- Date
- April 16, 2021, 20:30 local (Apr 17, 2021, 00:30 UTC)
- Place
- North Vernon, IN
- Injuries
- 1 uninjured
- Damage
- Substantial damage
- Phase of flight
- Initial climb
- Aircraft
- N19DCessna A185F
- Defining event
- Initial climb: Fuel starvation
- Weather
- Visual (VMC) · Dusk
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Central Region
- Parties
- FAA FSDO
- FAA report
- 20210416001449A
- Case key
- 102937
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 improper installation of the fuel selector handle, which resulted in a total loss of engine power due to fuel starvation.
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.
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
After a 100-hour inspection, which the pilot assisted with, he conducted an operational check of the airplane, which included a run-up of the airplane. The mechanic had to leave before the inspection was complete, and the pilot installed portions of the interior which included the fuel selector handle. He then departed the airport and after retracting the landing gear and flaps, the engine lost power. During the forced landing the airplane sustained substantial damage to the empennage and aft section of the fuselage. Examination of the airplane revealed that fuel was available in the left and right fuel tanks. The examination also found that the fuel selector handle had been installed incorrectly by 90° on the fuel selector shaft. The position of the shaft as found would have restricted all fuel flow from the left and right fuel tanks. The shaft was “keyed” such that the fuel selector handle should only be installed one way; however, the handle partially fit over the stem when not aligned with the key on the shaft and allowed the attaching screw to partially engage on the stem. An engine test run was conducted; the engine started normally and with the engine at full throttle, the fuel selector was placed in the left, right, and both positions. The engine continued to run with no anomalies noted. The airplane was factory equipped with a small header tank that fuel accumulated in before being fed to the engine. The accident is consistent with the fuel selector shaft being in the off position while the selector handle pointed to the left fuel tank. Once the fuel in the airplane’s header tank was exhausted, the engine lost power due to fuel starvation.
Factual narrative
On April 16, 2021, about 2030 eastern daylight time, a Cessna A185F amphibian airplane, N19D, was substantially damaged when it was involved in an accident near North Vernon, Indiana. The pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he assisted a mechanic with a 100-hour inspection, and he then conducted an operational check of the airplane, which included an inspection and a run-up of the airplane. He then departed and after retracting the landing gear and flaps, the engine lost power. Unable to make it back to the airport, he selected a nearby golf course for the forced landing. The airplane sustained substantial damage to the empennage and aft section of the fuselage. Examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed that the left fuel tank contained 10 gallons of fuel and the right fuel tank contained 15 gallons of fuel. The inspector reported that the mechanic had to leave work early, and the pilot installed portions of the interior which included the fuel selector handle. Examination of the fuel selector handle found that the handle had been installed incorrectly by 90° on the fuel selector shaft. The fuel selector shaft was “keyed” so that the fuel selector handle could be installed in only one way; however, the handle partially fit over the stem and allowed the attaching screw to partially engage on the shaft. The inspector removed the fuel selector handle and provided a photo of the selector as orientated, when found (see Figure 1). The fuel selector handle was on the left tank position, but the orientation of the fuel selector shaft as positioned restricted all fuel flow to the engine. Figure 1: Fuel valve selector (FAA photo) A post-accident engine test run was conducted with the engine operated at full throttle; the fuel selector was placed in the left, right, and both positions. The engine operated with the fuel selector in each of these positions with no anomalies noted. The airplane was factory equipped with a small header tank that collected fuel before being fed to the engine.
Aircraft
- Registration
- N19D
- Reported as
- Cessna A185F
- Category
- Airplane
- Serial number
- 18504097
- Built
- 1980
- Airframe hours
- 12,825
- Engine
- Continental IO-550D, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Operator
- Echelon Right LLC
- Registered owner
- Echelon Right LLC
- Airworthiness certificate
- Standard, Normal
- Last inspection
- 100 hour · April 16, 2021
- Departed
- OVO · North Vernon, IN
- Airport
- OVO
- Equipment
- Stall warning system, ADS-B
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
- 49
- Injuries
- None
- Certificate
- Commercial
- Airplane ratings
- Single-engine land, Single-engine sea
- Instrument ratings
- Airplane
- Medical
- Class 2, With waivers/limitations
- Last flight review
- January 13, 2021
- Seat
- Left
- Restraint
- 4-point
- Flight hours
- 1,107 total · 384 in this make and model · 992 as pilot in command · 72 in the last 90 days · 35 in the last 30 days
Weather
- Conditions
- Visual (VMC) · Dusk
- Wind
- Calm
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 54 °F, dew point 39 °F
- Altimeter
- 29.92 inHg
- Observed at
- KIMS, 18 nm away
Docket · 5
The files NTSB released with the investigation on January 6, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.9 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.