WPR18LA268

NTSB accident investigation · Piper PA24 · Upland, CA · September 17, 2018

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
September 17, 2018, 13:35 local (20:35 UTC)
Place
Upland, CA
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N7472PPiper PA24
Defining event
Approach-VFR pattern final: Fuel contamination
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
20180917013769A
Case key
98318

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

Loss of engine power due to fuel contamination.

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.

Terrain: rough terrainEnvironmental issues › Physical environment · Contributed to outcomePiper PA-24-250: 1 caseAll aircraft: 442 cases
Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionPiper PA-24-250: 24 casesAll aircraft: 1,695 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 was on final approach to the destination airport at the conclusion of a cross-country flight when the engine lost total power. Unable to restore engine power, the pilot performed a forced landing to a field short of the runway, during which the airplane impacted large rocks, resulting in substantial damage. Examination of the airplane revealed about 25 total gallons of fuel onboard. Examination of the engine revealed no mechanical anomalies that would have precluded normal operation, except for the aft boost pump, which contained a mixture of fuel and water. Given the lack of other anomalies and the presence of fuel onboard, it is likely that the engine ingested the fuel/water mixture, which resulted in the loss of engine power.

Factual narrative

On September 17, 2018, at 1335 Pacific standard time, a Piper PA-24-250, N7472P, was substantially damaged when it was involved in an accident near Upland, California. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight. The flight originated from Reno/Tahoe International Airport (RNO), Reno, Nevada, about 1115, where the airplane had been tied down for four days. On the morning of the accident, the pilot performed a preflight inspection and noted no discrepancies. The airplane’s auxiliary fuel tanks had been fueled with 20 gallons of fuel; 10 gallons in each auxiliary tank. The pilot estimated a total of 75 gallons of fuel onboard at the time of departure. The pilot stated that he departed with the left main fuel tank selected and estimated that it contained about 30 gallons of fuel. Once he reached cruise altitude, he switched to the right auxiliary fuel tank and alternated between the left and right auxiliary tanks every 30 minutes until there were about 5 gallons remaining in each auxiliary tank. He used the electric fuel pump during each fuel tank change. About 3.5 nautical miles (nm) from the destination airport, the pilot turned on the electric fuel pump and switched to the right main fuel tank. He noted that the fuel pressure was steady, and he left the electric fuel pump on for the remainder of the approach. As he turned from the crosswind to downwind legs of the traffic pattern, he extended the landing gear and performed the before landing checklist. While on final approach for landing, he noted an increasing sink rate, and increased the throttle to compensate; however, there was not a corresponding increase in engine power. He switched to the left main tank, confirmed that the electric fuel pump was switched to ON, the ignition switch was on BOTH, fuel mixture control was full-rich, and that the propeller control was in the maximum rpm position, but the engine did not respond. The pilot chose an empty field short of the runway in which to perform a forced landing. The airplane rolled a short distance before the nose landing gear and the left main landing gear impacted rocks and the airplane spun about 150° before coming to a stop. The pilot reported that he was wearing a noise-cancelling headset and wasn’t sure when the partial loss of engine power occurred. A responding Federal Aviation Administration (FAA) inspector reported that the main fuel tanks contained 24 to 25 total gallons of fuel. A visual inspection of the engine revealed no holes in the case. Valve train and mechanical continuity was established throughout the engine. The oil filter was examined with no carbon deposits found. The fuel screens for both boost pumps were free of debris. The aft boost pump contained about 4 spoonsfuls of a mixture of fuel and water. Borescope examination of the cylinders revealed signatures consistent with a lean fuel/air mixture.

Aircraft

Registration
N7472P
Reported as
Piper PA24 (250)
Category
Airplane
Serial number
24-2663
Built
1961
Airframe hours
5,966
Engine
Lycoming O-540-A1D5, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 2, 2017 · 49 hours before
Departed
RNO · Reno, NV
Destination
Same as departure
Airport
CCB · Cable, runway 24, 3,863 × 75 ft, asphalt
Equipment
None

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
78
Injuries
Minor
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 3, With waivers/limitations
Last flight review
January 25, 2018
Seat
Left
Restraint
3-point
Flight hours
1,200 total · 350 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 36 °F
Altimeter
29.89 inHg
Observed at
CCB, 1 nm away

Docket · 4

The files NTSB released with the investigation on June 2, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.0 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.