ERA18LA071

NTSB accident investigation · Piper PA28 · Meriden, CT · January 27, 2018

Accident · Serious injuriesLimited investigationFinal report
Date
January 27, 2018, 16:15 local (21:15 UTC)
Place
Meriden, CT
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N9673WPiper PA28
Defining event
Approach: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed · report May 29, 2019
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
FAA FSDO
FAA report
20180127001279A
Case key
96662

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

The pilot's inadequate preflight fuel planning and his improper in-flight decision-making, which resulted in a total loss of engine power due to fuel exhaustion.

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 levelPiper PA-28-140: 32 casesAll aircraft: 1,695 casesProbable cause
Planning/preparation: fuel planningPersonnel issues › Task performance · PilotPiper PA-28-140: 18 casesAll aircraft: 719 casesProbable cause
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Contributed to outcomePiper PA-28-140: 6 casesAll aircraft: 313 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 airline transport pilot reported that he performed a preflight inspection before the cross-country flight and determined that 36 gallons of fuel were on board. His preflight fuel planning showed that he would land at his destination with 6 gallons of fuel remaining. While en route, he intentionally exhausted the fuel in the right tank. He switched to the left tank and continued the flight. His passenger later suggested that they stop for fuel, but he was confident in his fuel calculations and did not want to pay a higher price for fuel, so he continued the flight. About 2.5 miles north of his destination, the engine lost total power. He chose to perform a forced landing in a nearby pond. During the forced landing attempt, the airplane landed short of the pond and collided with a fence, which resulted in substantial damage to both wings and the airframe. Examination of the wreckage revealed that only a residual amount of fuel remained in each wing tank. The tanks were not compromised, and no evidence of fuel leaks or stains was noted on the airframe. Although the pilot noted a previous issue with the gascolator, postaccident examination of the gascolator revealed that it was in an airworthy condition with no evidence of obstructions, leaks, or stains. It is likely that the pilot did not perform adequate preflight fuel planning, and his decision not to stop for fuel led to fuel exhaustion and the total loss of engine power.

Factual narrative

On January 27, 2018, about 1615 eastern standard time, a Piper PA-28-140, N9673W, was substantially damaged during a forced landing while approaching Meriden Markham Municipal Airport (MMK), Meriden, Connecticut. The airline transport pilot and one passenger were seriously injured. The airplane was operated by the pilot under the provisions of 14 Code of Federal Regulations part 91 as a personal flight. Day, visual meteorological conditions prevailed, and no flight plan was filed for flight that originated at Oxford County Regional Airport (81B), Oxford, Maine about 1330. The pilot reported that he performed the preflight inspection at 81B and determined that there were 36 gallons of fuel on board prior to departure. Earlier that day, his passenger flew the airplane from MMK to 81B and reportedly departed MMK with full tanks, or 50 gallons of fuel on board. The airplane was not refueled at 81B. For the flight from 81B to MMK, his flight planning showed that he would land with 6 gallons of fuel on board. Just prior to passing Worcester, Massachusetts, while on the right tank, the fuel gauge began to "flicker," then the engine "faltered." He intentionally exhausted the right tank fuel supply to maximize his available fuel. He switched to the left tank and the flight continued. Approaching the Hartford, Connecticut area, his passenger suggested that they stop for fuel, but he was confident in his fuel calculations and did not want to pay a higher price for fuel there, so he continued. About 2.5 miles north of MMK, the fuel pressure gauge "faltered" and the engine subsequently lost power. He looked for a place to land and realized that a nearby pond would be the best option. During the forced landing attempt, the airplane collided with a fence and came to a stop on dry land. An inspector with the Federal Aviation Administration responded to the accident site and examined the wreckage. The airplane came to rest on an embankment after colliding with a chain link fence. Both wings and the lower, forward fuselage was structurally damaged. The nose gear snapped off during the impact sequence and was found under the airframe. The left and right wing fuel tanks were not compromised. The airplane was moved to a level position and no visible fuel was observed in either fuel tank. During the subsequent recovery of the wreckage, about 1/2 gallon of fuel was recovered from both tanks. No fuel stains were observed on the exterior surfaces of the airframe. The pilot reported on the NTSB Form 6120.1, Pilot/Operator Aircraft Accident Report, that there was no mechanical malfunction or failure prior to the accident. In a subsequent correspondence with the NTSB investigator-in-charge, the pilot reported that there was a leak at the gascolator found on November 17, 2017. The gascolator gasket had slipped out of place, resulting in the leak. He found the gascolator components to be in good condition and he reassembled the unit. The airplane was then flown at least 10hours without any observed leaks prior to the accident flight. On March 26, 2018, the gascolator was removed from the wreckage and examined by a NTSB investigator. The unit was intact, and no evidence of obstructions, leaks or fuel staining was found.

Aircraft

Registration
N9673W
Reported as
Piper PA28 (140)
Category
Airplane
Serial number
28-23137
Built
1967
Airframe hours
2,575
Engine
Lycoming O-320-D2A, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 28, 2017 · 10 hours before
Departed
81B · Oxford, ME
Destination
MMK · Meriden, CT
Airport
MMK · Meriden Markham Muni
Equipment
Stall warning system, Electronic flight bag or handheld device, Handheld GPS

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
68
Injuries
Serious
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
June 2, 2016
Seat
Left
Restraint
Lap only
Flight hours
16,650 total · 300 in this make and model · 16,000 as pilot in command · 29 in the last 90 days · 6 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
46 °F, dew point 34 °F
Altimeter
30.29 inHg
Observed at
MMK, 1 nm away

Docket · 7

The files NTSB released with the investigation on December 13, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.9 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.