LAX99LA122

NTSB accident investigation · Aero Commander 500B · Shelter Cove, CA · March 19, 1999

Accident · Serious injuriesLimited investigationFinal report
Date
March 18, 1999, 18:35 local (Mar 19, 1999, 02:35 UTC)
Place
Shelter Cove, CA
Injuries
2 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
CFBCRAero Commander 500B
Weather
Visual (VMC) · Night/bright
Status
Completed · report March 2, 2001
Report
Approved by Office Director
Case key
45980

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 exhaustion due to the pilot's failure to ensure that an adequate fuel supply was onboard. A contributing factor was the lack of suitable terrain for the forced landing.

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) - nonmechanicalTakeoff - initial climb
All engines
Fluid,fuel - exhaustionCause
Fuel supply - not verifiedPilot in commandCause
Forced landingEmergency landing after takeoff
Terrain condition - none suitableFactor
DitchingEmergency landing after takeoff

Analysis

Prior to departure the pilot believed that his airplane contained between 30 and 40 gallons of fuel, adequate for a 15-minute-long flight to another airport where he could purchase additional fuel. The pilot reported the fuel gauge registered 40 gallons, so he departed. During initial climb upon reaching an altitude of about 400 feet above the ocean, both engines simultaneously lost power. The pilot rocked the airplane's wings and experienced a 'short surge of power.' However, it lasted only a brief moment and all engine power was again totally lost. The pilot turned toward the shoreline, reduced airspeed, and ditched about 0.25 miles off shore. The overnight tide/wave action subsequently beached most of the airplane. In the pilot's report, he did not indicate having experienced any mechanical malfunctions. The Federal Aviation Administration (FAA) coordinator examined recovered portions of the airframe and engines. In pertinent part, the FAA reported finding no physical evidence of any mechanical malfunction with the examined components. However, because of the airframe damage sustained during immersion in the salt water and the subsequent destruction to components, the Safety Board was unable to document the integrity of the fuel quantity indicator system.

Factual narrative

On March 18, 1999, about 1835 hours Pacific standard time, a Canadian registered Aero Commander 500B, CFBCR, owned and operated by the pilot, experienced a total loss of engine power during initial climb from the Shelter Cove (uncontrolled) Airport, Shelter Cove, California. The pilot ditched the airplane in shallow Pacific Ocean water about 1.5 miles south of the airport, about 0.25 miles off shore. Visual meteorological conditions prevailed, and no flight plan was filed for the personal flight, which was performed under 14 CFR Part 91. The airplane was destroyed, and the Canadian airline transport pilot and the passenger were seriously injured. The flight originated from Shelter Cove about 1830.

The passenger verbally reported to the National Transportation Safety Board investigator that she had observed the airplane's fuel gauge prior to takeoff, and she recalled it registered a total of about 40 gallons. Because no fuel was available at Shelter Cove, the pilot intended to takeoff and proceed to Willits, about 15 minutes away.

In summary, in the pilot's completed report and during a verbal interview, he indicated that based upon his experience flying the airplane, upon departure he anticipated having between 30 and 40 gallons of fuel. During initial climb upon reaching an altitude of about 400 feet, both engines simultaneously lost power. He then rocked the airplane's wings and experienced a "short surge of power." However, it lasted only a brief moment and all engine power was again totally lost to both engines. The pilot turned toward the shoreline, reduced airspeed and ditched. The overnight tide/wave action subsequently beached most of the airplane. In the pilot's report, he did not indicate having experienced any mechanical malfunctions.

The Federal Aviation Administration (FAA) coordinator examined recovered portions of the airframe and engines. In pertinent part, the FAA reported finding no physical evidence of any mechanical malfunction with the examined components. (See the attached FAA statement for specific details.)

Aircraft

Registration
CFBCR
Reported as
Aero Commander 500B
Category
Airplane
Serial number
1376-135
Airframe hours
11,635
Engine
Lycoming IO-540-B1C5, 290 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Thomas M. Fisher
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 4, 1998 · 26 hours before
Departed
0Q5
Destination
028 · Willits, CA
Airport
0Q5 · Shelter Cove, runway 12, 3,400 × 75 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
48
Certificates
Airline transport, Foreign, Flight instructor
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Helicopter
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
5,400 total · 32 in this make and model · 5,200 as pilot in command · 32 in the last 90 days · 16 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/bright
Wind
140° at 2 knots
Visibility
20 statute miles
Lowest ceiling
6,000 ft overcast
Temperature
54 °F, dew point 45 °F
Altimeter
29.00 inHg
Observed at
OQ5, 2 nm away