CEN23LA224

NTSB accident investigation · Beech A36 · Oklahoma City, OK · June 4, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 4, 2023, 12:15 local (17:15 UTC)
Place
Oklahoma City, OK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N9169QBeech A36
Defining event
Approach-VFR pattern base: Unknown or undetermined
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration, OKC FSDO
FAA report
20230604007019A
Case key
192311

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 loss of engine power during approach for landing for undetermined reasons.

Findings · 1

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.

Not determinedNot determined › Not determined · Unknown/Not determinedBeech A36: 23 casesAll aircraft: 2,247 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 stated that he flew west of the departure airport and practiced several turns before returning to perform several landings. During the descent to the airport, he switched fuel tanks from the left to the right fuel tank. The left fuel tank indication was just above the yellow arc, and the right fuel tank indication was about 3/8 of a tank. While the airplane was on the base leg for landing, the engine began to run rough and sustained a loss of engine power. The pilot switched fuel tanks, turned the boost pump on, and tried the ignition, but he was unable to restore engine power. The pilot then performed a forced landing to a road about one mile south of the airport. The airplane sustained substantial damage to both wings and the horizonal stabilizer. A postaccident examination of the airplane revealed that the airplane fuel selector was in the left fuel tank position, the auxiliary fuel pump was on, and the mixture was full rich. The left and right fuel tanks contained about 10 gallons of fuel, which indicated in the yellow arc of both fuel gauges. A postaccident engine run was performed at engine speeds of 1,800 rpm and 2,300 rpm with the fuel selector positioned to the right fuel tank, and there were no anomalies that precluded engine operation. The fuel selector operated normally. The engine-driven pump, fuel control assembly, injector distributor valve, fuel injector lines, and fuel injectors were then removed for functional testing; no anomalies were noted.

Factual narrative

On June 4, 2023, at 1215 central daylight time, a Beech A36, N9169Q, was involved in an accident near Oklahoma City, Oklahoma. The airline transport pilot and a passenger were uninjured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 as a personal flight. The pilot stated that upon takeoff from the departure airport both fuel tank gauges indicated “a little less” than ½ tank. The pilot flew the airplane about 12-15 miles west of the departure airport and practiced a few turns. About 10-15 minutes elapsed before the pilot returned to the departure airport, where he planned to perform landings. The pilot stated that during the descent check, he switched fuel tanks from the left to the right fuel tank. The left fuel tank indication was just above the yellow arc and the right fuel tank indication was about 3/8 of a tank. While the airplane was on the base leg for landing, the engine began to run rough and sustained a loss of engine power. The pilot switched fuel tanks, turned the boost pump on, and tried the ignition, but he was unable to restore engine power. The pilot then performed a forced landing to a road about one mile south of the airport. The airplane sustained substantial damage to both wings and the horizonal stabilizer. The pilot stated that, during recovery of the airplane from the accident site, he turned the battery on and the left fuel tank quantity gauge indicated about 1/4 full; the right fuel tank quantity gauge indicated about 3/8 full. A postaccident examination of the airplane revealed the fuel selector was in the left fuel tank position, the auxiliary fuel pump was on, and the mixture was full rich. The left and right fuel tanks contained about 10 gallons of fuel. The Beech A36 type certificate data sheet stated the unusable fuel for the left and right tanks was 3 gallons per tank. A postaccident engine run was performed at engine speeds of 1,800 rpm and 2,300 rpm with the fuel selector positioned to the right fuel tank and there were no anomalies that precluded engine operation. The fuel selector operated normally. The engine driven pump, fuel control assembly, injector distributor valve, fuel injector lines, and fuel injectors were then removed for functional testing; no anomalies were noted. The Pilot’s Operating Handbook (POH), Section VII, Systems Description, Fuel Required for Flight, states that it is the pilot’s responsibility to ascertain that the fuel quantity indicators are functioning and maintaining a reasonable degree of accuracy. This section states that takeoff is prohibited if the fuel quantity indicators do not indicate above the yellow arc (13 gallons). The POH does not discuss operation of the airplane at fuel indications below the yellow arc for other phases of flight. The POH, Section III, Emergency Procedures, Engine Discrepancy Checks, Condition – Loss of Power, states to turn the auxiliary fuel pump on and lean the mixture as required. The auxiliary fuel pump is to beturned off if there is no performance improvement in a few moments. The Air Start procedure states to leave the auxiliary fuel pump on if the engine-driven pump is inoperative.

Aircraft

Registration
N9169Q
Reported as
Beech A36
Category
Airplane
Serial number
E-253
Built
1970
Airframe hours
5,689.84
Engine
Cont Motor IO-520-BB, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Yelle Flyers LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 21, 2022
Destination
Same as departure
Airport
HSD · Sundance, runway 36, 5,000 × 100 ft, asphalt
Equipment
Onboard weather, Stall warning system, ADS-B, Auto-pilot, Electronic flight bag or handheld device, Electronic multifunction display

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
61
Injuries
None
Certificates
Airline transport, Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
January 19, 2023
Seat
Left
Restraint
4-point
Flight hours
20,000 total · 173 in this make and model · 17,000 as pilot in command · 245 in the last 90 days · 78 in the last 30 days · 0.4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 7 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 63 °F
Altimeter
29.98 inHg
Observed at
HSD, 1 nm away

Docket · 3

The files NTSB released with the investigation on April 18, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.9 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.