WPR22LA083

NTSB accident investigation · Beech F33A · Williams, AZ · January 26, 2022

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
January 26, 2022, 10:55 local (17:55 UTC)
Place
Williams, AZ · Open desert field near airport
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N1HHBeech F33A
Defining event
Takeoff: Fuel related
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Textron Aviation, Inc., FAA
FAA report
20220126000859A
Case key
104557

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 activation of the auxiliary fuel boost pump shortly after takeoff, which resulted in an excess amount of fuel to the engine and 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.

Engine fuel and control: fuel pumpAircraft › Aircraft power plant · Incorrect use/operationBeech F33A: 1 caseAll aircraft: 34 casesProbable cause
Action: incorrect action selectionPersonnel issues › Action/decision · PilotBeech F33A: 1 caseAll aircraft: 397 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, during previous flights, he had observed overheating of two of the engine cylinders, and activation of the auxiliary fuel boost pump had worked to resolve the overheating. Shortly after takeoff on the accident flight, the pilot observed cylinder heating and activated the boost pump, after which the engine lost total power. The pilot performed a forced landing in an open desert field. The airplane landed hard and impacted vegetation during the landing roll, resulting in substantial damage to the airplane. Data retrieved from the airplane’s engine monitoring system showed that the fuel flow rate increased from 23.4 gallons per hour (gph) to 28.7 gph, with a peak fuel flow of 30.8 gph, followed by a sudden decrease. The engine manufacturer recommended that the fuel flow setting should be between 23.2 – 24.9 gph. Both the pilot operating handbook for the airplane and a placard on the auxiliary boost pump indicated that the pump should be off during takeoff and only turned on in the event of a loss of fuel pressure. It is likely that the pilot’s activation of the auxiliary fuel boost pump resulted in excess fuel being delivered to the engine during the initial climb, which resulted in the total loss of engine power. A postaccident examination of the airframe and engine revealed no evidence of mechanical failures or malfunctions that would have precluded normal operation.

Factual narrative

On January 26, 2022, about 1055 mountain standard time, a Beech F33A airplane, N1HH, was substantially damaged when it was involved in an accident near Williams, Arizona. The pilot sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that he departed and turned left to the west. While climbing through about 700 to 800 ft above ground level, the engine lost power and the pilot initiated a right turn back toward the airport. The pilot stated that he realized he was unable to make it to the airport and elected to land in an open desert field. The airplane subsequently landed hard and impacted vegetation during the landing roll. The pilot stated that he had topped off the right fuel tanks before the flight and that the fuel selector was placed to the right main tank position. On previous flights, the pilot had observed “minor heating” in two of the engine cylinders and informed his mechanic. His mechanic directed him to turn on the fuel boost pump when the pilot observed the overheating, and the pilot stated that this method had “worked great until the day of the accident.” On the day of the accident, the two cylinders began to heat up, and the pilot activated the boost pump. Shortly thereafter, the engine lost total power. The mechanic reported that the pilot was “in a rush” to take possession of the accident airplane and indicated an urgent desire to fly from Arizona to California. After releasing the airplane, the pilot called and indicated that the airplane "was running great, but cylinder number 2 was still running ‘Hot’." The mechanic suggested that the pilot note exhaust gas temperature (EGT), cylinder head temperature (CHT), and fuel flow indications and bring the accident airplane in for further maintenance. He did not recall suggesting that the pilot use the auxiliary fuel boost pump during takeoff or climb. The airplane was equipped with an electric auxiliary fuel boost pump that could be manually activated by the pilot via a cockpit switch. The auxiliary fuel pump placard stated, “Take-off and land with AUX fuel pump off except in case of loss of fuel press.” The airplane’s pilot operating handbook (POH), section IV, Normal Procedures, Before Take-Off, states, “Auxiliary Fuel Pump – CHECK OFF”. The airplane was also equipped with an Insight Instrument engine monitoring system. The data showed that, during the accident flight, the fuel flow increased from 23.4 to 28.7 gph with a peak fuel flow of 30.8 gph, followed by a sudden decrease, with a corresponding drop in CHT and EGT. The Continental Motors service information directive (SID) SID97-3F recommended that the fuel flow setting should be between 23.2 – 24.9 gph. Postaccident examination showed bending and crushing near the roots of both wings. Flight control continuity was established from all primary flight control surfaces to the cockpit controls. There was no evidence of any preaccident mechanicalfailures or malfunctions with the airplane that would have precluded normal operation.

Aircraft

Registration
N1HH
Reported as
Beech F33A
Category
Airplane
Serial number
CE-611
Built
1975
Airframe hours
4,156
Engine
Continental Motors IO-520-BA, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Andrew Edson
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 21, 2021 · 7 hours before
Departed
CMR · Williams, AZ
Destination
AO9 · Mohave Valley, AZ
Airport
CMR · H A Clark Meml Fld, runway 36, 6,003 × 100 ft, asphalt
Equipment
Stall warning system, ADS-B, Angle of attack indicator, Auto-pilot

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
60
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
February 3, 2020
Seat
Left
Restraint
Lap only
Flight hours
1,100 total · 1,100 as pilot in command · 4 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
37 °F, dew point 9 °F
Altimeter
30.21 inHg
Observed at
KCMR, 2 nm away
METAR
KCMR 261755Z AUTO VRB03G10KT 10SM CLR 03/M13 A3021 RMK AO2

Docket · 13

The files NTSB released with the investigation on August 15, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.3 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.