CEN24LA236

NTSB accident investigation · Cirrus Design SR22T · Boerne, TX · June 23, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 23, 2024, 09:06 local (14:06 UTC)
Place
Boerne, TX
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N87AQCirrus Design SR22T
Defining event
Takeoff: Loss of engine power (partial)
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 2025
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Cirrus Aircraft, Continental Motors, FAA - San Antonio FSDO
FAA report
20240623011359I
Case key
194530

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

Maintenance personnel’s inadequate adjustment of fuel flow, which resulted in an excessively rich mixture, a rough-running engine, and a subsequent partial loss of engine power.

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.

AircraftAircraft › Aircraft power plant · Inadequate inspectionCirrus Design SR22T: 1 caseAll aircraft: 151 casesProbable cause
Engine fuel and control: fuel controlling systemAircraft › Aircraft power plant · Incorrect service/maintenanceCirrus Design SR22T: 1 caseAll aircraft: 59 casesProbable cause
Maintenance: scheduled/routine maintenancePersonnel issues › Task performance · Maintenance personnelCirrus Design SR22T: 2 casesAll aircraft: 320 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, a crew alerting system (CAS) message for fuel flow illuminated. The flight instructor reported that the engine immediately began “sputtering” and did not provide sufficient power to climb. The flight instructor attempted to land the airplane on the remaining available runway but was unable to stop the airplane before it departed the end of the runway and impacted a fence, resulting in substantial damage to both wings. Postaccident engine examination, which included an engine run, revealed that when the throttle was advanced to the full forward position, a fuel flow of about 44 gallons per hour (gph) and a manifold pressure of about 37 inches of mercury (inHg) were observed before the engine began experiencing fuel flows that were too high to support combustion. One instructor at the flight school stated that the high fuel flow was a common issue with the airplane. However, the flight instructor who was flying the airplane on the accident flight stated that he was not made aware of fuel flow related anomalies with the airplane before the accident. After the accident, the fuel flow was adjusted and the engine operated with no anomalies noted. The fuel flow was likely not properly set during recent maintenance, resulting in an excessively high fuel flow, an extremely rich mixture, a rough-running engine, and a partial loss of engine power.

Factual narrative

On June 23, 2024, about 0906 central daylight time, a Cirrus SR22T airplane, N87AQ, was substantially damaged when it was involved in an accident at Boerne Stage Field (5C1), Boerne, Texas. The pilot receiving instruction, flight instructor, and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. According to the flight instructor, the preflight inspection and engine run-up were normal. During takeoff, about 20 to 30 ft above the runway, a CAS message for fuel flow illuminated. The engine immediately began “sputtering” and did not provide sufficient power to climb. The flight instructor attempted to land the airplane on the remaining available runway but was unable to stop the airplane before it departed the runway and impacted a fence, resulting in substantial damage to both wings. Cirrus Mandatory Service Bulletin SB2X-42-18R3 issued September 12, 2019 includes a software change to include a CAS message for fuel flow in excess of 42 gph. The Cirrus SR22T Pilot’s Operating Handbook states, in part: Excessively high fuel flows may lead to a loss of engine power and may cause the engine to fail. If fuel flow exceeds 42 gph, maintenance is required. A review of onboard data revealed that fuel flow to the engine peaked at about 45 gph on the accident flight. Postaccident examination of the airplane and engine was performed. The engine was started and idled around 1,200 rpm to bring it to operating temperatures. The power lever was moved to the full forward position and the fuel flow immediately increased to about 44 gph and the manifold pressure increased to about 37 inHg. The engine began to run rough and black smoke was observed from the exhaust. The power lever was brought back to 1,000 rpm and the engine was shut down. No other anomalies were found during the engine run. A review of maintenance logs revealed that the airplane had undergone a 100-hr inspection on June 7, 2024, 15 flight hours before the accident. The maintenance logs indicate that, during the inspection, the mechanic performed engine set up in accordance with Cirrus SR22T Airplane Maintenance Manual (AMM) 73-20 and Continental Motors Maintenance Manual M-18. An operational check was performed with no discrepancies noted by the mechanic. M-18 references the use of Continental Motors Maintenance Manual M-0 for engine inspection and service, including an engine operational checklist. However, the mechanic was unable to provide documentation of the operational check, including the unmetered fuel pressure, manifold pressure, fuel flow at 2,500 rpm, or the idle rpm rise as should have been recorded per the AMM. The airplane’s remote data module was sent to the NTSB Vehicle Recorders Laboratory for data recovery. The data revealed that the fuel flow reached at least 42 gph on several previous flights. According to a flight instructor who had previously flown the airplane, he received an indication for a fuel flowanomaly each of the four times he flew the airplane. The instructor stated that the high fuel flow was known to be a common issue with the airplane. However, the flight instructor who was flying the airplane on the accident flight stated that he was not made aware of the fuel flow anomaly. The purchaser of the airplane after the accident reported that he found the fuel flow was set too high and that he adjusted it before flight. Following the adjustment, the airplane operated on a 1,000-mile flight with no anomalies reported.

Aircraft

Registration
N87AQ
Reported as
Cirrus Design SR22T
Category
Airplane
Serial number
1531
Built
2017
Airframe hours
1,379.7
Engine
Continental TSIO-550-K, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Texas Skies Flight School
Registered owner
Marshall Air LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 7, 2024 · 15 hours before
Departed
5C1 · Boerne, TX
Destination
TDW · Amarillo, TX
Flight plan
IFR
Airport
5C1 · Boerne Stage Airfield, runway 17, 5,006 × 60 ft, asphalt
Equipment
Auto-pilot, Airframe parachute, ADS-B, Stall warning system, Electronic primary flight display, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
24
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
April 17, 2024
Seat
Right
Restraint
4-point
Flight hours
401.8 total · 3.5 in this make and model · 313.3 as pilot in command · 66.9 in the last 90 days · 10.4 in the last 30 days · 1.8 in the last 24 hours
Role
Pilot
Age
52
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
4-point
Flight hours
131 total · 0 in this make and model · 75.2 as pilot in command · 9.9 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 3 knots
Visibility
10 statute miles
Temperature
81 °F, dew point 70 °F
Altimeter
30.02 inHg
Observed at
KSAT, 15 nm away
METAR
KSAT 231351Z 05003KT 10SM FEW250 27/21 A3002 RMK AO2 SLP145 T02670211

Docket · 22

The files NTSB released with the investigation on November 25, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 92.9 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.