Pilot Debrief

RAYTHEON G36 near Panama City, FL — 2013-12-18

Final reportERA14FA074
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Date
2013-12-18
Location
Panama City, FL, USA
Airport
75FL
Aircraft
RAYTHEON G36
Registration
N89SN
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Cruise

Probable cause

The pilot’s inadequate preflight and inflight fuel planning, which resulted in a total loss of engine power due to fuel exhaustion. Contributing to the pilot’s injuries was his failure to use the available shoulder harness.

Contributing factors

Contributing to the pilot's injuries was his failure to use the available shoulder harness.

NTSB narrative

The flight was about 60 miles from the destination airport when the pilot reported a total loss of engine power to air traffic control. The controller provided information on nearby airports, and the pilot maneuvered the airplane toward the closest airport. The pilot reported the airport in sight; radio and radar contact were subsequently lost. A search for the airplane was initiated, and the wreckage was located in a heavily wooded swamp about 1 mile east of the airport. There were no known witnesses to the accident. The fuel tank selector handle was found in the "left main" (left wing tank) position. The left wing tank was not breached, and about 1 pint of fuel was recovered from the tank. The right tank was breached, and it contained residual fuel; however, there was no evidence of fuel leakage on the ground beneath the tank. The airplane was fitted with optional wing tip tanks, which were found empty. The total amount of fuel recovered, including the residual fuel in the tanks and fuel recovered from a small pool of water directly under the airplane, was about 2.5 gallons, which was less than the manufacturer-reported unusable fuel quantity of 6 gallons. The airplane was last serviced with fuel about 28 days before to the accident; however, the total fuel onboard at that time could not be determined. The propeller blades exhibited no rotational damage or signatures. After the accident, the engine was removed from the airframe and successfully test run at the manufacturer's facilities; no evidence of pre-accident malfunction or failure was observed. Although a shoulder harness was available, the pilot was found in the left seat with only his lap belt fastened. Damage to the airplane's multi-function display was consistent with impact by the pilot's head during the accident sequence. The pilot's cause of death was blunt force head trauma, and the impact forces that he experienced would likely have been reduced if he had been wearing his shoulder harness.

Analysis

Primary failure mode
Engine power loss
First missed decision gate
Pilot could have checked fuel levels before departure to ensure adequate fuel for the flight.

NTSB coding

Evidence available

  • ATC audio
  • ADS-B / radar
  • Photos
  • 27 docket documents
View NTSB final reportView NTSB docket

Docket documents27

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