ERA16LA051

NTSB accident investigation · Piper PA28 · Lawrenceville, GA · November 24, 2015

Accident · Serious injuriesLimited investigationFinal report
Date
November 24, 2015, 16:00 local (21:00 UTC)
Place
Lawrenceville, GA
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N3971RPiper PA28
Defining event
Initial climb: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed · report March 14, 2016
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20151124022949A
Case key
92367

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 flight instructor's inadequate fuel management, which resulted in a total loss of engine power during initial climb due to fuel starvation and a subsequent forced landing.

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementPiper PA-28-180: 32 casesAll aircraft: 1,695 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · Instructor/check pilotPiper PA-28-180: 16 casesAll aircraft: 1,391 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomePiper PA-28-180: 14 casesAll aircraft: 933 cases

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 flight instructor and student pilot departed their home airport with about 34 gallons of fuel on board the airplane for the planned approximate 60-mile, round-trip, cross-country instructional flight. The student pilot reported that, after landing at the destination airport, they completed two more full-stop landings before returning to, and then landing uneventfully at, the departure airport. The flight instructor wanted the student pilot to complete one more landing before concluding the lesson. The student stated that, during the subsequent takeoff, everything seemed normal until he turned the airplane onto the crosswind leg of the airport traffic pattern, at which time the engine lost all power. The flight instructor then took control of the airplane. The flight instructor reported that he chose not to attempt to turn back and glide to the airport because the airplane was about 500 ft above ground level. He subsequently performed a forced landing straight ahead into trees. Both fuel tanks were compromised during the impact, and the fuel quantity at impact could not be determined. Subsequently, an engine test run was performed with no anomalies noted. Both pilots reported that they did not switch the fuel tanks following the total loss of engine power. The student pilot further stated that the airplane "ran out of gas." Review of performance information for the make and model airplane revealed that, based on the reported fuel onboard the airplane at the beginning of the day, it should have had between 5 and 10 gallons of fuel remaining at the time of the accident. Although the amount of fuel in each fuel tank could not be determined, the loss of engine power likely resulted from a lack of available fuel in the selected tank. Because the flight instructor was the pilot-in-command and told the student to conduct another landing, he should have been more cognizant of the fuel level in the tanks.

Factual narrative

On November 24, 2015, about 1600 eastern standard time, a Piper PA-28-180, N3971R, operated by a private individual, was substantially damaged during a forced landing into trees, following a total loss of engine power during initial climb from Gwinnett County Airport (LZU), Lawrenceville, Georgia. The flight instructor was seriously injured and the student pilot incurred minor injuries. The instructional 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 planned local flight. According to the flight instructor's written statement, shortly after turning onto the crosswind leg in the airport traffic pattern for runway 7, the engine lost all power. The flight instructor then took control of the airplane and elected not to attempt to glide back to the airport as the airplane was about 500 feet above ground level. He subsequently performed a forced landing straight ahead into trees. According to the student pilot's written statement, earlier during the day of the accident, they departed LZU with approximately 34 gallons of fuel on a round-trip cross-country flight. After landing at the destination airport, which was about 60 miles from LZU, they completed two more full-stop landings before returning to LZU. After landing uneventfully at LZU, the flight instructor wanted the student pilot to perform one more good landing before concluding the lesson. Everything seemed normal until the student pilot turned the airplane onto the crosswind leg of the airport traffic pattern, at which time the engine lost all power without any sputtering or roughness. He further stated, "It sounded like we had turned off the engine after a lesson: just a smooth shutdown as if the mixture was dropped to full lean after parking…" The student pilot added that the flight instructor tried to restart the engine and it "nearly caught, but then shut off again." Examination of the wreckage by a Federal Aviation Administration (FAA) inspector revealed damage to both wings and the fuselage. Both fuel tanks were compromised during the impact and the inspector was unable to determine fuel quantity. The inspector subsequently performed a successful test-run of the engine at a recovery facility. The four-seat, low-wing, fixed tricycle-gear airplane, serial number 28-7105076, was manufactured in 1971 and was powered by a Lycoming O-360, 180-horsepower engine, equipped with a two-blade Sensenich propeller. It had a total fuel capacity of 50 gallons, which was stored in the main fuel tanks located in each respective wing and were individually selectable through a cockpit fuel selector. Review of the airplane's logbooks revealed that its most recent annual inspection was completed on November 13, 2015. At that time, the airplane had accumulated 6,783 total hours of operation. The engine had accumulated 579 hours since major overhaul. During interviews with the inspector, bothpilots stated that they did not switch fuel tanks following the total loss of engine power. The student pilot further stated that they "ran out of gas." Review of performance information for the make and model airplane revealed that the engine consumed about 10 gallons of fuel per hour at 75 percent power. Based on the student pilot's estimation of 34 gallons onboard at the beginning of the day, the airplane should have had 5 to 10 gallons of fuel remaining at the accident site; however, all of the remaining fuel may have been in one fuel tank. Although the flight instructor provided a written statement to the FAA, he failed to submit a completed NTSB Pilot/Operator Accident Report form after several verbal and written requests.

Aircraft

Registration
N3971R
Reported as
Piper PA28 (180)
Category
Airplane
Serial number
28-7105076
Built
1971
Airframe hours
6,783
Engine
Lycoming O-360, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Resnick Quinn A
Registered owner
Resnick Quinn A
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 13, 2015
Departed
LZU · Lawrenceville, GA
Destination
LZU · Lawrenceville, GA
Airport
LZU · Gwinnet County Airport, runway 7, 6,000 × 100 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
24
Injuries
Serious
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Right
Restraint
3-point
Flight hours
900 total · 999,999 in this make and model
Role
Student pilot
Age
17
Injuries
Minor
Certificate
Student
Medical
Class 3, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
30 total · 999,999 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 25 °F
Altimeter
30.35 inHg
Observed at
LZU, 2 nm away

Docket · 6

The files NTSB released with the investigation on February 4, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 693 KB 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.