IAD05LA114

NTSB accident investigation · Convair BT-13A · Lyme, NH · August 3, 2005

Accident · FatalLimited investigationFinal report
Date
August 3, 2005, 14:03 local (18:03 UTC)
Place
Lyme, NH
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N49646Convair BT-13A
Weather
Visual (VMC) · Day
Status
Completed · report October 3, 2006
Report
Approved by Office Director
Parties
FAA FSDO-05
FAA report
20050803017919A
Case key
62121

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 improper fuel management which resulted in an incorrect fuel selector position, fuel starvation, and subsequent loss of engine power. A factor in the accident was the pilot's failure to maintain adequate airspeed and inadvertent stall.

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) - nonmechanicalClimb
Fuel management - improperPilot in commandCause
Fuel tank selector position - incorrect
Fluid,fuel - starvationCause
Forced landingDescent - emergency
Loss of control - in flightClimb
Airspeed - not maintainedPilot in commandFactor
Stall - inadvertent
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

During the takeoff the airplane became airborne half way down the runway, "leveled off" and accelerated in a northerly direction, then began to climb. After leveling off once more at approximately 300 feet above ground level, the airplane suddenly appeared to roll to the right, and descend in a nose down attitude into a cornfield fatally injuring the pilot and his passenger. All major components of the airplane were accounted for at the accident site. A post-crash fire had consumed the majority of the fuselage and no preimpact mechanical failures with the engine or airplane were evident, however; no evidence of the engine producing power at impact was present. The surviving portions of the fuel system were devoid of fuel or fuel residue. During the investigation it was revealed that, the right main fuel tank unlike the left, was designed with a standpipe, which was plumbed to the outlet connection to provide a reserve fuel supply. Under normal conditions fuel would cease to be drawn from the tank when the fuel level became even with the top of the standpipe. The reserve fuel supply would always remain in the lower portion of the right tank until the pilot selected the "reserve line" which would draw fuel from a sump in the lowest part of the right tank. Printed guidance stated, that "when tanks are full take off on the right main tank," otherwise "take off on the fullest tank." A placard was installed on the airplane that read: "CAUTION: Unless Right Tank is full, use Reserve or Left Tank for Takeoff and Landing." Examination of the fuel selector revealed that the handle's pointer corresponded to a position in the R.H. MAIN quadrant area of the fuel selector placard, and a horizontal gouge was evident on the left side of the placard, that corresponded to selection of the fuel source as the right main tank.

Factual narrative

History of flight

On August 3, 2005, about 1403 eastern daylight time, A Convair BT-13A, N49646, was destroyed during impact with terrain, while departing from a private airstrip in Lyme, New Hampshire. The certificated airline transport pilot and passenger were fatally injured. Visual meteorological conditions prevailed, and no flight plan was filed for the personal flight conducted under 14 CFR Part 91, destined for North Canaan Aviation Facilities Airport (CT24), North Canaan, Connecticut.

According to witness statements, during the takeoff, the airplane became airborne half way down the runway, "leveled off" and accelerated in a northerly direction, then began to climb. After leveling off once more at approximately 300 feet above ground level, the airplane suddenly appeared to roll to the right, and descend in a nose down attitude into a cornfield.

Personnel information

The pilot held an airline transport pilot certificate with multiple ratings including airplane single-engine-land. His most recent FAA first-class medical certificate was issued on April 7, 2005. According to his pilot logbooks, he had accrued 13,584 total hours of flight experience, and 77 hours in make and model of airplane.

Aircraft information

According to maintenance records, the airplane was manufactured in 1945. The airplane received an annual inspection on May 20, 2005, and at the time of the inspection, had 3,205.9 hours of operation.

Meteorological information

A weather observation taken about 10 minutes prior to the accident at the Lebanon Municipal Airport (LEB), Lebanon, New Hampshire, located approximately 14 nautical miles south of the accident site, recorded the winds from 340 degrees at 9 knots, visibility 10 miles, a few clouds at 4,300 feet, temperature 88 degrees Fahrenheit, dew point 64 degrees Fahrenheit, and an altimeter setting of 29.94 inches of mercury.

Wreckage and impact information

The accident occurred during the hours of daylight. The wreckage was located at 43 degrees, 51.77 minutes north latitude, 72 degrees, 10.29 minutes west longitude, at an elevation of about 456 feet msl.

The airplane came to rest in a field approximately 2/10 of a mile north of the departure end of runway 35, and about 26 feet above it.

All the major components of the airplane were accounted for at the accident site.

No debris path was evident, however; 20 feet forward of the main wreckage was a depression in the ground that matched the outline of the right wing leading edge and right front side of the engine cowling.

A post-crash fire consumed the majority of the fuselage. The right wing was found inverted and displaced aft from its mounting location. Crush and compression damage was evident along the outer portions of the leading edge. An approximately 4 foot long by 3 foot wide burn pattern, was visible on its upper surface and multiple holes had burned through above the area of the right fuel tank.

