NYC99LA223

NTSB accident investigation · Beech A23 · Carlisle, PA · September 12, 1999

Accident · No injuriesLimited investigationFinal report
Date
September 12, 1999, 17:10 local (21:10 UTC)
Place
Carlisle, PA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N3508RBeech A23
Weather
Visual (VMC) · Day
Status
Completed · report November 22, 2000
Report
Approved by Office Director
FAA report
19990912044559A
Case key
47360

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 improper fuel management, resulting in fuel starvation.

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) - nonmechanicalApproach - vfr pattern - final approach
Fluid,fuel - starvation
Fuel management - improperPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

While on final approach, the engine lost all power, and the pilot performed a forced landing to a field. The pilot stated that after the landing, he moved the fuel selector from 'LEFT' to 'OFF'. Examination of the wreckage by a Federal Aviation Administration (FAA) Inspector did not reveal any pre-impact mechanical malfunctions. The inspector observed approximately 18 gallons of fuel in the right fuel tank. He did not observe any fuel in the left fuel tank. According to FAA records, on April 7, 1998, a Continental IO-346A was removed from the airplane; and a Lycoming IO-360 was installed. According to an engineering report from General Aviation Technical Services, Inc., the Lycoming engine burned more fuel per hour than the Continental engine. The pilot reported 16.7 hours of total flight experience in the accident airplane.

Factual narrative

On September 12, 1999, about 1710 Eastern Daylight Time, a Beech A23, N3508R, was substantially damaged during a forced landing at Carlisle, Pennsylvania. The certificated private pilot and passenger were not injured. Visual meteorological conditions prevailed for the flight that originated from Wilkes-Barre Wyoming Valley Airport, Wilkes-Barre, Pennsylvania; destined for Carlisle Airport (N94), Carlisle, Pennsylvania. No flight plan was filed for the personal flight conducted under 14 CFR Part 91.

The pilot stated that he flew a visual approach to Runway 28 at N94. Due to traffic on the runway, he performed a go-around. During the go-around, the engine "...sputtered, but kept running." He then flew a normal traffic pattern to the same runway. On final approach, the engine lost all power, and the pilot performed a forced landing to a field, short of Runway 28. During the landing, the nose gear, left wing, and right wing sustained substantial damage. The pilot stated that after the landing, he moved the fuel selector from "LEFT" to "OFF". Before the flight, 9 gallons of fuel was added to the left tank. The pilot estimated that he had between 15-20 gallons of fuel in the left tank. However, he stated that the first half of the flight was flown with the fuel selector on "RIGHT".

Examination of the wreckage by a Federal Aviation Administration (FAA) Inspector did not reveal any pre-impact mechanical malfunctions. The inspector observed approximately 18 gallons of fuel in the right fuel tank. He did not observe any fuel in the left fuel tank. He added that the left fuel tank was not compromised during the accident, nor did he observe any evidence of fuel leaks.

According to FAA records, on April 7, 1998, a Continental IO-346A was removed from the airplane; and a Lycoming IO-360 was installed. According to an engineering report from General Aviation Technical Services, Inc.:

"The Lycoming IO-360-A2B develops 35 more horsepower at take-off. Using a conservative SFC of .7 lb/hp/hr at full rich, the Continental engine would use approximately 19 GPH at T.O. and the Lycoming will consume 23 GPH at T.O."

The pilot reported a total flight experience of 177.6 hours, of which, 16.8 hours were in the accident airplane.

Aircraft

Registration
N3508R
Reported as
Beech A23
Category
Airplane
Serial number
M-664
Airframe hours
2,300
Engine
Lycoming IO-360, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Joseph T. Gembusia
Registered owner
Bryan Gembusia
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 20, 1999 · 50 hours before
Departed
WBW · Wilkes-Barre, PA
Destination
N94
Airport
N94 · Carlisle Airport, runway 28, 4,008 × 40 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
54
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
178 total · 17 in this make and model · 17 in the last 90 days · 7 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 7 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 52 °F
Altimeter
30.00 inHg
Observed at
KCX, 17 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.