WPR21LA363

NTSB accident investigation · Piper PA-32-300 · Orcas Island, WA · September 17, 2021

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
September 16, 2021, 18:25 local (Sep 17, 2021, 01:25 UTC)
Place
Orcas Island, WA · open field
Injuries
2 serious, 1 minor
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N33022Piper PA-32-300
Defining event
Enroute-cruise: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FAA, Lycoming Engines
FAA report
20210916015809A
Case key
104133

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 total loss of engine power due to the pilot’s mismanagement of the fuel system which resulted in 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.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid managementPiper PA-32-300: 9 casesAll aircraft: 1,695 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotPiper PA-32-300: 2 casesAll aircraft: 1,391 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 accident occurred on the return flight to the operator’s home base. While en route, the engine hesitated and within seconds lost all power. The pilot turned toward land, turned the electric fuel pump to ON, and switched from left main fuel tank to the right main fuel tank. During the descent for a forced landing, the engine sputtered and lost power again. The pilot continued to land the airplane, which impacted the terrain hard in an open field. The airplane sustained substantial damage to the fuselage and wings. During the airplane recovery, it was determined that both main fuel tanks were intact. A total of 8 ounces of fuel were drained from the left main fuel tank and a total of 15 gallons of fuel were drained from the right fuel tank. Postaccident examination revealed that there were no preaccident mechanical malfunctions or failures to the airplane or engine that would have precluded normal operation. The circumstances of the accident are consistent with a total loss of engine power due to fuel starvation, which resulted from the pilot’s mismanagement of the fuel system during the flight.

Factual narrative

On September 16, 2021, at 1825 Pacific daylight time, a Piper PA-32-300, Cherokee Six, N33022, was substantially damaged when it was involved in an accident near Orcas Island, Washington. The pilot sustained minor injuries and the two passengers, one of whom was the airplane owner, were seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The flight originated from Bellingham International Airport (BLI), Bellingham, Washington. The pilot reported that he planned to fly with the airplane owner over different business project sites on Orcas Island then stop at Friday Harbor Airport (FHR), Friday Harbor, Washington, to meet a company employee and return him to their operating base at KBLI. While on climbout from Orcas Island, the pilot and the airplane owner observed an oily substance on the windscreen and decided to land immediately at FHR. After landing, oil was found on the cowling and around the propeller hub. Two mechanics hired by the owner to inspect the airplane following the precautionary landing reported that they did not find any oil on the upper engine cowling. They verified 10 quarts of oil in the engine, as reported by the pilot at the start of the flight. Oil residue was found at the front of the engine, near the crankshaft seal area. The area was cleaned, the engine was started, and the propeller was cycled with no oil leaks detected. After the inspection, the pilot departed FHR with a planned destination of BLI. During the climbout, the pilot observed the oil pressure in the yellow range and leveled off at 2,000 ft mean sea level. The pilot reduced engine power and set the propeller rpm between 2,200 and 2,300 and verified all engine parameters and readings were in the green. Shortly thereafter, the engine “hesitated” and then lost all power. The pilot configured the airplane for best glide speed, activated the electric fuel pump, and switched the fuel selector from the left to right main fuel tank. As the airplane continued its descent, the engine suddenly restarted, but again lost power. The owner reported that when the airplane was about 80 ft above the ground, he heard the stall warning horn. The airplane landed hard on a grass field, bounced, and came to rest upright. The fuselage and wings were substantially damaged. Figure 1. View of accident airplane in an open field (courtesy of recovery company) According to the recovery company, the left-wing and right-wing fuel main tanks were not breached and about 18 ounces (left tank) and 15 gallons (right tank) of fuel were recovered (figure 2). The left-wing and right-wing tip tanks were compromised. Figure 2. View of recovered fuel from the left-wing main tank (courtesy of the recovery company) A download of the data from a panel mounted engine monitoring instrument revealed that about 1823:45 (time of the accident), the fuel flow decreased from about 17 gallons per hour to 0 in a span of 3-5 seconds. A spike in all sixexhaust gas temperatures was seen immediately after the fuel flow started to decrease, and then gradually decreased along with the fuel flow (figure 3). Figure 3. Plotted data from engine monitoring unit Postaccident examination of the engine revealed no evidence of mechanical failure or malfunction that would have precluded normal operation.

Aircraft

Registration
N33022
Reported as
Piper PA-32-300
Category
Airplane
Serial number
32-7540081
Built
1975
Airframe hours
1,998.15
Engine
Lycoming T1O-540, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Fly Guys Constructions, LLC
Registered owner
Fly Guys Constructions, LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · April 6, 2021 · 50 hours before
Departed
KFHR · Friday Harbor, WA
Destination
KBLI · Bellingham, WA

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
36
Injuries
Minor
Certificates
Airline transport, Remote, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 45 °F
Altimeter
30.00 inHg
Observed at
KORS, 6 nm away
METAR
METAR KORS 170115Z AUTO 00000KT 10SM CLR 14/07 A3000 RMK AO2=

Docket · 9

The files NTSB released with the investigation on March 22, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.1 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.