Pilot Debrief

CESSNA 177RG near Ocean Isle Beach, NC — 2009-04-04

Final reportERA09CA232
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Date
2009-04-04
Location
Ocean Isle Beach, NC, USA
Airport
60J
Aircraft
CESSNA 177RG
Registration
N1838Q
Category
Airplane
Highest injury
Minor
Fatalities
0
Phase of flight
Cruise

Probable cause

The pilot's failure to divert to an alternate airport resulting in the total loss of engine power due to fuel exhaustion. Contributing to the accident were the pilot's incorrect determination of the fuel load prior to the flight, the lack of placards near the engine-monitoring instrument, and the pilot's reliance of the on-board engine-monitoring instrument instead of the fuel quantity gauges.

NTSB narrative

The pilot visually inspected each fuel tank before departure but incorrectly believed the fuel tanks were full. Each fuel tank contained more than 22 gallons but less than 25 gallons usable fuel. When near the destination airport the engine experienced a total loss of engine power due to fuel exhaustion. The pilot proceeded towards an alternate airport, but was unable to land there and landed gear-up short of the intended runway. A total of 3 to 4 ounces of fuel were drained from the wing fuel tanks. No tank damage and no fuel leaks were noted from the fuel filler caps or fuel tank sump drain valves. Both fuel quantity gauges were noted to read empty when aircraft's battery power was applied. Although an engine-monitoring instrument with fuel flow capability was installed after the airplane was manufactured, installation instructions required placards to read that the airplane's fuel quantity gauges should be used to determine the fuel level in the tanks, and the original fuel flow gauge is the primary instrument for fuel flow. Postaccident examination of the instrument panel revealed neither placard was installed. Though the airplane was modified by installation of a turbocharger which required an increase in fuel flow, the increase was within the limits of the fuel flow transducer. The calculated average fuel flow during the accident flight was 10.3 gallons-per-hour, which was consistent with the average calculated fuel flows on two flights before the engine was overhauled. Fueling records at the intended destination reflect that on one occasion he landed with no more than 5.0 gallons of usable fuel remaining.

Analysis

Primary failure mode
Fuel management
First missed decision gate
Pilot could have verified fuel levels more accurately before departure.

NTSB coding

Evidence available

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

Docket documents14

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