WPR11LA168

NTSB accident investigation · Cessna TU206G · Puyallup, WA · March 19, 2011

Accident · Minor injuriesLimited investigationFinal report
Date
March 19, 2011, 11:15 local (18:15 UTC)
Place
Puyallup, WA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N6169ZCessna TU206G
Defining event
Approach-VFR pattern final: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report August 7, 2012
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Civil Air Patrol, FAA FSDO
FAA report
20110319005369A
Case key
78588

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

The pilots’ activation of the fuel boost pump while preparing to land, which was contrary to checklist procedures and resulted in a loss of engine power.

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.

Fuel system: fuel pumpsAircraft › Aircraft systems · Unnecessary use/operationCessna TU206G: 1 caseAll aircraft: 71 casesProbable cause
Use of equip/info: use of checklistPersonnel issues › Task performance · PilotCessna TU206G: 2 casesAll aircraft: 336 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 airplane was on the downwind leg of the traffic pattern during an instructional flight, and the pilots performed the prelanding checklist, switched the fuel selector to the right tank position, and activated the fuel boost pump. According to the flight instructor, the airplane “began sinking” while on final approach for the runway. When the pilots tried to add engine power, the engine did not respond, and the airplane collided with terrain short of the runway. The manufacturer’s approved checklist for the airplane indicates that the auxiliary fuel boost pump should be in the off position before landing. A representative from the engine manufacturer reported that operating the auxiliary fuel boost pump at a low engine power setting would “flood” the engine and result in a loss of engine power. It is likely that when the pilots applied power, the engine was flooded, which resulted in the total loss of engine power. Postaccident examination of the airframe and engine revealed no preaccident mechanical malfunctions or failures that would have precluded engine operations.

Factual narrative

On March 19, 2011, about 1115 Pacific daylight time, a Cessna TU 206G, N6169Z, sustained substantial damage to the forward portion of the fuselage and empennage during a forced landing following a loss of engine power while in the airport traffic pattern at the Pierce County Airport - Thun Field (PLU), Puyallup, Washington. The certified flight instructor and commercial pilot receiving instruction sustained minor injuries. The airplane was registered to the Civil Air Patrol and operated as a local instructional flight under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and a company visual flight rules flight plan had been activated for the local flight that departed from Puyallup. A representative from the operator reported that the pilots performed the pre-landing checklist, and switched the fuel selector to the right tank position and activated the auxiliary fuel boost pump while on the left midfield downwind for landing on runway 34. Shortly thereafter, while turning from base leg to final, at 900 feet mean sea level (msl), the airplane began to sink and full engine throttle was applied. The engine subsequently did not power up, and the airplane collided with up-sloping terrain approximately 400 feet short of the approach end of the runway. The nose landing gear collapsed, and the airplane subsequently nosed over. The airplane was equipped with a Continental TSIO-520-CCM engine. The engine is turbocharged, fuel injected and equipped with a constant speed propeller. The airplane’s fuel system incorporates a 2-stage electric auxiliary fuel boost pump. The fuel pump is placarded “emergency” and “start” and is utilized for engine starts and engine related emergencies. The manufacturer’s approved checklist for the airplane denotes, in part, the following: DESCENT 1. Power – AS DESIRED 2. Auxiliary Fuel Pump Switch - OFF BEFORE LANDING 1. Fuel Selector valve – FULLER TANK 2. Auxiliary Fuel Pump Switch - OFF A representative from the engine manufacturer reported that operating the auxiliary fuel boost pump at a low engine power setting would “flood” the engine and result in a loss of engine power. Postaccident examination of the airframe and engine revealed no preaccident mechanical malfunctions or failures that would have precluded engine operations. An engine examination report is contained in the public docket for this case file.

Aircraft

Registration
N6169Z
Reported as
Cessna TU206G
Category
Airplane
Serial number
U20606172
Engine
Cont Motor TSIO-520 SER, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Civil Air Patrol
Registered owner
Civil Air Patrol
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 30, 2010 · 4,308 hours before
Departed
PLU · Puyallup, WA
Destination
PLU · Puyallup, WA
Flight plan
Company VFR
Airport
PLU · Pierce County Airport - Thun, runway 34, 3,650 × 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
49
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
September 2, 2010
Seat
Left
Flight hours
458 total · 4 in this make and model · 102 in the last 90 days · 4 in the last 24 hours
Role
Flight instructor
Age
52
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
May 17, 2009
Seat
Right
Flight hours
1,800 total · 55 in this make and model · 1,740 as pilot in command · 20 in the last 90 days · 10 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
5,000 ft broken
Temperature
50 °F
Observed at
PLU

Docket · 6

The files NTSB released with the investigation on June 16, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 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.

Other investigations on N6169Z · 1

Matched to the same aircraft by N-number and date.