CEN18LA085

NTSB accident investigation · Quartz Mountain Aerospace L-11E · Omaha, NE · January 24, 2018

Accident · No injuriesLimited investigationFinal report
Date
January 24, 2018, 14:18 local (20:18 UTC)
Place
Omaha, NE
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N515BWQuartz Mountain Aerospace L-11E
Defining event
Approach: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report February 5, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA Flight Standards District Office
FAA report
20180124006139A
Case key
96653

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

The instructor pilot’s inadequate preflight fuel planning, which resulted in fuel exhaustion and a total loss of engine power.

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 levelQuartz Mountain Aerospace 11E: 3 casesAll aircraft: 1,695 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Not inspectedQuartz Mountain Aerospace 11E: 3 casesAll aircraft: 1,695 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · Instructor/check pilotQuartz Mountain Aerospace 11E: 2 casesAll aircraft: 551 casesProbable cause
Info processing/decision: identification/recognitionPersonnel issues › Action/decision · Instructor/check pilotQuartz Mountain Aerospace 11E: 1 caseAll aircraft: 559 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

During an instructional flight, the two pilots—an airline transport pilot giving instruction and a commercial pilot receiving instruction—flew to two airports and made an instrument approach at each airport. Upon returning to the pilots' home airport and while on another instrument approach, the engine lost all power. The pilot giving instruction assumed control of the airplane and made a forced landing in a school baseball field. During the forced landing, the airplane struck trees and a fence, causing substantial damage to a wing spar. During a postaccident examination, a total of ½ gallon of fuel was drained from both tanks. The airplane's fuel capacity was 42 gallons, of which 40 gallons was usable. The airplane had been serviced with fuel several days before the accident, and the service technician estimated that 34 gallons of fuel was on board the airplane at the beginning of the accident flight. The pilot giving instruction reported that he had visually verified that the airplane was "full of fuel" before the flight, and he expected that there would be enough fuel for 4 hours of flight. The pilot giving instruction planned 3 hours of flight time, and the airplane's Hobbs meter indicated 3.1 hours of flight time.

Factual narrative

On January 24, 2018, at 1418 central standard time, a Quartz Mountain Aerospace (Luscombe) 11E, N515BW, struck trees and a fence during a forced landing following a total loss of engine power in Omaha, Nebraska. The certificated airline transport flight instructor and certificated commercial flight instructor receiving instruction were not injured. The airplane sustained substantial damage. The rental airplane was registered to and operated by Oracle Aviation, LLC, Omaha, Nebraska, and operated under the provisions of Title 14 Code of Federal Regulations Part 91 as an instructional flight. Day visual meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan had been filed. The flight originated from Millard Airport (MLE), about 1100. According to the instructor's accident report, the airplane was full of fuel (verified visually), which should have provided about four hours of flight time. The planned flight time was 3 hours. They flew to Wayne Municipal Airport (LCG), Wayne, Nebraska, and Central Nebraska Regional Airport (GRI), Grand Island Nebraska, where they made an instrument approach at each airport before returning to MLE. The airplane was on the GPS (Global Positioning System runway) 12 instrument approach, about 5.3 miles from MLE, when the engine lost power. Following the emergency checklist, the engine regained power for about 10 seconds. The instructor assumed control and made a forced landing in a school baseball field near a road intersection. During the forced landing, the airplane struck trees and a fence, causing damage to a wing spar. The airplane was towed back to MLE where Federal Aviation Administration (FAA) inspectors from the Lincoln, Nebraska, Flight Standards District Office (FSDO) examined the airplane. They drained a total of ½-gallon of fuel from both tanks. Both the tachometer and Hobbs meter indicated a flight duration of 3.1 hours. The instructor noted that a similar incident occurred about two weeks earlier. In that case, the pilots were able to land at the airport. No determination was made as to why the engine lost power, but the instructor surmised that either the tanks did not hold 42 gallons, or the engine was consuming a "significantly greater amount" of fuel. According to the service technician, when he serviced the airplane a few days before the accident, and it was not full of fuel. He added fuel to a level "just above the tab portion" of the fuel neck. Using another similar airplane, the technician demonstrated to FAA inspectors how he fueled the airplane to his customary level. He then added 6 additional gallons (3 gallons per tank) to reach the full level. It was estimated about 34 gallons of fuel was on board the airplane.

Aircraft

Registration
N515BW
Reported as
Quartz Mountain Aerospace L-11E
Category
Airplane
Serial number
1006
Built
2008
Airframe hours
276
Engine
Continental IO-360-ES, 185 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Oracle Aviation, LLC
Registered owner
Oracle Aviation, LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 21, 2017
Departed
MLE · Omaha, NE
Destination
MLE · Omaha, NE
Flight plan
IFR
Airport
MLE · Millard, runway 12, 3,801 × 75 ft, grass/turf
Equipment
None

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
Flight instructor
Age
68
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
December 5, 2017
Seat
Right
Restraint
3-point
Flight hours
16,046 total · 60 in this make and model · 13,400 as pilot in command · 30 in the last 90 days · 10 in the last 30 days
Role
Pilot
Age
26
Injuries
None
Certificates
Flight instructor, Private, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Helicopter
Medical
Class 1, Without waivers/limitations
Last flight review
November 3, 2016
Seat
Left
Restraint
3-point
Flight hours
1,420 total · 7 in this make and model · 1,337 as pilot in command · 30 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
37 °F, dew point 28 °F
Altimeter
30.21 inHg
Observed at
MLE

Docket · 3

The files NTSB released with the investigation on August 28, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 580 KB 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.