LAX00LA196

NTSB accident investigation · Piper PA-32R · Casa Grande, AZ · May 13, 2000

Accident · No injuriesLimited investigationFinal report
Date
May 13, 2000, 13:00 local (20:00 UTC)
Place
Casa Grande, AZ
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N4148RPiper PA-32R
Weather
Visual (VMC) · Day
Status
Completed · report December 6, 2002
Report
Approved by Office Director
Parties
FAA FSDO
FAA report
20000513041559A
Case key
49191

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 student pilot's inadvertant movement of the fuel selector to the "off" positon when selecting the alternate tank, and the flight instructor's lack of verification that the fuel selector was in the proper position during the emergency procedure checklist. A factor was the worn fuel selector "off" detent that allowed inadvertent movement of the fuel selector to the "off" position.

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
Fuel tank selector position - improperPilot in command(cfi)Cause
Fuel system,selector/valve - wornCause
Forced landingEmergency descent/landing
Checklist - not followedPilot in command(cfi)Cause
Fuel tank selector position - not verifiedPilot in command(cfi)Cause
On ground/water collision with objectEmergency landing
Terrain condition - roadway/highwayCause

Analysis

The pilot was on a practice instrument approach to the airport and completing the landing checklist procedure. Part of this procedure was to switch to the tank with the most fuel. The student switched the fuel selector to the "off" position inadvertently. The engine lost power and the instructor directed the student to then read off the emergency checklist. Engine power did not return because the student omitted the checklist item to place the fuel selector in the fullest tank, having already switched to the fullest tank. A forced landing off the airport ensued and the fuel selector remained off. The investigation revealed a bend in the fuel selector stop arm, which allowed the selector to travel to the off position.

Factual narrative

On May 13, 2000, at 1300 hours mountain standard time, a Piper PA-32R, N4148R, lost engine power and made a forced landing on a highway near Casa Grande, Arizona. The aircraft sustained substantial damage; however, the certified flight instructor and student were not injured. The aircraft was being operated as an instructional flight by Sabena Airline Training Center, Inc., under 14 CFR Part 91 when the accident occurred. The flight originated from Scottsdale airport in Scottsdale, Arizona, about 1145. Visual meteorological conditions prevailed at the time and no flight plan was filed.

In a telephone interview, the flight instructor said that the student, who was under the hood, was preparing to execute an approach to Casa Grande Municipal Airport. Part of the landing checklist included switching the fuel selector to the fullest tank; however, the student inadvertently switched the selector to the "off" position. When the engine quit, the student verbalized the emergency checklist items sequentially to the instructor who performed the required actions. The student omitted the first item (switch to fullest tank) because of having already switched.

The instructor was unable to restart the engine within the time and altitude remaining and executed a forced landing on Highway 84 near the intersection with Bianca Road. During the landing, the right flap struck a cement bridge stanchion and the left wing struck a tree.

Once on the ground, the instructor identified the fuel selector as having been in the "off" position.

A recommendation for accident prevention was prepared by the Federal Aviation Administration (FAA) Flight Standards Division Manager in Arizona. According to the FAA report, the fuel selector stop is mounted on a plastic center fuel panel on the floor between the pilot and co-pilot seats. Upon removal of the panel, it was found that the stop for the steel spring arm was bent, allowing the selector to travel to the "off" position. No action to press it down as a separate and distinct action resulted. The bend was not evident while the panel was mounted in place. The design of the fuel selector, part number 69654-22, for the Piper Saratoga and all like components were to be evaluated. The current design provided a positive stop, but was not designed to prevent improper use and eventual wear.

Aircraft

Registration
N4148R
Reported as
Piper PA-32R
Category
Airplane
Engine
Lycoming I0-540-KIG-5, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Registered owner
Sabena
Airworthiness certificate
Standard, Normal
Departed
SDL · Scottsdale, AZ
Airport
SDL · Scottsdale

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
24
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
830 total · 69 in this make and model · 711 as pilot in command · 190 in the last 90 days · 70 in the last 30 days · 3 in the last 24 hours
Role
Student pilot
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
March 26, 2000
Seat
Left
Flight hours
116 total · 17 in this make and model · 50 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 25 °F
Altimeter
29.92 inHg
Observed at
CGZ

FAA reports on this event · 1

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