Pilot Debrief

CIRRUS DESIGN CORP SR22 near Watertown, WI — 2015-12-27

Final reportCEN16LA069
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Date
2015-12-27
Location
Watertown, WI, USA
Aircraft
CIRRUS DESIGN CORP SR22
Registration
N5PF
Category
Airplane
Highest injury
Serious
Fatalities
0
Phase of flight
Climb

Probable cause

The pilot’s improper in-flight fuel management, which resulted in a total loss of engine power due to fuel starvation. Contributing to the accident was the pilot’s failure to switch fuel tanks after the engine lost power, and his delayed decision to activate the airframe parachute system, which resulted in his serious injury due to incomplete deployment of the system and the airplane’s improper attitude upon touchdown.

NTSB narrative

The private pilot had spent several hours flying practice instrument approaches to various airports. He stated that he became distracted and failed to monitor the airplane's fuel state. His normal habit was to alternate between the airplane's wing fuel tanks every 30 minutes; however, he did not perform this action during the last hour of the accident flight. Shortly after takeoff to return to his home airport in night visual meteorological conditions, the airplane's engine experienced a total loss of power. The pilot turned back toward the departure airport, but the airplane did not have sufficient altitude to complete a power-off glide to the runway. The pilot stated that he did not switch the airplane's fuel selector following the loss of engine power. About 344 ft above ground level, the pilot activated the airplane's airframe parachute system. The low-altitude activation resulted in an incomplete deployment of the parachute and a nose-down impact with the ground, during which the pilot sustained serious injury. The pilot stated that there were no mechanical malfunctions or anomalies that would have precluded normal operation of the airplane. Postaccident examination revealed that the airplane's fuel system was intact. The right wing tank, which was selected, contained about 21 oz of fuel, and the left wing tank contained about 22 gallons. Therefore, the total loss of engine power was consistent with fuel starvation.

Analysis

Primary failure mode
Fuel management
First missed decision gate
Pilot did not switch fuel tanks as directed by the engine failure checklist.

NTSB coding

Evidence available

  • FDR / data
  • ADS-B / radar
  • Photos
  • 11 docket documents
View NTSB final reportView NTSB docket

Docket documents11

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