CHI03LA288

NTSB accident investigation · Beech M35 · Avon, IL · August 25, 2003

Accident · No injuriesLimited investigationFinal report
Date
August 25, 2003, 17:45 local (22:45 UTC)
Place
Avon, IL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N711DUBeech M35
Weather
Visual (VMC) · Day
Status
Completed · report March 2, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20030825025029A
Case key
57796

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 inadequate fuel managemant leading to fuel starvation during cruise flight and the unsuitable terrain she encountered during the forced landing. A factor was her lack of total time in the airplane make and model.

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) - nonmechanicalCruise
Fluid,fuel - starvationCause
Fuel management - inadequatePilot in commandCause
Lack of total experience in type of aircraftPilot in commandFactor
Forced landingEmergency descent/landing
In flight collision with terrain/waterEmergency landing
Terrain condition - crop
Unsuitable terrain or takeoff/landing/taxi area - encounteredPilot in commandCause

Analysis

The airplane sustained substantial damage on impact with terrain during a forced landing to a cornfield following an in-flight loss of engine power. The pilot said that she departed with about three quarters of a tank of fuel. She reported, "Halfway [through] the flight I turned the fuel selector from the right tank to the left tank. The airplane started to lose power, so I put it back onto the right tank. The plane flew fine for more than 5 minutes and then started to loose power again, as well as altitude. I turned the fuel boost switch on and then off and this helped get about a hundred feet back. The airplane continued to lose altitude. The fuel gauge was indicating around 3/4 of a tank when I switched it." An examination revealed the fuel selector was on the right tank. The right fuel tank was examined and no fuel was observed. Fuel was observed in the remaining fuel tanks on the airplane. The aircraft's engine was started and ran from the fuel in another tank. The pilot reported two hours of total flight time in the accident airplane make and model.

Factual narrative

On August 25, 2003, about 1745 central daylight time, a Beech M35, N711DU, piloted by a commercial pilot, sustained substantial damage on impact with terrain during a forced landing following an in-flight loss of engine power near Avon, Illinois. The personal flight was operating under 14 CFR Part 91. Visual meteorological conditions prevailed at the time or the accident. No flight plan was on file. The pilot reported no injuries. The flight originated at the Spirit of St Louis Airport (SUS), near St Louis, Missouri, about 1704 and was destined for the Galesburg Municipal Airport, Galesburg, Illinois, at the time of the accident.

The pilot reported:

Departed SUS [at] 17:04 with just over 3/4 of a tank.

Halfway [through] the flight I turned the fuel selector

from the right tank to the left tank. The airplane

started to loose power, so I put it back onto the

right tank. The plane flew fine for more than 5

minutes and then started to loose power again, as

well as altitude. I turned on the fuel boost switch

on and then off and this helped get about a hundred

feet back. The airplane continued to loose altitude.

The fuel gauge was indicating around 3/4 of a tank

when I switched it. The terrain [was] a flat corn field.

A Federal Aviation Administration Inspector examined the airplane. The fuel selector was observed on the right tank. The right fuel tank was examined and no fuel was observed. Fuel was observed in the remaining fuel tanks on the airplane. The fuel line to the fuel injection system was removed. The electric fuel pump was operated and no liquid exited the line. The fuel tank selector was moved to another fuel tank position, the electric fuel pump operated, and a liquid consistent with avgas exited the line to the fuel injection system.

The aircraft recovery was delayed to the end of the harvest season. The aircraft's nose was raised. The aircraft's engine was started and it ran from the fuel in another tank.

The emergency procedures contained in the M35 airplane flight manual stated:

Engine failure

The most probable cause of engine failure would be loss

of fuel flow or improper functioning of the ignition

system.

Discrepancy checks ...

2. Loss of Power

a. Fuel Pressure Gage - Check (fuel pressure

abnormally low)

(1) Mixture - FULL RICH

(2) Auxiliary Fuel Pump - ON

(3) Auxiliary Fuel Pump - Off if performance does

not improve in a few moments

b. Fuel Quantity Indicator - CHECK (fuel tank being

used is empty)

(1) Select other tank (check to feel detent)

The system description for the M35 stated:

Fuel required for flight

It is the pilot's responsibility to ascertain that the

fuel quantity indicators are functioning and

maintaining a reasonable degree of accuracy, and be

certain of ample fuel for the flight. Takeoff is

prohibited if the fuel quantity indicators do not

indicate above the yellow arc. An inaccurate indicator

could give an erroneous indication of fuel quantity. A

minimum of 13 gallons of fuel is required in each main

tank before takeoff.

The caps should be removed and fuel quantity checked to

give the pilot an indication of fuel on board. The

airplane must be approximately level for visual

inspection of the tank. If the pilot is unsure that at

least 13 gallons are in each tank, add necessary fuel so

that the amount of fuel will be not less than 13 gallons

per tank at takeoff. Plan for an ample margin of fuel

for any flight.

The pilot reported two hours of total flight time in the M35 airplane.

Aircraft

Registration
N711DU
Reported as
Beech M35
Category
Airplane
Serial number
D-6538
Airframe hours
4,347.1
Engine
Teledyne Continental IO-470C1B, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Jet Air Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 1, 2003 · 50 hours before
Departed
SUS · St Louis, MO
Destination
GBG · Galesburg, IL

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
28
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
May 29, 2003
Seat
Left
Flight hours
2,265 total · 2 in this make and model · 2,201 as pilot in command · 209 in the last 90 days · 72 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 68 °F
Altimeter
29.96 inHg
Observed at
GBG, 18 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.