ANC17LA037

NTSB accident investigation · Cessna A185 · Wasilla, AK · July 16, 2017

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 15, 2017, 17:00 local (Jul 16, 2017, 01:00 UTC)
Place
Wasilla, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N401WCCessna A185
Defining event
Enroute-cruise: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
Continental Motors, Inc., Federal Aviation Administration
FAA report
20170715020599A
Case key
95588

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

On this page

Probable cause

The pilot’s failure to manage fuel quantity in flight, which resulted in a total loss of engine power due to fuel starvation. Contributing to the accident was the pilot’s failure to follow manufacturer guidance for restoring engine power after emptying a fuel tank.

Findings · 3

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.

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
Action: incorrect action performancePersonnel issues › Action/decision · PilotCessna A185F: 10 casesAll aircraft: 1,386 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 pilot reported that he departed on a 1.3-hour flight in his floatplane, and about 1 hour into the flight, fuel flow diminished and the engine “sputtered.” He noted that the left tank fuel quantity gauge indicated empty, and the right fuel tank indicated 1/2 full. He verified that the fuel selector was in the “both” position and increased the throttle. The fuel flow increased momentarily, and then the engine lost total power. The pilot performed a forced landing on grassy tidal mud flats, during which one of the floats hit a log and the airplane nosed over, which resulted in substantial damage to the wings, vertical stabilizer, and wing struts. A witness stated that there was no fuel leaking from the wreckage at the scene. An examination of the airframe revealed that only 1.75 gallons of fuel remained in the left tank, which was below the unusable amount of 3 gallons; 8 gallons remained in the right tank. The pilot reported that he departed on the round-trip flight with 62 gallons. The digital fuel flow gauge indicated that 61.2 gallons had been used since refueling and 0.8 gallons of planned fuel remained. The fuel selector and auxiliary fuel pump were functionally tested with no anomalies noted. The vented fuel caps, tank vents, and drain system were intact. A fuel quality sample revealed no contaminants and the drained fuel was used for an engine test run. The engine started and ran at a low power setting with no anomalies observed. According to the pilot, there was sufficient fuel onboard to complete the flight. The engine likely burned fuel primarily from the left tank, for reasons that could not be determined. Had the pilot monitored the fuel quantity indicators or the digital fuel flow quantities during the flight, he would have known that one tank was supplying fuel at a faster rate than the other, that the left tank was approaching empty, and that more fuel than he planned was being consumed. After the loss of power, the pilot responded by "pumping the throttle;" however, manufacturer guidance stated that the pilot should select the fullest tank and turn on the auxiliary fuel pump. Had the pilot followed the manufacturer’s guidance, it is likely that engine power would have been restored.

