N5382S

Substantial
Fatal

CESSNA 337AS/N: 337-4082

Accident Details

Date
Saturday, May 17, 2008
NTSB Number
NYC08FA184
Location
West Creek, NJ
Event ID
20080609X00813
Coordinates
39.661109, -74.305557
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
2
Serious Injuries
2
Minor Injuries
0
Uninjured
0
Total Aboard
4

Probable Cause and Findings

The pilot's departure with insufficient fuel for the planned flight, and his improper in-flight fuel management, which resulted in a total loss of power in both engines due to fuel starvation. Contributing to the accident was the pilot's fatigue, which was precipitated by his work activities during the days just prior to the accident flight.

Aircraft Information

Registration
N5382S
Make
CESSNA
Serial Number
337-4082
Engine Type
Reciprocating
Year Built
1966
Model / ICAO
337AC337
Aircraft Type
Fixed Wing Multi Engine
No. of Engines
2

Registered Owner (Historical)

Name
AMBROULT JOHN A
Address
240 GEORGE RYDER RD
Status
Deregistered
City
CHATHAM
State / Zip Code
MA 02633-1617
Country
United States

Analysis

HISTORY OF FLIGHT

On May 17, 2008, about 1245 eastern daylight time (EDT), a Cessna 337A, N5382S, was substantially damaged when it impacted trees and terrain while attempting to divert to Eagles Nest Airport (31E), West Creek, New Jersey. The certificated commercial pilot and one passenger were fatally injured, and the other two passengers were seriously injured. The pilot was the owner of Ambroult Aviation, which operated the marine mammal survey flight under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the flight, and no flight plan was filed.

A Texas-based environmental services company was contracted to provide marine mammal survey information for a study by the New Jersey Department of Environmental Protection, and the environmental services company contracted with the operator to conduct the survey flights. The three passengers were employees of the environmental services company. The pilot and airplane were based at Chatham Municipal Airport (CQX), Chatham, Massachusetts, but temporarily relocated to Millville Airport (MIV), Millville, New Jersey each month for the survey flights. According to an environmental services company representative, the survey flights with the accident pilot and airplane began in January 2008, were conducted on a monthly basis, and were scheduled for completion by July, 2008.

According to the environmental services company documentation, the survey area extended approximately 80 miles north-south along the New Jersey shoreline, and extended approximately 20 miles east over the Atlantic Ocean. Each monthly survey consisted of flying 30 numbered course lines, called transects, to cover the entire survey area. Each transect was to be flown at 750 feet above mean sea level (MSL).

According to the environmental services company personnel, the pilot and airplane were scheduled to arrive at MIV on May 14, in order to begin the survey at 0700 on May 15. At some point on May 14, the pilot advised the company that he would not arrive at MIV until May 15.

According to personnel and records from the Millville Jet Center at MIV, the airplane arrived about noon on May 15, and the pilot requested that the "mains be topped off." The airplane was serviced with 55 gallons of 100LL avgas about 1210. No records of any subsequent fuel servicing could be located.

The passengers had planned to complete the full survey grid on May 15, but the pilot arrived too late to accommodate their plan. The pilot provided different explanations for his delay to the passengers and to a mechanic at CQX. According to information obtained from passenger interviews, passenger survey notes, and a handheld global positioning system (GPS) unit recovered from the wreckage, the May 15 survey flight began when it departed from MIV at 1244. Due to the lateness of the day and the passengers’ concern about the pilot being tired, only half the survey grid was completed. The airplane returned to MIV, and the engines were shut down at 1721.

The surveyors intended to complete the grid the next day, May 16, but the weather conditions were unacceptable for the survey, and the flight was rescheduled for Saturday, May 17. The weather conditions on May 17 were improved, but the passengers were concerned about the wind, since wind affected their ability to conduct the survey. After some delay, they decided to try, and the airplane departed on the accident flight from MIV about 1104. The day's survey began with transect 14, which was approximately 60 miles from MIV. Transect 14 was started at 1147, and was finished at 1159. Transect 15 was started at 1201, and was finished at 1226. Transect 16 was started at 1228.

All four individuals on board could hear and talk to one another, and the passengers could hear all the pilot’s radio calls. According to the passenger in the right rear seat, at some point "after finishing the third survey line," the pilot remarked that he would have to "break off" the survey because the airplane "was having some fuel problems," and that he needed to "go back." The passenger also saw the pilot repeatedly manipulating the fuel selector valve handles. The passenger stated that he observed the front propeller cease and resume rotation several times. The passenger stated that according to the pilot, they would divert for landing to the "closest airstrip." One passenger asked how far it was to the nearest airstrip, and the front seat passenger replied "about 10 minutes." No-one specifically mentioned any particular airport.

