WPR11LA410

NTSB accident investigation · Beech A36 · Napa, CA · August 28, 2011

Accident · Minor injuriesLimited investigationFinal report
Date
August 28, 2011, 12:30 local (19:30 UTC)
Place
Napa, CA
Injuries
3 minor, 2 uninjured; on the ground: 3 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N6052WBeech A36
Defining event
Approach-VFR pattern final: Loss of engine power (total)
Weather
Visual (VMC) · Day
Status
Completed · report January 31, 2013
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration, Teledyne Continental Motors
FAA report
20110828020269A
Case key
81614

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 pilot’s mismanagement of the fuel supply, which resulted in a loss of engine power due to fuel starvation.

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

While on final approach to the destination airport, about 1.5 miles from the approach end of the runway, the engine suddenly lost power. The pilot advanced the throttle, checked that the mixture was rich, moved the fuel selector from the left tank to the right tank, and activated the fuel boost pump. The engine did not regain its power, and the pilot executed a gear up landing on a nearby highway. During the landing, the airplane hit a vehicle and the left wing impacted a metal pole and the left fuel tank was breached. First responders reported that there was no indication of fuel in the left tank or leaking from the airplane, and the right tank was about 1/4 full. The propeller blade tips were curled; two blade tips curled forward, and one blade tip curled aft, consistent with a propeller that was under power at the time of contact with the hard, flat roadway. Postaccident examination of the engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. It is likely that the loss of engine power was the result of fuel starvation, and the pilot’s action of switching to the right fuel tank resulted in the engine regaining power at the same instant that the airplane landed with its gear up on the highway.

Factual narrative

HISTORY OF FLIGHT On August 28, 2011, at 1230 Pacific daylight time, after a loss of engine power, a Beech A36, N6052W, made a gear up landing on State Route 29, 1 mile east of the Napa County Airport, Napa, California. During the landing sequence the airplane struck the rear end of a vehicle on the highway. The three people in the ground vehicle all received minor injuries and the vehicle was damaged. The private pilot and his passenger were uninjured, and the airplane was substantially damaged. The pilot operated the airplane under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight originated at South Lake Tahoe, California, around 1130. The pilot reported in the NTSB Pilot Accident Report (form 6120.1/2) that the airplane departed South Lake Tahoe with both fuel tanks half full, estimating about 40 gallons total, and was airborne for about an hour. The pilot said that while on a 1.5-mile final for runway 24 at Napa County Airport the engine suddenly lost power. He advanced the throttle, checked that the mixture was rich, switched the fuel selector to the right tank, and energized the fuel boost pump. The action did not regain engine power. The pilot made a right-hand turn and executed a gear up landing on the highway. During the landing the airplane's left wing leading edge struck a metal pole creating a 1-foot-wide hole in the fuel tank, and impacted the back end of an automobile. First responders reported that there was no evidence of fuel present in or around the left wing, or leaking from either wing after the accident. Two blades of the three bladed propeller exhibited forward blade tip curling, and the third blade tip was curled aft. During the post accident examination of the airplane by a Federal Aviation Administration inspector, 11 gallons of fuel was recovered from the right wing. The engine was examined by a technical representative of the engine manufacturer under the supervision of the FAA Inspector. The inspection did not reveal any abnormalities that would have prevented normal operation and production of rated horsepower. The fuel selector was inspected and observed to operate normally. PERSONNEL INFORMATION The pilot, age 55, held a private pilot certificate with ratings for airplane single-engine land, and instrument airplane dated March 13, 2010. He held a third-class medical certificate issued November 16, 2008, with the limitation that he possess glasses for near vision. The pilot reported total flight time of 1,450 hours, with 1,250 hours in the make and model of the accident airplane. His most recent flight review was conducted in a Beech A36 in September 2009. AIRCRAFT INFORMATION The 6-seat, low wing, single engine, airplane with retractable landing gear, serial number E-1497, was manufactured in 1979. It was powered by a Teledyne Continental IO-550B, 300-hp engine, and equipped with a Hartzell controllable pitchpropeller. The most recent inspection was an annual inspection conducted on August 22, 2011, at a total airframe time of 3,982 hours. The engine tachometer read 3,986 hours at the time of the accident. The Beech Bonanza A36 Pilot Operating Handbook (POH) states for manual fuel leaning fuel flow schedule for full throttle and 2,700 rpm, at 8,000 feet msl, fuel flow is 22.4 gph. The pilot reported that the airplane routinely operated at 18.5 gph.

Aircraft

Registration
N6052W
Reported as
Beech A36
Category
Airplane
Serial number
E-1497
Airframe hours
3,986
Engine
Cont Motor IO 550 SERIES, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Mccoy Joseph W
Registered owner
Mccoy Joseph W
Airworthiness certificate
Standard, Utility
Last inspection
Annual · August 22, 2011 · 4 hours before
Departed
KTVL · South Lake Taho, CA
Destination
KAPT · Napa, CA
Flight plan
Unknown
Airport
KAPT · Napa County, runway 24, 5,000 × 150 ft, concrete

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
55
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
September 1, 2009
Seat
Left
Flight hours
1,450 total · 1,250 in this make and model · 1,450 as pilot in command · 25 in the last 90 days · 11 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 55 °F
Observed at
KAPC, 15 nm away

Docket · 10

The files NTSB released with the investigation on November 29, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.1 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.