LAX99LA164

NTSB accident investigation · Beech 36TC · Lake Elsinore, CA · April 25, 1999

Accident · No injuriesLimited investigationFinal report
Date
April 25, 1999, 10:07 local (17:07 UTC)
Place
Lake Elsinore, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N36MNBeech 36TC
Weather
Visual (VMC) · Day
Status
Completed · report November 30, 2000
Report
Approved by Office Director
FAA report
19990425003889A
Case key
46189

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 inadequate preflight inspection procedures and his failure to accurately determine the amount of fuel onboard prior to departure. A factor in the accident was the erratic fuel quantity sensor in the left fuel tank.

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 - normal
Engine instruments,fuel quantity gage - false indicationFactor
Aircraft preflight - inadequatePilot in commandCause
Fuel supply - not verifiedPilot in commandCause
Fluid,fuel - starvationCause
Forced landingEmergency descent/landing
On ground/water collision with objectLanding - roll
Object - vehicle

Analysis

The pilot stated that the aircraft had been in a local paint shop for the past 60 days for repainting. This was the first flight after the aircraft was picked up. The pilot reported that he had not used a dipstick to accurately determine the fuel load on the airplane, but rather used a method relying on the gages and consumption calculations. On the morning of the accident, he decided to fly from his home base to an airport in the Southern California interior and did this using the right fuel tank. On engine start for the return leg, he selected the left tank and was en route when the engine smoothly quit. He switched fuel tanks, turned on the electric boost pump and attempted to obtain a restart, without success. As the aircraft descended, he selected a clear area on the shoulder of the interstate highway for a landing. Nearing touchdown, he had to maneuver to avoid a highway sign and the right wing contacted the back of a pickup truck. The pilot further reported that as the aircraft touched down, the engine restarted and went to full power. The aircraft was recovered without the necessity of disassembly or disturbance to any aircraft system. The fuel tanks and lines were intact with no evidence of leakage. One pint of fuel was drained from the left tank while the right tank contained 15 gallons. The fuel indicating system was examined and the right tank sending unit and cockpit gage was found to be accurate. The left tank sending unit and gage displayed erratic indications of quantity. On initial power up the left tank gage displayed 3/4 tank. Subsequent shutdowns and power ups of the system yielded tank quantity indications of 1/4, full, and 3/4 again. No discrepancies were noted with the engine.

Factual narrative

On April 25, 1999, at 1007 hours Pacific daylight time, a Beech 36TC, N36MN, collided with a vehicle while attempting a forced landing on the shoulder of interstate highway 15 near Lake Elsinore, California. The forced landing was precipitated by a loss of engine power while in cruise. The aircraft was owned and operated by the pilot under 14 CFR Part 91 of the Federal Aviation Regulations. The aircraft incurred substantial damage and the vehicle minor damage. The private pilot, the sole occupant, was not injured. There were no injuries to persons on the ground. The personal flight originated at 0900 as a round robin cross-country from Chino to Thermal, California, and was returning to Chino when the accident occurred.

In a telephone interview with the Safety Board on April 26, the pilot reported that he was returning to Chino from Thermal when the engine smoothly quit. He switched fuel tanks, turned on the electric boost pump and attempted to obtain a restart, without success. As the aircraft descended, he selected a clear area on the shoulder of the interstate highway for a landing. Nearing touchdown, he had to maneuver to avoid a highway sign and the right wing contacted the back of a pickup truck. The pilot further reported that as the aircraft touched down, the engine restarted.

During the interview, the pilot stated that the aircraft had been in a local paint shop for the past 60 days for repainting. This was the first flight after the aircraft was picked up. When he departed from Chino on the outbound leg, the pilot used the right fuel tank because the fuel indicators showed it to be the fullest tank. The 20-minute flight to Thermal was uneventful and the pilot shut down the engine after landing. The pilot was on the ground 10 minutes, then restarted the aircraft for the return flight to Chino. The engine start and flight was accomplished on the left fuel tank because the fuel gage showed it to be 3/4 full while the right indicated 1/2 tank. The pilot stated that he performed a thorough engine run-up before takeoff from Thermal and that the flight to the point of power loss was uneventful.

The aircraft was recovered without the necessity of disassembly or disturbance to any aircraft system. A Federal Aviation Administration airworthiness inspector from the Riverside, California, Flight Standards District Office examined the aircraft at the recovery facility. The fuel tanks and lines were intact with no evidence of leakage. One pint of fuel was drained from the left tank while the right tank contained 15 gallons. The fuel vent lines for the left tank were clear. The rear vent lines for the right tank were also unobstructed. The forward vent line for the right tank was found plugged with insect debris and dirt. Further examination of the forward right tank line revealed that it was disconnected at the B-nut, which connects the line to a check valve and open to atmosphere inside the wing.

The fuel indicating system was examined by powering up the aircraft electrical system and manipulating the float sensors in the tanks. The right tank sending unit and cockpit gage was found to be accurate. The left tank sending unit and gage displayed erratic indications of quantity. On initial power up the left tank gage displayed 3/4 tank. Subsequent shutdowns and power ups of the system yielded tank quantity indications of 1/4, full, and 3/4 again.

No discrepancies were noted with the engine.

In his written statement, the pilot reported that prior to the accident he had not used a dipstick or other qualitative observational method the accurately determine the fuel load on the airplane, but rather used a method relying on the gages and consumption calculations.

Aircraft

Registration
N36MN
Reported as
Beech 36TC
Category
Airplane
Serial number
EA79
Airframe hours
2,296
Engine
Continental TSIO-520-UB1B, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Mark C. Nelson
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 9, 1998 · 98 hours before
Departed
TRM · Thermal, CA
Destination
CNO · Chino, 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
48
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
889 total · 69 in this make and model · 808 as pilot in command · 12 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
59 °F, dew point 48 °F
Altimeter
30.00 inHg
Observed at
RIV, 11 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.