IAD00LA049

NTSB accident investigation · Beech BE-55 · Erie, PA · June 9, 2000

Accident · Minor injuriesLimited investigationFinal report
Date
June 8, 2000, 22:35 local (Jun 9, 2000, 02:35 UTC)
Place
Erie, PA
Injuries
1 minor
Damage
Destroyed
Phase of flight
Approach
Aircraft
N777KBeech BE-55
Weather
Visual (VMC) · Night/dark
Status
Completed · report May 8, 2001
Report
Approved by Office Director
FAA report
20000608010869A
Case key
49390

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 fuel management which resulted in fuel starvation and a loss of power to both engines. A factor was the pilot's inadequate pre-flight planning and takeoff with inadequate fuel for the flight.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine power(total) - nonmechanicalApproach
All engines
Fluid,fuel - starvation/exhaustionCause
Fuel management - improperPilot in commandCause
Preflight planning/preparation - inadequatePilot in commandFactor
Forced landingDescent - emergency
In flight collision with objectDescent - emergency
Object - tree(s)

Analysis

The pilot flew the twin engine airplane from Erie, Pennsylvania, to Concord, North Carolina, to Dunkirk, New York. Prior to departure from Dunkirk, the pilot declined fuel servicing, and did not visually check the fuel tanks. The pilot stated that when the engines were started the left fuel indicator was between the top of the 'empty' white arc and 1/4 tank, and the right fuel indicator was between 1/4 and 1/2 tank. After a 25 minute flight, while on a straight in approach to Erie, the pilot noticed that the left fuel indicator was in the white arc and prepared for an engine failure. The pilot turned the right fuel selector handle one turn to the left in an attempt to cross-feed fuel from the right tank to both engines. Shortly thereafter, the pilot felt an engine problem and pushed all the controls full forward; however, he did not remember exactly what happened after that point. The airplane descended through trees and came to rest between two buildings. According to a fuel placard, when the right fuel selector handle was turned one click to the left, the selector was in the cross-feed mode, which allowed fuel from the left tank to cross-feed to the right engine. Another fuel placard said, 'Do not take-off if fuel quantity indication gauges indicate in yellow arc or with less than 13 gallons in each wing system.'

Factual narrative

On June 8, 2000, at 2235 Eastern Daylight Time, a Beech BE-55, N777K, was destroyed during a forced landing while on approach to Erie International Airport (ERI), Erie, Pennsylvania. The certificated commercial pilot/co-owner sustained minor injuries. Visual meteorological conditions prevailed for the flight that originated at Dunkirk, New York, approximately 2210. No flight plan was filed for the personal flight conducted under 14 CFR part 91.

In a telephone interview, the pilot said:

"The flight originated earlier in the day at Erie with full fuel. I flew to Dunkirk, New York, then continued on to Concord, North Carolina, where I attended a funeral. I returned to Dunkirk later that day, dropped off a passenger, and continued to my final destination of Erie. In Dunkirk, I was asked if I needed any servicing, and declined the offer. I did not visually check the fuel level in either tank. When I started the airplane, I noted that the left fuel indicator was between the top of the "empty" white arc and a 1/4 tank. The right fuel indicator was between 1/4 and 1/2. The trip to Erie was approximately 25 minutes. As I got closer to Erie, I scanned my instruments and noted the left fuel indicator was in the white arc, and I mentally prepared for what I should do if the left engine stopped running. I had the airport in sight, [and] was straight and level at 3,200 feet. I then turned on the dome light and looked at the fuel selector handles. I made a decision to turn the right fuel selector handle one turn to the left in an attempt to cross-feed the fuel from the right tank to both engines. That is all I did. I got a bad feeling and do not remember exactly what happened after that. I thought I put all of the controls full forward, but cannot remember. I clipped the top of a tree around 40 mph. The landing felt like a normal landing. I do not know what happened, and do not recall if the engines ever stopped producing power. I never lost consciousness and was able to exit the airplane on my own."

A witness in his home heard the airplane. According to his written statement, he said:

"About 10:30-10:45, I heard a 'wooping' sound. I went outside a few seconds later. When I was outside, there was a big explosion and I ran inside my house to get my son and called 911."

According to the ERI air traffic control incident report, the airplane was cleared to land on Runway 24. While on final approach, the pilot reported an emergency and advised that he was not going to make the airport. The controller queried the pilot to the nature of the emergency, and offered assistance.

Two Federal Aviation Administration (FAA) inspectors performed an on-scene examination on June 9, 2000. According to one of the inspector's written report, the airplane, almost entirely consumed by the post-crash fire, was situated between two storage type buildings about 2 miles from the approach end of Runway 24. The empennage laid between the two buildings in an approximate 45-degree nose-down attitude and faced approximately 180 degrees. The aircraft's initial impact heading was 240 degrees. Because of the post-impact fire, positions of flight controls and switch settings could not be determined. The fire also rendered it impossible to verify instrument readings.

An FAA inspector performed an engine examination on June 9-10, 2000. The examination revealed there were no mechanical deficiencies with either engine.

According to the Beech BE-55 Baron FAA approved Pilot Operating Manual, section 7-24 addressed the following in reference to the Fuel Cross-Feed system:

"The fuel lines for the engines are interconnected by cross-feed lines. During normal operation, each engine uses its own fuel pumps to draw fuel from its respective wing fuel system. However, on emergency cross-feed operations either engine can consume the available fuel from the opposite side. The fuel cross-feed system is provided for use during emergency conditions. The system cannot be used to transfer fuel from one wing system to the other. The procedure for using the cross-feed system is described in the EMERGENCY PROCEDURES section."

On page 3-10 of the EMERGENCY PROCEDURES section it stated, "the fuel cross-feed system is to be used during emergency conditions in level flight only."

The manual only addressed the procedures to cross-feed when one of the engines is inoperative. There were no procedures that addressed the issue of cross-feeding fuel from one tank to both engines.

According to the fuel selector placard, if the right fuel selector handle was turned one click to the left, the selector valve would be in the cross-feed mode. This cross-feed mode would allow fuel from the left tank to cross-feed to the right engine.

Another fuel placard was inscribed between the fuel selector handles. The inscription said, "Do not take-off if fuel quantity indication gauges indicate in yellow arc or with less than 13 gallons in each wing system."

The pilot reported a total of 900 hours; 500 hours in make and model, of which 25 hours were in the last 90 days.

According to the Pilot/Operator Aircraft Accident Report form, the pilot made a recommendation as to how the accident could have been prevented. He stated:

"One thing I could have done after all power [was] forward, was to put the gear back up and I may have made the field."

Aircraft

Registration
N777K
Reported as
Beech BE-55
Category
Airplane
Serial number
TC-1893
Engine
Continental IO-470 L, 260 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
John Farrell, doing business as Personal
Registered owner
Schaper Avenue Aviation
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 18, 1999
Departed
DKK · Dunkirk, NY
Destination
ERI · PA
Airport
ERI · Erie International, runway 24, 6,500 × 150 ft, asphalt

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
47
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
900 total · 400 in this make and model · 750 as pilot in command · 60 in the last 90 days · 30 in the last 30 days · 10 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
210° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 55 °F
Altimeter
29.00 inHg
Observed at
ERI, 2 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.