Fuel Exhaustion & Starvation · NTSB WPR24FA037

CESSNA P210N — San Diego, CA

1 fatal High-time pilotNightIMC
DateNovember 16, 2023
LocationSan Diego, CA
AircraftCESSNA P210N
Purpose of flightPersonal
ConditionsNight · Instrument Meteorological Cond
Phase / occurrenceEmergency descent Controlled flight into terr/obj (CFIT)
Pilot age74
Pilot total time17,372 hrs · High time
Time in typeUnknown
Fatalities1

Probable cause

A total loss of engine power due to fuel exhaustion. Contributing to the accident were the pilot’s inadequate flight and fuel planning and his decision to fly in night instrument meteorological conditions despite his lack of recent instrument flight.

NTSB findings

  • Aircraft-Fluids/misc hardware-Fluids-Fuel-Fluid level
  • Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Pilot
  • Personnel issues-Task performance-Planning/preparation-Fuel planning-Pilot
  • Personnel issues-Experience/knowledge-Experience/qualifications-Recent instrument experience-Pilot
  • Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Low ceiling-Ability to respond/compensate

What happened

The instrument-rated pilot was conducting a personal night cross-county flight into an area where instrument flight rules (IFR) conditions prevailed. The pilot had flown nearly 4 hours and was conducting an instrument landing system (ILS) approach to an airport that he had diverted to due to poor weather at his intended destination and an ILS that was out of service by NOTAM at his filed alternate. There was no record of the pilot obtaining a weather briefing before the flight.

During the approach, the airplane drifted from the localizer course. The pilot then reported a missed approach to air traffic control, requested another approach, and reported about 10 minutes of fuel remaining. Subsequently, the airplane made a series of erratic turns and altitude changes, and the pilot requested an emergency landing. Shortly afterward, the pilot informed the controller that he was completely out of fuel. While the controller attempted to vector the airplane toward a runway, the airplane maneuvered northwest of the airport and then communication and contact were lost. A witness reported that visibility in the area was almost zero and the ceiling was 200-300 ft above ground level (agl) with light rain and wind. However, a pilot flying behind the accident airplane on the approach was able to follow the ILS and land without issue.

The airplane was not located and was the subject of a Federal Aviation Administration Alert Notice. Subsequently, a search located the airplane early the following morning on the side of a hill in a residential area about 3 miles west of the airport.

A review of the pilot’s logbooks revealed that within the 6 months preceding the accident flight, he had not performed the tasks required to act as pilot-in-command under IFR. His most recent actual or simulated instrument flight occurred about 19 months before the accident flight. This lack of recent instrument experience likely contributed to the pilot’s difficulty completing the ILS approach.

Postaccident examination of the airplane revealed that the fuel tanks were not damaged during the impact and were absent of fuel. In addition, there was no evidence of preimpact mechanical failures or malfunctions that would have precluded normal operation. The airplane had a specified cruise endurance of 4.2 hours with full fuel.

The postaccident airplane examination, the airplane’s maximum endurance, and the pilot’s communications on his fuel status were all consistent with a total loss of engine power due to fuel exhaustion.

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 →