ATL06FA129

NTSB accident investigation · Beech F-33A · Alabaster, AL · September 23, 2006

Accident · FatalField investigationFinal report
Date
September 23, 2006, 13:00 local (18:00 UTC)
Place
Alabaster, AL
Injuries
3 fatal
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N8148RBeech F-33A
Weather
Visual (VMC) · Day
Status
Completed · report February 26, 2007
Report
Approved by Office Director
Parties
Birmingham FSDO-09, Teledyne Continental, Raytheon Aircraft Company
FAA report
20060923020279A
Case key
64582

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 failure to maintain airspeed while maneuvering toward an emergency landing area following the total loss of engine power shortly after takeoff resulting in an inadvertent stall, uncontrolled descent, and collision with the ground, and a fence. A factor in the accident was the pilot's improper fuel management resulting in a total loss of engine power due to fuel exhaustion.

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) - nonmechanicalTakeoff - initial climb
Fuel management - improperPilot in commandFactor
Fluid,fuel - exhaustion
Loss of control - in flightManeuvering - turn to landing area (emergency)
Airspeed(vs) - not maintainedPilot in commandCause
Stall - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground
Object - fence

Analysis

Witnesses heard the airplane engine sputter and lose power on initial take off climb. The nose of the airplane was observed to level out and the engine started and lost power again. The airplane was observed to enter a steep bank to the left estimated between 45 to 100 degrees. The nose of the airplane pitched down and two witnesses observed the airplane level out before it collided with the ground. The Pilot's Operating Handbook states that the airplane would stall with flaps up at 75 knots with a 45-degree angle of bank, and at 85 knots with 60-degree angle of bank. A friend of the pilot who flew in the airplane the day before the accident stated that he thought the left main fuel gauge indicated empty and the right main fuel gauge indicated half full. There was no record indicating that the airplane had been refueled before the pilot started conducting sightseeing flights lasting 10 to 15 minutes each on the day of the accident. One passenger who flew on the first sightseeing flight stated that she could not see both fuel gauges, however one fuel gauge was in the yellow range. A passenger on the second flight stated that the left fuel gauge indicated empty and the right fuel gauge was less than a quarter tank. The Pilot Operating Handbook states in Section II, Limitations, do not take off if fuel quantity gauges indicate in the yellow band or with less than 13 gallons in each main tank. The pilot flew a total of three flights before the accident flight without shutting the airplane down. The airplane holds a total of 40 gallons of fuel in the left and right main fuel tanks. Three gallons of fuel are unusable in each fuel tank. The left and right main fuel tanks were ruptured and there was no evidence of fuel or browning of vegetation at the crash site. Examination of the airplane revealed no evidence of a precrash mechanical failure or malfunction of the airframe, flight controls, or engine assembly and accessories.

Factual narrative

History of flight

On September 23, 2006, at 1300 central daylight time, a Beech F-33A, N8148R, registered to CJ Aviation LLC, operating as a 14 CFR Part 91 sightseeing flight, at the Wings and Wheels 2006 Air Show, collided with the ground and an airport perimeter fence after departing Shelby County Airport, Alabaster, Alabama. Visual meteorological conditions prevailed and no flight plan was filed. The airplane received substantial damage. The private pilot and two passengers were fatally injured. The flight was originating at the time of the accident.

Witnesses stated they observed the airplane on take off from runway 15, and on initial takeoff climb. The airplane climbed between 100 to 200 feet on runway heading before they heard the engine sputter, stop, and start again. The nose of the airplane pitched down to a level attitude, and the engine started and stopped. The airplane was observed to start a steep left turn estimated between 45-degrees to a 100-degree angle of bank. The nose of the airplane pitched down and disappeared from view. Two witnesses stated the airplane leveled out and collided with the ground.

Personnel information

Review of information on file with the FAA Airman's Certification Division, Oklahoma City, Oklahoma, revealed the private pilot was issued a private pilot certificate on September 14, 2005, with ratings for airplane single engine land, airplane single engine sea, and instrument airplane.

The pilot signed a Pilot's Participants Statement and provided it to the FAA before the air show at Shelby County Airport indicating his last flight review was on September 14, 2005. Review of a copy of the pilot's No.1 logbook provided by a family member revealed the pilot had recorded 251.30 total hours in the BE-36 of which 248.6 hours were as pilot-in-command. Review of the pilot's logbook No. 2 revealed his last recorded flight was on August 26, 2006. The pilot recorded in the logbook that he had 940 total flight hours of which .7 hours were in the Beech BE-33 in the last 30 days, and 3.1 hours were flown in the last 90 days. The pilot held a third-class medical certificate issued on September 2, 2005, with the restriction "must wear corrective lenses." The pilot was issued a Statement of Demonstrated Ability by the FAA on June 6, 1996, with physical defects for, "no useful vision right eye."

Aircraft information

Review of the airplane logbooks revealed the last annual/100 hour inspection was conducted on June 5, 2006. The tachometer was 2,488.64 hours and the Hobbs time was 632 hours. The tachometer at the crash site was 2,512.37 hours and the Hobbs time was 661.0 hours. The airplane has flown 23.73 hours since the annual/100 hour inspection. Teledyne Continental Motors rebuilt the engine, on October 1, 1999, and the engine was zero timed. The engine has 361.2 total hours since it was rebuilt. The airframe has 9,839.96 hours at the time of the accident.

