SEA06LA154

NTSB accident investigation · Piper PA-23-150 · Ontario, OR · August 4, 2006

Accident · Minor injuriesLimited investigationFinal report
Date
August 4, 2006, 14:30 local (20:30 UTC)
Place
Ontario, OR
Injuries
4 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N1221PPiper PA-23-150
Weather
Visual (VMC)
Status
Completed · report March 26, 2007
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20060804017309A
Case key
64291

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 NTSB’s determination of the probable cause, and any contributing factors.

The pilot's inadequate inflight decision by failing to refuel while en route, resulting in fuel exhaustion and the loss of power. Factors were the en route high wind condition and the soft terrain.

Analysis

The pilot estimated there was 82 gallons of fuel on board when he departed on the second leg of the cross-country flight. Approximately 3 hours and 30 minutes later, after the gear was down and locked and while turning from downwind to base, the pilot noticed a vibration coming from the left side of the airplane; an unsuccessful attempt to lower the flaps confirmed that the left engine had failed. Being high and fast with no flaps the pilot elected to continue his approach and land, but over the approach end of the runway the right engine quit. The pilot then attempted to force the airplane onto the runway, which resulted in several bounces. The airplane made firm contact with the runway, then overran the end of the runway, going off the end of the runway, and then over an irrigation ditch before coming to rest upright in an onion field. A post-accident investigation of the airplane's four fuel tanks revealed that the right auxiliary, right main, and left main fuel tanks were empty, while the left auxiliary fuel tank had about 2 inches of fuel remaining. The investigation revealed no anomalies with the airplane, which would have precluded normal operation. The pilot stated that he didn't know where the fuel went, only that he encountered some high winds en route to his destination.

Factual narrative

The factual narrative525 words

On August 4, 2006, approximately 1430 mountain daylight time, a Piper PA-23-150 multiengine airplane, N1221P, sustained substantial damage following a loss of engine power in both engines, followed by a bounced landing and runway overrun at the Ontario Municipal Airport (ONO), Ontario, Oregon. The airplane was registered to and operated by a private individual. The airline transport pilot and his three passengers received minor injuries. Visual meteorological conditions prevailed for the personal cross-country flight, which was operated in accordance with 14 CFR Part 91, and a visual flight rules (VFR) flight plan was filed. The flight departed the Sweetwater County Airport (RKS), Rock Springs, Wyoming, at 1115, with its destination being ONO.

In a written statement and in a telephone interview with the NTSB investigator-in-charge, the pilot reported that the cross-country flight was planned from Wa Kenney, Kansas to Lewiston, Idaho, with scheduled fuel stops in Rock Springs, Wyoming and Ontario, Oregon. The pilot stated that after landing at Rock Springs he added 43 gallons of fuel for a total of 82 gallons; 36 gallons in each main tank and 5 gallons in each auxiliary wing tank. The pilot further stated that approximately 20 miles from the Ontario airport he noted that the fuel remaining in the main tanks was one-quarter full, with 5 gallons in each auxiliary tank. The pilot reported that he continued inbound, entered left downwind for Runway 14, and after lowering the landing gear he observed the gear lights displaying down and locked. The pilot stated that as he started to turn onto his base leg he noticed a vibration coming from the left side of the airplane, and as he proceeded toward the runway he observed the left propeller slowing down. The pilot further stated that when he attempted to lower the flaps and they didn't respond, this confirmed that the left engine had failed. The pilot reported that when he realized he was "high and fast" and needed to get the airplane on the runway, he attempted to force the airplane onto the runway, which resulted in several bounces. The pilot further reported that he finally made firm contact with the runway and started maximum braking before entering the overrun, going off the end of the runway and over an irrigation ditch before coming to rest upright in an onion field. There was no post-crash fire. The pilot stated that he didn't know where the fuel went, only that he encountered some high winds en route to his destination.

A Federal Aviation Administration airworthiness safety inspector, who traveled to the accident site, reported that an on-scene investigation of the airplane's four fuel tanks revealed that the right auxiliary, right main, and left main fuel tanks were empty, while the left auxiliary fuel tank had about 2 inches of fuel remaining. The inspector also reported that the right propeller was in the feathered position while the left propeller was in the unfeathered position; both of the engine's propeller control levers were in the feathered position. A subsequent inspection by the inspector after the aircraft was recovered failed to reveal any anomalies with the airplane which would have precluded normal operation.

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 - base turn
In-flight planning/decision - inadequatePilot in commandCause
Refueling - not performedPilot in commandCause
Fluid,fuel - exhaustionCause
Weather condition - high windFactor
Forced landingEmergency landing
OverrunLanding - roll
Terrain condition - softFactor

Aircraft

Registration
N1221P
Reported as
Piper PA-23-150
Category
Airplane
Serial number
23-241
Airframe hours
5,770.6
Engine
Lycoming O-320, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Leary J. Johnson
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 1, 2006 · 13.5 hours before
Departed
RKS · Rock Springs, WY
Destination
ONO · Ontario, OR
Flight plan
VFR
Airport
ONO · Ontario Municipal Airport, runway 14, 4,307 × 100 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
71
Injuries
Minor
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
January 1, 2006
Seat
Left
Flight hours
6,422 total · 1,000 in this make and model · 4,078 as pilot in command · 28 in the last 90 days · 15 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC)
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
91 °F, dew point 41 °F
Altimeter
29.87 inHg
Observed at
ONO

FAA reports on this event · 1

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