WPR09LA164

NTSB accident investigation · Piper PA-28-181 · Firebaugh, CA · March 24, 2009

Accident · No injuriesLimited investigationFinal report
Date
March 23, 2009, 18:00 local (Mar 24, 2009, 01:00 UTC)
Place
Firebaugh, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N1857HPiper PA-28-181
Defining event
Enroute-cruise: 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 FSDO
FAA report
20090323003849A
Case key
73546

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

A total loss of engine power due to fuel exhaustion as a result of the pilot's inadequate fuel planning and monitoring.

Findings · 3

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.

Planning/preparation: fuel planningPersonnel issues › Task performance · PilotPiper PA-28-181: 12 casesAll aircraft: 719 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid levelPiper PA-28-181: 20 casesAll aircraft: 1,695 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 reported departing with about 45 gallons of fuel onboard. She initiated a climb to 10,500 feet, and turned on course direct to the destination airport. About 3 1/2 hours into the flight, she checked the fuel gauges, and estimated that there was enough fuel remaining for about 1 hour 10 minutes of flight. About 15 minutes later the engine stopped producing power. The pilot observed one of the gauges was now reading empty, so she switched to the other tank; the engine then regained power, and she diverted to an alternate airport. During the landing approach, the engine then lost power again, and the pilot performed a forced landing in a plowed field. The airplane sustained substantial damage to the right wing during the accident sequence. Post accident inspection revealed that both tanks were intact and absent of fuel. No obvious sources of a fuel leak were noted. The pilot reported encountering strong headwinds during the flight, and further stated that she was not comfortable with the leaning procedure for the airplane type.

Factual narrative

On March 23, 2009, about 1800 Pacific daylight time, a Piper PA-28-181, N1857H, experienced a loss of engine power followed by a forced-landing in a field short of Firebaugh Airport, Firebaugh, California. The pilot was operating the airplane under the provisions of 14 Code of Federal Regulations Part 91. The certificated private pilot was not injured. The airplane sustained substantial damage to the left wing spar. The personal flight departed Palm Springs International Airport, Palm Springs, California, at 1400, with a planned destination of Reid-Hillview Airport, San Jose, California. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot reported departing Palm Springs with about 45 gallons of fuel onboard. She initiated a northbound climb to an altitude of 10,500 feet and then changed course to the northwest. About 3 1/2 hours into the flight, she checked the fuel gauges, and observed slightly less than 5 gallons remaining in the right tank and less than 10 gallons in the left tank. The fuel selector was set to the right tank, and she presumed that there was enough fuel remaining for about 1 hour 10 minutes of flight. About 15 minutes later, the engine stopped producing power. She checked the fuel gauges, and observed the right needle was indicating zero fuel. She switched to the left tank, and the engine regained power. The pilot then diverted to the northeast with the intention of landing at Firebaugh Airport. According to a statement made to the Fresno County Sheriff, she was initially unable to locate the airport, and circled around the city of Firebaugh. She then located the airport, and during the landing attempt the engine lost power again. The pilot force-landed in a plowed field. An FAA Inspector responded to the accident site. He examined the airplane, and reported that both fuel tanks were intact and absent of fuel. The inspector did not observe fuel leaks on the external surfaces of the airplane. Recovery personnel drained approximately 32 ounces of fuel from the airplane, and observed no indications of fuel leakage. Additionally, all fuel lines within the engine compartment were intact. The pilot stated that she was certain she leaned the fuel mixture during the flight. However, she further reported that she often had difficulty accurately adjusting the fuel mixture on the accident airplane type, due to its mixture lever. She stated that she was more familiar, and comfortable, adjusting the mixture on an airplane equipped with a Vernier mixture control. The accident location was approximately 71 miles south of Reid-Hillview Airport. The pilot reported encountering 35 knot headwinds during the flight. In a written statement the pilot reported that the accident could have been prevented with, "better planning/execution."

Aircraft

Registration
N1857H
Reported as
Piper PA-28-181
Category
Airplane
Serial number
28-7790348
Airframe hours
10,751
Engine
Lycoming O360, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · February 1, 2009 · 21 hours before
Departed
PSP · Palm Springs, CA
Destination
RHV · San Jose, CA
Airport
F34 · Firebaugh, runway 30, 3,102 × 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
54
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
April 11, 2008
Seat
Left
Flight hours
122 total · 21 in this make and model · 58 as pilot in command · 4 in the last 90 days · 4 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 28 °F
Altimeter
30.25 inHg
Observed at
MAE, 19 nm away

Docket · 2

The files NTSB released with the investigation on October 29, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 770 KB 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.