Review of refueling records revealed the airplane was refueled on August 22, 2006, at Shelby Air LLC, Alabaster, Alabama, with 20 gallons of 100 low lead fuel.

A friend of the pilot stated he flew to Sylacauga, Alabama, with the pilot on September 22, 2006, and the airplane was not refueled at Sylacauga. The friend thought the left fuel gauge was on empty, and the right fuel gauge indicated half full. No entry of the flight was recorded in the pilot's logbook.

The Pilot's Operating Handbook states in Section 7, System Description, on page 7-26, that the total fuel capacity is 80 gallons of which 74 gallons of fuel are useable.

The lead pilot for Birmingham Aero Club who was in charge of the air rides at the air show stated the deceased pilot was one of the pilot's assigned to conduct the sightseeing air rides. The pilot flew 3 flights prior to the accident. The flights lasted about 10 minutes with out shutting the airplane engine down in between each flight.

The Memorandum for Birmingham Aero Club dated September 13, 2006, "Air Rides Procedures for 2006-Applicable To Both Runways states, "This year, we will fly a different route. It will essentially be an extra large pattern that is designed to produce a 15 minute circuit from the ramp back to the ramp." The Memorandum states in the Air Ride Route, "All headings are actually desired track-make necessary wind corrections and this route will yield a flight of approximately 10 minutes. Maintain at least 90 seconds between departures of air ride aircraft for spacing. Fly the route at 130 KIAS at 2,000 MSL."

A participant who flew on a flight with her daughter and another male passenger stated she was looking at the instrument panel before they took off. A fuel gauge indicated the fuel tank was in the yellow range. When asked if she observed the other fuel tank she stated no. Three other occupants who flew with the pilot stated the boyfriend of one of the occupants observed the left main fuel gauge was empty, and the right fuel gauge indicated less than a quarter of a tank. The boyfriend stated he tapped the pilot on the shoulder before they departed, and asked the pilot if they had enough fuel for the flight. The pilot did not respond to the question. The boyfriend figured the pilot could not hear him due to wearing a head set. Another participant who was on the last flight before the accident stated his grandson asked the pilot if they had a full tank of gas before they departed. The pilot responded, "no but we have plenty of gas." During the flight the pilot informed them that he had one more flight to fly before the air show started. All of the participants who were interviewed stated neither the pilot nor ground personnel provided them with a briefing before departing on their flight.

Review of the Beechcraft Bonanza F33A Pilot Operating Handbook states in Section II, Limitations, on page 2-22, "Do not take off if fuel quantity gages indicate in the yellow band or with less than 13 gallons in each main tank."

Review of the Beech Pilot Operating Handbook, Section 5, Performance, page 5-20, Time, Fuel, And Distance To Climb Chart, states at 30-degrees centigrade, 1,000 feet pressure altitude, and with approximately 5 minutes to climb to the cruising altitude of 2,000 feet, the airplane will burn about 2 gallons of fuel per take off. The chart states at 30-degrees centigrade, 2,000 feet pressure altitude, the airplane will burn 19.2 gallons of fuel per hour.

Meteorological information

The Shelby County Airport, Alabaster, Alabama, 1253 surface weather observation was wind 180-degrees at 8 knots, gusting to 15 knots, visibility 10 miles, scattered clouds at 3,500 feet and overcast clouds at 14,000 feet, temperature 88-degrees Fahrenheit, dew point temperature 73-degrees Fahrenheit, and altimeter 30.01.

Wreckage and impact information

The wreckage was located in an open field located adjacent to Airport Marine Inc., 424 Highway 87, Alabaster, Alabama. The airplane collided with the ground on Shelby County Airport property on a heading of 091degrees magnetic, 370 feet from the departure end of runway 15. The airplane went through a perimeter chain link fence 410 feet from the departure end of runway 15, and came to rest on a heading of 180 degrees magnetic off airport property.

Examination of the airplane revealed the engine was separated from the engine firewall with the engine mounts attached and the engine was displaced to the left. The upper engine cowling was damaged and separated. The lower engine cowling remained in place and was damaged. The engine was removed from the airframe for further examination, and no fuel was present in the fuel lines.

The propeller assembly separated from the propeller crankshaft flange. The spinner remained attached to the propeller spinner bulkhead, was damaged, and there was no evidence of rotation. One propeller blade remained attached in the propeller hub. No "s" bending was present on the propeller blade, and chord wise s

Aircraft

Registration
N8148R
Reported as
Beech F-33A
Category
Airplane
Serial number
CE-526
Airframe hours
9,840
Engine
Continental IO-520-BA25, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Other work use · Part 91
Operator
Clayton V. Reuse
Registered owner
CJ Aviation LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 1, 2006 · 24 hours before
Departed
KEET · Alabaster, AL
Destination
KEET
Airport
KEET · Shelby County Airport, runway 15, 5,000 × 75 ft

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
62
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
September 1, 2005
Seat
Left
Toxicology
Performed
Flight hours
940 total · 268 in this make and model · 3 in the last 90 days · 1 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 8 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
14,000 ft overcast
Temperature
88 °F, dew point 73 °F
Altimeter
30.01 inHg
Observed at
KEET

FAA reports on this event · 1

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