WPR11FA349

NTSB accident investigation · Hawker Beechcraft G36 · Hailey, ID · July 23, 2011

Accident · No injuriesField investigationFinal report
Date
July 23, 2011, 08:30 local (14:30 UTC)
Place
Hailey, ID
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N536BBHawker Beechcraft G36
Defining event
Takeoff: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report December 11, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20110723016209A
Case key
81224

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 pilot's inadvertent activation of the auxiliary fuel pump, which resulted in a loss of engine power during takeoff.

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 pumpsAircraft › Aircraft systems · Unnecessary use/operationHawker Beechcraft G36: 1 caseAll aircraft: 71 casesProbable cause
Action: incorrect action selectionPersonnel issues › Action/decision · PilotHawker Beechcraft G36: 1 caseAll aircraft: 397 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 shortly after takeoff, he retracted the landing gear, and the engine lost power. The pilot lowered the landing gear and landed on the remaining runway. During the landing roll, the airplane collided with a taxiway sign. The Garmin G1000 integrated flight instrument system data was extracted for analysis. The unit recorded flight and engine data for the time between engine start and the accident. The data revealed that during takeoff and initial climb the engine's fuel flow supply increased from about 35 gallons per hour (gph) to about 45 gph. Shortly thereafter, the engine's exhaust gas temperatures (egt) and rotations per minute (rpm) decreased to sub idle parameters. The airplane is equipped with a dual-speed, dual-pressure, electric vane-type auxiliary fuel pump. The pump is controlled by a single, three-position switch located on the pilot's subpanel to the left of the landing gear handle. The flight manual for the airplane includes a statement that reads "use of the auxiliary fuel pump in the HI position may cause an excessively rich mixture and severely reduce available engine power or even cause the engine to cease combustion completely. The HI position should not be used for takeoff unless there is a failure of the engine driven fuel pump." The pilot reported that during the takeoff roll he may have inadvertently switched the auxiliary fuel pump to the HI position. Because the auxiliary fuel pump toggle switch is located adjacent to the landing gear handle, it is likely that the pilot mistakenly toggled the fuel switch instead of the landing gear handle. Postaccident examination revealed no preimpact mechanical malfunctions or failures with the airframe or engine that would have precluded normal operation.

