained substantial damage during an emergency, off-airport landing, about 22 miles southeast of McCarthy, Alaska. The airplane was being operated by Ultima Thule Outfitters, Chitina, Alaska, as a visual flight rules (VFR) local other work use flight under Title 14, CFR Part 91, when the accident occurred. The solo commercial pilot was not injured. Visual meteorological conditions prevailed, and no flight plan was filed. The flight departed a remote lodge airstrip about 1720.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on July 4, the pilot said he ran one main fuel tank dry 10 minutes into the flight. He said he turned on the auxiliary fuel pump, switched the fuel tank selector to the full tank, and advanced the throttle full forward, but the engine did not restart. After several failed attempts to restart the engine, he concentrated on landing the airplane on a sandbar. He said the airplane stalled about 10 feet in the air, landed hard, bounced, and nosed over. The wings and fuselage received substantial damage during the accident.

During a telephone conversation with the IIC, the pilot said there were no known mechanical problems with the airplane prior to the accident. He further stated that he had learned the procedure of running a fuel tank dry in-flight from a more experienced pilot, and that it was a fairly common operating procedure.

The Cessna 185F Pilot Operating Handbook (POH), Airplane & Systems Descriptions section, Fuel System, states that takeoff and landing should be performed with the fuel tank selector valve in the "BOTH" position to prevent inadvertent operation on an empty tank. The POH describes the procedure to exhaust a tank, if the pilot "desires to completely exhaust a fuel tank quantity in flight." According to the POH, the procedure for restarting the engine after the engine has quit due to fuel starvation is, "immediately switch to a tank containing fuel at the first indication of fuel pressure fluctuation and/or power loss. Then place the right half of the auxiliary fuel pump switch in the ON position momentarily (3 to 5 seconds) with the throttle at least 1/2 open. Excessive use of the auxiliary fuel pump and full rich mixture can cause flooding of the engine."

In a written statement dated July 10, the pilot wrote that he did not know if the auxiliary fuel pump was working, and that fatigue, and unfamiliarity with the airplane played a part in the accident.

As a result of the accident, the IIC surveyed 89 fuel related accidents involving Cessna, single-engine airplanes. The survey showed that 11 accidents were associated with intentionally running a fuel tank dry in-flight, and 41 accidents were associated with unintentionally running a fuel tank dry in-flight. These accidents accounted for 56% of the accidents surveyed, and all 89 of the accidents resulted from the pilot's inability to restart the engine after starving it of fuel in-flight. The same procedure was found in all of Cessna's single-engine, fuel-injected, airplane pilot operating handbooks. A survey of Piper and Beechcraft handbooks showed that these two manufacturers treat running a fuel tank dry in-flight as an emergency procedure, and do not advocate exhausting fuel from a tank in-flight as a normal procedure. The FAR/AIM, and two basic flight instruction manuals surveyed, direct pilots to follow the manufacturer's fuel management procedures.

Aircraft

Registration
N80596
Reported as
Cessna 185
Category
Airplane
Serial number
18503130
Engine
Continental IO-520, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Other work use · Part 91
Operator
Ultima Thule Outfitters Inc., doing business as Ultima Thule Outfitters
Registered owner
Ultima Thule Outfitters Inc
Airworthiness certificate
Standard, Normal
Departed
Ultima Thule, AK
Destination
CXC · Chitina, AK

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
21
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
December 1, 2007
Seat
Left
Flight hours
509 total · 6 in this make and model · 432 as pilot in command · 50 in the last 90 days · 50 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None

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 N80596 · 1

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