LAX91LA228

NTSB accident investigation · Beech C-45H · Lake Elsinore, CA · May 29, 1991

Accident · No injuriesLimited investigationFinal report
Date
May 28, 1991, 19:55 local (May 29, 1991, 02:55 UTC)
Place
Lake Elsinore, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N9903ZBeech C-45H
Weather
Visual (VMC) · Day
Status
Completed · report May 27, 1993
Report
Approved by Office Director
FAA report
19910528017639A
Case key
27219

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

Fuel starvation due to an improper modification of the fuel system and the pilot's failure to ensure that the aircraft was airworthy prior to 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 powerApproach - vfr pattern - base leg/base to final
2 engines
Fluid,fuel - starvationCause
Fuel system - inoperativeCause
Maintenance,modification - improperCompany maintenance personnelCause
Fuel system,fuel quantity float/sensor - erraticFactor
Preflight planning/preparation - improperPilot in commandFactor
Operation with known deficiencies in equipment - attemptedPilot in command
Forced landingDescent - emergency
In flight collision with terrain/waterDescent - emergency
Terrain condition - high vegetation
Complete gear collapsedLanding - roll

Analysis

The pilot said that he was asked by one of the owners to ferry the aircraft. When he arrived to get it he found that the right engine had been shut down during the previous flight. He said that he found the right fuel tank empty and about 20 gallons of fuel in the left tank. The pilot said he loaded 50 gallons of fuel in each tank, after determining that the flight would require only 50 gallons. While descending into Lake Elsinore one engine quit followed quickly by the second one and the pilot landed in a field. FAA inspectors found the right fuel tank contained no fuel and the left tank contained about 50 gallons. No other mechanical malfunctions or failures were identified during the investigation. One owner of the aircraft who was repossessing it from a partner said that after the accident he was informed that due to a pump failure the other owner had 'somehow rigged the aircraft so that both engines would be supplied by the right fuel tank.' The owner said that both he and the pilot were unaware of this modification.

Aircraft

Registration
N9903Z
Reported as
Beech C-45H
Category
Airplane
Serial number
AF-853
Engine
P&W R-985, 450 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Steve Malmborg
Registered owner
Steve Malmborg
Last inspection
Unknown · January 2, 2000
Departed
6CA7 · Arvin, CA

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
36
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Flight hours
3,000 total · 1,000 in this make and model · 30 in the last 90 days · 10 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None

FAA reports on this event · 1

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