ERA21LA098

NTSB accident investigation · Cessna 421B · Old Bethpage, NY · January 10, 2021

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
January 10, 2021, 13:01 local (18:01 UTC)
Place
Old Bethpage, NY · Nassau County Solid Waste Disposal Center, 101 Bethpage-Sweet Hollow Rd, Old Bethpage, NY
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N421DPCessna 421B
Defining event
Initial climb: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO, Textron Aviation
FAA report
20210110001789A
Case key
102509

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 inadequate preflight fuel planning, which resulted in a total loss of engine power due to fuel exhaustion and a 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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelCessna 421B: 6 casesAll aircraft: 1,695 casesProbable cause
Planning/preparation: fuel planningPersonnel issues › Task performance · PilotCessna 421B: 3 casesAll aircraft: 719 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 reported that, during the initial climbout, about 1,000 ft above ground level, one of the engines stopped producing power. He confirmed that all engine controls were full forward and the main fuel tanks were selected. Immediately thereafter, the remaining engine began to surge, then stopped producing power. He established best glide speed and looked for an area to perform a forced landing. The airplane crashed into a solid waste disposal facility, about 2.3 nautical miles northwest of the departure airport. First responders arrived immediately after the accident and found only a trace amount of fuel within the confines of the accident site or in the fuel tanks. The only postaccident fire was centered on a small, localized area near the right engine turbocharger. Both main fuel tanks were empty, and the auxiliary bladder tanks were ruptured by impact forces. Examination of both engines revealed no evidence of a preaccident malfunction or anomaly. A surveillance video showed no evidence of smoke or mist training the airplane seconds prior to impact. The pilot reported that he departed the airport with 112 gallons of fuel on board. The pilot did not provide evidence of the latest refueling when requested by investigators. The available evidence is consistent with a total loss of engine power to both engines due to fuel exhaustion.

Factual narrative

On January 10, 2021, about 1301 eastern standard time, a Cessna 421B, N421DP, was substantially damaged when it was involved in an accident near Old Bethpage, New York. The pilot was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he departed runway 32 at Republic Airport (FRG), Farmingdale, New York about 1300. During the initial climbout, about 1,000 ft above ground level, one of the engines stopped producing power. He confirmed that all engine controls were full forward and the main fuel tanks were selected. Immediately thereafter, the remaining engine began to surge, then stopped producing power. He established best glide speed and looked for an area to perform a forced landing. The airplane impacted a solid waste disposal facility, about 2.3 nautical miles northwest of FRG. Surveillance video captured the airplane during the final seconds before the crash. The airplane approached the ground at a nearly flat pitch angle and struck the ground left wing first. There were no visible smoke, vapors, or mist trailing the airplane. The wing flaps and landing gear were in the retracted positions. One of the first responders, a firefighter, reported that, upon arrival at the accident site after the accident, he did not see or smell any fuel on the ground. During his travels back and forth to the wreckage, he saw no pooling or buildup of fuel anywhere. Another first responder reported that, when approaching the wreckage, fuel was dripping from the fuselage, but “…it was a minimal leak.” He estimated the drip rate to be 5 drops per minute, and after about 5-10 minutes, the leak stopped. He inspected the wreckage and could visibly see that there was no fuel in the left wing. The right wing was too damaged to go under and he was unable to get a better look. A Federal Aviation Administration (FAA) inspector who traveled to the scene reported that the airframe sustained “major damage” to the nose and both wings and the fuselage came to rest at a 70° angle. He did not observe any signs of fuel under the wreckage, nor did he smell any fuel near the wreckage. There were no signs of fuel spillage on the street adjacent to the wreckage. There were no blue streaks or signs of fuel leaks on the wings, engines, and fuselage. All fuel tanks were checked and found to be empty of fuel. There was a localized area of postaccident fire damage inside the right engine compartment, immediately forward of the turbocharger. The wreckage was recovered to a secure storage facility where a more complete examination was performed. All major structural components of the airplane were accounted for. Flight control continuity was established from the cockpit controls to the elevator and rudder. Aileron continuity was established from the cockpit controls to the center cabin bellcrank. All five fuel filler caps were observed installed at their respective positions. The right, main fuel tip tankwas observed to be intact and no signs of hydraulic deformation were evident. The forward section of the left main tip tank was separated from its attachment fittings. Both tip tank center baffles were intact. Both wing auxiliary (bladder) tanks were compromised from impact forces. The left-wing nacelle locker tank was intact and empty. Examination of the left engine revealed no external damage, cracks, or oil leakage from the engine case. The engine was turned through manually, and compression and suction were observed on all cylinders. Valve movement was correct. The top spark plugs showed normal color and wear when compared to a Champion inspection chart. Both magnetos were removed and tested; they produced spark to all leads when rotated. The oil filter was removed and opened for examination; no ferrous particulates were observed. The engine-driven fuel pump was removed and rotated; it pumped fuel when tested. Disassembly of the fuel manifold valve revealed no internal damage or contamination. The fuel strainer was removed; there was normal to moderate sediment in the bottom of the bowl. The fuel screen was clean and unobstructed. Examination of the right engine produced the same results, except for the engine oil filter. The outside of the filter was discolored from the postaccident fire damage. The filter was opened, and the element was free of particulates. The airplane was equipped with a Shadin fuel management system. The cockpit display unit was removed from the wreckage and sent to the National Transportation Safety Board (NTSB)Vehicle Recorders Laboratory for examination and download of the data. The unit recorded the accident flight. The “FUEL REM” (fuel remaining) indication at the time of the accident was 36.1 gallons. The “FUEL USED” indication was 0.0 gallons. The accuracy of the fuel remaining value was dependent on proper input from the operator. The pilot reported that he departed FRG with 112 gallons of fuel on board. He was requested, through his attorney, to provide documentation of the airplane’s last refueling, including time, date, location, and amount. He did not provide the requested documentation to the NTSB or the FAA.

Aircraft

Registration
N421DP
Reported as
Cessna 421B
Category
Airplane
Serial number
421B0353
Built
1972
Airframe hours
5,331
Engines
Cont Motor GTSI0-520-H1B, 435 horsepower, reciprocatingCont Motor GTSI0-520-H1B, 375 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
850 Atlantic Collision Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 27, 2020 · 30 hours before
Departed
FRG · Farmingdale, NY
Destination
BDR · Bridgeport, CT
Airport
FRG · Republic Airport, runway 14, 6,833 × 150 ft, asphalt
Equipment
Stall warning system, ADS-B, Auto-pilot, Onboard weather, Satellite tracking device

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
57
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
October 17, 2020
Seat
Left
Flight hours
1,893 total · 12 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
41 °F, dew point 19 °F
Altimeter
30.18 inHg
Observed at
KFRG, 2 nm away
METAR
KFRG 101853Z 33008KT 10SM CLR 05/M07 A3018 RMK AO2 SLP220 T00501072

Docket · 17

The files NTSB released with the investigation on July 18, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 21.9 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.

Other investigations on N421DP · 1

Matched to the same aircraft by N-number and date.