ERA24LA054

NTSB accident investigation · Piper PA-32-260 · Millington, TN · December 4, 2023

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
December 3, 2023, 21:04 local (Dec 4, 2023, 03:04 UTC)
Place
Millington, TN · Short of runway
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N7748JPiper PA-32-260
Defining event
Approach-VFR pattern final: Fuel starvation
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA/FSDO
FAA report
20231203020589A
Case key
193467

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 pilots’ fuel mismanagement during the cross-country flight and incorrect fuel tank selection for the landing approach, which resulted in fuel starvation, a momentary loss of engine power, and collision with terrain short of the runway.

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-32-260: 12 casesAll aircraft: 1,695 casesProbable cause
Action: incorrect action selectionPersonnel issues › Action/decision · Flight crewPiper PA-32-260: 1 caseAll aircraft: 397 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 flight instructor and private pilot initiated a round-trip, cross-country flight. The first leg of the trip was uneventful, and at the intermediate airport, the fuel tanks were topped off for the return flight. While on final approach at the destination airport, the engine lost total power. The private pilot, who was the pilot flying, switched the fuel selector from the left main tank to the left tip tank and continued to maintain glide airspeed. Shortly after the fuel tank selector was moved, engine power began increasing; however, nearly simultaneously with this restoration of power, the airplane impacted terrain about 900 ft short of the runway threshold. The fuselage and wings sustained substantial damage. The flight instructor reported that fuel was drawn from the left and right main tanks throughout the flight, and the tip tanks were not used before the loss of engine power. The instructor recalled that, during the approach, the left and right main tanks indicated a little less than 10 gallons, and the tip tanks were indicating full; however, the fuel gauges were bobbing throughout the flight. No fuel was observed in either the left main tank or left tip tank at the accident site. About 15 gallons of fuel was drained from the right wingtip tank and about 3 gallons were drained from the right main tank. Examination of the airplane and engine found no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation. Examination of the fuel system revealed no evidence of blockages. The left main tank was evaluated for any evidence of leakage, and none was observed. The left wingtip tank sustained impact damage and was breached near the leading edge, which likely allowed for its contents to leak at the accident site. The right main and wingtip tanks were undamaged. The airplane owner’s manual stated the pilot should, “Avoid switching tanks at low altitude since little recovery time is available in event of an error in tank selection. To preclude making a hasty decision, and to provide continuity of flow, the selector should be changed before fuel is exhausted from the tank in use.” The owner’s manual further stated that, “The main or tip tank with the highest quantity of fuel should be selected for landing.” It is likely that the pilots’ fuel management during the nearly 2 hour and 30-minute flight resulted in the exhaustion of the left tank fuel supply on final approach at low altitude. Had the tank with the highest quantity of fuel been selected for landing, as recommended by the owner’s manual, the fuel starvation, and subsequent momentary loss of engine power, would have been avoided.

Factual narrative

On December 3, 2023, about 2104 central standard time, a Piper PA-32-260 airplane, N7748J, was substantially damaged when it was involved in an accident near Millington, Tennessee. The private pilot was not injured, and the flight instructor sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the flight instructor, the afternoon and evening involved a roundtrip flight from the airplane’s base airport of Millington/Memphis Airport (NQA), Millington, Tennessee, to Gulf Shores International Airport (JKA), Gulf Shores, Alabama. The private pilot was the pilot flying for both flights, as he was accumulating flight time in his airplane for insurance purposes. The flight instructor reported that the flight to JKA was uneventful, and they requested that the fixed-base operator ground personnel top off the airplane’s fuel tanks. According to a fuel receipt, 40.3 gallons of fuel were added to the airplane and a top-off was noted. The flight departed for NQA at 1832 and cruised uneventfully at 4,500 ft mean sea level. While enroute, the pilots switched between the left and right main fuel tanks and did not use the wingtip tanks during cruise. During the approach to land, the before-landing check was completed and the fuel selector was positioned to the left main tank. The instructor recalled that, during the approach, the left and right main inboard tanks indicated a little less than 10 gallons, and the wingtip tanks were indicating full; however, the fuel gauges were “bobbing” throughout the flight. The flight instructor further reported that, about 500 ft above ground level on final approach to runway 22 with full flaps, the engine suddenly “went quiet” and lost all power. The private pilot continued to fly the airplane, and the flight instructor stated, “best glide” airspeed, which the private pilot continued to maintain. Subsequently, the fuel selector was moved from the left main tank position to the left wingtip tank. Shortly after the fuel tank selector was moved, engine power began increasing; however, nearly simultaneously with this restoration of power, the airplane impacted terrain about 900 ft short of the runway threshold. The private pilot’s statement was consistent with the flight instructor’s description of the loss of engine power and collision with terrain. According to a Federal Aviation Administration inspector who examined the airplane at the accident site, the fuselage and wings sustained substantial damage. There was no fuel located in either the left main tank or left wingtip tank. About 15 gallons of fuel was drained from the right wingtip tank and about 3 gallons was drained from the right main tank. Examination of the airplane and engine found no evidence of preimpact mechanical malfunctions or failures that would have precluded normal operation. The fuel system was evaluated for blockages, with none observed. The left main tank was evaluated for anyevidence of leakage, with none observed. The left wingtip tank sustained impact damage and was breached near the leading edge. The right main and wingtip tank were undamaged. According to the owner’s manual, the airplane was equipped with two inboard main wing fuel tanks that each held 25 gallons, and two outboard wingtip tanks that held 17 gallons of fuel. A fuel selector located on the floor center section of the cockpit enabled a selection of each tank individually, in addition to an OFF position. Fuel was delivered from the tank selected directly to the engine. The owner’s manual stated that the unusable fuel was about one pint per fuel tank. The owner’s manual further stated with regard to fuel management: Avoid switching tanks at low altitude since little recovery time is available in event of an error in tank selection. To preclude making a hasty decision, and to provide continuity of flow, the selector should be changed before fuel is exhausted from the tank in use. The owner’s manual stated that, “The main or tip tank with the highest quantity of fuel should be selected for landing.” According to the airplane flight manual, one of the placards required to be installed in the airplane stated, “USE MAIN TANKS FIRST.” This placard was present in the accident airplane’s cockpit.

Aircraft

Registration
N7748J
Reported as
Piper PA-32-260 (NO SERIES)
Category
Airplane
Serial number
32-1152
Built
1969
Airframe hours
4,132
Engine
Lycoming O-540, 235 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 8, 2023 · 25 hours before
Departed
JKA · Gulf Shores, AL
Destination
NQA · Millington, TN
Flight plan
VFR
Airport
NQA · Millington/Memphis, runway 04/22, 8,000 × 200 ft, asphalt
Equipment
Stall warning system, ADS-B, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
58
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
145 total · 12 in this make and model · 49 as pilot in command · 37 in the last 90 days · 25 in the last 30 days · 0 in the last 24 hours
Role
Flight instructor
Age
36
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
September 18, 2023
Seat
Right
Restraint
3-point
Flight hours
965 total · 15 in this make and model · 875 as pilot in command · 133 in the last 90 days · 56 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
52 °F, dew point 37 °F
Altimeter
29.90 inHg
Observed at
NQA, 1 nm away
METAR
METAR KNQA 040050Z 00000KT 10SM CLR 11/03 A2990=

Docket · 7

The files NTSB released with the investigation on December 18, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.4 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 N7748J · 1

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