Factual narrative

HISTORY OF FLIGHT On July 23, 2011, at 0830 mountain daylight time, a Hawker Beechcraft G36 Bonanza, N536BB, sustained substantial damage following a loss of engine power and subsequent forced landing at Friedman Memorial Airport (KSUN), Hailey, Idaho. The airplane was registered to, and operated by the pilot under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The private pilot, the sole occupant of the airplane, was not injured. The pilot's planned destination was Aurora State Airport, Aurora, Oregon. Visual meteorological conditions (VMC) prevailed and an instrument flight plan was activated. The pilot reported that shortly after takeoff he retracted the landing gear and the engine lost power about 100 feet above ground level. The pilot then lowered the landing gear and landed on the remaining runway. He reported that the airplane was 20 to 25-degrees left of runway heading when it touched down; the airplane subsequently exited the runway and collided with a taxiway sign before it came to rest. The airplane sustained substantial damage to the left wing. PERSONNEL INFORMATION The 58-year-old pilot held a private pilot certificate with ratings for airplane single-engine land, and instrument airplane. The pilot reported that his total flight experience was 314 hours, with 111 hours in the accident airplane make and model. The pilot held a third-class medical certificate issued in September 2009. The medical certificate carried a limitation that required he have reading glasses available. AIRCRAFT INFORMATION The G36 Bonanza, serial number E-3854, was a six-place, low-wing, retractable gear airplane manufactured in 2008. The airplane was equipped with a Garmin G1000 integrated flight instrument system that incorporated a primary flight display (PFD) and a multi-function display (MFD). A review of the maintenance logbooks revealed that the most recent annual inspection of the airframe was performed on June 8, 2011 at a total time of 439 hours. The most recent annual inspection of the engine was performed on June 8, 2011 at a total time of 439 hours. The airplane was delivered from the factory powered by a Continental Motors IO-550-B engine, rated at 300 horsepower (naturally aspirated). On July 30, 2008 the airplane was retrofitted with a Tornado Alley Turbo, Inc., "Whirlwind System II" turbo normalizing system. The airplanes total time at installation was 7.7 hours. METEOROLOGICAL INFORMATION The weather at KSUN during the timeframe of the accident was a temperature of 63 degrees Fahrenheit, a dew point of 28 degrees Fahrenheit and clear skies. The altimeter setting was 30.19 inches hg. AIRPORT INFORMATION Friedman Memorial Airport is located in a mountainous region at a field elevation of 5,320 feet. The airport has two hard-surfaced runways, 13 and 31 respectively, that are 7,550 feet in length. TESTS AND RESEARCH The Garmin G1000 integrated flight instrument system data was extracted by personnel from the NationalTransportation Safety Board's Vehicle Recorder Division. The G1000 recorded flight and engine data for the time between engine start and the accident. The data revealed, in part, that during takeoff and initial climb the engine's fuel flow supply increased from approximately 35 gallons per hour (gph) to approximately 45 gph. Shortly thereafter, the engines exhaust gas temperatures (egt) and rotations per minute (rpm) decreased to sub idle parameters. Postaccident examination revealed no preimpact mechanical malfunctions or failures with the airframe or engine that would have precluded normal operation. An engine and airframe examination report and recorded flight data report is contained in the public docket for this case file. ADDITIONAL INFORMATION The airplane is equipped with a dual speed, dual pressure, electric vane type auxiliary fuel pump. The pump is controlled by a single, three-position switch located on the pilot's subpanel to the left of the landing gear handle. A placard on the instrument panel above the auxiliary fuel pump switch reads "AUX FUEL PUMP OPERATION - TAKE OFF AND LAND WITH AUX FUEL PUMP OFF EXCEPT IN CASE OF LOSS OF FUEL PRESSURE." The Federal Aviation Administration (FAA) Approved Airplane Flight Manual Supplement for the airplane (supplied by Tornado Alley) states that the auxiliary fuel pump should be in the off position for takeoff operations below a density altitude of 5,000 feet, and set to the low position for takeoff operations above a density altitude of 5,000 feet. The supplement also instructs pilots to manually lean the mixture to 35 gph if the fuel flow exceeds 35 gph. The Flight Manual Supplement includes a warning that reads "use of the auxiliary fuel pump in the HI position may cause an excessively rich mixture and severely reduce available engine power or even cause the engine to cease combustion completely. The HI position should not be used for take-off unless there is a failure of the engine driven fuel pump." The airplane has two separate fuel flow displays in the cockpit: an analog display that is installed as part of the turbo normalizer installation and a digital readout that is part of the G1000 integrated flight instrument system installation. The turbo normalizer analog fuel flow display is located on the pedestal just below the engine control levers. The G1000 integrated flight instrument system in the G36 airplane displays fuel flow to the pilot digitally on the G100 displays mounted on the instrument panel. The analog display has an upper fuel flow limit (depicted in red) of 35 gph. The digital display incorporates an upper limit and displays in red for fuel flow indication above 27.4 gph; the digital display also incorporated an aural chime if the upper limit of 27.4 gallons is exceeded. The Flight Manual Supplement (Tornado Alley) instructs pilots to use the analog display as the primary indication of fuel flow. The 27.4 gph fuel flow limit displayed on the G1000, and the aural warning,is predicated on the original factory installed engine induction system, not the turbo normalizing induction system. Engines equipped with the turbo normalizer system have fuel flow rates (nominal takeoff) that exceed 27.4 gph, and consequently both the aural fuel flow warning and digital display warning will activate. The pilot reported that during the takeoff roll he observed the digital fuel flow display in red and received the aural warning. He also reported that he may have inadvertently switched the auxiliary fuel pump to the HI position during takeoff.

Aircraft

Registration
N536BB
Reported as
Hawker Beechcraft G36
Category
Airplane
Serial number
E-3854
Airframe hours
439
Engine
Cont Motor IO-550-B, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Alan E. Kinsel
Registered owner
Alan E. Kinsel
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 8, 2011 · 31 hours before
Departed
KSUN · Hailey, ID
Destination
KUAO · Aurora, OR
Flight plan
IFR
Airport
KSUN · Friedman Memorial Airport, runway 13, 7,550 × 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
58
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
June 11, 2011
Seat
Left
Flight hours
314 total · 111 in this make and model · 224 as pilot in command · 30 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 28 °F
Altimeter
30.19 inHg
Observed at
KSUN, 1 nm away

Docket · 8

The files NTSB released with the investigation on July 31, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.1 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.