# NTSB MIA04LA071: Beech Be-300, N301KS, Daytona Beach, FL, April 15, 2004 - Type: NTSB accident investigation - Classification: Accident · Serious injuries · Limited investigation · Final report - Date: April 14, 2004, 19:15 local (Apr 15, 2004, 00:15 UTC) - Place: Daytona Beach, FL - Coordinates: 29.078056, -81.044441 - Nearby events: https://openairdocs.org/map.md?lat=29.0781&lon=-81.0444&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Highest injury: Serious injuries - Injuries: 2 serious - Status: Completed, report October 27, 2005 - Report: Approved by Office Director - Parties: Pratt & Whitney Canada, Hartzell Propeller Inc., Raytheon Aircraft Company, FAA FSDO - NTSB case key (mKey): 59078 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=MIA04LA071 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/59078/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=59078 - Page: https://openairdocs.org/ntsb/MIA04LA071 ## Probable cause The pilot's inadequate management of the airplane's fuel system, which resulted in fuel starvation, a loss of engine power, a forced landing, and damage to the airplane during the landing. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - nonmechanical, approach - fuel management - inadequate, pilot in command (cause) - fuel system,cross-feed valve - incorrect - fluid,fuel - starvation - Forced landing, emergency descent/landing - In flight collision with object, emergency landing - object - residence - object - tree(s) - In flight collision with terrain/water, descent - uncontrolled - terrain condition - ground ## Analysis The pilot stated that he initiated a fuel transfer due to a fuel imbalance. To affect the fuel transfer, he said he "began crossfeed right to left." When the airplane was about 5 to 10 miles away from Spruce Creek Airport, the pilot said he began his descent from 12,500, and also executed a left turn to begin setting up to land, when suddenly, both engines ceased operating. When he leveled the wings both engines restarted due to auto-ignition. He said the fuel gages showed 300 to 350 lbs of fuel for the right tank, and 100 to 150 pounds on the left, so he decided to continue his approach to Spruce Creek Airport. As he approached Spruce Creek Airport, he again entered a left bank to prepare for a left base to runway 23, and while established in the left turn, both engines ceased operating a second time. He said he did not think he could reach the runway, and decided to make an landing on a taxiway. When the wings became level after the turn, he said both engines again restarted while in the vicinity of the beginning of the taxiway. As he was about to land, he said a car pulled out onto the taxiway, and stopped on the centerline, so he applied power to avoid the car. He said he climbed straight out, and when he made a climbing left turn, he said the engines ceased operating a third time, and the airplane descended towards a cluster of condos. With no runway or clear area in sight, the pilot said he guided the airplane to a retention pond. Follow-on/detailed examinations of the aircraft, engines, and propellers were conducted by an FAA Inspector, as well as technical representatives from Raytheon Aircraft Company, Pratt & Whitney Canada, and Hartzell Propeller Company, and no preaccident anomalies were noted with the airframe, flight controls, engines/accessories, or propellers. According to the FAA Inspector, and the technical representative from the airplane manufacturer, Raytheon Aircraft Company, the pilot was transferring fuel from the left fuel tank to the right fuel tank, and with the reduced amount of fuel in the left tank, as he performed left turns, the engine ceased operating. The Raytheon Aircraft Company representative stated that the Pilot Operating Handbook specifies the use of crossfeed for those times when the airplane is operating on a single engine. ## Factual narrative HISTORY OF FLIGHT On April 14, 2004, about 1915 eastern standard time, a Beech 300, N301KS, registered to and operated by a private individual, as a Title 14 CFR Part 91 personal flight, crashed while maneuvering to land at Spruce Creek Airport, Daytona Beach, Florida. Visual meteorological conditions prevailed, and no flight plan was filed. The commercial-rated pilot received minor injuries, and one passenger received serious injuries, and the airplane was destroyed. The flight originated at Stuart Airport, Florida the same day, about 1845. A witness, who is also a multiengine rated flight instructor, stated that he had been out walking his dog, and was proceeding on Cessna Boulevard when he first saw the accident airplane. He further stated that Cessna Boulevard is an old runway that has since been closed, and made into a taxiway. He observed the accident airplane on a left low base, turning to short final. He stated that the landing gear and flaps were extended, and the airplane appeared to be at an appropriate approach power setting. He stated he was in the center of the taxiway at