CEN20LA015

NTSB accident investigation · Piper PA22 · White Bear Township, MN · October 27, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
October 27, 2019, 10:55 local (15:55 UTC)
Place
White Bear Township, MN
Injuries
1 serious
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N2621PPiper PA22
Defining event
Takeoff: 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
FAA report
20191027020479A
Case key
100495

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 pilot's failure to select the proper fuel tank before departure, which resulted in fuel starvation 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.

Use of equip/info: use of checklistPersonnel issues › Task performance · PilotPiper PA-22-150: 1 caseAll aircraft: 336 casesProbable cause
Action: incorrect action selectionPersonnel issues › Action/decision · PilotPiper PA-22-150: 2 casesAll aircraft: 397 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementPiper PA-22-150: 9 casesAll aircraft: 1,695 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomePiper PA-22-150: 4 casesAll aircraft: 933 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 his preflight inspection revealed 18 gallons of fuel in the left tank and "no fuel in the right tank." After an engine run-up, he initiated a takeoff; he reported that he did not recall any further events of the flight. The airplane subsequently impacted a tree and terrain about 1/4 mile from the runway and came to rest near a ditch. Examination of the wreckage revealed that the right fuel tank was empty, and the fuel selector valve was in the right tank position. The gascolator was intact and contained no fuel. It is likely that the airplane experienced a total loss of engine power during takeoff due to fuel starvation as a result of the pilot's failure to select the proper fuel tank.

Factual narrative

On October 27, 2019, about 1055 central daylight time, a Piper PA22-150 airplane, N2621P, impacted terrain during a takeoff from Benson Airport (6MN9), White Bear Township, Minnesota. The airline transport pilot sustained serious injuries and the airplane was substantially damaged during the impact. The airplane was registered to and operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. Day visual meteorological conditions prevailed in the area about the time of the accident, and the flight was not operated on a flight plan. The local flight was originating from 6MN9 at the time of the accident. The pilot reported that this was the first flight of the day and he conducted a preflight examination of the airplane to include "trims." The pilot reported the fuel quantity was 18 gallons in the left tank, the engine had 5 quarts oil, and he indicated that there was "no fuel in the right tank." He taxied the airplane on runway 13 and performed a "running" carb check and magneto test. At end of runway 13, the pilot turned the airplane and broadcast the flight's takeoff on runway 31 and enter the traffic pattern. He started the takeoff on runway 31 and did not remember anything further about the flight. According to information from the Federal Aviation Administration (FAA), the airplane impacted a tree and terrain about 1/4 mile northwest of the departure end of runway 31. It came to rest near a ditch. At 1045, the recorded weather at the Anoka County-Blaine Airport (Janes Field), near Minneapolis, Minnesota, was: Wind 300° at 10 kts, gusting to 15 kts; visibility 10 statute miles; sky condition overcast clouds at 2,000 ft; temperature 7° C; dew point 2° C; altimeter 29.90 inches of mercury. The temperature and dew point spread were plotted on a carburetor icing chart. Their intersection on the icing chart indicated a probability of carburetor icing at any power setting. An FAA Inspector examined the wreckage after the accident and photo documented the airplane controls. The inspector indicated that the right fuel tank was found dry. The quantity of liquid present in the left fuel tank had a visual appearance of about 5 gallons. The fuel selector valve was positioned to the right fuel tank. The gascolator/strainer was intact and found to be dry when examined. The engine was not bound and it turned when rotated by hand. The airplane owner's handbook, in part, stated: Two 18-gallon fuel tanks located in the wings provide fuel storage in the Tri-Pacer. ... The main fuel strainer, through which all fuel going to the carburetor flows, is located on the lower left engine side of the firewall. … Before take-off, it is very important that the fuel selector be checked to make sure it is on the proper tank. CAUTION When fuel quantity in right tank is 1/3 or less use only in level flight.

Aircraft

Registration
N2621P
Reported as
Piper PA22 (150)
Category
Airplane
Serial number
22-2957
Built
1955
Airframe hours
2,677.61
Engine
Lycoming O-320, 150 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
April 16, 2019
Departed
6MN9 · White Bear Township, MN
Destination
6MN9 · White Bear Township, MN
Airport
6MN9 · Benson, runway 30, 2,000 × 75 ft, grass/turf
Equipment
Electronic flight bag or handheld device, ADS-B, Satellite tracking device

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
78
Injuries
Serious
Certificates
Flight instructor, Commercial, Flight engineer, Airline transport
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 3, With waivers/limitations
Last flight review
May 2, 2018
Seat
Left
Restraint
4-point
Flight hours
7,957 total · 315 in this make and model · 7,409 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 10 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
2,000 ft overcast
Temperature
45 °F, dew point 36 °F
Altimeter
29.89 inHg
Observed at
KANE, 10 nm away

Docket · 9

The files NTSB released with the investigation on February 3, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.0 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.

Other investigations on N2621P · 1

Matched to the same aircraft by N-number and date.