LAX99LA149

NTSB accident investigation · Piper PA-31 · Pacific Ocean (Pacific Ocean) · April 15, 1999

Accident · Minor injuriesLimited investigationFinal report
Date
April 14, 1999, 18:00 local (Apr 15, 1999, 01:00 UTC)
Place
Pacific Ocean (Pacific Ocean)
Injuries
1 minor
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N141CMPiper PA-31
Weather
Visual (VMC) · Day
Status
Completed · report November 22, 2000
Report
Approved by Office Director
FAA report
19990414003479A
Case key
46135

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

An undetermined system malfunction in the right engine, which led to an increase in fuel usage beyond the pilot's planned fuel consumption rate and eventual fuel supply exhaustion.

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
1 engine - malfunctionCause
Reason for occurrence undeterminedCause
Fuel system - excessive flow/outputCause
Remedial action - attemptedPilot in command
Fluid,fuel - exhaustionCause
DitchingEmergency descent/landing
Terrain condition - water

Analysis

The pilot reported that about 150 miles southwest of Monterey, the right engine made unusual noises, began to run rough, and exhibited high cylinder head temperature at the limits of the gauge. He advised Oakland Center of his position and situation, but did not declare an emergency. The pilot attempted to open the right engine cowl flap; however, it malfunctioned. He then increased fuel flow to the right engine in order to cool it and eventually had to reduce power on that side to keep it running. To compensate for the power loss in the right engine, he had to add power to the left engine. The combination of remedial actions increased the fuel consumption beyond his planned fuel burn rate. The flight attitude required by the asymmetric power also induced a periodic unporting condition in the outboard fuel tank pick-ups. The pilot said he was forced to switch to the inboard tanks until that supply was exhausted and then attempted to feed from the outboard tanks. The pilot said he was unsuccessful in maintaining consistent engine power output and was forced to ditch 20 miles short of the coastline. The pilot's VFR flight plan indicated that the total time en route would be 13 hours 10 minutes and total fuel onboard was 14 hours. The lapsed time from departure until the aircraft ditching was approximately 13 hours 12 minutes.

Factual narrative

On April 14, 1999, about 1800 hours Pacific daylight time, a Piper PA-31, N141CM, experienced partial loss of power in one engine and was forced to ditch in the Pacific Ocean approximately 15 to 20 miles off the coast of Monterey, California. The aircraft subsequently sank and is presumed to be destroyed. The commercial pilot sustained minor injuries. The aircraft was operated by Tokyo International Trading America, Inc., of Walnut, California, and the flight was conducted under 14 CFR Part 91 as a ferry flight. The aircraft departed the Honolulu, Hawaii, airport, about 0448, and was en route to Monterey with a final destination of Long Beach, California. Visual meteorological conditions prevailed at the accident site. A VFR flight plan was filed.

The pilot reported that about 150 miles southwest of Monterey, the right engine made "unusual noises, began to run rough, and exhibited high cylinder head temperature (at limits of gauge)." He advised Oakland Center of his position and situation, but did not declare an emergency. He reported that he reduced the power on the right engine and increased the power on the left engine to compensate. He stated that he "troubleshot the problem and experimented with increased fuel flow to both engines." The pilot reported that he was able to keep the right engine running at a lower power setting with increased fuel flow. He tried to open the cowl flaps but the right cowl flap failed to open. He opined that the combination of these actions increased the fuel consumption beyond his planned rate of fuel burn.

The pilot stated that he had been operating off the outboard fuel tanks for approximately 1 hour. Each tank held 40 gallons of fuel. The pilot reported that the aircraft was placarded and the flight manual specified that the outboard tanks were to be used only during level, coordinated flight. The manual and placards also stated that the fuel pick-ups could become unported during uncoordinated flight. The pilot reported that after experiencing the engine trouble, he maintained the aircraft at an attitude which did not allow for appropriate fuel flow to the engines from the outboard tanks. He banked the aircraft to keep the fuel pick-ups ported. He switched the ferry system transfer pumps to the "on" position, then switched tanks and burned all of the remaining fuel from the main tanks. The pilot stated that he continued back on the outboard tanks until he was unable to maintain consistent power, at which time he ditched the aircraft in the Pacific Ocean. He evacuated the aircraft, activated a life raft, and was rescued by the United States Coast Guard approximately 30 minutes later.

Transcripts of communication between Oakland Air Route Traffic Control Center (ARTCC), Fleet Area Control and Surveillance Facility (FACSFAC) San Diego, and the accident aircraft indicated that the pilot reported that he was at "minimum fuel" 96 miles southwest of Monterey. The pilot later repeated that he was "in trouble" and was having "fuel problems." The FACSFAC controller asked the pilot how much fuel he had remaining, and the pilot responded, "I'm pretty much done here." The pilot further added that he was going to continue heading toward Monterey and try to get as close as possible.

The pilot's VFR flight plan indicated that the total time en route would be 13 hours 10 minutes, with a total fuel on board of 14 hours. A copy of the flight plan is appended to this file. The lapsed time from departure until the aircraft ditching was approximately 13 hours 12 minutes.

Aircraft

Registration
N141CM
Reported as
Piper PA-31
Category
Airplane
Serial number
31234
Airframe hours
4,882
Engine
Lycoming TIO-540, 310 horsepower, reciprocating
Damage
Destroyed
Flight
Ferry · Part 91
Registered owner
Tokyo Int. Trading America Inc
Airworthiness certificate
Special, Special flight (Special)
Last inspection
Annual · March 15, 1999
Departed
HNL · Honolulu, HI
Destination
LGB · Long Beach, CA
Flight plan
VFR

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
28
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
427 total · 42 in this make and model

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Observed at
SNS, 28 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.