Fuel Exhaustion & Starvation · NTSB WPR19FA042

Piper PA-24-250 — Aberdeen, ID

1 fatal Low-time pilot
DateDecember 17, 2018
LocationAberdeen, ID
AircraftPiper PA-24-250
Purpose of flightPersonal
ConditionsDay · Visual Meteorological Cond
Phase / occurrenceInitial climb Loss of engine power (partial)
Pilot age42
Pilot total time292 hrs · Low time
Time in type173 hrs
Fatalities1

Probable cause

The pilot's diverted attention during the takeoff climb due to a loss of engine power, which resulted in the airplane’s exceedance of the critical angle of attack and subsequent stall/spin.   

NTSB findings

  • Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
  • Personnel issues-Psychological-Attention/monitoring-Attention-Pilot - C
  • Aircraft-Aircraft power plant-Ignition system-Magneto/distributor-Failure - C
  • Aircraft-Aircraft systems-Fuel system-Fuel selector/shutoff valve-Incorrect use/operation - C
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Angle of attack-Not attained/maintained

What happened

Security camera video captured the airplane during the initial climb after takeoff.  The video showed that as the airplane entered the view of the camera, it appeared to be in a shallow climb; however, about 14 seconds later, the airplane descended in a near vertical manner, out of view of the camera. The airplane impacted open terrain about 1,850 ft west of the departure end of the runway. Examination of the airframe revealed no mechanical anomalies that would have precluded normal operation; however, the left fuel selector valve was in the left wingtip tank position, and the right selector valve was in in a position between the right main fuel tank and right wingtip tank position. The Airplane Flight Manual Supplement for the wingtip fuel tank installation stated that the wingtip tank fuel was to be used in level flight only. It is likely that because of the placement of the fuel port in the wingtip fuel tanks, when the airplane was in a climb attitude, the fuel may not have reached the fuel port in the tank. As a result, the pilot’s improper positioning of the fuel valves could have led to fuel starvation during the takeoff climb and resulted in a loss of engine power.

Additionally, examination of the engine revealed that both magnetos were found in poor condition and showed evidence of little maintenance being performed. The left magneto drive shaft would not rotate. Disassembly of the left magneto revealed excessive wear on the bearing race that is attached to the drive shaft. The excessive wear allowed the magnets to contact the magneto housing, which resulted in the magneto being grounded, thus inoperative. The inoperative magneto would have partially reduced engine power.

It is likely that the pilot experienced a loss of engine power to some degree during takeoff initial climb and his attention could have been diverted as part of troubleshooting the loss of engine power.  The pilot's diverted attention most likely allowed for the airplane to exceed its critical angle of attack, resulting in a stall and subsequent spin at an altitude too low for recovery.

An editorial "what led to it / how to avoid it" analysis for this accident is generated separately and will appear here.

View the official NTSB docket →