Accident Details
Probable Cause and Findings
The pilot’s failure to properly inspect and sump the fuel system before the flight and the maintenance personnel’s inadequate maintenance of the fuel system which resulted in fuel starvation and the subsequent loss of engine power due to the contamination of the right tank fuel gascolator and fuel lines.
Aircraft Information
Registered Owner (Current)
Analysis
On May 13, 2024, at 1007 central daylight time, a Piper PA-22 airplane, N669A, was substantially damaged when it was involved in an accident near Enderlin, North Dakota. The pilot and two passengers sustained minor injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight.
According to the pilot, she departed Edgeley Municipal Airport (51D) in Edgeley, North Dakota, and flew to Sky Haven Airport (5N4), Enderlin, North Dakota, where she performed two landings. After the second landing, she taxied to the parking area and shut down the airplane.
Two passengers boarded the airplane, and the pilot started the engine, performed a run-up, took-off, flew around the traffic pattern once, and landed. After landing, she taxied back to the parking area, the passengers disembarked, and two more passengers boarded the airplane. The pilot took off to perform another circuit in the traffic pattern. Shortly after takeoff, while in a climb and about 100 to 200 ft agl, the engine started to run rough. The pilot turned on the carburetor heat and there was a slight engine power improvement, but then the engine started to run rough again, and the airplane started to descend. About 50 ft agl, the engine lost power and the pilot made an off-airport landing. Upon touchdown, the nosewheel dug into the ground and the airplane flipped inverted. The airplane sustained substantial damage to the left wing, rudder, and engine mount.
A review of a carburetor ice chart revealed that the temperature, 53°F, and the dewpoint, 39°F, at the time of the accident were conducive to carburetor ice, but only at cruise power setting and not at a climb power setting.
The pilot stated that on the day of the accident, both fuel tanks were filled to maximum capacity (18 gallons per fuel tank) before leaving 51D. She also stated that she was operating solely on the right fuel tank and had flown for a total of about 1 hour when the accident occurred. The left and right fuel tanks drain individually of each other according to the position of the fuel selector valve. The performance chart in the manufacturer’s owner’s handbook states that fuel consumption is about 4.5 to 11 gallons per hour. The owner’s handbook cautions against operating solely on the right fuel tank in a climb if fuel in the right tank is below 1/3 capacity.
A postaccident examination of the engine and fuel system revealed no anomalies with the engine that would have precluded normal operation. Upon examining the right tank gascolator strainer housing and bowl, debris and sediment were found (figure 1, 2, & 3). The fuel lines going to and coming out of the fuel strainer contained the same build up and deposits that were found in the fuel bowl.
According to the manufacturer, the gascolator should be checked frequently for water or sediment. Additionally, the manufacturer’s inspection report, which meets the requirements for Federal Aviation Regulations Part 43 Maintenance, Preventive Maintenance, Rebuilding, and Alterations, stated that the right tank filter bowl should be drained and cleaned at least every 90 days.
The airplane owner said that he assumed the strainer that was under the right front seat was part of the brake system. He was unaware that it was a quick drain gascolator for the right fuel tank and he never sumped that drain.
The airframe and powerplant mechanic who performed the three prior annual inspections on the airplane did not return the investigator’s phone call; accordingly, the investigation was unable to determine if he used the manufacturer’s inspection report checklist.
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN24LA184