WPR21LA342

NTSB accident investigation · Beech 58 · Palo Alto, CA · September 13, 2021

Accident · Serious injuriesClass 4 · LimitedFinal report
Date
September 13, 2021, 13:40 local (20:40 UTC)
Place
Palo Alto, CA · marsh
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Prior to flight
Aircraft
N162DFBeech 58
Defining event
Prior to flight: Wrong fuel
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Western Pacific Region
Parties
FAA
FAA report
20210913022099A
Case key
103850

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 fuelers addition of the incorrect fuel to the fuel tanks which resulted in a total 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.

Action: incorrect action performancePersonnel issues › Action/decision · Ground crewBeech 58P: 2 casesAll aircraft: 1,386 casesProbable cause
Fluids: fuelAircraft › Fluids/misc hardware · Fluid typeBeech 58P: 1 caseAll 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 reported that, shortly after takeoff, about 500 ft above the ground, both engines lost power. A forced landing was subsequently initiated to an open area. During the landing, the left wing collided with a wooden post and was substantially damaged. The pilot reported that there were no preacccident mechanical malfunctions or failures with the airplane that would have precluded normal operation. The airplane was fueled before the flight. The fueler reported that he incorrectly fueled the airplane with Jet A fuel instead of Avgas. He added that he did not notice the “Avgas only” label adjacent to the fuel port, and that he did not follow the company’s fueling checklist while fueling the accident airplane.

Aircraft

Registration
N162DF
Reported as
Beech 58 (P)
Category
Airplane
Serial number
TJ-403
Built
1982
Airframe hours
7,500
Engines
Continetal TSIO520WB, 325 horsepower, reciprocatingContinetal TSIO520WB, 325 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Faford Aviation Leasing Co
Registered owner
Faford Aviation Leasing Co
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 10, 2021 · 67 hours before
Destination
RNO · Reno, NV
Airport
PAO · Palo Alto
Equipment
Stall warning system, Satellite tracking device, Onboard weather, 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
80
Injuries
Serious
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
May 7, 2021
Seat
Front
Restraint
3-point
Flight hours
14,000 total · 6,500 in this make and model · 14,000 as pilot in command · 50 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 59 °F
Altimeter
29.87 inHg
Observed at
KPAO, 1 nm away
METAR
KPAO 132047Z 33010KT 10SM SKC 24/15 A2987

Docket · 5

The files NTSB released with the investigation on January 25, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 8.1 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.