ERA18LA186

NTSB accident investigation · Piper PA34 · Gulf Shores, AL · July 7, 2018

Accident · Minor injuriesLimited investigationFinal report
Date
July 7, 2018, 09:20 local (14:20 UTC)
Place
Gulf Shores, AL
Injuries
5 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N294ABPiper PA34
Defining event
Landing-aborted after touchdown: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed · report April 20, 2020
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
CMI, FAA/FSDO
FAA report
20180707015869A
Case key
97705

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 improper preflight and in-flight fuel planning, which resulted in fuel exhaustion to the left engine and a total loss of engine power during an attempted go-around maneuver.

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 levelPiper PA-34-220T: 2 casesAll aircraft: 1,695 casesProbable cause
Planning/preparation: fuel planningPersonnel issues › Task performance · PilotPiper PA-34-220T: 2 casesAll aircraft: 719 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotPiper PA-34-220T: 8 casesAll aircraft: 9,295 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.

Fuel exhaustionLanding-aborted after touchdownPiper PA-34-220T: 2 casesAll aircraft: 804 casesDefining event

Analysis

The private pilot departed in the twin-engine airplane with an estimated quantity of fuel. While landing at the destination airport, the airplane bounced and the pilot aborted the landing. During the subsequent climb, the left engine surged several times before it lost all power. The pilot attempted to restore left engine power by placing the auxiliary fuel pump switch to "high" and selecting "crossfeed" on the left fuel selector, but restoration of continuous engine power was unsuccessful. When the left engine stopped producing power, the stall horn sounded, and the controls "started to buffet." The pilot said that he had "no time" to consult the emergency checklist and considered multiple forced landing areas before he chose to land straight ahead into trees. The airplane came to rest upright with substantial damage to both wings and the fuselage. There was an odor of fuel at the scene, but there was no evidence of fuel or fuel spillage. Examination and testing of the engines revealed no pre-impact mechanical anomalies that would have precluded normal operation. The airplane's best single-engine rate of climb given the conditions present at the time of the accident was about 280 ft per minute.

Factual narrative

On July 7, 2018, at 0920 central daylight time, a Piper PA-34-220T, N294AB, was substantially damaged during a forced landing to wooded terrain near Jack Edwards Airport (JKA), Gulf Shores, Alabama. The private pilot and four passengers sustained minor injuries. The airplane was privately owned and operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight. Visual meteorological conditions prevailed, and an instrument flight rules flight plan was filed for the flight which departed Lafayette Regional Airport (LFT), Lafayette, Louisiana and was destined for JKA.In a written statement, the pilot provided a detailed description of his preflight inspection, his performance of weight and balance calculations, and his loading of the airplane with golf clubs, baggage, and the passengers. The pilot visually checked for the presence of fuel, but did not measure the fuel in the tanks, and neither did he service them with additional fuel. He noted no anomalies and estimated that there were 30 gallons of fuel "per side prior to departure according to the fuel gauges." The pilot reported no anomalies with the performance and handling of the airplane in his description of the flight until landing. Upon landing, the airplane began to "porpoise or oscillate," and after the third or fourth bounce, the pilot aborted the landing. The pilot said that he pushed the throttle, propeller, and mixture levers "full forward" and retracted the landing gear when a positive rate of climb was established. Immediately after, the left engine "appeared" to lose power and was "surging." The airplane yawed to its left, and the right engine continued to operate "normally." The pilot attempted to restore left engine power by placing the auxiliary fuel pump switch to "high" and selecting "crossfeed" on the left fuel selector. The left engine stopped producing power, the stall horn sounded, and the controls "started to buffet." The pilot said he had "no time" to consult the checklist, considered multiple forced landing areas, and eventually chose to land straight ahead into trees. The airplane came to rest upright with substantial damage to both wings and the fuselage. The pilot held a private pilot certificate with ratings for airplane single-engine land, multiengine land, and instrument airplane. He reported 335 total hours of flight experience, of which 65 were in multiengine airplanes, and 33 hours were in the accident airplane make and model. At 1415, the weather recorded at JKA included scattered clouds at 2,100 ft and calm wind. The temperature was 28°C, and the dew point was 23°C. The altimeter setting was 30.08 inches of mercury. According to the an aircraft recovery specialist who recovered the airplane, an odor of fuel was detected at the site, but no fuel drained from either wing when each was separated from the airframe. No fuel-spillage remediation was required at the site after recovery of the airplane. Data downloaded from the onboard JPI 760engine data monitor revealed a profile consistent with the engine power surging and power loss on the left engine as described by the pilot. The engines were examined in Mobile, Alabama, at the manufacturer's facility. The propeller was removed from the right engine due to impact damage. A club propeller was installed, and the engine was placed in a test cell. The engine started immediately, accelerated smoothly, and ran continuously without interruption. The engine was run through the manufacturer's test protocol with no anomalies noted. A test run on the left engine was not performed due to separation of the propeller flange by impact. The engine was rotated by hand through the propeller governor drive pad, and continuity was established through the powertrain and valve train to the accessory section. Compression on each cylinder was confirmed using the thumb method. Internal engine timing was confirmed through index alignment on the camshaft and crankshaft gears. Magneto timing was confirmed using an electronic magneto synchronizer. The components of the fuel system were bench-tested, and the demonstrated flow rates were within ranges necessary to sustain normal engine operation. Flow rates outside the nominal bench-test ranges were affected by airframe-specific, on-airframe adjustments. The left and right magnetos were bench-tested and produced spark at all terminal leads. The No. 5 bottom terminal lead on the left magneto sparked at a cut in the lead consistent with impact damage. Neither engine displayed any preimpact mechanical anomalies that would have prevented normal operation. Interpolation of performance charts at the maximum allowable gross takeoff weight and atmospheric conditions consistent with those at the time of the accident revealed that the airplane's single-engine rate of climb was 280 ft per minute.

Aircraft

Registration
N294AB
Reported as
Piper PA34 (220T)
Category
Airplane
Serial number
34-8133257
Built
1981
Airframe hours
3,277
Engines
Cont Motor TSIO-360 SER, reciprocatingCont Motor TSIO-360 SER, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 26, 2018
Departed
LFT · Lafayette, LA
Destination
JKA · Gulf Shores, AL
Flight plan
IFR
Airport
JKA · Jack Edwards National, runway 09, 6,962 × 100 ft, asphalt

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
41
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
BasicMed, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
335 total · 33 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
82 °F, dew point 73 °F
Altimeter
30.07 inHg
Observed at
KJKA

Docket · 16

The files NTSB released with the investigation on March 18, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.2 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.