WPR10LA357

NTSB accident investigation · Beech A36 · Phoenix, AZ · July 18, 2010

Accident · Serious injuriesLimited investigationFinal report
Date
July 18, 2010, 14:02 local (21:02 UTC)
Place
Phoenix, AZ
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N9SHBeech A36
Defining event
Enroute-descent: Loss of engine power (total)
Weather
Visual (VMC) · Dawn
Status
Completed · report August 29, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Adminstration
FAA report
20100718042219A
Case key
76665

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 loss of engine power during descent due to fuel starvation that resulted from the pilot's mismanagement of the fuel system.

Findings · 2

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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementBeech A36: 22 casesAll aircraft: 1,695 casesProbable cause
Planning/preparation: fuel planningPersonnel issues › Task performance · PilotBeech A36: 9 casesAll aircraft: 719 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 flying for about an hour at 10,000 feet during a maintenance test flight to break in newly installed cylinders. The pilot reduced altitude to continue operating for another hour. As he changed altitude, he switched fuel tanks. Shortly after switching tanks, the engine lost power. During the forced landing, the airplane hit an automobile. Following the accident, about 1.5 gallons of fuel were recovered from the right fuel tank, and the left fuel tank was found empty. The right fuel tank was cracked and had leaked some fuel; the left fuel tank was not damaged. During the postaccident engine examination, no mechanical failures or malfunctions were revealed that would have precluded normal operation. The loss of engine power was most likely due to the pilot’s mismanagement of the fuel, resulting in fuel starvation.

Factual narrative

On July 18, 2010, at 1402 mountain standard time, a Beech A36, N9SH, was substantially damaged when it hit a automobile during an emergency landing about 1 mile west of the runway at Deer Valley Airport (DVT), Phoenix, Arizona. The private pilot, the sole occupant, received serious injuries. The driver of the vehicle, the sole occupant, received minor injuries. The maintenance test flight was conducted under the provisions of 14 Code of Federal Regulations Part 91, without a flight plan. Visual meteorological conditions prevailed. The local flight originated about 1300. According to a Federal Aviation Administration (FAA) inspector who responded to the accident scene, the engine lost power. During the forced landing, the airplane hit an automobile. The right wing and wingtip fuel tank were substantially damaged. Both tip tanks were compromised. The inspector reported that 1.5 gallons of fuel was recovered from the right wing tank and that the left fuel tank was empty. The left wing fuel tank was not damaged; however, the right wing fuel tank was cracked and had leaked fuel. The pilot was interviewed by an FAA inspector. The pilot reported that he had just completed a 'top overhaul’ of the engine and was performing a maintenance flight to break in the new cylinders. The pilot reported flying for about an hour at 10,000 feet. He decided to descend to a lower altitude; 6,500 feet, and continue operating the engine for another hour. As he changed altitude, he switched the fuel tank; he thought that the airplane fuel gauge was sticking because he knew there was fuel in the tank, and the airplane was still flying. As he contemplated the fuel gauge, the engine stopped running. The pilot stated that he was just north of DVT and set up for a landing. As the airplane turned onto final; the pilot realized that the airplane did not have enough altitude to make it to the airport, so he decided to land on Deer Valley Road. The engine was examined under the supervision of an FAA inspector. The inspector reported that there were no anomalies with the engine; however, the magneto would not produce a spark. Further examination of the magneto revealed a cracked magneto cap consistent with impact damage. The cap was replaced and the magneto performed as designed. An examination of the remaining aircraft systems revealed no anomalies. The pilot did not submit the required Pilot/Operator aircraft accident/incident report form.

Aircraft

Registration
N9SH
Reported as
Beech A36
Category
Airplane
Serial number
E-981
Airframe hours
3,322
Engine
Lycoming Engines TIO-540-J2BD, 350 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Reed Hatkoff
Registered owner
Reed Hatkoff
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 7, 2010
Departed
DVT · Phoenix, AZ
Destination
DVT · Phoenix, AZ
Airport
DVT · Phoenix Deer Valley 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
60
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
950 total

Weather

Conditions
Visual (VMC) · Dawn
Wind
220° at 17 knots, gusting 20
Visibility
10 statute miles
Lowest ceiling
None
Temperature
106 °F, dew point 61 °F
Altimeter
29.82 inHg
Observed at
DVT, 1 nm away

Docket · 4

The files NTSB released with the investigation on July 5, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.8 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.