Aircraft Accident/Incident Report

Monroe, North Carolina 28110
Thursday, August 1, 1991 14:35 EDT

NTSB Narrative Summary Released at Completion of Accident

THE ACCIDENT OCCURRED DURING THE PILOT'S SECOND ATTEMPT TO FLY TO HIS DESTINATION. ACCORDING TO AIRPORT PERSONNEL, HE DID NOT REFUEL THE AIRPLANE AFTER HE RETURNED FROM THE FIRST ATTEMPT. HE HAD ONLOADED 43.6 GALLONS OF FUEL BEFORE DEPARTING ON THE FIRST FLIGHT. AFTER DEPARTING RUTHERFORDTON ON THE SECOND FLIGHT, THE AIRPLANE WAS OBSERVED ABOUT 400 FEET ABOVE THE GROUND AND 4 MILES NORTH OF MONROE. ONE WITNESS REPORTED THAT THE RIGHT ENGINE WAS SPUTTERING AS IT FLEW OVERHEAD; SECONDS LATER, THE AIRPLANE CRASHED INTO A WOODED AREA. A WRECKAGE EXAMINATION DISCLOSED THAT THE FUEL SYSTEM WAS EMPTY. NO FUEL WAS FOUND IN THE LEFT ENGINE FUEL FLOW DIVIDER. AIRPORT PERSONNEL ALSO REPORTED THE PILOT WAS NOT KNOWLEDGEABLE OF THE AIRCRAFT FUEL SYSTEM. ACCORDING TO THE OWNER'S MANUAL, THE FUEL CONSUMPTION RATE FOR CRUISE AT 75% POWER WAS ABOUT 16 GALLONS PER HOUR PER ENGINE. THE PILOT HAD OPERATED THE ENGINES APPROXIMATELY 2 HOURS 10 MINUTES BEFORE THEY LOST POWER.

NTSB Probable Cause Narrative

INADEQUATE PREFLIGHT BY THE PILOT, WHICH RESULTED IN FUEL EXHAUSTION, DUE TO AN INADEQUATE SUPPLY OF FUEL. THE PILOT'S LACK OF FAMILIARITY WITH THE AIRCRAFT FUEL SYSTEM WAS A RELATED FACTOR.

Event Information

Type of Event Accident
Event Date 8/1/1991
Event Day of the Week Thursday
Time of Event 1435
Event Time Zone Eastern Daylight Time
Event City MONROE
Event State NORTH CAROLINA
Event Country --
Zipcode of the event site 28110
Event Date Year 1991
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1450 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 310
Weather Observation Facility ID CLT
Elevation of weather observation facility 749
Distance of event from weather observation facility (units?) 25
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height 1600
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 5
Air Temperature at event time (in degrees celsius) 26
Dew Point at event time (in degress fahrenheit) 22
Wind Direction (degrees magnetic) 150
Variable Wind Indicator Unknown
Wind Speed (knots) 8
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) 1200
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 1903
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 45842
Date of most recent change to record Dec 12 2000 10:37AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N3298Q
NTSB Number ATL91FA148
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 401
Aircraft Series Identifier 401
Aircraft Serial Number 401-0098
Certified Max Gross Weight 6300
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 7
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Unknown
Date of Last Inspection Jul 31 1991 12:00AM
Airframe hours since last inspection 0
Airframe Hours 5975
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name FISHER, HYMAN S
Aircraft Owner Street Address 403 ELM ST - EASTWOOD
Aircraft Owner City SALISBURY
Aircraft Owner State NC
Aircraft Owner Country
Aircraft Owner Zipcode 28146
Operator is an individual? --
Operator Name FISHER, HYMAN S
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 403 ELM ST - EASTWOOD
Operator City SALISBURY
Operator State NC
Operator Country
Operator Zip code 28146
Operator Code
Owner has at least one certificate None
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code 57A
Departure City RUTHERFORDTON
Departure State NC
Departure Country
Departure Time 1330
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code RVQ
Destination City SALISBURY
Destination State NC
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:35AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --