ERA12LA001

NTSB accident investigation · Mooney M20K · Ridgefield, CT · October 1, 2011

Accident · Serious injuriesLimited investigationFinal report
Date
October 1, 2011, 12:45 local (16:45 UTC)
Place
Ridgefield, CT
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N231EBMooney M20K
Defining event
Initial climb: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed · report November 26, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20111001026349A
Case key
81957

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 improper fuel management, which resulted in a total loss of engine power due to fuel starvation.

Findings · 3

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.

Planning/preparation: fuel planningPersonnel issues › Task performance · PilotMooney M20K: 5 casesAll aircraft: 719 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelMooney M20K: 9 casesAll aircraft: 1,695 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementMooney M20K: 9 casesAll aircraft: 1,695 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

According to the pilot, he completed a preflight inspection, which included checking the fuel quantity and conducting an engine run-up, without any discrepancies noted. The airplane took off without incident; however, at about 1,100 feet mean sea level, when the pilot made a right crosswind turn, the engine lost total power. The pilot unsuccessfully attempted to restart the engine and subsequently completed a forced landing to a residential area. Postaccident examination of the airplane did not reveal any mechanical malfunctions that would have precluded normal operation. The fuel selector was observed positioned to the left fuel tank, which did not contain any fuel. The right fuel tank contained about 8 gallons of fuel. The fuel tanks were intact and there was no evidence of a fuel spill at the accident site.

Factual narrative

On October 1, 2011, about 1245 eastern daylight time, a Mooney M20K, N231EB, operated by a commercial pilot, was substantially damaged during a forced landing following a loss of engine power near Ridgefield, Connecticut. The certificated commercial pilot was seriously injured. Visual meteorological conditions prevailed, and no flight plan was filed for the local personal flight which originated at Danbury Municipal Airport (DXR), Danbury, Connecticut, just prior to the accident. The flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. According to the pilot, he completed a preflight inspection, which included checking the fuel for contamination, and conducting an engine run-up, without any discrepancies noted. He stated that both fuel gauges indicated "about half," which corresponded with 14 to 19 gallons in each side, and he also visually confirmed the fuel quantity in each tank. The engine started after two attempts and the pilot confirmed that all engine indications were normal prior to takeoff. The airplane took off without incident; however, at approximately 1,100 feet mean sea level, when the pilot made a right crosswind turn, the engine lost total power. The pilot switched fuel tanks, was unable to restart the engine and looked for a place to land. The pilot stated he could not recall his exact actions prior to the forced landing; however, he thought that he turned the fuel selector to the "OFF" position, leaned the mixture, and turned the master and the ignition switches off. The airplane subsequently struck trees during a forced landing to a residential area. The airplane came to rest inverted, which resulted in substantial damage to the fuselage, wings, and empennage. First responders stated that a "small amount of fuel," approximately one quart, exited from the left fuel tank. In addition, a first responder indicated that when he arrived at the accident site, he turned the fuel selector from the left tank position to the off position. A postaccident examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed that the left fuel tank did not contain any fuel and the right fuel tank contained about eight gallons of fuel. There was no evidence that the fuel tanks had been compromised. In addition, there were no fuel stains on the wings or fuselage and there was no smell of fuel at the site. A fuel sample was taken from the right tank with no contamination noted. The pilot reported 502 hours of total flight time, of which, 145 hours were in the same make and model as the accident airplane. He noted that he accumulated 10 flight hours in the same make and model of the accident airplane in the past 90 days. According to FAA records, the airplane was manufactured in 1979, and was registered to the pilot in 2007. It was a low-wing, retractable tricycle gear, monoplane, equipped with a Continental Motors TSIO-360LB, 210-horsepower engine. The most recent annual inspection wascompleted on February 10, 2011. At the time of the accident, the airplane accumulated 2,661 hours of total time in service. According to the pilot's operating handbook (POH), the fuel flow at maximum continuous horsepower was between 22.5 gallons per hour and 24.2 gallons per hour. The total fuel capacity was 78.6 gallons, 39.3 gallons in each tank. A total of 3 gallons of the fuel were unusable, 1.5 gallons in each tank. The airplane was last fueled on August 27, 2011. According to the fuel slip, line personnel added 12 gallons of fuel to both the left and right fuel tanks, for a total of 24 gallons. The pilot stated that he had the fuel tanks "topped-off" on that day, but the line personnel indicated to an FAA inspector that if a full "top-off" is requested, that they write that on the fuel slip. A copy of the fuel slip was obtained and "top-off" was not written on the fuel slip. In addition, according to an FAA inspector, 94 gallons of fuel had been added to the airplane since June 30, 2011, and the airplane had been operated approximately 8.1 hours since that time. The airplane was equipped with an Electronics International Fuel Flow Instrument that retained the fuel quantity in the electronic memory. On October 4, 2011, FAA inspectors provided oversight while a mechanic applied power to the airplane. When the FAA inspector turned on the master switch, he noted that the fuel flow instrument aural warning activated, the fuel low and high/low fuel pressure warning lights were blinking, and the fuel quantity read-out was zero. He also noted that when power was applied, he could hear the fuel boost pumps operating. On November 15, 2011, the engine was examined by two FAA inspectors. The propeller was rotated by hand and continuity was confirmed to the cylinders, camshaft, push rods, and the accessory drive section of the engine. Both magnetos were removed and disassembled with no defects noted. One sparkplug was removed from each cylinder and all were found to be in normal condition. The turbocharger was removed and rotated. The main fuel line from the fuel pump was removed and no fuel was noted in the line. The fuel lines from the fuel pump to the flow divider were removed with no fuel noted in the line. The fuel lines from the flow divider to the fuel injectors were removed and a small amount of fuel was noted. The fuel pump was removed and no defects were noted with the fuel pump drive shaft or gears. The "Engine Power Loss – After Liftoff and During Climb" emergency procedure contained in POH, stated to: 1. Lower Nose, Establish Best Glide Speed. 2. Fuel Selector – Other Tank (Fullest Tank). 3. Throttle – Full Forward. 4. Mixture – Full Rich. 5. Magneto Switch – Both 6. Propeller – High RPM. 7. Low Boost – On.

Aircraft

Registration
N231EB
Reported as
Mooney M20K
Category
Airplane
Serial number
25-0190
Airframe hours
2,661
Engine
Cont Motor TSIO-360 SER, 225 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Baldwin Robert A IV
Registered owner
Baldwin Robert A IV
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 10, 2011
Departed
DXR · Ridgefield, CT
Destination
DXR · Ridgefield, CT
Airport
DXR · Danbury Muncipal Airport

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
47
Injuries
Serious
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
April 16, 2010
Seat
Left
Flight hours
502 total · 145 in this make and model · 350 as pilot in command · 10 in the last 90 days · 1 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 7 knots
Visibility
10 statute miles
Lowest ceiling
5,500 ft broken
Temperature
64 °F, dew point 57 °F
Altimeter
29.67 inHg
Observed at
DXR, 2 nm away

Docket · 14

The files NTSB released with the investigation on August 22, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 12.7 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.