CEN09LA274

NTSB accident investigation · Beech 35-C33 · Addison, TX · May 4, 2009

Accident · Serious injuriesLimited investigationFinal report
Date
May 3, 2009, 21:06 local (May 4, 2009, 02:06 UTC)
Place
Addison, TX
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N528BMBeech 35-C33
Defining event
Initial climb: Fuel exhaustion
Weather
Visual (VMC) · Night
Status
Completed · report April 22, 2010
Report
Approved by Office Director
NTSB office
Central Region
Parties
Teledyne Continental Motors, Federal Aviation Administration
FAA report
20090503006399A
Case key
73768

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

A loss of engine power in flight due to fuel starvation as a result of the pilots' inadequate fuel management.

Findings · 2

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementBeech 35-C33: 3 casesAll aircraft: 1,695 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · Flight crewBeech 35-C33: 3 casesAll aircraft: 1,391 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 two commercial pilots (one of which was the owner) flew to the accident location and dropped off a passenger. Prior to the first flight the owner pilot had checked the fuel levels and determined there was enough fuel to make their desired flights. Neither pilot ensured the fuel selector was selecting the fullest tank prior to the second takeoff. On departure and about 200 feet above the ground the engine began sputtering and then lost power. The pilots switched fuel tanks in-flight, but the engine did not restart. The airplane landed short of the runway, resulting in substantial damage to the airplane and serious injuries to both pilots. Examination of the airplane revealed the right main tank was empty and the fuel selector was selected to the left main tank.

Factual narrative

On May 3, 2009, about 2106 central daylight time, a Beech 35-C33 airplane, N528BM, was substantially damaged during a forced landing following a loss of engine power after takeoff from Addison Airport (ADS), Addison, Texas. Both commercial pilots were seriously injured. The flight was being conducted under the provisions of Title 14 Code of Federal Regulations Part 91 without a flight plan. The repositioning flight was originating from ADS, and was en-route to Hicks Airfield (T67), Fort Worth, Texas. Night, visual meteorological conditions prevailed at the time of the accident. The pilot was flying in the left seat to build high performance pilot in command (PIC) time. His first flight in the airplane was the afternoon of the accident, when he and the airplane owner, who was also a commercial pilot, flew the owner’s son from T67 to ADS. The pilot stated he was unfamiliar with the airplane. The owner-pilot, who was in the right seat, stated he had checked the fuel before flying to ADS and determined each main tank had between 15 and 20 gallons of fuel and the fuel selector was on the right main tank. The airplane was on departure from initial takeoff and about 200 feet above the ground when the engine started sputtering. The owner-pilot immediately suspected the problem was that the fuel selector was still on the right main tank and it should have been switched to the left main tank. He reached for the fuel selector switch, which was located under the pilot’s left leg, but he could not reach it. He then took control of the airplane and the pilot switched the fuel selector. The pilot stated he could not recall which tank it was on. The owner-pilot then attempted to return to ADS and land, but the airplane landed short of the runway on airport property. The owner-pilot stated on the Accident/Incident Report (NTSB Form 6120.1) “I believe we took-off on the [right main fuel tank] and ran it empty. There [was not] time for the fuel in the [left main fuel tank] to restart the engine before we hit the ground. Other factors were that [the pilot] was unfamiliar with the airplane and I [was not] double checking him.” “The aircraft hit the ground before I could see [the ground].” Examination of the airplane revealed the left main landing gear strut was sheared off and pushed up through the left wing. The left horizontal stabilizer was damaged and the fuselage was partially buckled. Investigators on scene found the left wing tank was intact and contained approximately five to six gallons of fuel and the right wing tank was empty. The fuel selector was found in the left tank position. A post accident engine inspection revealed the fuel inlet line and fuel vapor line were both dry and did not contain any fuel. Fuel was observed in the fuel manifold. The inspection did not reveal any abnormalities that would have prevented normal operation.

Aircraft

Registration
N528BM
Reported as
Beech 35-C33
Category
Airplane
Serial number
CD-1056
Airframe hours
577
Engine
Cont Motor IO-520-BB, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Martin Bryan S
Registered owner
Martin Bryan S
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Unknown · January 16, 2009
Departed
ADS · Addison, TX
Destination
T67 · Hicks Airfield, TX
Airport
ADS · Addison Airport, runway 33, 7,202 × 100 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Co-pilot
Age
40
Injuries
Serious
Certificates
Private, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
November 8, 2008
Seat
Right
Flight hours
1,020 total · 816 in this make and model · 923 as pilot in command · 60 in the last 90 days · 16 in the last 30 days · 0 in the last 24 hours
Role
Pilot
Age
34
Injuries
Serious
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
September 23, 2008
Seat
Left
Flight hours
905 total · 1 in this make and model · 858 as pilot in command · 419 in the last 90 days · 144 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
320° at 8 knots
Visibility
13 statute miles
Lowest ceiling
2,900 ft overcast
Temperature
61 °F, dew point 55 °F
Altimeter
29.94 inHg
Observed at
ADS

Docket · 4

The files NTSB released with the investigation on January 7, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 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.