Pilot Debrief

PIPER PA-32-301 near San Jose, CA — 2022-07-23

Final reportWPR22LA271
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Date
2022-07-23
Location
San Jose, CA, USA
Airport
RHV
Aircraft
PIPER PA-32-301
Registration
N300BH
Category
Airplane
Highest injury
Serious
Fatalities
0
Phase of flight
Initial climb

Probable cause

The pilot’s inadequate preflight inspection and fuel management, which resulted in fuel starvation, a total loss of engine power, and an impact with terrain.

NTSB narrative

The pilot had planned to fly the airplane on a short flight back to the owner’s hangar following an annual inspection. According to the pilot, the engine lost all power during climbout from the departure airport. The airplane impacted the ground, struck a fence and came to rest upright. Postaccident examination of the airplane revealed no preimpact mechanical anomalies of the airplane or engine that would have precluded normal operation. The airplane contained 15 gallons of fuel in each wing fuel tank before the annual inspection began. The maintenance facility ran the engine at maximum power with the fuel selector positioned on the left fuel tank for at least 45 minutes during the annual inspection. Fuel consumption calculations indicate this would have nearly depleted the left fuel tank of fuel. No additional fuel was added by the mechanics or the pilot before the accident flight nor was there any discussion between the pilot and mechanic regarding the amount of fuel remaining in the airplane. It is likely that the pilot departed without a thorough preflight inspection or he would have observed the low fuel quantity and switched to the right fuel tank before departure. The pilot stated that he switched tanks once during the accident flight after the power loss. As the fuel selector was found in the right tank position at the accident site, it is likely that he departed on the left fuel tank. This evidence suggests that the pilot’s improper fuel management resulted in fuel starvation and a total loss of engine power. Further, the departure airport did not sell the type of fuel required to power the accident airplane. However, it is unlikely that this would have influenced the pilot’s decision as he believed he had sufficient fuel to complete the flight.

Analysis

Primary failure mode
Fuel management
First missed decision gate
Pilot did not refuel the airplane before departure despite low fuel levels.

NTSB coding

Evidence available

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

Docket documents13

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