GAA17CA331

NTSB accident investigation · Piper PA25 · Hood River, OR · June 11, 2017

Accident · Minor injuriesData collectionFinal report
Date
June 11, 2017, 16:30 local (23:30 UTC)
Place
Hood River, OR
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8578LPiper PA25
Defining event
Enroute-descent: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed · report September 10, 2018
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA/ FSDO
FAA report
20170611005339A
Case key
95350

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's failure to visually check the fuel level prior to takeoff and subsequent mismanagement of the available fuel supply during numerous glider tow flights.

Findings · 5

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.

Inspection: preflight inspectionPersonnel issues › Task performance · PilotPiper PA-25-260: 1 caseAll aircraft: 551 casesProbable cause
Planning/preparation: fuel planningPersonnel issues › Task performance · PilotPiper PA-25-260: 1 caseAll aircraft: 719 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Inadequate inspectionPiper PA-25-260: 2 casesAll aircraft: 1,695 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelPiper PA-25-260: 2 casesAll aircraft: 1,695 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomePiper PA-25-260: 1 caseAll aircraft: 933 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 glider tow pilot reported that, during preflight, the fuel indicator read "2/3 full" and he had a "brief discussion" with the previous pilot who had just completed numerous glider tow flights without refueling. He added that a fuel dipstick was not available, and a visual check of the fuel quantity was not completed during preflight. He further added that on the 10th glider tow flight, which was about 2 hours of flight time, he noted a "low fuel indication in flight just prior to glider release." Subsequently, the glider released and during the return to the airport, about 2 nautical miles from the runway and about 1,900 above ground, the engine lost power. The pilot reported that due to the quartering headwind aloft he did not believe he could make the runway, so he attempted to land on an open pasture, but struck trees and impacted terrain about "50 yards short of [the] pasture." The fuselage, elevator, and both wings sustained substantial damage. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Factual narrative

The glider tow pilot reported that, during preflight the fuel indicator read "2/3 full" and he had a "brief discussion" with the previous pilot who had just completed numerous glider tow flights, without refueling. He added that a fuel "dipstick" was not available, and a visual check of the fuel quantity was not complete during preflight. He further added that on the 10th glider tow flight, which was about 2 hours of flight time, he noted a "low fuel indication in flight just prior to glider release." Subsequently, the glider released and during the return to the airport, about 2 nautical miles from the runway, about 1,900 above ground, the engine lost power. The pilot reported that due to the quartering headwind aloft he did not believe he could make the runway, so he attempted to land on an open pasture, but struck trees and impacted terrain about "50 yards short of [the] pasture." The fuselage, elevator, and both wings sustained substantial damage. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft

Registration
N8578L
Reported as
Piper PA25 (260)
Category
Airplane
Serial number
25-5004
Built
1969
Airframe hours
13,229.82
Engine
Lycoming O-540-G1A5, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Glider tow · Part 91
Operator
Hood River Soaring
Registered owner
Hood River Soaring
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 9, 2017
Departed
4S2 · Hood River, OR
Destination
4S2 · Hood River, OR
Airport
4S2 · Ken Jernstedt Airfield
Equipment
Stall warning system

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
55
Injuries
Minor
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
June 30, 2016
Seat
Single
Flight hours
317.6 total · 7.6 in this make and model · 255.8 as pilot in command · 18.7 in the last 90 days · 9.6 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 7 knots, gusting 15
Visibility
10 statute miles
Temperature
68 °F, dew point 46 °F
Altimeter
29.90 inHg
Observed at
K4S2, 1 nm away

Docket · 2

The files NTSB released with the investigation on July 19, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 5.0 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 N8578L · 1

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