GAA18CA149

NTSB accident investigation · Beech B · Ferris, TX · March 1, 2018

Accident · Minor injuriesData collectionFinal report
Date
March 1, 2018, 11:00 UTC
Place
Ferris, TX
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N77MMBeech B
Defining event
Enroute: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed · report August 27, 2018
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20180301001349A
Case key
96829

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 improper preflight inspection of the fuel level, which resulted in a loss of engine power due to fuel exhaustion. Contributing to the accident was the pilot’s failure to lower the landing gear before the emergency landing.

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 · PilotBeech B-60: 3 casesAll aircraft: 551 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Not inspectedBeech B-60: 4 casesAll aircraft: 1,695 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelBeech B-60: 4 casesAll aircraft: 1,695 casesProbable cause
Landing gear system: main landing gearAircraft › Aircraft systems · Not used/operatedBeech B-60: 1 caseAll aircraft: 241 casesProbable cause
Object/animal/substance: tree(s)Environmental issues › Physical environment · Contributed to outcomeBeech B-60: 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 pilot in the multi-engine, retractable landing gear airplane reported that, during an instrument flight rules cross-country flight, about 5,000 ft above mean sea level, the left engine surged several times and he performed an emergency engine shutdown. Shortly afterward, the right engine lost power. During the emergency descent, the airplane struck treetops, and landed hard in a field with the landing gear retracted. The airplane sustained substantial damage to both wings, the engine mounts, and the lower fuselage. The pilot reported that he had requested 200 gallons of fuel from his home airport fixed base operator, but they did not fuel the airplane. The pilot did not check the fuel quantity during his preflight inspection. According to the Federal Aviation Administration Airplane Flying Handbook, Chapter 2, page 2-7, pilots must always positively confirm the fuel quantity by visually inspecting the fuel level in each tank. The pilot reported that there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Factual narrative

The pilot in the multi-engine, retractable landing gear-equipped airplane reported that during an instrument flight rules cross-country flight, about 5,000ft MSL, the left engine surged several times and he performed an emergency engine shutdown. Shortly afterward, the right engine lost power. During the emergency descent, the airplane struck tree tops, and landed hard in a field with the landing gear retracted. The airplane sustained substantial damage to both wings, the engine mounts and the lower fuselage. The pilot reported that he had requested 200 gallons of fuel from his home airport FBO, but they did not fuel the airplane. The pilot did not check the fuel quantity during his preflight inspection. According to the Federal Aviation Administration Airplane Flying Handbook, Chapter 2, page 2-7, pilot's must always positively confirm the fuel quantity by visually inspecting the level of each tank. The PIC reported that there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft

Registration
N77MM
Reported as
Beech B (60)
Category
Airplane
Serial number
P-587
Built
1982
Airframe hours
2,210
Engines
Lycoming TIO-541, 380 horsepower, reciprocatingLycoming TIO-541, 380 horsepower, reciprocating
Damage
Substantial damage
Flight
Ferry · Part 91
Operator
Mike & Mayo Partners Lp
Registered owner
Mike & Mayo Partners Lp
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · December 1, 2017
Departed
ADS · Dallas, TX
Destination
LXY · Mexia, TX
Flight plan
IFR
Equipment
ADS-B, Stall warning system, Satellite tracking device, Onboard weather, Electronic primary flight display, Electronic multifunction display, 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
79
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Waiver time limited special
Last flight review
July 27, 2017
Seat
Left
Restraint
3-point
Flight hours
6,400 total · 2,200 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 13 knots
Visibility
6 statute miles
Lowest ceiling
1,800 ft overcast
Temperature
57 °F, dew point 54 °F
Altimeter
30.11 inHg
Observed at
KCRS, 16 nm away

Docket · 2

The files NTSB released with the investigation on June 19, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.5 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.