CEN21LA242

NTSB accident investigation · Piper J4A · Omaha, NE · May 30, 2021

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
May 30, 2021, 09:55 local (14:55 UTC)
Place
Omaha, NE
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N8501ZPiper J4A
Defining event
Takeoff: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Piper Aircraft, FAA Lincoln FSDO
FAA report
20210530009419A
Case key
103179

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

A total loss of engine power due to a blocked fuel tank cap vent hole, which resulted in fuel starvation. Contributing to the accident was the mechanic’s and the pilot’s inadequate inspections of the fuel tank cap.

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.

Fuel systemAircraft › Aircraft systems · Incorrect use/operationPiper J4A: 1 caseAll aircraft: 181 casesProbable cause
Fuel systemAircraft › Aircraft systems · Damaged/degradedPiper J4A: 1 caseAll aircraft: 181 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotPiper J4A: 1 caseAll aircraft: 551 casesProbable cause
Inspection: scheduled/routine inspectionPersonnel issues › Task performance · Maintenance personnelPiper J4A: 1 caseAll aircraft: 167 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 takeoff, the airplane traveled about three-quarters of the way down the runway and climbed to about 300 ft above ground level. The engine sputtered once and stopped producing power. The pilot switched the fuel selector from the forward fuel tank to the auxiliary fuel tank and unsuccessfully tried to restart the engine. The pilot maneuvered the airplane for a forced landing, and the airplane impacted the ground. The pilot reported that fuel was pouring into the cockpit after the airplane came to rest, and he quickly exited the airplane. The airplane sustained substantial damage to both wings and the fuselage. A postaccident examination revealed that the forward fuel tank cap was not the correct part for the airplane; the cap had an unknown part number etched on it with no manufacturer name displayed. The fuel tank cap appeared to be manufactured with a single vent hole and was equipped with two worn gaskets stacked under the cap. The lower gasket had multiple visible cracks present on both sides of it. The upper gasket was wrinkled and was displaced toward the vent hole, which blocked the venting capability of the fuel tank. For the accident model airplane, the sole source of venting for the forward fuel tank was through a vented fuel tank cap. The pilot reported that the forward fuel tank cap was on the airplane when he purchased it several years ago. The pilot did not have any knowledge of the origin or the background of the forward fuel tank cap. It is likely the engine sustained fuel starvation during the takeoff due to blockage of the forward fuel tank cap vent hole. Based on the available evidence, it could not be determined when the vent hole became blocked. The accident occurred 39 days and 2.3 flight hours after the most recent annual inspection. During the inspection, the mechanic should have observed the multiple visible cracks present on both sides of the lower gasket in the fuel tank cap. Further, during the preflight inspection, the pilot should have observed the multiple visible cracks present on both sides of the lower gasket in the fuel tank cap. Had the deficiencies with the fuel tank cap gasket been observed during the annual inspection or preflight, it is likely the fuel tank cap would have been replaced.

Factual narrative

On May 30, 2021, about 0955 central daylight time, a Piper J4A airplane, N8501Z, sustained substantial damage when it was involved in an accident near Omaha, Nebraska. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that during the preflight inspection, he filled the forward (main) fuel tank to about 1 inch below the top and noted that the auxiliary fuel tank contained 4 gallons of fuel. The pilot used a stick to “dip” the two fuel tanks and validate the amount of fuel in them. The pilot planned on departing from North Omaha Airport (3NO), Omaha, Nebraska, for flight operations in the airport’s traffic pattern. Before the takeoff, the fuel selector was positioned for the forward fuel tank. During the takeoff, the airplane traveled about three-quarters of the way down the runway and climbed to about 300 ft above ground level. The engine sputtered once and stopped producing power. The pilot switched the fuel selector to the auxiliary fuel tank and tried to restart the engine unsuccessfully. The pilot maneuvered the airplane for a forced landing, and the airplane impacted the ground and came to rest next to a tree in a field. The pilot reported that fuel was pouring into the cockpit after the airplane came to rest, and he quickly egressed from the cockpit. The airplane sustained substantial damage to both wings and the fuselage. A postaccident examination of the airframe and engine revealed that the fuel tank cap found installed on the filler neck of the forward fuel tank did not appear to be the correct part for the airplane; it had a part number of 2501621 etched on it with no manufacturer name displayed. The fuel tank cap appeared to be manufactured with a single vent hole. The fuel tank cap was equipped with two worn gaskets stacked under the cap. The lower gasket had multiple visible cracks present on both sides of it. The upper gasket was wrinkled and was displaced toward the vent hole, which blocked the venting capability of the fuel tank. Based on the available evidence, it could not be determined when the vent hole became blocked. No fuel was observed in the forward fuel tank, which had sustained impact damage. For the accident model airplane, the sole source of venting for the forward fuel tank is through a vented fuel tank cap. The approved part numbers for the forward fuel tank caps from the original equipment manufacturer (Piper) are A748 (the older style) or 00062-40 (the newer style). The pilot reported that the forward fuel tank cap was on the airplane when he purchased it several years ago. The pilot and his brother purchased the airplane together in March 2011, and the pilot became the sole owner in October 2017. The pilot did not have any knowledge of the origin or the background of the forward fuel tank cap. According to the airplane’s maintenance logbook, during the airplane’s most recent annual inspection, the airplane wasinspected per Piper Inspection Sheets 230-3000. The accident occurred 39 days after the inspection, and 2.3 airplane flight hours had accumulated since the inspection. The inspection sheets listed the inspection criteria, which included: Inspect fuel tank and lines for damage, leaks, water, and seals for deterioration, and cap for venting if applicable. The FAA Airplane Flying Handbook (FAA-H-8083-3B) discusses preflight procedures and states in part: Checking the fuel tank vent is an important part of a preflight assessment. If outside air is unable to enter the tank as fuel is drawn into the engine, the eventual result is fuel starvation and engine failure. During the preflight assessment, the pilot should look for signs of vent damage and blockage. Some airplanes utilize vented fuel caps, fuel vent tubes, or recessed areas under the wings where vents are located. The pilot should use a flashlight to look at the fuel vent to ensure that it is free from damage and clear of obstructions. If there is a rush of air when the fuel tank cap is cracked, there could be a serious problem with the vent system. Aviation Safety, a journal about risk management and aviation accident prevention, published an article on September 23, 2017, titled “Fuel Systems 101.” This article discusses the importance of inspecting fuel tank caps and states: Fuel caps should be checked not only for security but for any deficiencies such as cracked or missing gaskets, plus fuel stains on the wing aft of the fuel filler area indicating corrective action is necessary to resolve poor sealing. Fuel caps be of the vented or non-vented type; always install a fuel cap with the type required for the exact application.

Aircraft

Registration
N8501Z
Reported as
Piper J4A (NO SERIES)
Category
Airplane
Serial number
4-1231
Built
1940
Airframe hours
1,653.1
Engine
Cont Motor C85-12F, 85 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 14, 2021 · 2.3 hours before
Airport
3NO · North Omaha, runway 17/35, 3,173 × 40 ft, concrete
Equipment
None

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
65
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
February 23, 2020
Seat
Left
Restraint
3-point
Flight hours
180 total · 35 in this make and model · 91 as pilot in command · 2 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
55 °F, dew point 48 °F
Altimeter
30.23 inHg
Observed at
KBTA, 5 nm away
METAR
KBTA 301455Z AUTO 00000KT 10SM -RA BKN070 OVC090 13/09 A3023 RMK AO2 T01300093

Docket · 4

The files NTSB released with the investigation on July 27, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 29.6 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.