Pilot Debrief

BEECH 23 near Ballston Spa, NY — 2021-10-27

Final reportERA22LA033
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Date
2021-10-27
Location
Ballston Spa, NY, USA
Airport
5B2
Aircraft
BEECH 23
Registration
N2353Z
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Approach

Probable cause

The flight instructor’s and student pilot’s inadequate preflight fuel planning and improper in-flight fuel management, which resulted in a total loss of engine power due to fuel starvation.

NTSB narrative

The student pilot measured 1 inch of fuel in the right tank and 3 inches of fuel in the left tank using a stick during the preflight inspection. Based on fuel consumption calculations from a multi-day flight home after purchasing the airplane out of state, he determined that the fuel measurements represented 5 hours of flying time. After about 2 hours and 20 minutes of flight in the practice area and performing eight touch-and-go takeoffs and landings, all while using the left fuel tank, the engine lost total power, and the propeller continued to windmill. The flight instructor took control of the airplane but was unable to restore engine power. During the forced landing, the instructor pitched up to avoid power lines, heard the stall warning horn, and the airplane then descended to the ground and landed hard, substantially damaging the right wing. Examination of the wreckage revealed no evidence of fuel in the left tank, fuel lines, gascolator, or fuel pump. The right fuel tank contained about 1 inch of fuel. No other preimpact anomalies or malfunctions that would have precluded normal operation were observed; therefore, it is likely that the engine lost power when the fuel in the left tank was exhausted. The pilots’ previous calculation of the airplane’s fuel burn rate during a previous cross-country flight did not take into consideration prolonged flight without leaning the mixture or the multiple landings on the accident flight. The flight instructor stated that neither he nor the student performed the appropriate preflight fuel planning.

Analysis

Primary failure mode
Fuel management
First missed decision gate
Proper fuel planning before the flight could have prevented the accident.

NTSB coding

Evidence available

  • Photos
  • 8 docket documents
View NTSB final reportView NTSB docket

Docket documents8

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