ANC96TA148

NTSB accident investigation · Piper PA-18 · Elmendorf, AK · September 8, 1996

Accident · No injuriesFinal report
Date
September 8, 1996, 14:48 local (22:48 UTC)
Place
Elmendorf, AK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N4372APiper PA-18
Weather
Visual (VMC) · Day
Status
Completed · report March 31, 1998
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19960908031329A
Case key
2923

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

loss of engine power due to fuel starvation, which resulted from improper positioning of the fuel tank selector; inadequate supervision by the flight instructor (CFI); and the flight crew's improper emergency procedure.

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) - nonmechanicalClimb
Fluid,fuel - starvationCause
Fuel tank selector position - improperCause
Supervision - inadequatePilot in command(cfi)Cause
Forced landingEmergency descent/landing
Emergency procedure - improperFlightcrewCause
DitchingEmergency landing

Analysis

Initially, the instructor pilot (CFI) was seated in the front of the airplane, and the commercial certificated dual student pilot was seated in the rear. The purpose of flight was to instruct the student in glider tow operations. They performed two glider tow operations and decided to change seats. The student exited the rear of the airplane and stood outside, while the CFI climbed over the front seat into the rear. This was accomplished while the engine was running. A third glider tow operation was accomplished, then while climbing during the fourth glider tow operation, the engine lost power. The pilots selected a muskeg field for a forced landing. At about tree height, the engine surged to full power and then stopped again. The pilots missed landing the airplane in the muskeg field. They landed the wheel airplane in a small lake, and it sank. Examination of the cockpit before the airplane was raised showed the fuel selector positioned between the left and right fuel tank positions. Postaccident inspection of the airplane and its systems disclosed no evidence of a preexisting mechanical anomaly. The engine was supplied with fresh fuel and started. It ran normally. The fuel selector was moved to the position where it was discovered, while submerged. The engine then ran about two minutes and stopped.

Factual narrative

On September 8, 1996, at 1448 Alaska daylight time, a wheel equipped Piper PA-18 airplane, N4372A, registered to and operated by the Civil Air Patrol, Arcturus Wing, Anchorage, Alaska, lost engine power during the initial climb after takeoff while towing a glider. A forced landing in a lake was accomplished. The U.S. goverment operated flight was operating under 14 CFR Part 91, and was departing Elmendorf Air Force Base Runway 33 for multiple glider tow operations. Visual meteorological conditions prevailed and a visual flight rules flight plan was in effect. The commercial certificated instructor pilot (pilot-in-command), seated in the rear seat, and the commercial pilot seated in the front seat, were not injured. The airplane sank in a lake and was substantially damaged. The purpose of the flight was to provide aerial tows to gliders, and to instruct the commercial certificated pilot (dual student) in glider tow operations.

During an interview with the instructor pilot on September 12, 1996, he stated that they had completed two glider tow operations while he was flying from the front seat. The pilots then exchanged seats. The dual student exited the airplane, and the instructor pilot climbed over the front seat to the rear seat. This was accomplished while the engine was running. They completed one more successful tow operation, and on the fourth tow, when they reached an altitude of 200 to 300 feet above ground level, the engine lost power. They selected a muskeg field in which to land, but at tree height the engine surged to full power for approximately 2 to 3 seconds and again lost power. They missed the field and had to land in the lake.

Examination of the airplane cockpit prior to removal from the lake showed that the fuel selector handle indicator was pointing between the left and right fuel tank positions. During the interview with the instructor pilot on September 8, 1997, he was asked about his and the dual student's emergency actions upon experiencing the power failure. He was asked directly if they had attempted to reselect a fuel tank and he stated "no."

Postaccident inspection of the airplane and its systems disclosed no evidence of any preimpact mechanical anomalies. The old, lake water-contaminated fuel was removed, and fresh fuel added. The engine was started and ran normally. The fuel selector was positioned as found when the airplane was submerged in the lake. The engine ran for approximately two minutes and stopped.

Aircraft

Registration
N4372A
Reported as
Piper PA-18
Category
Airplane
Serial number
18-4774
Engine
Lycoming O-320-A2B, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Civil Air Patrol
Airworthiness certificate
Standard, Normal
Departed
EDF
Flight plan
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
39
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Rear
Flight hours
1,500 total · 10 in this make and model · 1,100 as pilot in command · 79 in the last 90 days · 22 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 8 knots
Visibility
90 statute miles
Lowest ceiling
None
Temperature
61 °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 N4372A · 1

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