CEN15LA303

NTSB accident investigation · Aviat A-1C-180 · Cincinnati, OH · July 5, 2015

Accident · No injuriesLimited investigationFinal report
Date
July 5, 2015, 17:40 local (21:40 UTC)
Place
Cincinnati, OH
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N354BMAviat A-1C-180
Defining event
Maneuvering: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed · report April 13, 2020
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20150705009509A
Case key
91539

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 inadequate preflight inspection and fuel planning, which resulted in a loss of engine power due to fuel exhaustion.

Findings · 4

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 managementAviat A-1C-200: 1 caseAll aircraft: 1,695 casesProbable cause
Planning/preparation: fuel planningPersonnel issues › Task performance · PilotAviat A-1C-200: 1 caseAll aircraft: 719 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelAviat A-1C-200: 1 caseAll aircraft: 1,695 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeAviat A-1C-200: 2 casesAll aircraft: 933 cases

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 private pilot was conducting a personal flight. After practicing stop-and-go landings, he departed, turned the airplane to the left, climbed to 1,800 ft mean sea level, reduced power to 40% to 45%, and activated the lean-of-peak assist feature on the engine instrumentation. As he leaned the mixture and watched for the first cylinder to reach peak exhaust gas temperature, a fuel flow sensor malfunction indicator light appeared on the engine instrumentation. The pilot subsequently enriched the mixture, but the sensor malfunction indication continued, and the engine lost power. After attempting to restart the engine, the pilot conducted a forced landing to a golf course. During the landing roll, the right wing tip and right elevator struck a tree, which resulted in structural damage. Examination of the engine, airframe, and fuel system did not reveal any preimpact mechanical malfunctions or failures that would have precluded normal operation. The fuel tanks were not damaged, and there was no evidence of fuel leakage at the accident site. However, only about 2 gallons of fuel were found remaining in the airplane. The 2 gallons were unusable. The engine instrumentation system was powered up, and the "fuel remaining" indicated 17.6 gallons. Per the system pilot's guide, the pilot is required to perform a "first time set up" that includes calibrating the fuel flow transducer. This calibration has a direct input into how the system computes the airplane's remaining fuel. This task was never accomplished, which provided the pilot with an erroneous "fuel remaining" indication. The pilot reported that he did not physically check the wing tank fuel quantity tubes that were in the cockpit or "dip" the fuel tanks to verify fuel quantity. Thus, it is likely that the engine lost power due to fuel exhaustion.

Factual narrative

***This report was modified on February 20, 2020. Please see the docket for this accident to view the original report.*** On July 5, 2015, about 1740 eastern daylight time, an Aviat Aircraft Inc., A1C-180 Husky airplane, N354BM, was substantially damaged during a forced landing following a loss of engine power near Cincinnati, Ohio. The private pilot was not injured. The airplane was registered to and operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed and a flight plan was not filed. The flight originated from the Clermont County Airport (I69), Batavia, Ohio, at 1730, and its destination was the Cincinnati Municipal Airport (LUK), Cincinnati, Ohio. The pilot reported that after practicing stop and go short field landings at I69, the pilot departed for LUK. After departure, the pilot turned the airplane to the left, climbed to 1,800 ft mean sea level (about 950 ft above ground level), reduced power to 40% to 45% for slow flight, and activated the Lean-of-Peak assist feature of the JPI EDM930 Engine Instrument. As he leaned the mixture and watched for the first cylinder to reach peak exhaust gas temperature, a Fuel Flow Sensor malfunction indicator light appeared on the EDM930. The pilot subsequently enriched the mixture, but the sensor malfunction indication continued, and the engine lost power. After attempting engine restart procedures and applying carburetor heat, the engine did not respond, so the pilot set up for a forced landing to a golf course. During the landing roll, the right wing tip and right elevator struck a tree resulting in structural damage. The airplane came to rest upright and the pilot evacuated uninjured. According to a Federal Aviation Administration inspector, examination of the engine and airframe at the accident site did not reveal any mechanical or fuel delivery problems. All engine controls were functioning properly and oil quantity was normal. Additionally, the fuel tanks were not damaged and there was no indication of fuel leaking at the accident site. The aircraft was equipped with two 26-gallon (25 usable) fuel tanks, one in each wing. According to the pilot, the aircraft burned about 10 gallons per hour and the last amount of fuel put on the aircraft was 13.4 gallons, the day before the accident. The aircraft accumulated about 3.1 hours of flight time since the refueling. At the accident site, the JPI EDM930 system was powered up and the "fuel remaining" indicated 17.6 gallons. Per the EDM 930 pilot's guide, the pilot is required to perform a "first time set up" which includes calibrating the fuel flow transducer. This calibration has a direct input into how the EDM computes the aircraft's remaining fuel. This task was never accomplished, which provided the pilot with an erroneous "fuel remaining" indication. After the fuel was drained from the left wing, approximately 2 gallons were recovered from the tanks.The pilot reported that he did not physically check the wing tank fuel quantity tubes that were in the cockpit, or "dip" the fuel tanks to verify fuel quantity. Also, the pilot stated that he was "preoccupied" with trying to obtain the "rich to peak" fuel burn on the EDM930 while the engine began to lose power, and he may not have noticed the engine was losing power until it actually quit.

Aircraft

Registration
N354BM
Reported as
Aviat A-1C-180 (UNDESIGNAT)
Category
Airplane
Serial number
3132
Built
2011
Airframe hours
561
Engine
Lycoming O-360-A1P, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 6, 2014
Departed
I69 · Clermont, OH
Destination
LUK · Cincinnati, OH
Equipment
Electronic primary flight display, Onboard weather, Stall warning system, ADS-B, Electronic flight bag or handheld device, Electronic multifunction display

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
58
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
July 13, 2013
Seat
Front
Restraint
5-point
Flight hours
1,015.5 total · 517.5 in this make and model · 907.5 as pilot in command · 18.6 in the last 90 days · 7.5 in the last 30 days · 3.5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
12,000 ft overcast
Temperature
75 °F, dew point 64 °F
Altimeter
30.07 inHg
Observed at
I69, 4 nm away

Docket · 3

The files NTSB released with the investigation on December 29, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.1 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.