WPR09LA223

NTSB accident investigation · Cessna 182Q · Puyallup, WA · May 1, 2009

Accident · Minor injuriesLimited investigationFinal report
Date
May 1, 2009, 15:18 local (22:18 UTC)
Place
Puyallup, WA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N382CHCessna 182Q
Defining event
Takeoff: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report May 11, 2010
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20090501006379A
Case key
73762

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 starvation as a result of the pilot’s failure to verify the fuel levels in the tanks, and, his failure to select the proper fuel tank.

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.

Object/animal/substance: residence/buildingEnvironmental issues › Physical environment · Not specifiedCessna 182Q: 1 caseAll aircraft: 58 cases
Fuel system: fuel selector/shutoff valveAircraft › Aircraft systems · Incorrect use/operationCessna 182Q: 2 casesAll aircraft: 176 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna 182Q: 6 casesAll aircraft: 1,391 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementCessna 182Q: 4 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 that the accident flight was the first flight following maintenance that replaced the fuel sending units, which required draining the fuel tanks. The pilot stated that maintenance personnel added 20 gallons of fuel to each main tank following the work. He did not physically check the fuel level in the tanks, but noted that both fuel gages indicated the same amount of fuel prior to flight. He reported that the engine lost power about 500 feet above ground level on takeoff, and he made an off airport landing that damaged the wings, airframe, and rudder. A Federal Aviation Administration (FAA) inspector examined the airplane the night of the accident, and noted that no fuel was in the left main tank, but maintenance personnel drained about 20 gallons from the right tank. On a follow-up exam, investigators added 5 gallons of fuel to the left wing tank. The engine started immediately without hesitation. It accelerated smoothly to 1,800 rpm, and a magneto check revealed no anomalies. The engine was decelerated to idle rpm; the engine ran smoothly, and shutdown was unremarkable. The airplane had a recording engine data management unit installed. Data indicated that fuel flow dropped to 0 gallons per hour 6 seconds prior to a loss of rpm.

Factual narrative

On May 1, 2009, about 1518 Pacific daylight time, a Cessna 182Q, N382CH, collided with objects during an off airport forced landing following a loss of engine power at Puyallup, Washington. The owner/pilot was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The certificated airline transport pilot sustained minor injuries; the airplane sustained substantial damage to the airframe, rudder, and wings from impact forces. The personal cross-country flight was departing with an intended destination of Bremerton, Washington. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot stated that this was the first flight following completion of an annual inspection, which included replacement of the fuel sending units. This required draining the fuel tanks. Maintenance personnel indicated that they had fueled the airplane with 20 gallons in each tank, and completed a 10-minute ground run of the engine without any difficulties noted prior to the accident flight. The pilot reported that he experienced no anomalies during start, taxi, run-up, or the takeoff. He stated that the engine lost power about 500 feet above ground level (agl) over the departure end of runway 34. The pilot started a steep 180-degree turn, and intended to land on the parallel taxiway. The airplane was short takeoff and landing (STOL) equipped, and he had practiced this maneuver. Local law enforcement was conducting an exercise on the field, and they responded to the perceived emergency by driving down the taxiway on which the pilot intended to land. The pilot stated that he looked for an alternate landing site, and noted that the area between the parallel taxiway and runway was soft due to recent rainfall. While in the turn about 50 feet above ground level (agl), he saw a heavy fence, which he thought was too substantial to hit. He was also over a port-a-potty maintenance and storage facility, and turned to the right to look for a softer target. The pilot stated that he chose to fly the airplane into a 50-foot square block of the port-a-potty units, which had a pile of wood chips behind them. The pilot aimed to contact the units about 3-5 feet above the seat and tank area. He was happy with the results as he experienced a 2-g deceleration, and the airplane slowed from an estimated 60 knots to 30 knots. As the airplane settled, it nosed over, and came to rest softly in the wood chip pile. A Federal Aviation Administration (FAA) inspector reported that the airplane had already been moved to a hangar by the time he examined it on the night of the accident. The inspector noted that maintenance personnel drained no fuel from the left tank and 20 gallons from the right tank. The left wing was intact; the right wing sustained damage and drooped. The fuel selector was in the OFF position. On May 11, maintenance personnel added 5 gallons of fuel to the left wing tank. The engine started immediately, and was run untilall temperatures and pressures were within normal operating limits. The engine was then run up to 1,800 revolutions per minute (rpm); it accelerated smoothly without hesitation. A magneto check was performed with a 50 rpm drop on both magnetos. The engine was then decelerated to idle rpm; the engine ran smoothly, and shutdown was unremarkable. The inspector interviewed the pilot, who indicated that he did not visually check inside the fuel tanks prior to flight. The pilot stated that the fuel gauges indicated an equal amount in each tank. J.P. Instruments Unit The airplane had a J.P. Instruments EDM 700/800 engine data management unit installed. Among the engine parameters recorded by this unit were the fuel flow in gallons per hour (gph), manifold pressure, engine rpm, exhaust gas temperature (EGT), and cylinder head temperature (CHT) for all six cylinders. It also recorded the parameters in relation to time. A plot of the data revealed an initial rpm of 1,400 and a corresponding fuel flow of 4 gph. About 32 seconds later, the fuel flow increased linearly over 12 seconds to 28 gph, and the rpm increased to 2,600. These values remained constant for 18 seconds. The fuel then decreased linearly to 0 gph over 12 seconds. Six seconds after the fuel flow began to decrease, the rpm decreased linearly over 6 seconds to 1,400 rpm. It then gradually declined to 700 rpm over the next 14 seconds where the data ended. The EGT dropped rapidly as the rpm decreased.

Aircraft

Registration
N382CH
Reported as
Cessna 182Q
Category
Airplane
Serial number
18267390
Airframe hours
3,000
Engine
Teledyne Continental Motors IO-550D, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Clifford G Howell
Registered owner
Clifford G Howell
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 18, 2009 · 0 hours before
Departed
PLU · Puyallup, WA
Destination
PWT · Bremerton, WA
Airport
PLU · Pierce County

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
67
Injuries
Minor
Certificates
Airline transport, Commercial, Flight engineer
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
May 15, 2008
Seat
Left
Flight hours
20,000 total · 100 in this make and model · 1 in the last 90 days · 1 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
260° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 32 °F
Altimeter
29.90 inHg
Observed at
KPLU, 1 nm away

Docket · 4

The files NTSB released with the investigation on April 1, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 997 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.