LAX93LA196

NTSB accident investigation · Dornier DO-28 · Paradise, CA · May 2, 1993

Accident · No injuriesLimited investigationFinal report
Date
May 2, 1993, 12:50 local (19:50 UTC)
Place
Paradise, CA
Injuries
3 uninjured
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N12828Dornier DO-28
Weather
Visual (VMC) · Day
Status
Completed · report November 15, 1993
Report
Approved by Office Director
FAA report
19930502011359A
Case key
27966

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 poor in flight fuel consumption calculations by the pilot and the pilot's in flight decision not to switch fuel tanks which caused the total failure of both of the airplane's engines. Factors relating to this accident were fuel starvation and the high vegetation in the emergency landing area.

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) - nonmechanicalCruise
Fluid,fuel - starvationFactor
In-flight planning/decision - poorPilot in commandCause
Fuel consumption calculations - poorPilot in commandCause
Forced landingDescent - emergency
In flight collision with terrain/waterLanding - flare/touchdown
Terrain condition - high vegetationFactor

Analysis

The pilot reported that about 20 minutes into the flight, the left engine lost power. He turned the left firewall mounted electric boost pump on and selected left aux tank. The left engine regained power. He selected the right engine to right aux tank. After 20-30 seconds both engines quit. He was unable to restart either engine and landed the airplane in heavy brush at about 40 knots. The FAA reported the pilot stated that he mismanaged the fuel, and waited too long to switch tanks.

Aircraft

Registration
N12828
Reported as
Dornier DO-28
Category
Airplane
Serial number
3023
Airframe hours
3,625
Engine
Lycoming O-540-A1D, 250 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Brian Esler
Registered owner
Brian Esler
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 8, 1992 · 46 hours before
Departed
SVE · Susanville, 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
51
Certificates
Flight instructor, Airline transport, Flight engineer
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
18,570 total · 54 in this make and model · 16,500 as pilot in command · 100 in the last 90 days · 45 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
270° at 5 knots
Visibility
40 statute miles
Lowest ceiling
None
Altimeter
29.00 inHg
Observed at
CIC, 15 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.