NYC08LA199

NTSB accident investigation · Cessna 172H · Brockport, NY · June 1, 2008

Accident · Serious injuriesLimited investigationFinal report
Date
June 1, 2008, 12:03 local (16:03 UTC)
Place
Brockport, NY
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3910RCessna 172H
Defining event
Enroute-cruise: Fuel exhaustion
Weather
Visual (VMC)
Status
Completed · report June 22, 2009
Report
Approved by Office Director
Parties
FAA/FSDO, Cessna Aircraft Company
FAA report
20080601857559A
Case key
68136

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

A total loss of engine power due to fuel exhaustion as a result of the flight instructor's inadequate preflight planning.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelCessna 172H: 10 casesAll aircraft: 1,695 casesProbable cause
Planning/preparation: fuel planningPersonnel issues › Task performance · Instructor/check pilotCessna 172H: 5 casesAll aircraft: 719 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The student pilot performed a preflight inspection on the airplane prior to the instructional flight and observed 6 gallons of fuel in each fuel tank. The flight instructor and student then departed and flew to another airport to practice touch-and-go landings. After flying for approximately 1 hour during the return flight, the engine started to "shake" and then lost power. The flight instructor performed a forced landing to a field, during which the airplane impacted trees. Examination of the airplane revealed approximately 1 gallon of fuel in the right tank and 1 quart of fuel in the left tank. The fuel tanks were not compromised and there was no indication of a fuel leak in the fuel system. No fuel was observed in the fuel line from the fuel tank to the fuel strainer. Prior to the accident flight, the airplane was flown by another pilot for 1.7 hours. The pilot who flew the previous flight departed with 18 gallons of fuel. Fuel consumption calculations performed by a representative of the manufacturer revealed that the accident flight would have consumed 8.4 gallons of fuel. The previous flight (1.7 hours in duration) would have consumed 11.5 gallons. The flight instructor did not verify the fuel quantity prior to departure, did not perform any preflight or en route fuel consumption calculations, and did not refuel the airplane at either airport.

Factual narrative

History of flight

On June 1, 2008, at 1203 eastern daylight time, a Cessna 172H, N3910R, was substantially damaged during a forced landing in Brockport, New York. The certificated flight instructor and student pilot were seriously injured. Visual meteorological conditions prevailed and no flight plan was filed for the instructional flight conducted under 14 Code of Federal Regulations Part 91.

According to the student pilot, he performed a preflight inspection prior to takeoff and observed 6 gallons in each of the two fuel tanks. After departure, the pilots flew to Genesee County Airport (GVQ), Batavia, New York, where they practiced touch-and-go landings. During the return flight to Ledgedale Airpark (7G0), Brockport, New York, the engine started to "shake" and then "lost power," when the airplane was at an altitude of 1,600 feet. The flight instructor performed a forced landing to a field, during which the airplane impacted trees, and came to rest 150 feet from the tree line.

The flight instructor had no memory of the accident; however, he did remember checking the fuel gauges in flight and noting they read 1/4 tank (5 gallons) each side.

Personnel information

The certificated flight instructor held ratings for airplane single-engine land and instrument airplane. He also held an airline transport pilot certificate and commercial pilot certificate. His most recent FAA first-class medical certificate was issued on March 19, 2008. At that time he reported 17,320 hours of total flight experience. Examination of the pilot's logbook revealed it was labeled "single engine time," and contained entries from March 29, 2008 to May 30, 2008. During that time period, the pilot logged 48 hours of flight time, all of which was accumulated in make and model of the accident airplane.

The student pilot held an FAA second-class medical certificate, issued on April 1, 2008. At that time, he reported 14 hours of total flight experience.

Aircraft information

The aircraft was owned by the flight instructor and powered by a Continental O-300 engine.

According to the airplane and engine logbooks, the most recent annual inspection was completed on July 10, 2007, with no anomalies noted. The tach time at the annual inspection was 7,300 hours and the tach time at the accident was 7,557 hours.

The aircraft had a fuel capacity of 38 gallons of useable fuel, and 1 gallon of unusable fuel.

Meteorological information

The weather reported at Rochester International Airport (ROC), Rochester, New York, about 11 miles to the east, at 1154, included wind from 280 degrees at 13 knots, gusting to 19 knots, 10 miles visibility, a broken cloud layer at 3,800 feet, an overcast cloud layer at 4,600 feet, temperature 17 degrees Celsius (C), dew point 8 degrees C, and altimeter setting 29.79 inches mercury.

Wreckage and impact information

Examination of the airplane by a representative of the airplane manufacturer and the FAA inspector revealed approximately 1 gallon of fuel was observed in the right tank and 1 quart of fuel was observed in the left tank. The fuel tanks were not compromised and there was no indication of a fuel leak in the fuel system. No fuel was observed in the fuel line from the fuel tank to the fuel strainer. The fuel selector was set to the 'both' position. The throttle knob was full forward, the carburetor heat was in the off position, and the mixture was in the 'rich' position.

The flaps were in the retracted position.

The engine crankshaft was rotated at the propeller flange and valve train continuity and compression were obtained on all cylinders.

Additional information

According to the pilot who flew the airplane prior to the accident flight, he departed for his flight with 18 gallons of fuel, and flew for 1.7 hours. The pilot reported no mechanical anomalies with the airplane during his flight.

The airplane was not refueled prior to the accident flight, which was 1.1 hours in duration, according to the aircraft flight log.

Fuel consumption calculations performed by a representative of the manufacturer revealed the accident flight would have consumed 8.4 gallons of fuel. The previous flight (1.7 hours in duration) would have consumed 11.5 gallons.

Aircraft

Registration
N3910R
Reported as
Cessna 172H
Category
Airplane
Serial number
17255410
Engine
Cont Motor O-300 SER, 145 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Merritt Aire LLC
Registered owner
Merritt Aire LLC
Departed
GVQ · Batavia, NY
Destination
7G0 · Brockport, NY

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Flight instructor
Age
47
Injuries
Serious
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Seat
Right
Flight hours
17,320 total
Role
Student pilot
Age
26
Injuries
Serious
Certificate
Student
Medical
Class 2, Without waivers/limitations
Seat
Left
Flight hours
14 total

Weather

Conditions
Visual (VMC)
Wind
280° at 13 knots, gusting 19
Visibility
10 statute miles
Lowest ceiling
3,800 ft broken
Temperature
63 °F, dew point 46 °F
Altimeter
30.00 inHg
Observed at
ROC

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.