WPR09CA467

NTSB accident investigation · Beech 35-C33 · Tillamook, OR · September 27, 2009

Accident · No injuriesData collectionFinal report
Date
September 27, 2009, 11:15 local (18:15 UTC)
Place
Tillamook, OR
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Emergency descent
Aircraft
N90LPBeech 35-C33
Defining event
Emergency descent: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed · report December 29, 2009
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20090927018139A
Case key
74810

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 loss of engine power due to fuel exhaustion as a result of the pilot's failure to visually verify that sufficient fuel was on board prior to flight. Contributing to the accident was a malfunctioning fuel gage.

Findings · 4

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.

Fuel system: fuel quantity indicatorAircraft › Aircraft systems · MalfunctionBeech 35-C33: 1 caseAll aircraft: 35 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelBeech 35-C33: 3 casesAll aircraft: 1,695 casesProbable cause
Action: incomplete actionPersonnel issues › Action/decision · PilotBeech 35-C33: 1 caseAll aircraft: 105 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotBeech 35-C33: 1 caseAll aircraft: 551 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 pilot stated during the preflight, he checked the fuel gages which indicated 12 gallons in the left wing and 18 gallons in the right wing. The right wing tank indicated just below half a tank. The pilot stated that "it is not possible to visually gauge the fuel quantity once the amount is below 30 gallons per tank," and that it is difficult to know exactly how much fuel is in the airplane. About 24 minutes after takeoff the pilot reported that the engine experienced initial indications of low fuel while operating from the left fuel tank. The pilot then switched to the right fuel tank. Instead of proceeding to his destination, 35 miles away, the pilot diverted to a closer airport, 15 miles away. After 5 minutes, the engine again demonstrated conditions consistent with low fuel. Not believing that he could make the runway, the pilot decided to make a precautionary landing in a cattle pasture about 1 mile from the airport. During the landing, the right main landing gear collapsed and the right wing was structurally damaged. Post-accident inspection of the fuel system found that both fuel tanks were nearly empty of fuel. Inspection of the right fuel gage indicated about 1/3, when in fact the fuel tank was empty.

Factual narrative

The pilot stated during the preflight, he checked the fuel gages which indicated 12 gallons in the left wing and 18 gallons in the right wing. The right wing tank indicated just below half a tank. The pilot stated that "it is not possible to visually gauge the fuel quantity once the amount is below 30 gallons per tank," and that it is difficult to know exactly how much fuel is in the airplane. About 24 minutes after takeoff the pilot reported that the engine experienced initial indications of low fuel while operating from the left fuel tank. The pilot then switched to the right fuel tank. Instead of proceeding to his destination, 35 miles away, the pilot diverted to a closer airport, 15 miles away. After 5 minutes, the engine again demonstrated conditions consistent with low fuel. Not believing that he could make the runway, the pilot decided to make a precautionary landing in a cattle pasture about 1 mile from the airport. During the landing, the right main landing gear collapsed and the right wing was structurally damaged. Post-accident inspection of the fuel system found that both fuel tanks were nearly empty of fuel. Inspection of the right fuel gage indicated about 1/3, when in fact the fuel tank was empty.

Aircraft

Registration
N90LP
Reported as
Beech 35-C33
Category
Airplane
Serial number
CD-1047
Airframe hours
3,108
Engine
Cont Motor IO-470 SERIES, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Erman David G
Registered owner
Erman David G
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 25, 2009
Departed
KS45 · Gleneden Beach, OR
Destination
KAST · Astoria, OR
Airport
KTMK · Tillamook Airport

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
50
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
July 19, 2009
Seat
Left
Flight hours
18,000 total · 250 in this make and model · 11,000 as pilot in command · 260 in the last 90 days · 80 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 46 °F
Altimeter
30.06 inHg
Observed at
KHIO, 37 nm away

Docket · 4

The files NTSB released with the investigation on October 16, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.4 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.