ERA18LA011

NTSB accident investigation · Cessna 402 · St. Petersburg, FL · October 18, 2017

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
October 18, 2017, 15:45 local (19:45 UTC)
Place
St. Petersburg, FL
Injuries
4 minor; on the ground: 2 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N900CRCessna 402
Defining event
Enroute-climb to cruise: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20171018014869A
Case key
96209

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 mismanagement of the onboard fuel, which resulted in fuel starvation, a total loss of power to both engines, and a subsequent forced landing.

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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna 402B: 2 casesAll aircraft: 1,391 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementCessna 402B: 4 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

The pilot departed on the non-scheduled passenger flight with one passenger onboard; the flight was the 3rd leg of a 4-leg trip. About 13 minutes after departure, he advised air traffic control that the airplane was “fuel critical” and requested vectors to the nearest airport, which was about 7 miles away. Both engines subsequently lost total power and the pilot performed a forced landing on a street about 2 miles from the airport, during which the airplane collided with two vehicles. Examination of the airplane revealed substantial damage to the fuel tanks, with evidence of a small fire near the left wingtip fuel tank. Fuel consumption calculations revealed that the airplane would have used about 100 gallons of fuel since its most recent refueling, which was the capacity of the main (wingtip) tanks. Both fuel selectors were found in their respective main tank positions. Given the available information, it is likely that the pilot exhausted all the fuel in the main fuel tanks and starved the engines of fuel. Although the total amount of fuel on board at the start of the flight could not be determined, had all tanks been full, the airplane would have had about 63 gallons remaining in the two auxiliary tanks at the time of the accident. The auxiliary fuel tanks were breached during the accident and quantity of fuel they contained was not determined. Examination of the engines revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation.

Factual narrative

On October 18, 2017, about 1545 eastern daylight time, a Cessna 402B, N900CR, was substantially damaged when it was involved in an accident near St. Petersburg, Florida. The commercial pilot and passenger and two individuals on the ground sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 135 non-scheduled passenger flight. Federal Aviation Administration (FAA) air traffic control records indicated that the airplane departed Tampa International Airport (TPA), Tampa, Florida, at 1526. At 1539, the pilot advised air traffic control that he was “fuel critical” and requested vectors for the nearest airport. The controller provided a heading toward Albert Whitted Airport (SPG), St. Petersburg, Florida, about 7 miles away. The pilot reported that he had 20 minutes of fuel on board. At 1543, while 4 miles from the runway, the pilot was given a vector toward runway 4. The pilot reported the airport in sight, and the controller provided the pilot the SPG tower frequency. There were no further radio transmissions. The airplane landed on a residential street about 2 miles from SPG and collided with two vehicles. Examination of the airplane by an FAA inspector revealed substantial damage to both wings, the horizonal stabilizer, elevator, and nose section. Both wingtips and wingtip fuel tanks were separated from the wings. The left wing tip fuel tank exhibited minor sooting and heat damage. Both auxiliary fuel tanks were damaged and breached. The left engine fuel selector was found in the left main fuel tank position; the right engine fuel selector was in the right main fuel tank position. Examination of the engines revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation. Fuel was found in the line between the fuel flow transducer, the fuel manifold valve, and in the fuel manifold valve housing on both engines. According to operator records, the accident occurred during the third leg of a four-leg trip. The records indicated that at the start of the trip, the airplane’s hour meter read 589.0 hours. At the accident scene, it read 592.7 hours. Two of the legs were scheduled with passengers; the other two legs were positioning flights. A review of fueling records revealed that the airplane was fueled with 102.3 gallons the day before the accident. The total amount of fuel on board at the start of the trip was not listed in the company dispatch documents. The pilot did not fuel the airplane at either of the intermediate stops. According to the Pilot’s Operating Handbook, the airplane was equipped with two main wingtip tanks, each with a capacity of 50 usable gallons, and two auxiliary fuel tanks, each with a capacity of 31.5 usable gallons. With full fuel, the published endurance was between 4.8 to 5.4 hours using 73% and 65% power, respectively. The published endurance for 100 gallons of fuel (the capacity of the main fuel tanks) was 3 to 3.3 hours. Fuelconsumption estimates, based on the flight’s itinerary, distances between airports, and performance tables in the Pilot’s Operating Handbook indicated that the airplane would have used about 100 gallons of fuel between the last fueling and the accident. The pilot had 38 hours in the airplane make and model, all of which were flown in the 30 days preceding the accident. The pilot completed his Part 135 checkride the day before the accident. The accident trip was his first solo revenue flight.

Aircraft

Registration
N900CR
Reported as
Cessna 402 (B)
Category
Airplane
Serial number
402B1356
Built
1978
Airframe hours
8,971.8
Engines
Cont Motor TSIO-520 E(8), 300 horsepower, reciprocatingCont Motor TSIO-520 EB(9), 300 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Part 135
Operator
Noble Air Charter Inc
Registered owner
Noble Air Charter Inc
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · August 31, 2017 · 34 hours before
Departed
TPA · Tampa, FL
Destination
SRQ · Sarasota, FL
Flight plan
VFR
Airport
SPG · Albert Whitted
Equipment
Electronic multifunction display, Auto-pilot, Angle of attack indicator, Stall warning system, Onboard weather

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
36
Injuries
Minor
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
October 16, 2017
Seat
Left
Restraint
3-point
Flight hours
654 total · 38 in this make and model · 593 as pilot in command · 50 in the last 90 days · 38 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 19 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 72 °F
Altimeter
30.03 inHg
Observed at
SPG, 2 nm away

Docket · 8

The files NTSB released with the investigation on May 11, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 15.8 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.