ERA12IA090

NTSB incident investigation · Cessna 402B · Nantucket, MA · November 29, 2011

Incident · No injuriesIncident investigationFinal report
Date
November 29, 2011, 13:33 local (18:33 UTC)
Place
Nantucket, MA
Injuries
1 uninjured
Damage
Minor damage
Phase of flight
Approach
Aircraft
N303PJCessna 402B
Defining event
Approach-VFR pattern final: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20111129027149I
Case key
82419

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

On this page

Probable cause

The failure of the right main fuel tank transfer pump, which resulted in a total loss of engine power on the right engine during approach due to fuel starvation, and a subsequent hard landing. Contributing to the incident was the pilot's operation of the airplane with a low fuel quantity.

Findings · 2

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.

Fuel system: fuel pumpsAircraft › Aircraft systems · FailureCessna 402B: 1 caseAll aircraft: 71 casesProbable cause
Planning/preparation: fuel planningPersonnel issues › Task performance · PilotCessna 402B: 3 casesAll aircraft: 719 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

The multi-engine airplane was approaching the destination airport with about 7 gallons of fuel remaining in each of the 50-gallon left and right main fuel tanks. While on short final approach to land, as the pilot fully extended the flaps, the airplane experienced a total loss of power on the right engine. The airplane touched down hard on a grassy area about 650 feet before the runway, bounced onto the runway, and came to rest. The pilot subsequently started both engines and taxied to the ramp area uneventfully. A postaccident examination of the airplane revealed that the right main fuel tank fuel transfer pump was inoperative. The fuel transfer pump was designed to operate continuously when the battery switch was in the on position. The purpose of the fuel transfer pump was to transfer fuel from the nose section of its respective main fuel tank to the fuel pick-up area near the center of the main fuel tank, which permitted steep descents with low main tank fuel quantity. It could not be determined when the fuel transfer pump failed; however, confirming pump operations was a required preflight inspection item for each main fuel tank.

Factual narrative

On November 29, 2011, at 1333 eastern standard time, a Cessna 402B, N303PJ, operated by Nantucket Express, incurred minor damage while landing at Nantucket Memorial Airport (ACK), Nantucket Massachusetts. The certificated airline transport pilot was not injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed for the flight that departed Norwood Memorial Airport (OWD), Norwood, Massachusetts, about 1300. The pilot reported that he was returning home, following a flight evaluation. While on a short final approach to runway 15, as he fully extended the flaps, the left engine experienced a total loss of power. The pilot switched fuel tanks for the left engine; however, it did not restart and the airplane descended quickly. The airplane touched down on a grassy area about 650 feet prior to the runway. It then bounced onto the runway and came to rest. During the landing, the right propeller and left wing skin were damaged. The pilot subsequently started both engines and taxied to the ramp area uneventfully. Examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed that there was approximately 7 gallons of fuel in the left main fuel tank. There was also about 7 gallons of fuel in the right main fuel tank and approximately 2 gallons of fuel in each auxiliary fuel tank. The fuel was sampled and no contamination was noted. Additionally, an examination of the left engine did not reveal any mechanical malfunctions. The FAA inspector reported that the 50-gallon left and right main fuel tanks were each equipped with a fuel transfer pump, which pumped fuel from the front of its respective main fuel tank to the fuel pick-up near the center of the main fuel tank. The fuel transfer pumps were designed to operate continuously whenever the airplane battery switch was in the on position. During examination of the airplane, the FAA inspector noted that the left main fuel tank transfer pump was operating and the right main fuel tank transfer pump was not. During a telephone interview following the airplane examination, the pilot stated that the incident happened so fast and on such a short final approach, that he could not be certain which engine lost power. He added that it was quite possible the right engine experienced the loss of power. The pilot further stated that he moved the left engine fuel selector from left main to left auxiliary as he believed he had a left engine failure. Review of a pilot's operating handbook (POH) for the make and model airplane, section 4, Preflight Inspection, revealed, in part, "…Battery Switch – ON…Tip Tank Transfer Pump – LISTEN for operation…" with regards to the left and right main (tip) fuel tanks. Further review of the POH, section 7, Airplane and System Descriptions, revealed, in part, "…The transfer pump, mounted on the aft side of the main tank rear bulkhead, transfersfuel from the nose section of the main tank to the center sump area, where it is picked up and routed to the engine by the engine-driven or auxiliary fuel pump. The transfer pump permits steep descents with low main tank fuel quantity…" Review of FAA service difficulty reports for the make and model airplane revealed one other report of a fuel transfer pump failure.

Aircraft

Registration
N303PJ
Reported as
Cessna 402B
Category
Airplane
Serial number
402B1249
Airframe hours
4,222
Engines
Continental Motors TSIO-520B, 285 horsepower, reciprocatingContinental Motors TSIO-520B, 285 horsepower, reciprocating
Damage
Minor damage
Flight
Personal · Part 91
Operator
Nantucket Express LLC
Registered owner
Nantucket Express LLC
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · October 22, 2011 · 20 hours before
Departed
OWD · Norwood, MA
Destination
ACK · Nantucket, MA
Airport
ACK · Nantucket Memorial Airport, runway 15, 4,000 × 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
66
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
November 29, 2011
Seat
Left
Flight hours
35,000 total · 2,000 in this make and model · 32,000 as pilot in command · 41 in the last 90 days · 5 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 14 knots
Visibility
10 statute miles
Lowest ceiling
8,000 ft broken
Temperature
57 °F, dew point 54 °F
Altimeter
30.03 inHg
Observed at
ACK

Docket · 8

The files NTSB released with the investigation on March 14, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.1 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.