# NTSB MIA93LA116: Beech A23A, N2312W, Fort Myers, FL, May 4, 1993

- Type: NTSB accident investigation
- Classification: Accident · No injuries · Limited investigation · Final report
- Date: May 4, 1993, 14:24 local (18:24 UTC)
- Place: Fort Myers, FL
- Coordinates: 26.559171, -81.869781 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=26.5592&lon=-81.8698&mi=10
- Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping)
- Highest injury: No injuries
- Injuries: 2 uninjured
- Status: Completed, report November 3, 1993
- Report: Approved by Office Director
- NTSB case key (mKey): 33265
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=MIA93LA116
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/33265/pdf
- Page: https://openairdocs.org/ntsb/MIA93LA116

## Probable cause

TOTAL LOSS OF ENGINE POWER DUE TO FUEL EXHAUSTION AND POOR PREFLIGHT PLANNING/PREPARATION BY THE PILOT IN COMMAND. CONTRIBUTING TO THE ACCIDENT WAS THE PILOT'S FAILURE TO REQUEST WINDS ALOFT DURING THE WEATHER BRIEFING.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Loss of engine power(total) - nonmechanical, approach
  - fluid,fuel - exhaustion (cause)
  - preflight planning/preparation - poor, pilot in command (cause)
  - preflight briefing service - inadequate, pilot in command (contributing factor)
- Forced landing, descent - emergency
- In flight collision with terrain/water, descent - emergency
  - terrain condition - grass
- Main gear collapsed, landing

## Analysis

BEFORE DEPARTURE, 20 GALLONS OF FUEL WERE ADDED TO THE REMAINING AMOUNT FROM THE 3.7 HOUR TWO-LEG FLIGHT TO THE PLACE WHERE AN ANNUAL INSPECTION WAS PERFORMED.  AN ENGINE RUN FOLLOWING ACCOMPLISHMENT OF AN ANNUAL INSPECTION WAS PERFORMED BUT THE PILOT DID NOT TAKE THIS INTO ACCOUNT FOR DETERMINING FUEL QUANTITY BEFORE DEPARTURE. THE PILOT RECEIVED A WEATHER BRIEFING BUT DID NOT REQUEST WINDS ALOFT. WHILE EN ROUTE, HE WAS REQUIRED TO DEVIATE AND DID NOT LEAN THE FUEL/AIR MIXTURE. WHEN THE FLIGHT WAS NEAR THE PLANNED DESTINATION, THE ENG SPUTTERED. THE PILOT IMMEDIATELY REPOSITIONED THE FUEL SELECTOR TO THE OPPOSITE TANK. THE FLT CONTINUED & WHEN IT WAS AT THE DESTINATION AIRPORT, THE FLIGHT WAS CLEARED TO LAND ON RWY 23 BUT THE PILOT WAS DISORIENTED. THE PILOT STATED THE ENGINE SPUTTERED AGAIN THEN QUIT & HE ATTEMPTED TO LAND ON A TAXIWAY. EXAMINATION OF THE AIRPLANE REVEALED THAT THE LEFT FUEL TANK CONTAINED ABOUT 1/2 GALLON OF FUEL. THE RIGHT FUEL TANK CONTAINED ABOUT 1/3 GALLONS OF FUEL.

## Aircraft

- Registration: [N2312W](https://openairdocs.org/deregistered/N2312W-2014-09-16), registration cancelled 2014-09-16, S/N M-905, built 1965 (OpenAirDocs)
- Reported make and model: BEECH A23A
- Registry model: [Beech A23A](https://openairdocs.org/model/beech-a23a) (registry code 1151208) (OpenAirDocs)
- Registry engine: [Continental IO-346 series](https://openairdocs.org/engine/continental-io-346-series) (registry code 17033, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: M-905
- Airframe hours: 1490
- Engines: CONTINENTAL IO-346A 165 horsepower reciprocating
- Damage: Substantial damage
- Flight: Personal, Part 91
- Operator: Samion, Patrick J.
- Registered owner: Samion, Patrick J.
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, April 30, 1993, 4 hours before
- Departed: 2J9, QUINCY, FL
- Airport: FMY, Page Field

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 43; private; airplane ratings: single-engine land; medical: class 2, valid medical--no waivers/lim.; seat: left; flight hours: 282 total, 213 in this make and model, 282 as pilot in command, 9 in the last 90 days, 9 in the last 30 days, 4 in the last 24 hours

## Weather

- Conditions: Visual (VMC), Day
- Wind: 270° at 15 knots
- Visibility: 7 statute miles
- Lowest ceiling: none
- Temperature: 84 °F, dew point 70 °F
- Altimeter: 30.00 inHg
- Observed at: FMY, 1 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 19930504012259A](https://openairdocs.org/incident/19930504012259A), May 4, 1993: Beech A23A, Ft Myers, FL, Substantial damage. Engine quit on approach to fmy. Crash landed on airport taxiway. No usable fuel on board.

## Other investigations on N2312W (2)

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.

- [NTSB FTW75FPD40](https://openairdocs.org/ntsb/FTW75FPD40), May 14, 1975: Beech A23A (N2312W), Fort Worth, TX, substantial damage
- [NTSB MIA67D0553](https://openairdocs.org/ntsb/MIA67D0553), Apr 23, 1967: Beech A23A (N2312W), Butler, GA, substantial damage

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.

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