CEN24LA108

NTSB accident investigation · Piper PA-28-180 · Conway, AR · January 31, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
January 31, 2024, 17:22 local (23:22 UTC)
Place
Conway, AR · Lat: 35.010222, Lon: -92.575675
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N2184TPiper PA-28-180
Defining event
Approach-VFR pattern downwind: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration
FAA report
20240131001009A
Case key
193746

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 student pilot's improper movement of the fuel selector to the OFF position, which resulted in fuel starvation and a total loss of engine power.

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.

Action: incorrect action performancePersonnel issues › Action/decision · Student/instructed pilotPiper PA-28-180: 10 casesAll aircraft: 1,386 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementPiper PA-28-180: 32 casesAll aircraft: 1,695 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · Student/instructed pilotPiper PA-28-180: 16 casesAll aircraft: 1,391 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.

Fuel starvationApproach-VFR pattern downwindPiper PA-28-180: 17 casesAll aircraft: 733 casesDefining event

Analysis

The flight instructor and student pilot were conducting an instructional flight in an airplane in which the student had only accumulated 1.2 hours of flight time. During the flight, the student performed one touch-and-go landing, then continued in the traffic pattern. While on the downwind leg, their preset fuel reminder to switch fuel tanks alerted on the GPS. At the direction of the flight instructor, the student turned on the fuel pump and repositioned the fuel selector handle to what he thought was the left fuel tank position. Shortly after, the student noted that the engine would not respond to throttle inputs and had sustained a loss of power. The flight instructor took control of the airplane and performed a forced landing to a field. During the landing, the nose landing gear collapsed, and the right wing sustained substantial damage. The student reported that during the egress he turned the fuel selector handle to the OFF position. The flight instructor stated that he did not direct the student to switch the fuel selector to the OFF position after the accident and he did not recall any postaccident discussion about the fuel selector. Postaccident examination of the airplane found that the fuel selector handle was positioned toward the OFF position, but it was not completely seated in the detent. A subsequent detailed examination determined that the fuel selector valve worked as expected with a steady flow of fuel when positioned to the left tank and right tank positions. There was no fuel flow when positioned to OFF. When the handle was moved to the same position where it was found after the accident, the fuel flow was restricted and would not have provided enough fuel flow for the engine to increase power when the throttle was advanced. There were no other preaccident mechanical malfunctions or anomalies that would have precluded normal operation. Given that the loss of engine power occurred shortly after changing the fuel selector handle, it is likely that the student pilot inadvertently placed the fuel selector toward the OFF position, thus resulting in fuel starvation after the available fuel in the fuel system forward of the fuel selector to the engine had been exhausted. The flight instructor was unable to confirm the fuel selection during the flight because the selector handle was installed on the sidewall behind the student’s left leg.

Factual narrative

On January 31, 2024, about 1722 central standard time, a Piper PA-28-180, N2184T, was substantially damaged when it was involved in an accident near Conway, Arkansas. The flight instructor and student pilot were not injured. The flight was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The student pilot reported that before the flight, the airplane was serviced with 48 gallons of 100 low lead fuel, and he and the flight instructor visually checked the fuel during their preflight inspection. During the flight, he performed one touch-and-go landing, then continued in the traffic pattern. While on the downwind leg, he reported that the flight instructor explained the airplane’s fuel system and how to change fuel tanks. Then while performing the pre-landing checklist, the flight instructor directed him to change from the right fuel tank to the left fuel tank. Before turning on the base leg, he noted that the engine was not responding to his throttle inputs. The flight instructor took control of the airplane and performed a forced landing to a field. After coming to rest, the student pilot positioned the fuel selector handle to the OFF position and exited the airplane. He also reported that he had accumulated 13.3 hours of flight training in the last 12 months, of which 1.2 hours were in the accident airplane make and model. The flight instructor reported that during the instructional flight he was explaining various details about the airplane. They had completed one touch-and-go landing and were on the downwind leg when their preset fuel reminder alerted on the GPS. He directed the student to turn on the fuel pump and position the fuel selector to the left tank. During the pre-landing procedures, the student alerted him that the engine sustained a loss of power. He performed a forced landing to a field, then “shut off” the airplane and exited. He added that he did not direct the student to switch the fuel selector to OFF after the accident and he did not recall any postaccident discussion about the fuel selector. During the accident flight, he did not observe the position of the fuel selector since it was on the opposite side of the student’s leg on the side wall of the airplane. Postaccident examination of the airplane revealed that the nose landing gear had collapsed, and the right wing sustained substantial damage during the accident sequence. The Federal Aviation Administration (FAA) inspector documented the position of the fuel selector, and it was positioned toward OFF, but was not completely seated in the detent. The FAA inspector’s examination of the airplane and fuel system determined that the fuel selector valve worked as expected with a steady flow of fuel when positioned to the left tank and right tank positions. There was no fuel flow when positioned to the OFF position. When the handle was moved to the same position where it was found after the accident, there was a “slight stream of fuel” produced.There were no other preaccident mechanical malfunctions or anomalies identified that would have precluded normal operation of the engine.

Aircraft

Registration
N2184T
Reported as
Piper PA-28-180
Category
Airplane
Serial number
28-7205028
Built
1971
Airframe hours
6,589.34
Engine
Lycoming O&VO-360, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Fisher Global LLC
Registered owner
Fisher Global LLC
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · January 12, 2024
Airport
CXW · Conway Regional Airport
Equipment
Electronic flight bag or handheld device, Auto-pilot, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
26
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
August 24, 2022
Seat
Right
Restraint
Lap only
Flight hours
1,015 total · 770 as pilot in command · 196.4 in the last 90 days · 41.6 in the last 30 days · 2.5 in the last 24 hours
Role
Student pilot
Age
46
Injuries
None
Certificate
Student
Seat
Left
Restraint
Lap only
Flight hours
49 total · 1 in this make and model · 0 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
130° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 39 °F
Altimeter
30.16 inHg
Observed at
KLRF, 22 nm away
METAR
KLRF 312355Z AUTO 13003KT 10SM CLR 11/04 A3016 RMK AO2 SLP217 T01070039 10147 20085 56009 $

Docket · 8

The files NTSB released with the investigation on November 7, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 37.5 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.