WPR20LA161

NTSB accident investigation · Beech 35 · Cascade Locks, OR · May 17, 2020

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
May 17, 2020, 11:45 local (18:45 UTC)
Place
Cascade Locks, OR · Water
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N8359DBeech 35
Defining event
Approach-VFR pattern final: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviaiton Administration
FAA report
20200517009849A
Case key
101359

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 improper fuel tank selection which resulted in fuel starvation to the engine and 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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotBeech J35: 3 casesAll aircraft: 1,391 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementBeech J35: 2 casesAll aircraft: 1,695 cases

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 departed for the personal flight with the fuel selector valve set to the LEFT MAIN position. About 20 minutes into the flight, the pilot switched the fuel selector valve to the AUX TANK position and initiated a return to the departure airport. During the return flight, he decided to familiarize himself with a local airport. While on final approach, the pilot observed a person standing on the north side of the runway more than half-way down the runway. After overflying the person, the pilot advanced the throttle to full power and retracted the flaps. About 1-2 seconds after initiating a climb, the pilot noted a lack of acceleration and the engine volume decreased. He returned the airplane to level flight and switched the fuel selector from the AUX TANK position to the RIGHT fuel tank. The pilot looked for a suitable landing area and made sure that his throttle, mixture, and propeller levers were full forward. The pilot reported a rocky shoreline and with no other options, set up for a forced landing to the water. The airplane landed in the water near the shoreline, and the pilot and passenger were able to exit the airplane without assistance and swam to shore. A postaccident examination of the airplane revealed the fuel selector was selected to the RIGHT TANK position. Additionally, printed on the fuel selector plate were the words “AUX TANK, LEVEL FLIGHT ONLY.” No evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation were noted with the airframe or engine. It is likely that the reason for the loss of engine power during the climb was a result of fuel starvation to the engine. The fuel pickup line in the auxiliary fuel tank is in the forward section of the fuel tank. When the airplane is in a climb attitude, it is possible the fuel in the auxiliary tank will shift aft of the fuel pickup line, which would starve the engine of fuel. As a result, pilots are cautioned to only use the auxiliary tank while in level flight, as printed on the fuel selector plate.

Factual narrative

On May 17, 2020, at 1145 Pacific daylight time, a Beechcraft BE-35 airplane, N8359D, was substantially damaged when it was involved in an accident near Cascade Locks, Oregon. The pilot received minor injuries, and the passenger was not injured. The airplane was operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight. According to the pilot, after performing a thorough preflight and run up inspection, he and his passenger departed on a personal flight. The takeoff was normal, and the fuel selector valve was set to the LEFT MAIN position. About 20 minutes into the flight, the pilot switched the fuel selector valve to the AUX TANK position and shortly after initiated a return to the departure airport. During the return flight, he decided to familiarize himself with a local airport. The pilot announced his position on the common traffic advisory frequency (CTAF) and his intention to conduct a low approach to the runway. While on final approach, the pilot observed a person standing on the north side of the runway more than half-way down the runway. After overflying the person, the pilot advanced the throttle to full power and retracted the flaps. About 1-2 seconds after initiating a climb, the pilot noted a lack of acceleration and the engine volume decreased. He returned the airplane to level flight and switched the fuel selector from the AUX TANK position to the RIGHT TANK position. The pilot looked for a suitable landing area and made sure that his throttle, mixture, and propeller levers were full forward. The pilot reported a rocky shoreline and with no other options, set up for a forced landing to the water. The airplane landed in the water near the shoreline, and the pilot and passenger were able to exit the airplane without assistance and swam to shore. The airplane was recovered from 20 ft of water less than a mile from the airport, and after recovery from the water, a postaccident examination was conducted. The spark plugs were removed from the engine; their electrodes were intact, and no indication of mechanical damage was observed. The engine was rotated at the propeller and valve train continuity and thumb compression was obtained on all cylinders. Both magnetos were removed; they were rotated, and spark was produced at all terminal leads. Examination of the fuel selector revealed it was selected to the RIGHT TANK position. Additionally, printed on the fuel selector plate were the words “AUX TANK, LEVEL FLIGHT ONLY.”

Aircraft

Registration
N8359D
Reported as
Beech 35 (J35)
Category
Airplane
Serial number
D-5490
Built
1958
Airframe hours
3,495
Engine
Continental Aerospace Tech IO-470-C, 250 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility
Last inspection
Annual · September 12, 2019 · 57 hours before
Departed
TTD · Portland, OR
Destination
CZK · Cascade Locks, OR
Airport
CZK · Cascade Locks State
Equipment
Stall warning system, Electronic primary flight display, Auto-pilot, ADS-B

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
43
Injuries
Minor
Certificates
Military, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
January 15, 2020
Seat
Left
Restraint
4-point
Flight hours
3,020 total · 161 in this make and model · 2,537 as pilot in command · 33 in the last 90 days · 22 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
3,100 ft overcast
Temperature
55 °F, dew point 3 °F
Altimeter
29.73 inHg
Observed at
KTTD, 23 nm away

Docket · 5

The files NTSB released with the investigation on October 25, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.3 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.