WPR18LA023

NTSB accident investigation · Beech B95 · Las Vegas, NV · November 3, 2017

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
November 2, 2017, 17:35 local (Nov 3, 2017, 00:35 UTC)
Place
Las Vegas, NV
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N9628RBeech B95
Defining event
Approach: Fuel exhaustion
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20171102020979A
Case key
96280

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 flight instructor’s inadequate preflight fuel planning, which resulted in fuel exhaustion, a total loss of power to both engines, and a subsequent forced landing.

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.

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 flight instructor and commercial pilot receiving instruction departed on a local instructional flight in the twin-engine airplane. The pilot receiving instruction indicated that each main fuel tank indicated about one-quarter full before departure, and the instructor stated to him that they could "run on the auxiliary tanks." The amount of fuel in the auxiliary tanks could not be recalled. After completing air work, the pilots were conducting an instrument approach to the departure airport when the left engine began to lose power. They continued the approach and shortly thereafter, the right engine also lost power. The instructor performed a forced landing to a golf course fairway, during which the airplane sustained substantial damage to the right wing and came to rest in a small lake. Examination of the airplane revealed that all of the fuel tanks were absent of fuel, and there was no evidence of fuel spillage at the accident site. Examination of the engines revealed no mechanical anomalies that would have precluded normal operation. Given the available information, it is likely that the pilots departed with an inadequate amount of fuel onboard, which resulted in fuel exhaustion and a total loss of power to both engines.

Factual narrative

On November 02, 2017, about 1735 Pacific daylight time, a Beech B95, N9628R, was substantially damaged when it was involved in an accident near Las Vegas, Nevada. The flight instructor and pilot receiving instruction sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations (CFR) Part 91 instructional flight. The flight instructor reported that, before departing on the flight, the fuel quantity gauges indicated that the main fuel tanks were each about two-thirds full. He did not recall the amount of fuel in the auxiliary tanks. The pilot receiving instruction reported that, upon starting the engines before departure, the flight instructor commented, "that’s strange." When he asked, the flight instructor said the main fuel tanks were only one-quarter full. The pilot receiving instruction looked and verified that both gauges indicated about one-quarter full. He stated that the flight instructor said, "we can run on the auxiliary tanks." The pilots departed on the flight and, after performing air work, they initiated an instrument approach. About 10 miles from the airport, the left engine began to lose power. They continued the approach while the instructor attempted to troubleshoot the left engine, until about 6 miles from the airport, when the right engine began to surge, causing a "violent pitching and yawing." The instructor declared an emergency with the tower controller and subsequently chose to land on a golf course fairway. During the landing, the airplane’s right wing struck an obstacle which resulted in substantial damage to the wing. The airplane came to rest in a small lake, submerged in water. The pilots egressed from a rear window and swam to shore. Two Federal Aviation Administration inspectors responded to the accident site and noted no signs of fuel leaking and no fuel slick in the water around the airplane. Following recovery of the airplane the next day, the inspectors confirmed flight control continuity and noted that none of the fuel tanks contained fuel or water. The right main fuel bladder separated from the airplane during the accident sequence; no fuel smell was noted. The airplane was recovered to a secure storage facility for further examination. Both engines were examined, and no mechanical anomalies were noted that would have precluded normal operation.

Aircraft

Registration
N9628R
Reported as
Beech B95 (UNDESIGNAT)
Category
Airplane
Serial number
TD-304
Built
1959
Engine
Lycoming O $ VO-360 Deries, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Departed
VGT · Las Vegas, NV
Destination
VGT · Las Vegas, NV
Airport
VGT · North Las Vegas, runway 12L, 4,199 × 75 ft, asphalt
Equipment
Auto-pilot, Stall warning system

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
57
Injuries
Minor
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Flight hours
7,000 total
Role
Flight instructor
Injuries
Minor
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
BasicMed, With waivers/limitations
Last flight review
March 16, 2017
Seat
Right
Flight hours
10,000 total · 7 in this make and model · 7,000 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 12 knots
Visibility
10 statute miles
Temperature
77 °F, dew point 37 °F
Altimeter
29.89 inHg
Observed at
VGT, 4 nm away

Docket · 6

The files NTSB released with the investigation on January 27, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.4 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.