During the diversion, the right rear passenger did not hear the pilot communicate with anyone on the radio about the problem or his intentions. The passenger had the impression that the airplane was in a continuous descent, and stated that the engines continued to make unusual noises, as if they were running roughly. At some point, the pilot mentioned to the passengers that there was "another [airport] close," and he requested their assistance in visually locating the airport. Shortly thereafter the left rear passenger visually located 31E, and he informed the pilot that it was off to the left at their "nine-o’clock position." The right rear passenger then visually located the airport, but the airplane "started falling," and impacted trees. The right rear passenger stated that the landing gear remained extended for the duration of the flight on May 15, and also on the accident flight.

The GPS-derived flight path showed that at 1239, the end of transect 16, the airplane turned south along the shoreline and then climbed to a GPS altitude of approximately 1,000 feet. The airplane continued a climb, and about 1241, turned inland and to the north. About 1244, at a GPS altitude of approximately 1,200 feet, the airplane began tracking over New Jersey State Route 72. One minute later, the airplane turned to the southwest, towards 31E, and about 1247 it crossed over the runway at a GPS altitude of approximately 250 feet.

Three witnesses, who lived in two separate houses approximately 1/2 mile east of the approach end of 31E runway 32, heard and saw the accident airplane heading for the airport. All three witnesses stated that they were familiar with the sounds and traffic patterns of airplanes using the airport, and that their attention was drawn to the airplane because of its low altitude and unusual sounds. All three stated that the airplane was descending, and that the engine(s) stopped and restarted at least two times. All three heard the sounds of impact. One of the witnesses searched the airport herself for about 10 minutes, but then called 911 about 1302. Personnel from the New Jersey State Police (NJSP) responded, and initiated a search of the local area. According to NJSP records and statements, they did not locate the airplane, and there were no other reports of a missing aircraft, so they abandoned their search about two hours after the initial notification.

According to the Texas-based project manager of the Marine Sciences division of the environmental services company, he received a telephone call from the right rear passenger informing him that the airplane had crashed. The passenger told the project manager that he was still in the airplane and that he was injured. The passenger did not know where the accident site was, but he thought that they had just completed transect "12 or 13." Telephone records indicated that this call was made at 1401 central daylight time, which was 1501 EDT, or approximately 2 hours after the accident. The call lasted 4 minutes. The project manager then began attempting to notify various emergency services to inform them of the approximate location of the wreckage, based on the survey transect coordinates. At 1517, the passenger called the project manager again, and the call lasted 2 minutes. Between 1529 and 1616, the project manager attempted to call the passenger seven times, and the passenger attempted to call the project manager once, but no calls were answered.

United States Air Force Rescue Coordination Center (RCC) records indicated that they were first notified of the accident at 1542, via a series of telephone calls that were initiated by the environmental services company project manager. The RCC telephoned the passenger, and instructed him to call 911. At 1546 the RCC contacted telephone service providers and requested a trace on the passenger's call, in order to determine which cell phone tower(s) were being used for the call, and thereby obtain a geographic fix on the accident location.

According to NJSP dispatch records, the passenger was connected to the NJSP by telephone at 1604. At 1615, a telephone company provided the geographic coordinates of the cell phone tower closest to the accident location, and that, plus correlation of siren and helicopter sounds heard by the passenger with known NJSP activities, enabled the NJSP to narrow the search area. At 1656, a helicopter located the wreckage. The two survivors, both of whom were seated on the right side of the airplane, were extricated and airlifted separately to Atlantic City for medical treatment.

PERSONNEL INFORMATION

The pilot held a private pilot certificate with airplane single engine land rating, a commercial pilot certificate with an instrument airplane rating and a rating for airplane multiengine land that was limited to aircraft with centerline thrust. He also held a mechanic certificate with airframe and powerplant ratings, and an inspection authorization (IA). The pilot's logbooks were not located. According to documentation that the pilot provided to his insurance company in November 2007, he reported 3,775 total hours of flight experience, 2,810 hours of multiengine flight experience, and 285 hours in the accident airplane make and model. FAA records indicated that the pilot’s most recent second-class medical certificate was issued in December 2007. According to documentation provided b...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# NYC08FA184