WPR19TA162

NTSB accident investigation · Beech 35 · Medford, OR · June 8, 2019

Accident · Minor injuriesClass 3Final report
Date
June 8, 2019, 14:00 local (21:00 UTC)
Place
Medford, OR
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N602BHBeech 35
Defining event
Initial climb: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Portland FSDO
FAA report
20190608006189A
Case key
99570

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 mismanagement of fuel onboard, which resulted in a total 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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotAll aircraft: 1,391 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementAll 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

During the daytime visual flight rules flight, the private pilot experienced engine trouble. He was able to keep the engine running utilizing the auxiliary fuel pump and diverted to the departure airport. The pilot was unable to make it to the airport and descended into a residential neighborhood where the airplane was substantially damaged when it struck a tree. Postaccident examination of the airplane revealed that the main fuel tanks had a sufficient quantity of fuel and that the auxiliary fuel tank was nearly empty. The fuel selector valve handle was found in the auxiliary fuel tank position. It is likely the pilot did not position the fuel selector switch to one of the main fuel tanks prior to consuming all the useable fuel in the auxiliary tank. This omission likely resulted in a total loss of engine power due to fuel starvation.

Factual narrative

On June 8, 2019, about 1400 Pacific daylight time, a Beech 35 airplane, N602BH, was substantially damaged when it was involved in an accident near Rogue Valley International Airport (MFR), Medford, Oregon. The private pilot and his passenger sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to a statement from the pilot and passenger taken by a local law enforcement official, after departing MFR, the pilot began having engine trouble and returned to MFR. During the return portion of the flight, the engine quit several times. The airplane descended and struck a tree in a residential neighborhood about 1 mile from runway 32. According to a Federal Aviation Administration (FAA) inspector, the passenger told him the pilot started having engine trouble and resorted to “pumping up and down on a device that kept the engine running.” He said when the pilot stopped pumping, the engine would quit and when he pumped, it would run. Examination of the airplane by an FAA inspector revealed the main tanks "had plenty of gas", the aux tank was "nearly empty", and the tank selector switch was found in the auxiliary fuel tank position. Despite multiple attempts, the National Transportation Safety Board (NTSB) investigator-in-charge was unable to talk to the pilot regarding the accident and did not receive an NTSB Form 6120.1. A records search at Million Air, Medford recovered a fuel receipt for N602BH, dated for the same day as the accident, for 18.5 gallons of 100 low lead aviation gasoline.

Aircraft

Registration
N602BH
Reported as
Beech 35 (Undesignat)
Category
Airplane
Serial number
D-1223
Built
1947
Engine
Continental, unknown
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Departed
MFR · Medford, OR
Destination
BOI · Boise, ID
Airport
MFR · Rogue Valley Intl - Medford, runway 32, 8,800 × 150 ft, asphalt
Equipment
Unknown

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
38
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 10 knots, gusting 15
Visibility
10 statute miles
Lowest ceiling
None
Temperature
68 °F, dew point 48 °F
Altimeter
29.95 inHg
Observed at
KMFR, 2 nm away

Docket · 4

The files NTSB released with the investigation on April 26, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 703 KB 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.