CEN14LA408

NTSB accident investigation · Raytheon B36TC · Decatur, IL · August 6, 2014

Accident · No injuriesLimited investigationFinal report
Date
August 6, 2014, 17:45 local (22:45 UTC)
Place
Decatur, IL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N1069TRaytheon B36TC
Defining event
Approach: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed · report March 10, 2015
Report
Approved by Office Director
NTSB office
Central Region
Parties
Continental Motors Inc., FAA
FAA report
20140806012039A
Case key
89814

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

Debris in the fuel system, which resulted in fuel starvation and a subsequent loss of engine power.

Findings · 5

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 · Not serviced/maintainedRaytheon B36TC: 1 caseAll aircraft: 181 cases
Fuel systemAircraft › Aircraft systems · Not inspectedRaytheon B36TC: 1 caseAll aircraft: 181 cases
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelRaytheon B36TC: 2 casesAll aircraft: 1,695 casesProbable cause
Fuel system: fuel filter-strainerAircraft › Aircraft systems · Capability exceededRaytheon B36TC: 1 caseAll aircraft: 52 casesProbable cause
Fuel systemAircraft › Aircraft systems · Capability exceededRaytheon B36TC: 1 caseAll aircraft: 181 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, while on approach to the airport, he switched the fuel selector handle to the left fuel tank. Minutes later, while he was turning the airplane in the traffic pattern, the engine experienced a partial loss of power. He switched on the electric fuel pump, and the engine power was briefly restored. The engine lost power again, and the pilot made a forced landing to a cornfield on the south side of the airfield. A postaccident examination of the airplane revealed that fibrous debris, which measured 0.2 inch by 0.4 inch, was present in the fuel manifold valve and the filter screen. Similar debris was also found obstructing the inside of the fuel selector screen. Data extracted from the airplane's engine monitor data card revealed that, during cruise flight, the fuel flow was inconsistent, ranging from about 20 to 95 gallons per hour (gph); this was likely due to the debris obstruction. In the final minute of the flight, the fuel flow decreased to 5 gph and then spiked to 75 gph, which is consistent with the fuel pump being switched on, before decreasing again without recovering. The engine rpm tracked with the reductions and increase in fuel flow. Based on the physical evidence and the engine data, it is likely that the debris in the fuel selector screen ultimately blocked the fuel from reaching the engine, which resulted in fuel starvation.

Factual narrative

On August 6, 2014, about 1745 central daylight time, a Raytheon B36TC airplane, N1069T, made an emergency landing after a partial loss of engine power near the Decatur Airport (KDEC), Decatur, Illinois. The pilot was not injured and the airplane sustained substantial damage. The airplane was registered to and operated by S.R. Aero LLC, under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed for the flight, which operated on an instrument flight rules flight plan. The flight originated from the Macomb Municipal Airport (KMQB), Macomb, Illinois, at 1658. The pilot reported that he switched the fuel selector handle to the left fuel tank about 10 miles away from the airport. Minutes later while turning on a left base in the traffic pattern, he noticed a partial loss of engine power. He switched on the electric fuel pump and the engine power was briefly restored. The engine lost power again and the pilot made a forced landing into a corn field located on the south side of the airfield. During the landing roll, the airplane exited the corn field, struck a berm, and came to rest upright. The left wing partially separated from the fuselage and the firewall was damaged. The Federal Aviation Administration inspector, who responded to the scene, reported he retrieved 2 fuel samples from the airplane and both were clear of contaminants. A postaccident examination of the engine and airplane fuel system revealed fibrous debris was present in the fuel manifold valve and the filter screen, which measured 0.2 inches by 0.4 inches. Similar debris was found in the fuel selector screen, which covered most of the inside of the filter. A review of the airplane's maintenance records revealed that on April 12, 2014, an annual maintenance inspection was completed. During the inspection the left outboard fuel tank cell was replaced. The airplane's engine monitor data card was removed and sent to the NTSB Vehicle Recorder Division for download. The data card contained parameters for the accident flight which included manifold pressure, engine RPM, exhaust gas temperature, cylinder head temperature, fuel flow, oil temperature, and oil pressure. The data card revealed that the fuel flow signal was scattered from when the engine was brought up to takeoff power, with values in cruise flight that ranged from about 20 gallons per hour (GPH) up to about 95 GPH. In the final minute of the flight, the fuel flow decayed to 5 GPH, and spiked up to 75 GPH before it decayed a second time and did not return to previously recorded levels. The engine RPM tracked with the reduction and increase in fuel flow. The engine RPM decreased from about 2,125 RPM to about 1,580 RPM, and then spiked back up to 2,540 RPM for a short time before it decreased and did not return.

Aircraft

Registration
N1069T
Reported as
Raytheon B36TC
Category
Airplane
Serial number
EA-589
Built
1996
Engine
Continental Motors TSIO-520, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · April 12, 2014 · 1,027 hours before
Departed
MQB · Macomb, IL
Destination
DEC · Decatur, IL
Flight plan
IFR
Airport
DEC · Decatur, runway 36, 5,298 × 150 ft, asphalt

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
50
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
June 25, 2014
Seat
Left
Restraint
3-point
Flight hours
577 total · 264 in this make and model · 448 as pilot in command · 23 in the last 90 days · 11 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 6 knots
Visibility
10 statute miles
Lowest ceiling
11,000 ft broken
Temperature
77 °F, dew point 68 °F
Altimeter
30.04 inHg
Observed at
KDEC, 1 nm away

Docket · 9

The files NTSB released with the investigation on January 27, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.1 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.