ERA22LA092

NTSB accident investigation · Beech D55 · Hamilton, AL · December 21, 2021

Accident · Serious injuriesClass 4 · LimitedFinal report
Date
December 21, 2021, 20:20 UTC
Place
Hamilton, AL
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N44DCBeech D55
Defining event
Approach-VFR pattern final: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Eastern Region Aviation
Parties
FAA FSDO
FAA report
20211221020089A
Case key
104435

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 failure to properly configure the airplane’s fuel system, which resulted in a loss of engine power on the left engine due to fuel starvation.

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 managementBeech D55: 2 casesAll aircraft: 1,695 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotBeech D55: 2 casesAll aircraft: 1,391 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 described that at the conclusion of the positioning flight she amended her initial plan to enter the traffic pattern at the destination airport due to potential conflicts with other traffic, and instead completed an entry into a left downwind leg of the traffic pattern. The sequence of events left her “task saturated” and she failed to complete the before-landing checklist and properly configure the twin-engine airplane’s fuel system for landing by switching from the auxiliary to the main fuel tanks. While on final approach to the runway the airplane’s left engine lost power and the airplane began a “lazy Vmc roll to the left.” The pilot attempted to continue ahead toward the runway, but realized that the airplane would not be able to clear power lines, so she maneuvered for a forced landing, and the airplane subsequently impacted the ground. The pilot reported there were no mechanical deficiencies with the airplane that would have precluded normal operation. Examination of the airplane at the accident site conformed that the left fuel selector was in the “Aux[iliary]” position. Published in the Pilot’s Operating Handbook and placarded between the fuel selectors was: “USE AUX TANKS AND CROSSFEED IN LEVEL FLIGHT ONLY.” Given this information, it is likely that the pilot’s failure to properly configure the airplane’s fuel system while maneuvering for landing resulted in a loss of engine power to the airplane’s left engine due to fuel starvation and the subsequent forced landing.

Aircraft

Registration
N44DC
Reported as
Beech D55
Category
Airplane
Serial number
TE-735
Built
1969
Engines
Continental IO-520-CB41B, 285 horsepower, reciprocatingContinental IO-520-CB8B, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Gta Air Inc
Registered owner
Gta Air Inc
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · November 30, 2021 · 11,073.6 hours before
Departed
MEM · Memphis, TN
Destination
Same as departure
Flight plan
IFR
Airport
HAB · Marion County-Rankin Fite, runway 36, 5,495 × 100 ft, asphalt
Equipment
Stall warning system, ADS-B, Electronic flight bag or handheld device, Electronic primary flight display

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
46
Injuries
Serious
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Left
Restraint
Lap only
Flight hours
4,600 total · 570 in this make and model · 1,870 as pilot in command · 210 in the last 90 days · 57 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 5 knots
Visibility
10 statute miles
Lowest ceiling
8,500 ft overcast
Temperature
48 °F, dew point 37 °F
Altimeter
29.95 inHg
Observed at
K1M4, 23 nm away
METAR
K1M4 212056Z AUTO 35005KT 10SM OVC085 09/03 A2995 RMK AO2 SLP652 T00940033 56019

Docket · 4

The files NTSB released with the investigation on August 16, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 37.6 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 N44DC · 1

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