NYC93FA169

NTSB accident investigation · Beech F35 · Medford, NJ · August 22, 1993

Accident · FatalField investigationFinal report
Date
August 22, 1993, 15:45 local (19:45 UTC)
Place
Medford, NJ
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N3804BBeech F35
Weather
Visual (VMC) · Day
Status
Completed · report June 24, 1994
Report
Approved by Office Director
FAA report
19930822029949A
Case key
38593

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

The pilot's failure to select a fuel tank that contained fuel, and perform the emergency procedure to restart the engine, which resulted in fuel starvation and the loss of engine power. Factors are the pilot's lack of total experience and his inadequate inflight planning.

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
Fluid,fuel - starvation
Fuel supply - not selectedPilot in commandCause
Lack of total experience in type of aircraftPilot in commandFactor
In-flight planning/decision - inadequatePilot in commandFactor
Emergency procedure - not performedPilot in commandCause
Forced landingDescent - emergency
In flight collision with objectDescent - emergency
Object - tree(s)
In flight collision with terrain/waterDescent - uncontrolled

Analysis

A flight instructor, who had just completed a flight in the airplane, reported that both main fuel tanks were down to one quarter full, and the auxiliary tank was at three quarters full. During refueling, the pilot of this flight had only the left tank filled. The pilot and passenger departed on a local flight, and after about 1 hour of flying time the pilot transmitted on UNICOM that the engine had lost power. After several seconds he transmitted that the engine had regained power momentarily and then quit again. The pilot attempted a forced landing to the airport runway, struck a tree, nosed over and impacted several other trees. Post accident investigation revealed the fuel selector was on the right tank. The right tank contained 9 ounces of fuel while 12 1/2 gallons remained in the left tank and 7 1/2 gallons remained in the auxiliary. The engine was placed on a test stand with all original components. The engine started and ran with no noticeable deficiencies. The electrical boost pump also operated when tested. This was the pilots second flight as a PIC in this type and model of airplane.

Factual narrative

History of flight

On Sunday, August 22, 1993, at 1545 eastern daylight time, a Beech F35, N3804B, piloted by Terrance Chamberlain, was substantially damaged when it struck trees and impacted the ground during a forced landing, near the Flying W Airport, Medford, New Jersey. The pilot and passenger were fatally injured. Visual meteorological conditions prevailed. A flight plan had not been filed for the flight operating under 14 CFR 91.

A flight Instructor and student pilot had just completed a training flight in N3804B prior to Mr. Chamberlain's flight. In a witness statement, the flight instructor stated:

"...Prior to our departure we did an extensive preflight...we drained all six drains and did not notice any water or visible impurities...we proceeded to start the aircraft...the mags were checked twice and the prop was exercised a few times...everything appeared to be normal...I flew a total of 1.4 hours this date with the student and my flight was good with no problems. The aircraft performed as expected...I met Dr. Chamberlain and told him the plane was low and needed fuel...I called for fuel...Dr. Chamberlain then went to meet the fuel truck...."

In an interview with the Flight Instructor, he stated that at the completion of his flight, both the left and right main fuel tanks were indicating about 1/4 full, and the 20 gallon auxiliary tank was indicating three quarters full.

According to the refueler's statement, when he arrived to refuel the airplane, he filled the left main fuel tank. Then as he went to fuel the airplanes right tank he was told by Mr. Chamberlain, "do not even touch it." No other fuel was added.

At about 1300, Mr. Chamberlain and a passenger departed the Flying W Airport in N3804B. The Hobbs meter time recorded prior to departure was 1479.62. The airplane destination was not determined. Post accident examination of the tachometer revealed a Hobbs meter reading of 1480.62.

At approximately 1540, several pilots flying in the area reported hearing N3804B transmit on the airport unicom frequency that he was having engine trouble. In a witness statement, Harry Kirkhope stated:

"I was enroute to Flying W from the north...I had just tuned in the unicom when I heard an aircraft state that he was a Bonanza, his engine quit and he would like a straight-in for runway 01...[The] pilot reported he was 7 1/2 miles out and airport in sight, I believe he stated he was at 2,700 feet. Less than a minute later he reported his engine had restarted...shortly thereafter, he reported the engine quit again."

A pilot who landed just ahead of N3804B stated:

"...he [N3804B] announced he had restarted the engine. Just before I touched down he came back to say his engine was again out...he was 2 miles out at 1800 feet. I...turned off at the first taxiway and watched for the aircraft. I first saw the aircraft approximately 1 mile out at about 800 feet. The gear was down and there was at least one notch of flaps...It appeared to be a standard approach...I could not see the last 1/4 mile of the approach but it appeared...that the prop was not turning and the aircraft was level... not nose down as in a standard approach but more like trying to hold the nose up."

