DEN99LA042

NTSB accident investigation · Beech V35 · Telluride, CO · February 22, 1999

Accident · Serious injuriesLimited investigationFinal report
Date
February 22, 1999, 10:25 local (17:25 UTC)
Place
Telluride, CO
Injuries
1 serious, 3 minor
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N345MDBeech V35
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2001
Report
Approved by Office Director
FAA report
19990222013669A
Case key
45809

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

A loss of engine power due to the ingestion of air in the fuel line, the pilot's failure to purge the fuel line of unwanted air prior to flight as outlined in the Airplane Flight Manual, and inadequate altitude in which to glide to the airport.

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 - normal
Fluid,fuel - flow restrictedCause
Fluid,fuel - contaminationCause
Flight manuals - not followedPilot in commandCause
Forced landingDescent - emergency
In flight collision with terrain/waterLanding - flare/touchdown
Altitude - inadequateCause

Analysis

The airplane had been cruising at 16,000 feet and fuel had been drawn from the left tank for one hour. Approximately 30 seconds after the pilot switched the fuel selector valve from the left main to the right tip tank, the engine lost power. The pilot was able to glide the airplane 10 miles to the Telluride Regional Airport, elevation 9,078 feet msl, but struck the ground about 30 feet short of the runway. The tips tanks were last used 16 months before the accident. The tip tank manufacturer said it was possible that trapped air in the tip tank fuel line could have caused the engine to lose power when the pilot moved the fuel selector to the right tip tank, and it was also possible the pilot flooded the engine with excess fuel when she selected LOW BOOST during the restart attempt. The pilot was unaware of the procedure to follow for purging air from the fuel system.

Factual narrative

On February 22, 1999, at 1025 mountain standard time, a Beech V35, N345MD, was destroyed when it lost engine power and landed short of the runway at Telluride, Colorado. The private pilot and two passengers received minor injuries, and one passenger sustained serious injuries. Visual meteorological conditions prevailed, and an IFR flight plan had been filed for the personal flight being conducted under Title 14 CFR Part 91. The flight originated at Steamboat Springs, Colorado, at 0924.

According to the pilot, both main tanks were filled to capacity and 10 gallons were added to each tip tank on the evening before the accident. According to the stenciled placards on the fuel tanks, each main tank holds 40 gallons (37 gallons usable), and each tip tank holds 20 gallons. The pilot said before fuel was added to the tip tanks, she noticed there was about one or two gallons in each tank.

The pilot and her passengers departed Steamboat Springs, Colorado, on an IFR flight plan to Tucson, Arizona. The airplane had been cruising at 16,000 feet and fuel had been drawn from the left main tank "for 62 minutes" to allow space for returning fuel vapors. The pilot then moved the fuel selector valve to the right tip tank. Approximately 30 seconds later, the engine lost power. She moved the fuel selector valve to the right main tank and switched the electric fuel pump to LOW BOOST. She said she did not readjust the fuel mixture, which had been set for a fuel flow of 15.2 gallons per hour. The pilot declared an emergency with ATC, and glided towards Telluride Regional Airport, elevation 9,078 feet msl, about 10 miles away. The pilot said she lowered the landing gear, but the airplane struck the ground seconds later about 30 feet short of the runway. The airplane slid up onto the runway and collided with a snow bank.

On March 4, the engine and fuel system were functionally tested at the facilities of Beegles Aircraft Service in Greeley, Colorado. Examination of fuel samples that had been drained from each tank disclosed no evidence of water or other contaminants. The fuel was clear and blue in color. Damage precluded use of the right wing, so fuel lines from the left main and tip tanks were connected to the fuel selector valve. Because of the damaged engine mounts, no more than 1,500 rpm was possible. After the engine had run for a few minutes, it was secured. Compressed air was forced into each port in the fuel selector valve and continuity was established. Drawing fuel from the left main tank, the engine was restarted. The fuel selector valve was then moved to the left tip tank. About 20 seconds later, the engine lost power.

According to the pilot, the last time she used the tips tanks was in October 1997.

According to a spokesman for Osborne Tank and Supply (formerly Brittain Industries), manufacturer of the airplane tip tanks, it was possible that air had been drawn into the fuel lines when the tip tanks contained 1 or 2 gallons of fuel, and had become trapped when additional fuel was added the evening before the accident. This would have caused the engine to lose power when the pilot moved the fuel selector to the right tip tank. Power should have been restored when the pilot moved the fuel selector to the right main tank, but the spokesman said it was also possible she may have flooded the engine with excess fuel when she selected LOW BOOST.

The spokesman said that the Supplemental Flight Manual gives instructions on how to purge the tip tanks of trapped air:

"12.4 . . .air may be trapped in the line when tip tanks are subsequently filled. This air pocket in the line may prevent feeding of fuel from the tip tanks. To avoid this condition, operate the power plant from each wing tip tank separately until steady fuel flow is assured during ground run-up prior to flight. Use engine boost pump (low boost on turbo charged engines) if required during fuel switch-over" (emphasis added).

The pilot was asked if she had purged the tip tanks prior to takeoff. She said she was unaware of this procedure.

Aircraft

Registration
N345MD
Reported as
Beech V35
Category
Airplane
Serial number
D-8366
Airframe hours
5,370
Engine
Continental TSIO-520-D, 285 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Marilyn R. Mccaulley
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 16, 1999 · 60 hours before
Departed
SBS · Steamboat Sprng, CO
Destination
TUS · Tucson, AZ
Flight plan
IFR
Airport
TEX · Telluride Regional, runway 9, 6,870 × 100 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
42
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
345 total · 110 in this make and model · 276 as pilot in command · 5 in the last 90 days · 3 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
21 °F, dew point 5 °F
Altimeter
30.00 inHg
Observed at
TEX

FAA reports on this event · 1

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