ERA22LA037

NTSB accident investigation · Piper PA-30 · Waverly, TN · October 29, 2021

Accident · No injuriesClass 3 · LimitedFinal report
Date
October 29, 2021, 16:00 local (21:00 UTC)
Place
Waverly, TN · Hay Field
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N30SHPiper PA-30
Defining event
Enroute: Fuel exhaustion
Weather
Instrument (IMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20211029018469A
Case key
104185

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 pre-flight fuel planning, which resulted in a total loss of engine power to both engines due to fuel exhaustion.

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 managementPiper PA-30: 14 casesAll aircraft: 1,695 cases
Fluids: fuelAircraft › Fluids/misc hardware · Not serviced/maintainedPiper PA-30: 14 casesAll aircraft: 1,695 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 pilot departed on a cross-county flight in his twin-engine airplane and set the fuel selector to the auxiliary tanks. About 7-10 minutes into the flight, the auxiliary tanks ran out of fuel and the pilot switched the fuel selector handles to the main tanks, which the fuel gauge indicated were a ¼-full. The pilot then decided to land and purchase fuel. When the airplane was on a four-mile final approach to the diversion airport, the left engine stopped producing power. About 30 seconds later, the right engine stopped producing power. The pilot was unable to maintain altitude and made a forced landing to a field. The airplane struck a hay bale, which resulted in substantial damage to the fuselage and wings. Postaccident examination of the airplane revealed six fuel tanks were intact and empty of fuel. A fuel line fitting to the right auxiliary tank was observed to be loose, stained blue/green, and most likely had been actively leaking fuel. The amount of fuel lost due to this leak could be not determined. The airplane was equipped with three fuel tanks (main, auxiliary and tip tank) in each wing, for a total of 120 gallons total (114 useable). Each tank was independent of each other, so the leak in the right auxiliary fuel tank would have only affected the fuel level in that tank. The pilot reported there was about 55 gallons of fuel onboard when he departed, and the airplane consumed an average of 15 gallons per hour. Based on this information, if the right auxiliary tank (15 gallons total) was empty due to the leak, there still should have been about 40 gallons of fuel onboard (or about 2.6 hours of fuel). The pilot said that he did not visually check the fuel quantity prior to flight because the airplane “…does not have a way to visually check the fuel and know how much fuel you have in the tanks.” However, the Pilot Operating Handbook states, that the pilot should visually check the fuel supply in each tank before flight. As such, even though the pilot thought he had sufficient fuel to complete his flight, postaccident examination of the airplane revealed the fuel tanks were not breached and empty of fuel. A loose fuel line fitting in the right auxiliary fuel tank likely contributed to some unquantifiable loss of fuel from that tank. Had the pilot used the preflight checklist, and visually looked in all six fuel tanks, he would have seen that there was insufficient fuel in all of the tanks to complete the flight. As a result, both engines lost total power due to fuel exhaustion 20 minutes after takeoff, which resulted in a forced landing to field.

Factual narrative

On October 29, 2021, about 1600 central daylight time, a Piper PA-30, N30SH, sustained substantial damage when it was involved in an accident near Waverly, Tennessee. The pilot and the two passengers were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot said he departed Music City Executive Airport (XNX), Gallatin, Tennessee, about 1540, on a cross-county flight in his twin-engine airplane and set the fuel selector to the auxiliary tanks. About 7-10 minutes into the flight, the auxiliary tanks ran out of fuel and the pilot switched the fuel selector handles to the main tanks, which the fuel gauge indicated were a ¼-full. The pilot elected to divert and land at the Humphrey’s County Airport (0M5), Waverly, Tennessee, for fuel. When the airplane was on a four-mile final approach to land, the left engine stopped producing power, and the pilot feathered the engine. About 30 seconds later, the right engine stopped producing power. The pilot was unable to maintain altitude and made a forced landing to a field. The airplane struck a hay bale, which resulted in substantial damage to the fuselage and wings. On-scene examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed the right wingtip fuel tank, auxiliary fuel tank, and main fuel tank were not breached and were absent of fuel. The left wingtip fuel tank separated (but was not breached) with the portion of the wing and was empty of fuel. The left auxiliary and main fuel tanks were not breached and empty of fuel. Each of the tanks respective fuel caps were secure. After the airplane was recovered from the accident site and the wings were removed, the inspector re-examined the airplane and noted the fuel line fitting to the right auxiliary tank was loose, stained blue/green, consistent with a fuel leak. The amount of fuel lost due to this leak could not determined. The staining was traced down the main wing spar to where it exited at the wing root area and a large fuel stain was observed on the exterior of the wing root. No other evidence of fuel leakage was observed. The airplane was equipped with three fuel tanks in each wing: a main tank (30 total/26 useable), 15-gallon auxiliary tank, and a 15-gallon wingtip tank, for a total of 120 gallons total (114 useable). Each tank was independent of each other, so the leak in the right auxiliary fuel tank would have only affected the fuel level in that tank. The pilot reported that based on his recent fueling and flight history in the airplane, that he had about 55 gallons of fuel onboard when he departed. He said the airplane burned an average of 15 gallons per hour. Based on this information, if the right auxiliary tank was empty due to the leak, there still should have been about 40 gallons of fuel onboard (or about 2.6 hours of fuel). The pilot said that he did not visually check the fuel quantity prior to flight because the airplane “…does not have a wayto visually check the fuel and know how much fuel you have in the tanks.” However, the Pilot Operating Handbook (POH) (section 4 – Normal Procedures – Walk Around Inspection) states, that the pilot should visually check the fuel supply in each tank before flight and to make sure each fuel cap is adjusted and secure. The pilot also reported that the fuel gauges for the main tanks were still indicating a ¼-full just before they both lost power. The pilot said he was relatively new to flying this make/model airplane and thought the fuel gauges were fairly accurate. The pilot said that he would not have flown the airplane if he knew the right-wing auxiliary fuel line was leaking or that the fuel gauges were not indicating properly.

Aircraft

Registration
N30SH
Reported as
Piper PA-30
Category
Airplane
Serial number
30-1262
Built
1966
Airframe hours
5,662
Engines
Lycoming IO-320-B1A, 160 horsepower, reciprocatingLycoming IO-320-B1A, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Medic Choppers LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 8, 2021
Departed
XNX · Gallatin, TN
Destination
Same as departure
Airport
0M5 · Humphrey's County
Equipment
Electronic flight bag or handheld device, 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
31
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
February 12, 2021
Seat
Left
Restraint
Lap only
Flight hours
2,044.6 total · 114.1 in this make and model · 1,893 as pilot in command · 53 in the last 90 days · 17.3 in the last 30 days · 1.1 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
250° at 5 knots
Visibility
6 statute miles
Lowest ceiling
700 ft broken
Temperature
54 °F, dew point 52 °F
Altimeter
29.51 inHg
Observed at
KM02, 15 nm away
METAR
METAR KM02 292055Z AUTO 25005KT 6SM BR BKN007 BKN013 BKN022 12/11 A2951

Docket · 5

The files NTSB released with the investigation on September 7, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 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.