Accident Details
Probable Cause and Findings
The student pilot’s improper fuel management, which resulted in a total loss of engine power due to fuel starvation.
Aircraft Information
Registered Owner (Historical)
Analysis
On February 26, 2022, at 1043 eastern standard time, a Piper PA-28-150, N5208W, was substantially damaged when it was involved in an accident in Savannah, Georgia. The student pilot was not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 solo instructional flight.
According to the student pilot, he was on short final for landing on runway 01 at his home airport at the conclusion of a solo flight when the tower controller instructed him to discontinue his approach, turn right, and enter the left downwind leg of the traffic pattern for runway 28. Once established on the downwind leg, the pilot completed a right 360° turn as directed by the controller before he continued the downwind leg and turned left onto the base leg of the airport traffic pattern.
When approaching the turn onto the final approach leg of the traffic pattern, the engine lost power. According to the pilot, the engine “sputtered,” and the engine rpm “dropped, then came back up” before it reduced to 300 rpm. Engine rpm was never restored, and the pilot chose to perform a forced landing in the Savannah River.
According to Federal Aviation Administration (FAA) and maintenance records, the airplane was manufactured in 1961 and was equipped with two 25-gallon wing tanks of which 24 gallons in each tank were usable. The manufacturer’s Owner’s Handbook stated that the airplane’s fuel consumption rate at 75% power was 9 gallons per hour (gph). The consumption rate at cruise does not include fuel consumed during engine start, taxi, takeoff, and climb.
The airplane was recovered from the Savannah River under the supervision of an FAA inspector. The airplane’s left wing was substantially damaged. Flight control continuity was established from the flight controls to all flight control surfaces. The fuel selector was found in the right tank position. Twenty gallons of liquid were drained from the airplane’s fuel tanks of which “maybe 3 or 4 gallons” were fuel and the rest water. According to the recovery specialist, “About 75% of that was from the left tank. There [were] about 5 gallons in the right tank, and maybe a gallon of that was fuel.” When asked if the fuel tanks were breached, he replied, “No, when the diver went down there were no ‘rainbows’ going to the surface or any evidence of fuel leaking. There were no ‘rainbows’ on the surface either.”
The engine was examined at an aircraft recovery facility in Jacksonville, Florida. The spark plugs were removed; the engine was rotated by hand at the propeller; and water was pumped from the cylinders. During rotation, continuity was confirmed from the powertrain to the valvetrain and the accessory section. Compression was confirmed using the thumb method. The magnetos were removed and dried with compressed air. When actuated with a drill, they produced spark at all terminal leads. The carburetor was removed and disassembled and contained no water or fuel. The fuel inlet screen was intact and unobstructed. The engine driven fuel pump was removed, contained no water or fuel, and pumped fluid when actuated by hand. The electric fuel pump was removed, contained no fuel, and operated when powered by a battery.
Review of company dispatch and fueling records revealed that, before the accident flight, the airplane had flown 4.1 hours since it was fueled to capacity. At the nominal cruise fuel consumption rate of 9 gph, the airplane would have consumed 27 gallons of fuel in 3.0 hours, and the amount of fuel remaining in the tanks would have been about 21 gallons.
An interview with the pilot’s flight instructor revealed that the normal convention was to refuel airplanes before departure based on the planned mission. The instructor estimated that the airplane was adequately fueled for the planned solo flight and that the fuel quantity on board was about 34 gallons. Review of surveillance video revealed that the instructor visually inspected the fuel tanks while the student conducted his preflight inspection, but the student pilot did not. The instructor explained that the fuel quantity measuring device for the airplane was not used during the preflight inspection as “it was broken.”
The student pilot stated that he “believes he departed on the “Left” tank position, switched to the “Right” tank position, and that the selector remained in that position throughout the remainder of the flight.
Review of automatic dependent surveillance-broadcast (ADS-B) data revealed that, on the accident flight, the airplane climbed to traffic pattern and/or cruise flight altitude four times.
Examination of data downloaded from the airplane’s engine data monitor revealed fuel flow rates at or above 10 gph for about 21 minutes of the 1.1-hour flight.
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ERA22LA144