the time, and the airplane was coming toward him, so he exited the taxiway toward one of the residential properties, and after the airplane passed him, he returned to the taxiway. He said he observed the airplane descend to an altitude of about 30 feet, and it remained at that altitude as it proceeded down the full length of the taxiway. He said that at no time did the airplane appear to commit to land, and further commented that maybe it was because there were pedestrians on the taxiway. He said he observed the airplane pitch up, but that the landing gear and flaps were not retracted, nor was there any audible application of engine power. He said the airplane climbed to about 100 feet AGL and it turned to the left to a heading of about 230 degrees. He said the wind had been favoring runway 23, and it looks like the pilot was attempting to turn the airplane to land on runway 05, while maintaining a high angle of attack. He said that he then saw the airplane dip below the tree line and then he heard the impact. He stated that he heard and saw nothing to suggest that both engines were not operating normally the whole time. A second witness working inside his hangar said he was startled by a very loud noise of the King Air, which he observed flying westbound over the end of the hangar, no more than seventy five feet above the ground. The engines sounded normal and the aircraft was level with the gear down. He said he ran outside past the end of the hangar and observed the accident aircraft continue westbound, into the bright sun, at an altitude of no more than one hundred feet. The aircraft continued across runway 23, flying westbound slightly above the trees in the vicinity of the golf course. The aircraft then entered a shallow left turn at an estimated distance of one mile from his position at the center of the airport on Cessna Boulevard taxiway. The aircraft continued in the left turn at very low level, never exceeding 150 feet, and disappeared from his vision behind the Hawks Nest Hangar buildings, on the south side of Cessna Blvd, formerly runway 08-26. After several seconds, he said heard the sounds of the crash, and immediately telephoned 911. The pilot stated that prior to his departure from Stuart Airport he ordered 100 gallons of Jet-A fuel and directed that 50 gallons be placed in each wing. He said he departed Stuart, Florida, about 1845, en route to Spruce Creek Airport, estimating the flight duration to be 30 minutes. About 25 miles from Spruce Creek Airport, the pilot said that he initiated a fuel transfer due to a fuel imbalance, and to affect the crossfeed, he "began crossfeed right to left." He began a descent at 12,500 feet, about 5 to 10 miles from Spruce Creek Airport, and when he made a left turn, both engines ceased operating. He said he saw level green fields in front of him, and flew the airplane toward them. He made a radio communications transmission declaring an emergency, and then began to assess the nature of the problem, but when he leveled the wings, both engines restarted as a result of the auto ignition system. He said he noted 300 to 350 lbs of fuel depicted on the right fuel gauge, and 100 to 150 lbs on the left fuel gauge, and decided to continue his approach to the airport. During the approach, as he entered a left banking turn for a left base to runway 23, while established in the left turn, both engines "flamed out" a second time. He said he did not think he could reach the runway, so he and decided to make an immediate landing on the taxiway, which was formerly runway 28." With the wings level again, he said the engines restarted a second time when he was just off the end of the taxiway/runway, and as he was about to land, a car pulled out onto the taxiway and stopped on the centerline. He said he then applied power to avoid the car, climbing straight ahead, and while in a climbing left turn, both engines ceased operating third time. He said as the airplane descended, it was approaching a cluster of condos, and no space was available to land, so he guided the airplane to the retention pond. PERSONNEL INFORMATION Records obtained from the FAA showed that the pilot-in-command held commercial pilot certificate with airplane single and multiengine land, instrument airplane, as well as a Type Rating for the Beech 300, issued on April 2, 2002. FAA records indicated that the pilot's medical certificate had expired, and he had last received an FAA second class certificate on February 28, 2002. In the pilot's report to the NTSB, he reported having obtained an FAA class 1 medical certificate, but added in the report, that the date of the medical was unknown. He also reported having received a Flight Review in the Beech 300. The pilot's personal flight log was not provided to the NTSB, but according to information he provided in a report to the NTSB, he had accumulated a total of 3,495 hours of flight experience, of which 118 hours were in the Beech 300. He also reported having flown 14 hours in the Beech 300 