LAX92LA270

NTSB accident investigation · Beech A36 · Brawley, CA · June 29, 1992

Accident · No injuriesLimited investigationFinal report
Date
June 28, 1992, 19:30 local (Jun 29, 1992, 02:30 UTC)
Place
Brawley, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1794WBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report August 26, 1993
Report
Approved by Office Director
FAA report
19920628022689A
Case key
27667

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 the pilot's; 1) failure to refuel the aircraft, 2) improper use of the fuel system, and 3) his delayed positioning of the fuel selector valve to a tank containing fuel. A factor in the accident was the pilot's failure to adhere to the procedures specified in the aircraft flight manual.

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 powerCruise
Fluid,fuel - starvationCause
Fuel system - improper use ofPilot in commandCause
Fuel tank selector position - delayedPilot in commandCause
Refueling - not performedPilot in commandCause
Flight manuals - not usedPilot in commandFactor
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - soft

Analysis

The aircraft was at 4,000 feet descending toward the airport when the pilot intentionally ran the right fuel tank dry, then switched to the left tank. The pilot could not affect an engine restart and the aircraft landed in a plowed field about 2 miles short of the airport and encountered soft earth which sheared the landing gear off the aircraft, damaging the wings. FAA inspectors found that the right fuel tank contained less than 1 gallon while the left tank held 10 gallons. Each of the fuel tanks holds 40 gallons total. The flight manual for the aircraft cautions against takeoffs, landings or maneuvering with less than one quarter of fuel in the tank selected. The fuel pick up ports were noted to be in the rear corner of each fuel tank. The fuel system was functionally tested with no abnormality in system function found. The pilot stated that he made two trips between Brawley and san diego without refueling the aircraft.

Aircraft

Registration
N1794W
Reported as
Beech A36
Category
Airplane
Serial number
E380
Airframe hours
1,871
Engine
Continental IO-520-BA2, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Clyde E. Shields, doing business as Clyde Shields Entomological Sv
Registered owner
Clyde Shields Entomological Sv
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 4, 1992 · 9 hours before
Departed
MYF · San Diego, 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
61
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
3,598 total · 986 in this make and model · 3,598 as pilot in command · 9 in the last 90 days · 5 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 15 knots
Visibility
30 statute miles
Lowest ceiling
None
Temperature
100 °F

FAA reports on this event · 1

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