NYC04LA214

NTSB accident investigation · Ryan ST3KR · Bealeton, VA · September 19, 2004

Accident · Serious injuriesLimited investigationFinal report
Date
September 19, 2004, 16:48 local (20:48 UTC)
Place
Bealeton, VA
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N57015Ryan ST3KR
Weather
Visual (VMC) · Day
Status
Completed · report June 8, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20040919035589A
Case key
60168

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The improper installation of fuel lines by maintenance personnel resulting in a total loss of engine power.

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) - mech failure/malfClimb
Fluid,fuel - starvation
Fuel system,line - misroutedCause
Maintenance,installation - improperOther maintenance personnelCause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - water

Analysis

The pilot preflighted the airplane, noting there was approximately 12 gallons of fuel onboard. He then departed, and proceeded to a local "flying circus," which was about 5 minutes away. He did a few aerobatic maneuvers, and landed at the circus. The pilot flew in the opening and closing ceremonies before departing on the accident flight. He started the engine, noted approximately 5 gallons of fuel remaining, and then departed with the fuel selector set to "RESERVE." Once airborne and passing approximately 200 to 300 feet, the engine suddenly lost power. The pilot identified a golf course and maneuvered to land. The airplane touched down, encountered a pond, and nosed over. Examination of the wreckage revealed that the fuel lines to the fuel selector were reversed, making 3 gallons of normally useable fuel unusable. The pilot purchased the airplane in 1986, had it rebuilt, which was completed in 2000, and then flew it 100 to 150 hours without a problem. The accident flight was the first time the pilot had operated the airplane with less than 5 gallons of fuel onboard.

Factual narrative

On September 19, 2004, about 1648 eastern daylight time, N57015, a Ryan ST3KR, was substantially damaged during a forced landing near Bealeton, Virginia, after a total loss of engine power. The certificated airline transport pilot received serious injuries. Day visual meteorological conditions prevailed for the personal flight that originated from the Flying Circus Aerodrome (3VA3), Warrenton, Virginia, destined for the Warrenton-Fauquier Airport (W66), Warrenton, Virginia. No flight plan was filed, and the flight was conducted under 14 CFR Part 91.

According to the pilot, he arrived at the airport about 1300, and preflighted the airplane, noting that there was approximately 12 gallons of fuel onboard. He then departed Warrenton, and proceeded to a local "flying circus," which was about 5 minutes away. Once over the circus, he did a few aerobatic maneuvers, and landed. The pilot flew in the opening and closing ceremonies, and estimated that the airplane had flown approximately 50 minutes before departing on the accident flight.

The pilot started the engine, noted that he had approximately 5 gallons of fuel remaining, and then departed with the fuel selector set to "RESERVE." Once airborne and passing approximately 200 to 300 feet, the engine suddenly lost power. The pilot initially tried to execute a 180 degree turn, but quickly realized he had insufficient altitude for the maneuver. He then identified a golf course and maneuvered to land, trying to avoid as many people as possible. The airplane touched down, encountered a pond, and nosed over. With the airplane upside down in the water, the pilot was trapped and unable to breathe. Several golfers were able to lift the airplane high enough to extract the pilot, and move him to safety.

According to a written statement provided by the pilot, examination of the wreckage revealed that the fuel lines to the fuel selector were reversed. The proper installation would allow the engine to draw all useable fuel minus 3 gallons with the fuel selector set to "MAIN. With the selector set to "RESERVE," 3 gallons would become available. With the fuel lines reversed, the engine would be starved for fuel with 3 gallons remaining, and the selector set to "RESERVE."

According to the pilot, he purchased the airplane in 1986, and then sent it to Wisconsin to be rebuilt. He got the airplane back in 2000, and since then flew it 100 to 150 hours without a problem. The accident flight was the first time the pilot ever operated the airplane with less than 5 gallons of fuel onboard.

Aircraft

Registration
N57015
Reported as
Ryan ST3KR
Category
Airplane
Serial number
2042
Airframe hours
1,871.6
Engine
Ranger L-440-5, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
NORBOB, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 3, 2003 · 18.2 hours before
Departed
3VA3 · Bealeton, VA
Destination
W66 · Warrenton, VA

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
72
Injuries
Serious
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
August 1, 2004
Seat
Right
Flight hours
24,000 total · 500 in this make and model · 20,000 as pilot in command · 12 in the last 90 days · 4 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 10 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 34 °F
Altimeter
30.22 inHg
Observed at
HEF, 12 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.

Other investigations on N57015 · 2

Matched to the same aircraft by N-number and date.