CEN20LA252

NTSB accident investigation · Piper PA28R · Denver, CO · June 28, 2020

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
June 27, 2020, 21:00 local (Jun 28, 2020, 03:00 UTC)
Place
Denver, CO
Injuries
1 minor, 3 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N811MSPiper PA28R
Defining event
Initial climb: Fuel related
Weather
Visual (VMC) · Dusk
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA FSDO
FAA report
20200627015549A
Case key
101506

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 total loss of engine power during climbout due to fuel starvation. Contributing to the accident was the pilot’s inadequate fuel planning.

Findings · 3

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 levelPiper PA-28R-201: 1 caseAll aircraft: 1,695 casesProbable cause
Planning/preparation: fuel planningPersonnel issues › Task performance · PilotPiper PA-28R-201: 1 caseAll aircraft: 719 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 climbout after a touch-and-go landing maneuver, the pilot reported that the engine hesitated. Suspecting a fuel issue, the pilot attempted to switch fuel tanks, but was unable to reach the fuel selector because the shoulder harness would not release. He abandoned attempts to switch fuel tanks and turned toward flat terrain for a forced landing. The airplane landed in a field adjacent to a tree line, resulting in substantial damage to the left wing. Examination of the engine, throttle and mixture controls, and fuel distribution system did not reveal any pre-impact anomalies. About 4.25 total gallons of fuel were drained from the fuel tanks; 4 gallons from the left tank and .25 gallons from the right tank. The airplane flight manual stated that unusable fuel for the airplane is 5 total gallons, 2.5 gallons in each tank for critical flight conditions. It is likely that the reported engine hesitation after takeoff was due to fuel starvation.

Factual narrative

On June 26, 2020, about 2100 central daylight time, a Piper PA28R-201, N811MS, was substantially damaged when it was involved in an accident at Rocky Mountain Metropolitan Airport (BJC), Broomfield, Colorado. One passenger sustained minor injuries, and the private pilot and two passengers were not injured. The airplane was operated under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. The pilot departed BJC, flew to a nearby airport, and was returning to BJC when the accident occurred. He reported that his shoulder harness inertial reel locked up while preparing for the outbound and return flights for no apparent reason, but he was able to free up the harness in both cases. The pilot reported that he arrived back at BJC with about 15 gallons of fuel left in the airplane (10 gallons in the right tank and 5 gallons in the left tank). The pilot requested clearance to perform a touch-and-go maneuver at BJC. Shortly before the turn from base to final, the pilot’s shoulder harness locked up once again. He leaned back to release the belt, but it took out the slack without releasing. After touchdown, the pilot performed the touch-and-go, with the shoulder harness still locked. During the climb, the engine hesitated and the pilot pitched the airplane forward. Suspecting a fuel issue, the pilot attempted to switch fuel tanks. The pilot stated that it was difficult to reach the fuel selector lever because of the shoulder harness not releasing. The pilot abandoned further attempts to switch fuel tanks and initiated a left turn toward flat terrain for a forced landing. The airplane landed in a field about 350-feet beyond the departure end of runway. The airplane came to rest upright adjacent to a tree line, resulting in substantial damage to the left wing. A postaccident examination of the engine revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. The fuel distribution system was intact and appeared normal. Cockpit throttle and mixture controls were rigged properly and appeared normal. The cockpit fuel selector valve was found in the left tank position. A total of about 4.25 gallons of fuel was removed from the left and right fuel tanks; 4 gallons from the left tank, and .25 gallons from the right tank. The tanks were not compromised. The cockpit fuel gauges appeared to function normally When examined, the pilot’s inertial reel on the shoulder harness did not function properly as the pilot reported. The airplane flight manual states that the unusable fuel for the airplane is 5 total gallons, 2.5 gallons in each fuel tank for critical flight conditions.

Aircraft

Registration
N811MS
Reported as
Piper PA28R (201)
Category
Airplane
Serial number
2837042
Built
1989
Airframe hours
15,144
Engine
Lycoming IO-360, 230 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Rocky Mountain Flight School
Registered owner
G & M Aircraft Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 5, 2020
Departed
FMM · Fort Morgan, CO
Destination
Same as departure
Airport
BJC · Rocky Mountain Metro, runway 30R, 9,000 × 100 ft, concrete

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
38
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
February 4, 2019
Seat
Left
Restraint
4-point
Flight hours
428 total · 19 in this make and model · 24 in the last 90 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
260° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 32 °F
Altimeter
29.86 inHg
Observed at
BJC

Docket · 5

The files NTSB released with the investigation on June 24, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.2 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.