CEN19LA007

NTSB accident investigation · Grumman AA5 · Refugio, TX · October 12, 2018

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
October 12, 2018, 13:04 local (18:04 UTC)
Place
Refugio, TX
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N81383Grumman AA5
Defining event
Approach-VFR pattern base: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration - San Antonio FSDO
FAA report
20181012019749A
Case key
98475

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 improper inflight fuel management, which resulted in a total loss of engine power due to fuel starvation and the pilot’s failure to maintain adequate airspeed, which resulted in the airplane exceeding its critical angle of attack and an aerodynamic stall at a low altitude.

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementGrumman American Avn. AA-5B: 3 casesAll aircraft: 1,695 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedGrumman American Avn. AA-5B: 1 caseAll aircraft: 1,681 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedGrumman American Avn. AA-5B: 2 casesAll aircraft: 990 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 was conducting a personal cross-country flight when he became lost. The pilot reported that he did not understand how to navigate using the GPS that was installed in the airplane before the flight. Instead of continuing to the southeast toward the intended destination, the pilot turned south for the remainder of the flight. After flying for about 1.5 hours, the pilot became concerned about how much fuel remained and decided to land to refuel. The pilot stated that the airplane had a total loss of engine power while in the airport traffic pattern, and that he did not maintain adequate airspeed, which resulted in an aerodynamic stall during the turn from the base leg to final. The airplane sustained substantial damage to the fuselage and empennage during impact. Examination of the airplane revealed no fuel in the left fuel tank, about 7 gallons of fuel in the right fuel tank, and less than 2 fluid ounces of combined fuel from the electric boost pump, the fuel line to the carburetor, and the carburetor fuel bowl. The pilot reported that the fuel selector valve was positioned to the left fuel tank when the loss of engine power occurred. The loss of engine power was likely due to fuel starvation.

Factual narrative

On October 12, 2018, about 1304 central daylight time, a Grumman AA-5B airplane, N81383, was substantially damaged when it was involved in an accident while maneuvering to land at Rooke Field Airport (RFG) near Refugio, Texas. The pilot sustained serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. During a telephone interview with the National Transportation Safety Board (NTSB) Investigator-in-Charge (IIC), the pilot stated that the accident occurred during the first flight after an annual inspection and the installation of a Garmin 480 GPS. The pilot estimated that the airplane had about 26 gallons of fuel onboard when he departed Silver Wings Airport (TS36), Fredericksburg, Texas, for the cross-country flight to Lane Airpark (T54), Rosenburg, Texas. The pilot reported that he did not understand how to navigate using the GPS, and as a result he became lost during the flight and turned south instead of continuing to the southeast toward T54. After flying for about 1.5 hours, he became concerned about how much fuel remained and decided to land at RFG to refuel. The pilot stated that he did not maintain adequate airspeed while in the traffic pattern for runway 14L at RFG, which resulted in an aerodynamic stall during the turn from the base leg to final. The pilot did not submit a completed NTSB Accident Report Form (6120.1) during the investigation. During a telephone interview with a Federal Aviation Administration (FAA) Airworthiness Inspector, the pilot confirmed that he became lost during the flight and that he decided to land to refuel. He selected the left fuel tank while he maneuvered to land, but the airplane had a total loss of engine power while on final approach. A witness reported seeing the airplane wreckage in a field north of the airport as he taxied his airplane toward the approach end of runway 14L at RFG. The airplane had traveled about 100-125 ft after it impacted the ground. The accident pilot reportedly told the witness that he made a “rookie mistake” while maneuvering to land for fuel. A medical helicopter was dispatched to the site to transport the pilot to a hospital for treatment of his injuries. The witness then called the FAA to report the accident. The witness stated that the left tank did not contain any fuel, but there was fuel visible in the right tank. Neither fuel tank appeared to be damaged, and the fuel selector valve handle was positioned to the right fuel tank. The mixture control was full rich, the throttle was full forward, and the ignition key was positioned on the right magneto. The flap selector was full down. A FAA Airworthiness Inspector stated that the airplane’s left fuel tank was empty at the accident site, and that the right fuel tank contained about 7 gallons of fuel. Less than 2 fluid ounces of combined fuel was recovered from the electric boost pump, the fuel line to the carburetor, and the carburetor fuel bowl. The airplane sustainedsubstantial damage to the fuselage and empennage during impact. A mechanic at the departure airport reported seeing about 8 gallons of fuel in each fuel tank (16 gallons total) before the flight. The airplane was not refueled before the flight because there was no fuel service at the departure airport. Based on available radar track data, the flight likely departed TS36 about 1120. The airplane’s ground track generally continued to the southeast toward T54 until about 1155 when it turned to the south. The airplane did not reestablish a course toward T54 for the remainder of the flight. At 1302:24, the last radar return was recorded about 0.125 mile south-southwest of RFG at 350 ft mean sea level. The accident site was located about 1,300 ft north of the approach end of runway 14L at RFG.

Aircraft

Registration
N81383
Reported as
Grumman AA5 (B)
Category
Airplane
Serial number
AA5B0522
Built
1977
Engine
Lycoming O-360-A4K, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 12, 2018 · 1.5 hours before
Departed
TS36 · Fredericksburg, TX
Destination
RFG · Refugio, TX
Airport
RFG · Rooke Field Airport, runway 14L, 4,361 × 60 ft, asphalt
Equipment
Stall warning system

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
73
Injuries
Serious
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
2,600 total · 300 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 72 °F
Altimeter
29.93 inHg
Observed at
RKP, 20 nm away

Docket · 9

The files NTSB released with the investigation on July 15, 2021, 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.