Factual narrative

On July 15, 2017, about 1700 Alaska daylight time, a float-equipped Cessna A185F airplane, N401WC, was substantially damaged when it was involved in an accident near Wasilla, Alaska. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot stated that, 4 days before the accident, he fueled the airplane’s long range tanks to 62 total gallons before flying from Campbell Lake to Lake Louise, about a 1.3-hour flight. Before the return flight on the day of the accident, the fuel quantity indicators each read 3/4 full and the pilot visually verified, without a dipstick, the fuel level in each tank. He took fuel samples and noted no contamination. About 1 hour into the flight, at an altitude of about 1,500 ft mean sea level (msl), the pilot looked at the engine analyzer and fuel flow gauge and noted a fuel flow of 13 gallons per hour (gph). Then the fuel flow decreased to 4 gph and the engine “sputtered.” The pilot pushed the throttle lever to maximum and “pumped the throttle,” trying to keep the engine running, and he maneuvered the airplane for an emergency landing. He verified that the fuel selector was in the “both” position and noted that the left fuel quantity gauge indicated empty and the right indicated about 1/2 full. The fuel flow temporarily increased to 15.6 gph and then the engine lost total power about 300 ft above ground level (agl). The pilot performed a forced landing in grassy tidal flats. During the landing, the left float contacted a log hidden in tall grass, and the airplane nosed over. The airplane came to rest inverted and the pilot safely egressed. A Federal Aviation Administration aviation safety inspector who lived in the area of the accident site heard the airplane sputtering for about 45 seconds and watched the airplane descend toward the flats. He said that just before the airplane's floats touched down, he momentarily heard the engine power increase, which was followed by silence. He responded to the scene of the accident and noted that the airplane was inverted and no fuel was leaking from the airplane, which sustained substantial damage to the wings, left lift strut, and vertical stabilizer. During a postaccident examination, electrical power was applied; the fuel quantity gauges indicated that the left fuel tank was empty and the right tank was 1/2 full. The digital fuel flow gauge indicated that 61.2 gallons had been used since the last time it was set and 0.8 gallon remained. Fuel samples exhibited qualities consistent with 100 low lead aviation fuel. About 8 gallons of fuel were drained from the right tank and 1.75 gallons from the left, which was less than the tank's unusable amount of 3 gallons. The fuel quantity indicators each indicated empty after draining the tanks. The four fuel tank caps were in place and secure. The fuel tank vents were in place and clear of debris. No leaks were observed. The fuel selector valve and auxiliary fuel pumpwere functionally tested and operated normally. An engine test run was conducted with fuel that was drained from the tanks. The engine started successfully, and a magneto test was conducted at 900 rpm. The engine was not tested at high power due to propeller damage. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. The pilot stated that the fuel tanks were balanced before the flight and that he flew the airplane with the fuel selector in the “both” position. Based on the prevailing wind at the time of the accident, the flight would have experienced a quartering headwind, which would have decreased ground speed, increased the crosswind drag effect on the floats, and increased time and fuel required for the flight. The Cessna A185F pilot operating handbook (POH) indicated that expected fuel flow at 2,500 ft msl at 25 inches manifold pressure and 2,500 rpm was 16 gph. A Cessna Pilots Association Technote 003 indicated possible causes of fuel imbalance in Cessna single-engine airplanes while operated with the fuel selector in “both.” The issues that were highlighted in the article were sloshing in the tank’s interconnect vent line, fuel tank vent tube abnormalities, fuel tank cap venting, wing dihedral affects, fuel line restriction, and flight control rigging out of balance. A note on page 2-2 of the Cessna 185 POH indicated that: Fuel may not be drained from full tanks evenly due to sloshing in the interconnect vent line, preventing absolutely equal vent pressure in each tank. However, as fuel is consumed, clearing the interconnect vent line and equalizing tank vent pressures, the fuel quantities should equalize in each tank, provided the wings are maintained exactly level. Another note on page 2-4 indicated: Take-off and land with the selector valve handle in the BOTH ON position to prevent inadvertent operation on an empty tank. However, when the selector is left in the BOTH ON position for extended flight, unequal fuel flow from each tank may occur if the wings are not maintained exactly level. Resulting wing heaviness can be alleviated gradually by turning the selector valve handle to the tank in the “heavy” wing. The recommended cruise fuel management procedure for extended flight is to use the left and right tank alternately. The POH indicated on page 2-5 that: To ensure a prompt engine restart in flight after running a fuel tank dry, 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 with the throttle at least ½ open. The pilot stated that, after the first sign of loss of power, he knew that the left tank was indicating empty. Once he turned and initiated an emergency landing, there was no time to perform the engine restart procedures.

Aircraft

Registration
N401WC
Reported as
Cessna A185 (F)
Category
Airplane
Serial number
18502235
Built
1973
Airframe hours
3,864.5
Engine
Continental IO-520-D, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 27, 2016 · 16 hours before
Departed
13S · Lake Louise, AK
Destination
3C3 · Anchorage, AK
Equipment
Stall warning system

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
54
Injuries
None
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
June 20, 2014
Seat
Front
Restraint
3-point
Flight hours
230 total · 158 in this make and model · 230 as pilot in command · 5 in the last 90 days · 5 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 50 °F
Altimeter
29.95 inHg
Observed at
PABV, 6 nm away

Docket · 7

The files NTSB released with the investigation on January 13, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.0 MB in all.

FAA reports on this event · 1

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