Pilot Debrief

PIPER PA-22-108 near Forsyth, MO — 2014-01-04

Final reportCEN14LA112
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Date
2014-01-04
Location
Forsyth, MO, USA
Aircraft
PIPER PA-22-108
Registration
N4505Z
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Cruise

Probable cause

The pilot's improper flight planning, which resulted in a total loss of engine power due to fuel exhaustion.

NTSB narrative

The pilot reported that, while in cruise flight, the airplane experienced a total loss of engine power about 8 miles from the intended destination. The pilot was unable to restart the engine, and he subsequently ditched the airplane in a lake. A postaccident examination of the engine did not reveal any mechanical anomalies that would have prevented normal operation. No fuel was found in the fuel system during the postaccident examination; however, the airplane had been submerged for nearly 1 week before it was recovered from the lake. Postaccident performance calculations indicated that it is likely that the engine lost power due to fuel exhaustion during the accident flight. Although the pilot reported that he had completed preflight planning calculations (the actual paperwork was lost during the accident), the investigation determined that the wind aloft values that the pilot likely used in his preflight planning calculations were significantly different from the actual wind aloft values. As a result, the airplane's actual ground speed was significantly less than what the pilot would have anticipated. The pilot also reported that he completed the accident flight at less than 65-percent engine power, which would have increased the length of the flight and the amount of fuel used during it when compared to higher engine power settings; the available cruise performance charts lacked true airspeed and engine speed data for operating below 65-percent engine power. Therefore, the pilot could not have estimated the total flight time and fuel required for the accident flight with a high level of accuracy. Additionally, the pilot reported that the mixture control cable had fractured during a previous flight and, to continue his cross-country trip, he safety-wired the carburetor mixture control arm in the full-rich position. As a result, the pilot was unable to properly lean the fuel mixture during the accident flight; however, it is unknown to what extent the pilot planned for this condition. Further, the pilot made an unplanned stop at an airport located along his planned route of flight. The additional fuel consumed during this unplanned stop (taxi, engine run-up, takeoff, and climb to cruise altitude) would have further reduced the amount of fuel available to complete the accident flight.

Analysis

Primary failure mode
Fuel management
First missed decision gate
Pilot could have ensured adequate fuel before continuing flight after unplanned stop.

NTSB coding

Evidence available

  • 12 docket documents
View NTSB final reportView NTSB docket

Docket documents12

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