ERA20LA122

NTSB accident investigation · Beech V35 · Destin, FL · March 8, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
March 8, 2020, 10:00 local (15:00 UTC)
Place
Destin, FL · Tree 2,000 ft short of runway
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N581UBeech V35
Defining event
Approach-VFR pattern final: 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
20200308001449A
Case key
101047

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 improper fuel management, which resulted in a total loss of engine power due to fuel starvation.

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.

Action: lack of actionPersonnel issues › Action/decision · PilotBeech V35: 2 casesAll aircraft: 792 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementBeech V35: 1 caseAll aircraft: 1,695 casesProbable cause
Use of equip/info: use of checklistPersonnel issues › Task performance · PilotBeech V35: 1 caseAll aircraft: 336 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 airplane was fueled to capacity the night before departure, which would have provided 74 usable gallons to conduct the anticipated 3-hour flight with about 20 gallons of fuel remaining upon landing. The pilot stated that he switched fuel tanks every 30 minutes during the flight, but could not recall which fuel tank he selected during his before landing checklist about 5 miles from the runway. Recorded engine data showed that, about 1 1/2 miles from the runway, the fuel flow decreased from about 14 gallons per hour to zero over the course of 12 seconds, resulting in a total loss of engine power. The pilot proceeded to switch fuel tanks, ensure the throttle was forward, the mixture was full rich, and the magnetos were on both as he attempted a restart, but was unsuccessful. He did not turn on the auxiliary fuel pump, as listed in the emergency procedures. The airplane collided with trees 2,000 ft from the runway, substantially damaging both wings. The pilot reported fuel leaking from the right wing after the accident, and there was an odor of fuel at the scene. Postaccident examination revealed that the left fuel tank was ruptured, and the right fuel tank was void of fuel. The fuel selector was positioned to the left tank. There were a few ounces of fuel in the gascolator. An engine run was conducted, and the engine performed normally with no mechanical irregularities that would have precluded normal operation. Although the pilot reported switching fuel tanks regularly during the flight, the accident is consistent with the pilot improperly managing the fuel during flight and consuming all the fuel in the left tank, which resulted in a loss of engine power due to fuel starvation shortly after the left fuel tank was selected.

Factual narrative

On March 8, 2020, about 1015 central daylight time, a Beech V35, N581U, was substantially damaged when it was involved in an accident near Destin, Florida. The private pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The cross-country flight was expected to take about three hours. The airplane was refueled the day before the accident to fill both fuel tanks for 80 gallons total fuel. Of the 80 gallons onboard, 74 gallons was usable and provided for about 4 ½ hrs of flight time. After an uneventful preflight and runup, the pilot departed and climbed the airplane to a cruise altitude of 9,000 ft mean sea level (msl). He reported that he switched the fuel tanks every 30 minutes and his fuel burn was about 16 gallons per hour enroute, which should have left him with over 20 gallons remaining when he arrived at the destination. While on a 5-mile final approach to the destination airport, the pilot conducted a pre-landing check, which included switching the fuel tanks. About 1 1/2 miles from the runway, the engine lost total power. According to the pilot, “there was no sputtering and coughing” and the propeller continued to “windmill.” The pilot attempted to troubleshoot by switching the fuel selector again, checking the magnetos, ensuring the mixture was rich and attempted an engine restart, but was unable to restore engine power. The airplane descended and impacted trees immediately adjacent to a residence, about 2,000 ft short of the runway. The airplane came to rest in the trees in a nose-down, 60° left bank. The pilot could not recall which fuel tank was selected when he switched the fuel tanks during his initial approach checks and after the loss of engine power, and he did not remember turning on the boost pump. According to the pilot, this was the second time in the previous 12 months where the engine unexpectantly “quit” on final approach. He landed safely the first time and was able to restart the engine after landing. The pilot told a Federal Aviation Administration (FAA) inspector that he had a mechanic examine the airplane after that occurrence, but a reason for the loss of engine power was not found. A JPI 700 Engine Data Monitor was retrieved and downloaded, revealing that the accident flight was about 3.24 hours in duration. During the flight, from takeoff to the loss of engine power, no anomalous exhaust gas temperature (EGT), cylinder head temperature (CHT), or oil temperature indications were noted. Fuel flow during takeoff was about 25 gallons per hour (gph), during climb was about 19.6 gph, and during cruise was about 16.5 gph. During descent and approach, at about 1012, there was a simultaneous decrease in EGT, CHT, and fuel flow. Fuel flow dropped from 14 gph to zero over the course of 12 seconds and did not resume. Post-accident examination revealed that the left wing was severely deformed, bent upwards, and was resting on the ground but stillattached to the airframe. The right wing remained attached to the airframe but had significant leading edge crushing damage at the wing root. It was oriented in a nearly vertical position. Two propeller blades remained relatively intact and displayed no damage. One of the three propeller blades was slightly curled at the blade tip. The left wing fuel tank was ruptured and did not contain any evidence of fuel. The right fuel tank, which had been positioned nearly vertical, was void of fuel. The fuel selector was positioned to the left fuel tank. Several ounces of fuel were observed in the gascolator, and it appeared clean, clear, and was tinted blue. The pilot reported fuel leaking from the right fuel tank following the accident, and the FAA inspector who responded to the scene reported an odor of fuel after the accident. Subsequent examination of the engine and accessories revealed no irregularities. The propeller was rotated through several rotations and compression was noted in the cylinders. An external fuel source was supplied, the engine was primed and started without hesitation. The engine was operated through several cycles of various power settings, and was increased to full throttle with no anomalies noted. There were no mechanical irregularities with the engine that would have precluded normal operation. According to the pilot operating handbook, the emergency procedures for an engine failure after liftoff and in flight included: 1. Fuel Selector Valve – Select other Tanks (Check to feel detent) 2. Auxiliary Fuel Pump – ON 3. Mixture – Full Rich, then Lean as required 4. Magnetos – Check Left and Right, then Both 5. Alternate Air T-handle – Pull and Release.

Aircraft

Registration
N581U
Reported as
Beech V35
Category
Airplane
Serial number
D-8376
Built
1966
Airframe hours
5,470
Engine
Continental IO-520-BA, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 29, 2019 · 75 hours before
Departed
FSM · Fort Smith, AR
Destination
DTS · Destin, FL
Flight plan
IFR
Airport
DTS · Destin Executive, runway 14, 5,001 × 100 ft, asphalt
Equipment
Electronic multifunction display, Electronic primary flight display, Stall warning system, ADS-B, Angle of attack indicator, Auto-pilot

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
47
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
December 21, 2019
Seat
Left
Restraint
3-point
Flight hours
604.7 total · 251 in this make and model · 546.5 as pilot in command · 24.8 in the last 90 days · 5.3 in the last 30 days · 5.3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 14 knots, gusting 21
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 36 °F
Altimeter
30.52 inHg
Observed at
DTS, 1 nm away

Docket · 12

The files NTSB released with the investigation on March 16, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 26.1 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.