The airplane struck trees and impacted the ground about 750 feet short of runway 01, at the Flying W Airport. The accident occurred during the hours of daylight, at approximately 39 degrees, 56 minutes north latitude, and 74 degrees, 49 minutes west longitude.

Personnel information

The pilot, Dr. Terrance Chamberlain, held a Private Pilot Certificate with a rating for airplane single engine land. His most recent Federal Aviation Administration (FAA) Third Class Medical Certificate was issued on March 19, 1992.

At the time of the accident Dr. Chamberlain had accumulated about 349 flight hours. This was his second flight as a Pilot-In-Command of any Beechcraft Airplane.

Wreckage and impact information

The airplane wreckage was examined at the accident site on August 23, 1993, and removed to a local hangar for further investigation on August 24, 1993. The examination revealed that all major components of the airplane were accounted for at the scene. The airplane came to rest upright in a swampy, wooded area, with thick undergrowth, on a magnetic bearing of 040 degrees.

Initial tree impact scars started approximately 102 feet from the wreckage. The scars became progressively lower on the trees in the direction of the wreckage. The tree scars indicated a general direction of 013 degrees. A tree furthest from the wreckage, had an approximate 15 foot section broken and hanging down from the top of the tree. A branch of the tree top was missing. A 4-foot long, by 5-inch diameter tree limb was found on the ground, 27 feet south of the main wreckage. A 6-foot long by 5-inch wide rip in the bottom of the airplane fuselage contained pieces of wood and bark similar to the 4-foot tree section.

The airplane came to rest in an approximate 30 degree nose down attitude. The main landing gear was found extended and intact. The nose wheel was separated and found just aft of the left main landing gear. The left wing was sheared off outboard of the left main landing gear and found 14 feet aft of the fuselage between two trees.

The engine remained attached to the fuselage. Visual inspection indicated no abnormalities except for a cracked oil tank and carburetor flange.

The propeller blades were attached to the hub and engine. The blades were curved backwards and showed no signs of chord wise twisting or scratches. There were no noticeable nicks or gouges on the propeller blades leading edges.

The flaps were in the retracted position. Flight control cable continuity was established from the cockpit to all control surfaces. The airplane was equipped with a single column, dual yoke control. Both arms of the control column were broken. The cockpit and cabin integrity was not deformed. The panels on the left and right side of the dash board were dented forwarded. The airplane was not equipped with shoulder harnesses.

The fuel selector was found selecting the right main tank. The wobble pump handle was partially extended. There was no fuel odor and no visual fuel leaks. The nose of the airplane was raised and the fuselage was leveled at the accident scene. Fuel then began dripping from the auxiliary tank vent line. The fuel tanks were drained into containers. Eight fluid ounces were drained from the right main tank, 12 1/2 gallons were drained from the left main tank, and 7 1/2 gallons were drained from the two 10-gallon interconnected auxiliary tanks. An undetermined amount of fuel was vented from the auxiliary tank during draining. The fuel was blue in color. When tested with "water finding paste", it was found absent of water.

Medical and pathological information

Autopsies were performed on Terrance Chamberlain and Janet L. Decleyre, on August 23, 1993, by Dr. Joseph De Lorenzo, of the Burlington County Medical Examiners Office, Burlington, New Jersey. The reports stated that the pilot and passenger died of, "multiple injuries secondary to airplane crash." Additionally, the reports stated, "There are multiple diagonal superficial friction abrasions on both anterior iliac areas which appear to be from the seatbelt."

The toxicological testing report from the FAA Toxicology Accident Research Laboratory, Oklahoma City, Oklahoma, revealed negative for drugs, carbon monoxide, cyanide and alcohol for Dr. Terrance Chamberlain.

Tests and research

Fuel System Testing:

The engine was detached from the fuselage at the accident scene and removed for further testing.

Aircraft

Registration
N3804B
Reported as
Beech F35
Category
Airplane
Serial number
D-4066
Airframe hours
4,996
Engine
Continental E-225-8, 225 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Ken Marson Flying Club
Registered owner
Sabre Leasing Inc
Airworthiness certificate
Standard, Utility
Last inspection
Annual · June 30, 1993 · 41 hours before
Airport
N14 · Flying W, runway 1, 3,496 × 60 ft, asphalt

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
56
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
349 total · 14 in this make and model · 200 as pilot in command · 56 in the last 90 days · 22 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 6 knots
Visibility
7 statute miles
Lowest ceiling
15,000 ft broken
Temperature
75 °F, dew point 63 °F
Altimeter
30.00 inHg
Observed at
WRI, 11 nm away

Docket · 17

The files NTSB released with the investigation on October 10, 1995, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.9 MB in all.

FAA reports on this event · 1

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