DEN02LA090

NTSB accident investigation · Piper PA-32-260 · Victor, CO · August 11, 2002

Accident · Serious injuriesLimited investigationFinal report
Date
August 10, 2002, 20:40 local (Aug 11, 2002, 02:40 UTC)
Place
Victor, CO
Injuries
1 serious, 2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N222SHPiper PA-32-260
Weather
Visual (VMC) · Day
Status
Completed · report April 1, 2003
Report
Approved by Office Director
Parties
FAA Flight Standards District Office
FAA report
20020810031249A
Case key
55447

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

the pilot's failure to refuel, resulting in fuel exhaustion and a subsequent loss of engine power. Contributing factors were the pilot's use of inappropriate medication, and the unsuitable terrain on which to make a forced landing.

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 powerCruise
Use of inappropriate medication/drugPilot in commandFactor
Fluid,fuel - exhaustionCause
In-flight planning/decision - improperPilot in commandCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterEmergency descent/landing
Terrain condition - none suitableFactor

Analysis

The airplane was fueled to capacity (25 gallons each, left and right main tanks; 17 gallons each, left and right auxiliary tanks; total, 84 gallons) prior to departure. The airplane was airborne for 4 hours, 10 minutes, when it "began to feel heavy and mushy." Two passengers were repositioned, but the airplane "continued to feel heavy with loss of altitude and stall light flashing." The engine began to "miss," and "appeared not to have power." The pilot flew towards a low spot in a bowl, hoping to get to a lower elevation. He made a forced landing in an area "that looked flat and soft." Witnesses saw the airplane bounce three times and the left wing break off as it spun to a stop. Numerous empty beer cans (about two 12 packs) were found in the airplane. The pilot said his male passenger had consumed the beer. The fuel selector was found positioned on the right main tank. The salvage company said the right tanks appeared to be empty and there was "very little" fuel in the separated left wing tanks. They drained 2 gallons of fuel from the right main tank and about 3 gallons from the right auxiliary tank. No fuel was recovered from the separated left wing's tanks. The carburetor bowl was opened and found to be dry. In addition, no fuel was found in the line between the engine-driven fuel pump and the carburetor. The magnetos were tested and functioned normally. Both the engine-driven fuel pump and auxiliary boost pumps were dry but tested satisfactorily. The pilot's toxicological report was negative for ethanol, but positive for benzodiazepines. The pilot told the hospital physician that he was taking Paxil for treatment of depression. According to an FAA Civil Aeromedical Institute (CAMI) toxicologist, Paxil is a benzodiazepine and is contraindicated for flying.

Factual narrative

On August 10, 2002, approximately 2040 mountain daylight time, a Piper PA-32-260, N222SH, registered to and operated by Comtox Corporation of Big Bear City, California, was substantially damaged when it collided with terrain during a forced landing about 2 nautical miles northeast of Victor, Colorado. The private pilot was seriously injured and two passengers received minor injuries. Day visual meteorological conditions prevailed, and no flight plan had been filed for the personal flight being conducted under Title 14 CFR Part 91. The flight originated at Bullhead City, Arizona, approximately 1500 Pacific daylight time, and was en route to Colorado Springs, Colorado.

The following is based on the pilot's accident report, statements he made to the local fire chief, and a hospital interview he gave to FAA inspectors. He and his passengers had spent the night in Laughlin, Nevada. The airplane was fueled to capacity (25 gallons each, left and right main tanks; 17 gallons each, left and right auxiliary tanks; total, 84 gallons) prior to departure at Bullhead City. The route of flight was via the Colorado River, south of the Grand Canyon restricted area, direct Four Corners (where the states of Arizona, Utah, Colorado, and New Mexico touch), direct Colorado Springs. GPS (Global Positioning System) was used for navigation. The airplane was at an altitude between 10,500 and 11,000 feet msl (above mean sea level) and had been airborne for 4 hours, 10 minutes. While sightseeing in an area approximately 20 miles southwest of Victor, Colorado, the airplane "began to feel heavy and mushy." The two passengers were repositioned: the female passenger moved to a middle row seat, and the male passenger moved to the right front seat. The airplane "continued to feel heavy with loss of altitude and stall light flashing." The pilot said the EGT (exhaust gas temperature) was lower than normal, but the oil temperature was "in the green." The engine began losing power, so he adjusted the mixture and moved the propeller control "from cruise to full climb" (low pitch/high rpm). The throttle had been in the full open position throughout the flight. The tachometer and manifold pressure gauge registered 2,300 rpm and 21 inches, respectively. The pilot lowered the flaps "one and two notches to improve his situation." The engine began to "miss," and "appeared not to have power." He flew towards a low spot in a bowl, hoping to get to a lower elevation. He decided to make a forced landing in an area "that looked flat and soft." Witnesses saw the airplane bounce three times and the left wing shear off as it spun to a stop.

An FAA inspector examined the airplane and reported finding numerous empty beer cans (about two 12 packs) in the airplane. The pilot said his male passenger had consumed the beer. The fuel selector was found positioned on the right main tank. The right tanks appeared to be empty and there was "very little" fuel in the separated left wing tanks. Beegles Aircraft Service retrieved the airplane and confirmed these findings. Upon retrieval, they drained 2 gallons of fuel from the right main tank and about 3 gallons from the right auxiliary tank. No fuel was recovered from the separated left wing tanks. Once the airplane was transported to the Beegles facility in Greeley, Colorado, the carburetor bowl was opened and found to be dry. In addition, no fuel was found in the line between the engine-driven fuel pump and the carburetor.

In his accident report, the pilot said he suspected a "magneto failure" as the likely reason for the power loss. The magnetos were tested on August 28, 2002, and functioned normally. Both the engine-driven fuel pump and auxiliary boost pumps were bench tested. Neither pump contained fuel. Both pumps functioned satisfactorily.

The pilot's hospital admittance records were subpoenaed. These records indicated that toxicological specimens were obtained at 0933 and 1005 the day after the accident. Ethanol assay was negative, but the pilot did test positive for benzodiazepines. The pilot told the admitting physician that he was taking Paxil for treatment of depression. According to an FAA Civil Aeromedical Institute (CAMI) toxicologist, Paxil is a benzodiazepine, and is contraindicated for flying.

According to FAA correspondence, the Western Pacific Regional Office had a pending enforcement action against the pilot, and pilot certificate revocation was being considered. Reportedly, the pilot took off from Big Bear City, California, in close proximity to another departing airplane. Aboard that airplane were two FAA inspectors. They followed the offending airplane and observed him "buzzing" a residential community. Upon landing, the inspectors cited the pilot for, among others, violation of FAR 91.13(a), to wit: "No person may operate an aircraft in a careless or reckless manner so as to endanger the life or property of another."

Aircraft

Registration
N222SH
Reported as
Piper PA-32-260
Category
Airplane
Serial number
32-266
Airframe hours
2,470
Engine
Lycoming O-540-E4B5, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Comtox Corp.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 9, 2002 · 80 hours before
Departed
IFP · Laughlin, NV
Destination
COS · Colorado Sprngs, CO

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
54
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
March 23, 2001
Seat
Left
Toxicology
Performed
Flight hours
2,500 total · 300 in this make and model · 60 in the last 90 days · 25 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 14 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 52 °F
Altimeter
30.12 inHg
Observed at
KCOS, 260 nm away

Docket · 6

The files NTSB released with the investigation on December 10, 2002, on NTSB’s docket system: statements, records, photos and specialists’ reports. 744 KB 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.