ERA14IA249

NTSB incident investigation · Embraer EMB-110P1 · Warren, VT · May 21, 2014

Incident · No injuriesIncident investigationFinal report
Date
May 21, 2014, 07:33 local (11:33 UTC)
Place
Warren, VT
Injuries
1 uninjured
Damage
Minor damage
Phase of flight
Enroute
Aircraft
N116WAEmbraer EMB-110P1
Defining event
Enroute-cruise: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed · report February 3, 2016
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20140521007849I
Case key
89243

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 pilot's inadequate preflight inspection, which resulted in a total loss of engine power due to fuel exhaustion.

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.

Inspection: preflight inspectionPersonnel issues › Task performance · PilotEmbraer EMB-110P1: 1 caseAll aircraft: 551 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelEmbraer EMB-110P1: 1 caseAll 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, 1,000 lbs of fuel was to be added to each fuel tank the night before the incident flight. The next morning, he conducted a preflight inspection and reported seeing 1,000 lbs per side and then departed the home base airport on the cargo flight. The pilot reported that, while in cruise flight, the fuel low-pressure light illuminated, followed shortly thereafter by the right engine and then the left engine shutting down. The pilot subsequently diverted the flight to a nearby airport. Upon touchdown, the pilot used "aggressive braking." The left tire subsequently deflated, the airplane veered left, the left main landing gear departed the paved portion of the runway, and then the right tire deflated. Following the incident, maintenance personnel conducted a fuel quantity gauge accuracy test, and no abnormalities or malfunctions were noted that would have precluded normal operation. Postincident examination of the fuel system revealed that the fuel tanks were devoid of fuel. The fuel caps were found secure and in place, and no evidence of any preaccident mechanical malfunction or failure was found. There was no evidence of any fuel staining or leakage. A review of the airplane's fueling records revealed that it was last refueled over a week before the incident; it was not fueled the night before the incident as requested by the pilot. During that week, the airplane was flown about 1.9 flight hours; 1,100 lbs of fuel remained after that flight. Maintenance personnel subsequently conducted multiple engine performance runs and two taxi repositions, which consumed about 600 lbs of fuel, leaving about 500 lbs of fuel, which was also reported by a maintenance technician after the most recent test run before the flight. Given the lack of any preexisting mechanical anomalies and that no fuel was recovered from the airplane, it is likely that the engine lost power due to fuel exhaustion because of the pilot's inadequate preflight inspection.

Factual narrative

On May 21, 2014, about 0733 eastern daylight time, an Embraer EMB-110P1, N116WA, experienced a total loss of engine power while in cruise flight. The pilot subsequently made an emergency landing at Warren-Sugarbush Airport (0B7), Warren, Vermont. The commercial pilot was not injured and the airplane sustained minor damage to the left wing flap. The airplane was registered to Piper East, Inc and was operated by Wiggins Airways Inc as Wiggins Airways Cargo Flight 1042, under the provisions of Title 14 Code of Federal Regulations Part 135 as a cargo flight. Visual meteorological conditions prevailed and an instrument flight rules flight plan was filed for the flight that had departed Manchester International Airport (MHT), Manchester, New Hampshire about 0700 with an intended destination of Burlington International Airport (BTV), Burlington, Vermont.The pilot reported to personnel with the Vermont Aeronautics division that the "normal procedure" for refueling was that the pilot leaves a fuel order the night prior and that 1,000 pounds per side was "their standard fuel load for this run." He had not observed the fuel upload. During the morning preflight check, he observed the fuel indicators showing about 1,000 pounds per side. While in cruise flight at 8,000 feet above mean sea level, about 10 miles south of 0B7, the fuel low pressure light-boost pump fail light illuminated. Subsequently, the right engine "shutdown" and then the left engine "shutdown." He declared an emergency and selected "nearest airport" on the airplane's gps. However, the nearest airport with a runway greater than 3000 feet in length, a limitation set in the gps, was beyond the airplane's glide capability. He subsequently noticed 0B7 about 5 miles away and began to set up for the approach to the runway. Immediately upon touchdown he utilized "aggressive braking" and the left tire deflated, the airplane veered to the left, the left main landing gear departed the paved portion of the runway, and subsequently the right tire deflated. According to a Vermont Aeronautics investigator, tire skid marks began about 475 feet after the runway threshold, the left main landing gear departed the paved portion of the runway 942 feet past the initial tire skid marks, and the airplane came to rest 1,509 feet past the initial tire skid marks, with 590 feet of runway remaining. Examination of the fuel tanks utilizing both the airplane's fuel gauges in the cockpit and the dripless stick method revealed that both fuel tanks were devoid of fuel. There was no evidence noted of any fuel leak or staining and the fuel caps were secure and in place. According to a Federal Aviation Administration (FAA) inspector, the airplane was last fueled on May 13, 2014. Since that refueling, the airplane had flown 1.9 flight hours and consumed about 1,200 pounds of fuel. Also during the time from the last refueling and the incident, maintenance personnel performed multiple engine performance runs and two taxirepositions. One maintenance technician reported to the FAA inspector that during an engine run on May 17, 2014, he noted approximately 500 pounds of total fuel on board. No refueling records were located after the May 13, 2014 refueling and before the incident flight. Subsequently, following the incident maintenance personnel performed a fuel quantity accuracy test and no abnormalities or malfunctions were noted with the fuel quantity indication system.

Aircraft

Registration
N116WA
Reported as
Embraer EMB-110P1
Category
Airplane
Serial number
110399
Built
1982
Engines
P&W Canada PT6A-60A, 1,127 horsepower, turbo propP&W Canada PT6A-60A, 1,127 horsepower, turbo prop
Damage
Minor damage
Flight
Part 135
Operator
Wiggins Airways Inc, doing business as Wiggins Airways
Registered owner
Piper East Inc
Airworthiness certificate
Standard, Normal
Departed
MHT · Manchester, NH
Destination
BVT · Burlington, VT
Flight plan
IFR
Airport
0B7 · Warren-Sugarbush, runway 22, 2,575 × 30 ft, asphalt
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
61
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Restraint
4-point

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
48 °F, dew point 41 °F
Altimeter
30.04 inHg
Observed at
KMPV, 13 nm away

Docket · 4

The files NTSB released with the investigation on December 21, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.4 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.