ERA13LA428

NTSB accident investigation · Beech A36 · Wellington, FL · September 23, 2013

Accident · No injuriesLimited investigationFinal report
Date
September 23, 2013, 12:37 local (16:37 UTC)
Place
Wellington, FL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N40KGBeech A36
Defining event
Enroute-descent: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report January 14, 2015
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20130923019739A
Case key
88108

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 total loss of engine power due to an interruption in fuel flow, which was most likely due to fuel starvation. Contributing to the accident was the pilot’s failure to maintain control of the airplane while performing the subsequent forced landing to a wet roadway.

Findings · 4

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementBeech A36: 22 casesAll aircraft: 1,695 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · PilotBeech A36: 8 casesAll aircraft: 792 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech A36: 7 casesAll aircraft: 3,958 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBeech A36: 43 casesAll aircraft: 9,295 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 pilot departed for a planned 4-hour instrument flight rules, cross-country flight, and about 5 hours 13 minutes into the flight, the engine lost power. The pilot reported that he then landed the airplane on a wet roadway and lost directional control as the wheels hydroplaned on the wet surface. The airplane subsequently struck a sign and electrical power pole, resulting in substantial damage. The quantity of fuel onboard the airplane at the time of the accident could not be determined due to damage sustained to the airframe during the accident. Although the pilot advised an air traffic controller during the forced landing, "I believe I ran out of fuel," at least 12 usable gallons should have remained based on the amount of fuel the pilot reported the airplane had before departing on the flight and the total fuel use calculated by an onboard fuel flow indicator. A postaccident test run of the engine showed that it started normally and ran with no anomalies noted. Download of non-volatile memory from an engine monitoring device showed that the loss of engine power was immediately preceded by a rise in exhaust gas temperature and a rapid reduction in fuel flow, consistent with an interruption of fuel flow. The pilot did not report the position of the fuel selector before the loss of engine power, and its preaccident position could not be determined because the pilot had selected it to the off position before egressing the airplane after the accident.

Factual narrative

On September 23, 2013, at 1237 eastern daylight time, a Beech A36, N40KG, was substantially damaged during a forced landing following a total loss of engine power near Wellington, Florida. The commercial pilot was not injured. Visual meteorological conditions prevailed and the airplane was operating on an instrument flight rules flight plan. The flight had originated from Washington Dulles International Airport (IAD), Dulles, Virginia, about 0730, and was destined for Boca Raton Airport (BCT), Boca Raton, Florida. The personal flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. According to the pilot, he performed a preflight inspection and noted that a total of 74 (usable) gallons of fuel were onboard the airplane. He subsequently departed from IAD and climbed the airplane to a cruise altitude. While in cruise, the pilot referenced the airplane's GPS and noted that the expected total duration for the flight was about 4 hours. Later during the flight, the pilot referenced the installed engine monitor and fuel totalizer, and compared it with the GPS's estimate of the amount of time remaining for the flight. In the vicinity of Melbourne, Florida, the pilot was instructed by air traffic control to begin descending the airplane, and was given radar vectors around weather that was in the vicinity. During the descent, the pilot noted that the fuel totalizer predicted that the airplane had about 10 gallons of fuel remaining, with an estimated endurance of about 75 minutes. About 20 miles from the destination airport, and while flying at an altitude of about 4,000 feet, the engine experienced a total loss of power. The pilot attempted to restart the engine to no avail, and subsequently declared an emergency to air traffic control. After realizing that the airplane would not be able to reach the nearest airport, the pilot performed a forced landing to a highway below. During the landing, the airplane bounced, veered left, then right as it hydroplaned on the wet road surface. The airplane eventually came to rest after striking a utility pole, resulting in substantial damage to the airframe. After the landing, the pilot turned off the master switch, ignition and fuel selector and exited the airplane unharmed. Review of archived FAA Air Traffic Control (ATC) radio communication transcripts showed that the pilot was provided a handoff and checked in with an air traffic controller at Palm Beach Terminal Radar Approach Control facility at 1243, and reported he was approaching his assigned altitude to 4,000 feet. After being provided two radar vectors, the pilot advised ATC at 1244:49, "uh can you give me vectors to the nearest field uh I believe I ran out of fuel four zero kilo golf declaring an emergency at this time." The controller subsequently provided a vector toward Wellington Aero Club Airport (FD38), West Palm Beach, Florida, which was about 6 miles south of the flight's position at that time. The pilot finallyadvised the controller the he would not be able to reach the diversionary airport, and no further transmissions were received. A Federal Aviation Administration inspector performed a cursory examination of the airplane at the accident site. According to the inspector, the airplane's right wing struck a roadway sign and the left wing struck a power transmission pole, resulting in substantial damage to both wings. Damage to the wings precluded determining the quantity of fuel onboard the airplane at the time of the accident, though the inspector did note that there was no smell of fuel present at the accident site. After the airplane was recovered from the accident scene, the engine was separated from the airplane, placed on a test stand, and run under the supervision of the inspector. The engine started normally and was run to a maximum of 2,300 rpm, a limit imposed due to the test propeller installed on the engine. Oil and fuel pressure were observed to be within nominal limits, as was the loss of rpm noted when testing both magnetos. A JP Instruments EDM-700 engine monitoring device was recovered from the airplane and downloaded in the National Transportation Safety Board Vehicle Recorders Laboratory. The unit was in good condition and the data were extracted normally. The unit contained recorded data over 12 power cycles, recorded at a sample rate of once every 6 seconds. The recorded data spanned dates of July 30, 2013, through the accident flight on September 23, 2013, as recorded by the unit's internal clock. The entire accident flight recording was 5 hours and 31 minutes in duration. The duration during which the fuel flow was greater than 9 gallons per hour (gph) was 5 hours and 13 minutes. The parameters recorded were exhaust gas temperature (EGT), cylinder head temperature (CHT), voltage, fuel flow, and oil temperature. The calculated shock cooling rate, total fuel used, and maximum difference between EGT sensors were also recorded. No other parameters were recorded by the unit. The unit was configured such that 98 gallons was full fuel. At about 11:58 (4 hours and 40 minutes after the fuel flow first went above 9 gph), the engine parameters began to fluctuate slightly. At this time, the fuel used was 56 gallons. At 12:28:30, the CHTs and EGTs began a gradual decrease, coincident with a reduction in fuel flow from about 12 gph to 10 gph. At 12:29:48, the EGTs began to increase, peaking at 12:30:24. At 12:30:30, the fuel flow reduced to 0 gph for the remainder of the recording, and the CHTs and EGTs began to rapidly decrease. The recording ended at 12:37:48, 7 minutes and 48 seconds after the fuel flow first reduced to 0 gph. The final recorded total fuel used for the flight was 62 gallons.

Aircraft

Registration
N40KG
Reported as
Beech A36
Category
Airplane
Serial number
E-1283
Built
1978
Engine
Teledyne Continental Motors IO-550-B, 300 hp, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Fourstars Aviation
Registered owner
Fourstars Aviation
Airworthiness certificate
Standard, Utility
Departed
IAD · Herndon, VA
Destination
BCT · Boca Raton, FL
Flight plan
IFR
Equipment
Stall warning system

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
45
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
Lap only
Flight hours
646 total · 533 in this make and model · 488 as pilot in command · 0 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 12 knots
Visibility
10 statute miles
Lowest ceiling
4,000 ft broken
Temperature
86 °F, dew point 75 °F
Altimeter
29.92 inHg
Observed at
KPBI, 13 nm away

Docket · 8

The files NTSB released with the investigation on December 16, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.3 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.