CEN23LA406

NTSB accident investigation · Beech B200 · Elk Grove Village, IL · September 8, 2023

Accident · Serious injuriesClass 4 · LimitedFinal report
Date
September 8, 2023, 18:41 local (23:41 UTC)
Place
Elk Grove Village, IL
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N220KWBeech B200
Defining event
Approach: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20230908013419A
Case key
193042

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

The pilot’s improper fuel planning, that resulted in a total loss of engine power due to fuel exhaustion, and a subsequent forced landing. Also causal was the pilot’s decision to go around with minimum fuel.

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 managementBeech B200: 1 caseAll aircraft: 1,695 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelBeech B200: 1 caseAll aircraft: 1,695 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 he had completed a charter flight and departed to pick up new passengers at an airport about 200 nautical miles away. While on approach to the destination airport, the previous passengers notified the pilot that they were ready to be picked up, so the pilot did not land and turned the airplane back toward the departure airport. The pilot climbed to 10,000 ft and noticed the airplane’s fuel burn was high, so he climbed to 16,000 ft. The pilot reported that “everything was routine until about a 3-mile final” to the runway, when the controller asked the pilot to slow to a final approach speed. An airplane was still on the runway, so the controller told the pilot to go around. The pilot told controllers twice that he had minimum fuel available. The pilot continued on a visual approach for the same runway when the right engine lost power followed by the left engine. He feathered both propellers and made a forced landing to a wooded area. The airplane sustained substantial damage to the fuselage, both wings, and the empennage. The pilot reported that there were no preimpact mechanical malfunctions or failures that would have precluded normal operation. The pilot later stated that he was “trying to do too much with too little” fuel and the accident was a result of poor fuel management. Although the controller directed the pilot to go around, the pilot should have recognized the criticality of the minimum fuel situation and landed the airplane.

Aircraft

Registration
N220KW
Reported as
Beech B200
Category
Airplane
Serial number
BB-1120
Built
1983
Airframe hours
9,817
Engines
Pratt & Whitney PT6A-42, 850 horsepower, turbo propPratt & Whitney PT6A-42, 850 horsepower, turbo prop
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Onyx Flight, Inc, doing business as AirChoice
Registered owner
Airselect LLC
Airworthiness certificate
Standard, Normal
Last inspection
Condition · January 11, 2023
Departed
ORD · Chicago, IL
Destination
ORD · Chicago, IL
Flight plan
IFR
Airport
ORD · Chicago O'Hare Intl, runway 9L, 7,500 × 150 ft, concrete
Equipment
Auto-pilot, Electronic flight bag or handheld device, Electronic multifunction display, Electronic primary flight display, Onboard weather, Satellite tracking device, ADS-B, Stall warning system

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
36
Injuries
Serious
Certificates
Flight engineer, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
August 21, 2023
Seat
Left
Restraint
Lap only
Flight hours
3,394 total · 156.4 in this make and model · 3,252 as pilot in command · 32.7 in the last 90 days · 17.1 in the last 30 days · 1.7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 11 knots
Visibility
10 statute miles
Lowest ceiling
4,400 ft broken
Temperature
64 °F, dew point 55 °F
Altimeter
30.10 inHg
Observed at
KORD, 4 nm away
METAR
KORD 082351Z 02011KT 10SM FEW021 BKN044 18/13 A3010 RMK AO2 SLP191 60001 T01830133 10200 20178 50004

Docket · 3

The files NTSB released with the investigation on October 17, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.3 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.