in the past 90 days, and 5 hours were in the past 24 hours AIRCRAFT INFORMATION N30KS is a 1985 Beech 300, serial number FA-61. Records showed that the pilot acquired the airplane on November 30, 2001. It had been given a continuous airworthiness inspection on October 10, 2003. The airplane is equipped with two Pratt & Whitney, PT-6 turbo-propeller engines, each rated at 1,050-horse power. The number one engine was manufactured in 1985 serial number PCE 95127, accumulating 170 hours since the last inspection and the number 2 engine, serial number PCE 95128, accumulating 132 hours since the last inspection. The airplane was is equipped with two model HC-B4MP-3B constant speed Hartzell Propellers. METEOROLOGICAL INFORMATION Visual meteorological conditions prevailed at the time of the accident. The Daytona Beech International Airport, Daytona beach Florida, 1853, surface weather observation was wind from 250 degrees at 8 knots, visibility 10 statute miles, few clouds at 2,100 feet, temperature 16 degrees Celsius, dew point temperature 01 degree Celsius, altimeter setting 30.01 inHg. Daytona Beech International Airport is located 6 nautical miles north west of the accident site. WRECKAGE AND IMPACT INFORMATION Information obtained from the FAA accident inspector who responded to the accident scene, revealed that the airplane initially impacted a small pine tree, followed by the roof of a residence. He further stated that accident related debris was spread over a wide area and the airplane had come to rest in the vicinity of a retention pond. All necessary components to sustain flight was present at the accident site, and flight control cable continuity was verified for roll, pitch and yaw. The landing gear was confirmed to have been in their extended positions, ## Aircraft - Registration: [N301KS](https://openairdocs.org/deregistered/N301KS-2013-09-16), registration cancelled 2013-09-16, S/N FA-61, built 1985 (OpenAirDocs) - Reported make and model: Beech Be-300 - Registry model: [Beech 300](https://openairdocs.org/model/beech-300) (registry code 1152930) (OpenAirDocs) - Registry engine: [Pratt & Whitney Canada PT6A-60A](https://openairdocs.org/engine/pratt-whitney-canada-pt6a-60a) (registry code 52043, turbo-prop) (OpenAirDocs) - Category: Airplane - Serial number: FA61 - Engines: Pratt & Whitney PT6-60A 1050 horsepower turbo prop; Pratt & Whitney PT6-60A 1050 horsepower turbo prop - Damage: Destroyed - Flight: Personal, Part 91 - Operator: Mass Bay Kustom Leasing/Michael Rezendes - Registered owner: Mass Bay Kustom Leasing INc. - Airworthiness certificate: Standard, Normal - Last inspection: Continuous airworthiness, October 9, 2003, 246 hours before - Departed: SUA, Stuart, FL - Destination: 7FL6, Daytona Beach, FL - Airport: 7FL6, Spruce Creek Airport, runway 28, 3,000 × 200 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 51; injuries: serious; commercial; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: unknown; seat: front; flight hours: 3,495 total, 147 in this make and model, 3,434 as pilot in command, 43 in the last 90 days, 18 in the last 30 days, 5 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 270° at 8 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 61 °F, dew point 34 °F - Altimeter: 30.01 inHg - Observed at: DAB, 6 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 (OpenAirDocs). - [Accident 20040414016669A](https://openairdocs.org/incident/20040414016669A), Apr 14, 2004: Beech 300BEECH, Port Orange, FL, Destroyed. (-23) Pilot states that he had sufficient fuel for thirty minute flight to destination (1200 lbs) but could not recall gauge reading prior to engine start.… ## Docket (6 files) The files NTSB released with the investigation on September 9, 2005, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=59078. 11.6 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 376 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475197&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Record of Conversation with FAA Inspector (item 2, .PDF, 48 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475198&FileExtension=.PDF&FileName=Record%20of%20Conversation%20with%20FAA%20Inspector-Redacted.PDF - Witness Statements (item 3, .PDF, 746 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40237506&FileExtension=.PDF&FileName=Witness%20Statements-Redacted.PDF - Report from Raytheon Aircraft Company (item 4, .PDF, 236 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475199&FileExtension=.PDF&FileName=Report%20from%20Raytheon%20Aircraft%20Company-Redacted.PDF - Report from Pratt and Whitney Canada (item 5, .PDF, 712 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40237508&FileExtension=.PDF&FileName=Report%20from%20Pratt%20and%20Whitney%20Canada-Master.PDF - Report from Hartzell Propeller Inc. (item 6, .PDF, 9.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40237509&FileExtension=.PDF&FileName=Report%20from%20Hartzell%20Propeller%20Inc.-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.