CHI02LA299

NTSB accident investigation · Piper PA-28-140 · Moorhead, MN · September 30, 2002

Accident · Serious injuriesLimited investigationFinal report
Date
September 29, 2002, 21:00 local (Sep 30, 2002, 02:00 UTC)
Place
Moorhead, MN
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N9714WPiper PA-28-140
Weather
Visual (VMC) · Night/dark
Status
Completed · report April 23, 2003
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20020930029989A
Case key
55844

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 inadequate fuel management by the certified flight instructor.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - nonmechanicalApproach - vfr pattern - final approach
Fuel management - inadequatePilot in command(cfi)Cause
Fluid,fuel - starvation
Forced landingEmergency descent/landing
On ground/water encounter with terrain/waterEmergency landing
Misc eqpt/furnishings,shoulder harness - not installed

Analysis

The instructional flight sustained substantial damage during a forced landing approximately 20 feet short of the intended landing runway. The certified flight instructor (CFI) noted twice for the need to switch fuel tanks before the accident. During the final approach segment of the flight, the airplane was configured with an idle power setting and 10 degrees of flaps. While on final approach, the throttle was advanced from its idle setting no engine power was noted. Examination of the fuel system revealed the left fuel tank was empty. The right fuel tank contained usable fuel. The airplane was not equipped with shoulder harnesses due its certification basis. The CFI received minor facial injuries, and the student pilot received serious facial injuries. A supplemental type certificate was available for the installation of shoulder harnesses on the accident make and model airplane.

Factual narrative

On September 29, 2002, at 2100 central daylight time, a Piper PA-28-140, N9714W, operated by West Central Airways Inc., as a flight training/rental airplane, was substantially damaged during a forced landing short of runway 12 at Moorhead Municipal Airport (JKJ), Moorhead, Minnesota. Night visual meteorological conditions prevailed at the time of the accident. The 14 CFR Part 91 instructional flight was not operating on a flight plan. The student pilot received serious injuries, and the certified flight instructor (CFI) received minor injuries. The flight originated from Fergus Falls Municipal-Einar Mickelson Field Airport (FFM), Fergus Falls, Minnesota, at 1930.

The flight was the student pilot's introductory night flight. The CFI's preflight briefing with the student covered intended points of landing; runway lengths, directions, surfaces and lighting available; forecast weather for the route; time, distance, and fuel requirements for the flight; and the need to switch fuel tanks at some point during the flight.

The route of flight was from FFM to Pelican Rapids Municipal Airport-Lyon's Field, Pelican Rapids, Minnesota, to Detroit Lakes Airport-Wething Field, Detroit Lakes, Minnesota, to Hawley Municipal Airport (04Y), Hawley, Minnesota, to JKJ and returning to FFM. While on the ground at 04Y, the CFI made a mental note for the need to switch fuel tanks "probably before landing at JKJ." Upon arrival at JKJ, the CFI verbally noted the presence of another aircraft without a landing light. The CFI stated in a written statement, "this would have been a good time to switch fuel tanks." The CFI stated that while on final, with a flap setting of 10 degrees, the throttle was advanced from idle, but there was no engine power. A landing was made approximately 20 feet short of the runway 12 (4,000 feet by 75 feet, dry asphalt) with a 10 degree flap setting.

The accident airplane was manufactured in 1967 without shoulder harnesses in accordance with certification regulations at the time of manufacture. Supplemental type certificate, SA00001CH, held by Aero Fabricators, Co., provides a kit for the installation of a shoulder harness and seat belt assembly on PA-28-140, PA-28-150, PA-28-151, PA-28-160, PA-28-161, PA-28-180, PA-28-235, PA-28R-180, PA-28R-200 airplanes. Federal Aviation Administration (FAA) publication, Aircraft Safety Restraints, states, "A properly installed shoulder harness which is worn by an occupant is one of the most important safety devices in an aircraft because it can reduce the chance of injury in an accident. Experts say serious injuries and fatalities can be reduced by more than one-third if everyone would wear shoulder harnesses. The CFI sustained facial trauma and swelling, and the student pilot sustained a broken nose.

Examination of the airplane by the FAA revealed that the airplane's left fuel tank was empty. The right fuel tank contained a usable fuel level.

Aircraft

Registration
N9714W
Reported as
Piper PA-28-140
Category
Airplane
Serial number
28-23190
Airframe hours
4,700
Engine
Lycoming O-320, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
West Central Airways Inc
Airworthiness certificate
Standard, Utility; Standard, Normal
Departed
04Y · Hawley, MN
Destination
JKJ · Moorehead, MN
Airport
JKJ · Moorhead Municipal, runway 12, 4,000 × 75 ft, asphalt

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
Student pilot
Age
31
Injuries
Serious
Certificate
Student
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
27 total · 12 in this make and model
Role
Flight instructor
Age
44
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
April 15, 2002
Seat
Right
Flight hours
1,115 total · 86 in this make and model · 1,060 as pilot in command · 217 in the last 90 days · 63 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
160° at 13 knots
Visibility
7 statute miles
Lowest ceiling
1,300 ft overcast
Temperature
57 °F, dew point 54 °F
Altimeter
29.70 inHg
Observed at
FAR, 9 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.

Other investigations on N9714W · 3

Matched to the same aircraft by N-number and date.