CEN18LA302

NTSB accident investigation · Beech A36 · Brainerd, MN · July 30, 2018

Accident · No injuriesLimited investigationFinal report
Date
July 30, 2018, 10:00 local (15:00 UTC)
Place
Brainerd, MN
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N1856WBeech A36
Defining event
Approach-VFR pattern final: Loss of engine power (total)
Weather
Visual (VMC) · Dawn
Status
Completed · report August 3, 2020
Report
Approved by Office Director
NTSB office
Central Region
Parties
Continental Aerospace Technologies, Tornado Alley Turbo Inc., Textron Aviation, Flight Standards District Office
FAA report
20180730018309A
Case key
97935

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

Total loss of engine power due to a fuel supply interruption from the left tank for reasons that could not be determined, which resulted in the subsequent forced landing into trees.

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.

Fuel systemAircraft › Aircraft systems · MalfunctionBeech A36: 6 casesAll aircraft: 181 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeBeech A36: 6 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 pilot and passenger were on a 2-hour personal flight. Midway to the destination, the pilot switched the fuel selector from the right fuel tank to the left fuel tank. While on a visual approach about 1 hour later, the engine lost power. The pilot's attempts to restart the engine were unsuccessful, and he made a forced landing into trees, which resulted in damage to both wings. One week before the accident, while the pilot was flying the same route, the engine lost power while on a visual approach. The pilot switched the fuel selector from the left tank to the right tank and landed uneventfully. After landing, he switched from the right tank to the left tank and repeated the process twice; the engine lost power both times with the left tank selected. Maintenance personnel were unable to determine a cause for the power loss events, and the pilot flew the airplane back to his home airport without incident. The accident occurred on the next flight. A review of engine data indicated that the four power loss events occurred when the left fuel tank was about half full (19 gallons) and that they were consistent with an interruption of fuel supply to the engine. Examination of the fuel system revealed that the fuel selector left detent was worn; however, because both in-flight power loss events occurred without the pilot moving the fuel selector, this issue is not relevant to the accident. No other anomalies were found with the fuel system, including the left-wing fuel tank (bladder) or venting system. Although the investigation was unable to identify any anomalies with the left fuel tank and venting system, the circumstances of the power loss events are consistent with a loss of fuel flow from the left tank.

Factual narrative

On July 30, 2018, about 1000 central daylight time, a Beech A36 airplane, N1856W, impacted terrain while on a visual approach to Brainerd Lakes Regional Airport (BRD), Brainerd, Minnesota. The pilot and passenger were not injured, and the airplane was substantially damaged. The airplane was registered to and operated by the private individual under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. The pilot stated that during preflight, both fuel tanks contained about 37 gallons of fuel. He departed Poplar Grove Airport (C77), Poplar Grove, Illinois, about 0807 with the right tank selected and flew toward BRD for about an hour, then selected the left fuel tank. About two miles prior to landing at BRD, the engine sputtered and lost power. The pilot attempted several corrective actions, to include selecting the right fuel tank and increasing the mixture control, with no effect. The pilot executed a forced landing into birch trees, which damaged both wings. The airplane came to rest nose down, and the pilot and passenger exited the airplane out of a passenger window. One week prior to the accident, while in cruise flight between C77 and BRD, the pilot noticed the engine sputter momentarily after he moved the fuel selector from the right to left fuel tank. About an hour later, engine began to sputter during the approach to BRD. The pilot selected the right fuel tank and turned on the electric boost pump. The engine ran smoothly, and the pilot landed uneventfully. While on the taxiway, the pilot attempted to troubleshoot the issue by selecting the left fuel tank, which resulted in the engine sputtering and stopping. The pilot restarted the engine with the right fuel tank selected and taxied to parking. While in parking, he selected the left fuel tank and the engine stopped again. A mechanic at BRD attempted to identify a cause for the engine stoppages. The fuel lines forward of the firewall were visually inspected, with no anomalies noted. The engine driven and electric boost pumps operated normally. No fuel pressure anomalies were noted during an engine test run. After conducting several landings at BRD, the pilot returned to C77 without incident. A review of the J.P. Instruments EDM-700 data indicated that the power loss that occurred during both flights and on the ground was consistent with a loss of fuel supply to the engine. Fuel consumed was about 36 gallons when all the power loss events occurred, with about 19 gallons of fuel present in the left fuel tank. Examination of the airplane and fuel systems at the recovery facility revealed the fuel selector was in the right tank position and the throttle, mixture, and propeller controls were all pushed full forward, with normal continuity. The engine had normal continuity during manual rotation and no anomalies were noted during borescope inspection of the cylinders. The engine driven fuel pump rotated freely, with no fuel present in the pump cavity. The pumpdrive and impeller blades were intact and exhibited normal wear patterns. The fuel screen was absent contamination. Both fuel tank cap seals were in good condition. The electric boost pump was checked at low- and high-pressure settings, with and without fuel. No anomalies were noted. The left tank fuel vent one-way check valve was clear and installed correctly. Air pressure was blown through the fuel vent line, with no restrictions. Although only one gallon of fuel was drained from the left tank, fuel was observed leaking out of the left-wing fuel vent at the accident site before the airplane was recovered. The left-wing fuel bladder attachments were in place and the flapper valve operated normally, with no blockages to the fuel return or vent openings. The bladder was removed from the wing and found to be in normal condition, with a small amount of debris inside. The bladder was filled with 38 gallons of water and did not leak. The fuel selector left detent was worn. During the examination when the fuel selector handle was manipulated within the worn detent area, fuel flow became turbulent. Fuel flow reduced to a trickle when the handle was moved beyond the center of the detent. At a test pressure of 3.1 psi, fuel flow in the left and right detent positions was 76 and 94 lbs. per hour, respectively. Without manual manipulation of the fuel selector, the valve would not move out of the detent position.

Aircraft

Registration
N1856W
Reported as
Beech A36
Category
Airplane
Serial number
E-430
Built
1973
Airframe hours
4,671
Engine
Continental Motors IO-550B4F, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 8, 2018 · 37 hours before
Departed
C77 · Poplar Grove, IL
Destination
BRD · Brainerd, MN
Flight plan
IFR
Airport
BRD · Brainerd Lakes Rgnl
Equipment
Stall warning system, Electronic primary flight display, Electronic multifunction display, Auto-pilot

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
64
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
March 8, 2018
Seat
Left
Restraint
4-point
Flight hours
3,400 total · 2,907 in this make and model · 3,170 as pilot in command · 30 in the last 90 days · 26 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dawn
Wind
280° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 57 °F
Altimeter
30.14 inHg
Observed at
KBRD, 1 nm away

Docket · 7

The files NTSB released with the investigation on May 8, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.5 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.