A crush line was visible on the forward right side of the engine cowling and was measured as being at a 30-degree angle, perpendicular to the longitudinal axis of the airplane. The nose section forward of the firewall was partially canted to the right, along with the fuselage tube structure and empennage. The left wing, empennage, and all associated flight control surfaces displayed differing degrees of damage. The flap-operating unit, surviving portions of the left hand torque tube assembly and flap drive mechanism tube assembly, correlated to the flaps 10-degree position. Flight control continuity was confirmed from the ailerons to the surviving inboard portions of the wings and from the elevator and rudder panels to the approximate location of the cockpit.

Examination of the surviving cockpit controls and instruments revealed that the throttle control was in the maximum power position, the mixture control was full rich, and the propeller control was set to high RPM. The primer handle was in and locked. The attitude indicator indicated a 40-degree right bank and the directional gyro indicated 354 degrees.

No chordwise scratching or leading edge gouging was noted on either of the propeller blades. Impact damage was exhibited on only one blade, which was bent halfway along its length in a rearward direction. Burnishing of the outer portion of the blade face was present and a depression was noted on the right front side of the engine cowling that corresponded to the back of the opposite blade.

Powerplant and Fuel System Examination

The engine exhibited impact and post-crash fire damage and the No. 2 cylinder head was separated at the barrel/cylinder head junction. The impeller for the supercharger was eroded by fire but the blades exhibited no preimpact failures. Both magnetos were fire damaged and the engine mount was fractured. Continuity of the intake system and exhaust system could not be confirmed due to fire damage, however; continuity of the valve train, and crankshaft was confirmed. An examination of the cylinders, pistons and piston rods revealed no preimpact failures and all spark plug electrodes were intact and appeared normal on the cylinders that were not compromised internally by fire.

The surviving portions of the fuel system were examined. The carburetor was removed and disassembled. The outside was fire damaged and had burned through to the float bowl, however; the internal portion of the float bowl was clean, and exhibited no evidence of fire damage to the float, needle valve or inside of the float bowl. The fuel pump was devoid of fuel or fuel residue and the fuel unit, which combined the functions of a fuel strainer and emergency fuel pump was also devoid of fuel or fuel residue.

Medical and pathological information

An autopsy was performed on the pilot by the Office of the Chief Medical Examiner, State of New Hampshire.

Toxicological testing of the pilot was conducted at the FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma.

Tests and research

The fuel supply for the accident airplane was carried in two integral tanks each having a capacity of approximately 60 gallons.

A review of the Erection and Maintenance Instructions for the BT-13 revealed that each tank was comprised of a compartment formed by the front and rear wing beams, upper and lower skin cover sheets and the chordwise bulkheads, which formed the tank ends. The right tank, however; contained a standpipe, which was plumbed to the outlet connection to provide a reserve fuel supply of approximately 17 gallons, the plumbing of which was arranged so that under normal conditions fuel would cease to be drawn from the tank when the fuel level became even with the top of the standpipe. The reserve fuel supply therefore would always remain in the lower portion of the right tank until the pilot selected the "reserve line" which would draw fuel from a sump in the lowest part of the right tank.

Proper Order For Using The Fuel Tanks

According to the Army Air Forces Training Command Instructors' Manual, in the chapter on "Fuel Procedure" which began on page 31, it emphasized in the "Before Take-Off" section to make all "warm-ups and preflights" on the reserve tank, as in reality, there was no separate reserve tank in the airplane, and fuel would be drawn directly from the bottom of the right tank. It went on to say that "when tanks are full take off on the right main tank," otherwise "take off on the fullest tank."

In this chapter it also stated that tanks should be used in a definite order and listed a recommended procedure, "if take off is on the right tank, fly until it is 10 gallons below the left tank" and then "switch to the left tank and fly until it is ten gallons below the right tank" at which time the pilot would switch to "reserve" and alternate back and forth between "reserve" and the left fuel tank. It also stated to "always keep these tanks within ten gallons of each othe

Aircraft

Registration
N49646
Reported as
Convair BT-13A
Category
Airplane
Serial number
6685
Airframe hours
3,205.9
Engine
Pratt & Whitney R-985-AN-14B, 450 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2005 · 2.5 hours before
Departed
NONE · Lyme, NH
Destination
CT24 · Canaan, CT
Airport
NONE · Private Airstrip, runway 35, 1,870 × 85 ft, grass/turf

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
Fatal
Certificates
Airline transport, Commercial, Flight instructor
Airplane ratings
Single-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
July 1, 2005
Seat
Front
Toxicology
Performed
Flight hours
13,584 total · 77 in this make and model · 3,916 as pilot in command · 17 in the last 90 days · 6 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 9 knots
Visibility
10 statute miles
Temperature
88 °F, dew point 64 °F
Altimeter
29.94 inHg
Observed at
LEB, 14 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.