ERA17CA186

NTSB accident investigation · Piper PA 28-181 · Bristow, VA · May 21, 2017

Accident · No injuriesData collectionFinal report
Date
May 21, 2017, 19:55 local (23:55 UTC)
Place
Bristow, VA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N8304FPiper PA 28-181
Defining event
Approach-VFR pattern downwind: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report December 15, 2017
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA / FSDO
FAA report
20170521005849A
Case key
95210

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 and pilot’s mismanagement of the available fuel, which resulted in exhaustion of the fuel in the selected fuel tank and a subsequent total loss of engine power.

Findings · 6

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-28-181: 20 casesAll aircraft: 1,695 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotPiper PA-28-181: 10 casesAll aircraft: 1,391 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · Instructor/check pilotPiper PA-28-181: 10 casesAll aircraft: 1,391 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomePiper PA-28-181: 7 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 was working with the private pilot on his flight review. Before the flight, the pilot checked the fuel and observed that the fuel level in both fuel tanks was below the tabs and that the right fuel tank had less fuel in it then the left fuel tank. After departing and maneuvering in the local area, the pilot and the flight instructor returned to the airport, landed, then taxied back for another takeoff. After completing two traffic pattern circuits, on the third takeoff, the engine stopped producing power at 800 ft mean sea level (msl) on the upwind leg of the traffic pattern. The pilot lowered the airplane's nose, and the engine started running again. The flight instructor then took over control of the airplane as they started on the right crosswind leg for the runway, and at 900 ft msl, the engine lost power again. After deciding that the airplane did not have sufficient altitude to reach the runway, the flight instructor advised the air traffic control tower that they were going to attempt a landing in a field near the airport. She then checked the mixture, throttle, and ignition, without results, but neither she nor the private pilot attempted to switch from the right fuel tank to the left fuel tank. During the off-airport landing, the airplane went through an electric fence and spun around about 180°. The nose landing gear sheared off, which resulted in substantial damage to the airframe. Examination of the engine revealed no evidence of any preimpact mechanical failures or malfunctions that would have precluded normal operation. Examination and draining of the fuel system revealed that the fuel strainer bowl, the line from the fuel strainer to the carburetor, and the carburetor float bowl were absent of fuel. The right fuel tank also contained only about 1 pint of fuel, whereas the left fuel tank contained about 3 gallons of fuel. Review of flight school records revealed that the airplane had flown 4.7 hours since it was last refueled. When asked, the flight instructor advised that she had not observed the pilot as he performed his preflight inspection, did not know when the airplane had last been refueled, and did not remember asking the pilot about the fuel quantity before they departed.

Factual narrative

The flight instructor was working with the private pilot on his flight review. Prior to the flight, the pilot checked the fuel and observed that the fuel level in both fuel tanks was below the tabs, and that the right fuel tank had less fuel in it then the left fuel tank. After departing, maneuvering in the local area, the pilot and the flight instructor returned to the airport, landed, then taxied back for another takeoff. After completing two traffic pattern circuits, on the third takeoff the engine stopped producing power at 800 ft. msl, on the upwind leg of the traffic pattern. The private pilot lowered the airplane's nose and the engine started running again. The flight instructor then took over control of the airplane as they started on the right crosswind leg for the runway, and at 900 ft. msl, the engine lost power again. After deciding that the airplane did not have enough altitude, to make the runway, she advised the air traffic control tower that they were going to attempt a landing in a field near the airport. She then checked the mixture, throttle, and ignition, without result, but neither she nor the private pilot, attempted to switch from the right fuel tank to the left fuel tank.During the off-airport landing, the airplane went through an electric fence, spun around about 180 degrees. The nose landing gear sheared off, resulting in substantial damage to the airframe. Examination of the engine revealed no evidence of any preimpact mechanical failures or malfunctions that would have precluded normal operation. Examination and draining of the fuel system, revealed that the fuel strainer bowl, the line from the fuel strainer to the carburetor, and the carburetor float bowl were absent of fuel. The right fuel tank also contained only about 1 pint of fuel, while the left fuel tank contained about 3 gallons of fuel. Review of flight school records revealed that the airplane had flown 4.7 hours since it was last refueled. When asked, the flight instructor advised that she had not observed the private pilot as he performed his preflight inspection, did not know when the airplane had last been refueled, and did not remember asking the private pilot about the fuel quantity before they departed.

Aircraft

Registration
N8304F
Reported as
Piper PA 28-181
Category
Airplane
Serial number
28-8390012
Built
1982
Airframe hours
6,204
Engine
Lycoming O-360-A4M, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Dulles Aviation Inc
Registered owner
Dulles Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 18, 2016 · 90 hours before
Departed
HEF · Manassas, VA
Destination
HEF · Manassas, VA
Flight plan
VFR
Airport
HEF · Manassas Rgnl/Harry P Davis Fi, runway 16R, 3,715 × 100 ft, asphalt
Equipment
Auto-pilot, 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
53
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
June 15, 2016
Seat
Right
Restraint
3-point
Flight hours
7,500 total · 200 in this make and model · 30 in the last 30 days
Role
Pilot
Age
56
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
July 13, 2014
Seat
Left
Restraint
3-point
Flight hours
225 total · 3 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 54 °F
Altimeter
30.20 inHg
Observed at
KHEF, 1 nm away

Docket · 6

The files NTSB released with the investigation on October 30, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.1 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.