Van Nuys Airport
Aircraft Accident/Incident Report

Van Nuys, California 91406
Wednesday, June 23, 1999 14:46 PDT

NTSB Narrative Summary Released at Completion of Accident

The airplane collided with two school buses during a forced landing on a city street. During a straight-in approach for landing, the pilot lost all power on his left engine. After switching to the left auxiliary tank the engine did not restart. About a minute later all power was lost on the right engine. No attempt was made to switch to the right auxiliary tank because the pilot felt the airplane was too low and he concentrated on making a forced landing on a city street directly in front of the airplane. After touchdown, the airplane's wing tip main fuel tanks collided with the front ends of two approaching school buses. The two main fuel tanks were ruptured in the accident and found empty. Only residual fuel was found in the lines, with 1 quart of fuel recovered from the left auxiliary tank and 4 gallons from the right auxiliary tank. Investigators could not determine the exact fuel load onboard before the first departure that morning; however, based on refueling records, the airplane would have had no less than 122 gallons. During the first leg of flight, a high cylinder head temperature reading led the pilot to make a precautionary landing at an airport just over halfway to the original destination; the total elapsed time at this landing was 1.3 hours. The pilot was then told to reposition the aircraft back to the point of departure. He said he relied on a preplanned flight plan provided by company dispatchers, and he did not recompute the fuel required for the return. No fuel was added before the return flight. The elapsed time on the return flight was 1.2 hours for a total of 2.5 hours. The pilot said that for both legs of the flight he set a fuel flow of 18 gallons per hour per engine (which is above the red line gage limit); the performance charts show that the proper fuel flow setting was 13.35 gallons per hour per engine. Even at the high fuel flow of 18 gph, investigators computed that the airplane should have had a minimum of 12 gallons at the time of the accident, and this fuel remains unaccounted for. The pilot said that at some point during the two legs he switched to his auxiliary tanks until the gauges read 2 and 5 gallons, and then switched back to his main tanks. He could not specifically recall how long he had been flying on the mains when he switched tanks, or on which leg the switch occurred. To avoid unwanted venting of fuel overboard, a specific fuel tank use sequence must be used. The engine driven fuel pumps supply 50 percent more fuel than is required to the metering valves for each engine, with the excess fuel returned to the corresponding main tank. The auxiliary tanks should not be selected until the main tanks have been used for at least 60 minutes so that the mains have room for the returned excess flow from the auxiliary tanks. No evidence of leakage or staining was found around the wing filler caps. Staining found on the pavement around both buses could not be differentiated between fuel and a fire suppressive agent. After the accident, both engines were started and test run with no anomalies noted.

NTSB Probable Cause Narrative

The pilot's inadequate fuel management that resulted in fuel exhaustion and the subsequent collision with vehicles during a forced landing on a city street.

Event Information

Type of Event Accident
Event Date 6/23/1999
Event Day of the Week Wednesday
Time of Event 1446
Event Time Zone Pacific Daylight Time
Event City VAN NUYS
Event State CALIFORNIA
Event Country --
Zipcode of the event site 91406
Event Date Year 1999
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport VAN NUYS
Event Location Nearest Airport ID VNY
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport 315
Airport Elevation 799
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1448 Pacific Standard Time
Direction of event from weather observation facility (degrees) 135
Weather Observation Facility ID VNY
Elevation of weather observation facility 799
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 5500
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 88
Dew Point at event time (in degress fahrenheit) 39
Wind Direction (degrees magnetic) 130
Variable Wind Indicator Unknown
Wind Speed (knots) 8
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) 2972
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 13
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor 13
Injury Total None 1
Injury Total Serious --
Injury Total All 13
Investigating Agency NTSB
NTSB Docket Number (internal use) 10424
NTSB Notification Source --
NTSB Notification Date Jun 23 1999 12:00AM
NTSB Notification Time 1500
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Aug 29 2001 10:56AM
User who most recently changed record MONR
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N186BA
NTSB Number LAX99FA225
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 402A
Aircraft Series Identifier 402A
Aircraft Serial Number 402A0110
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 9
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Jun 12 1999 12:00AM
Airframe hours since last inspection 10
Airframe Hours 16789
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name SUSSEX AVIATION
Aircraft Owner Street Address 17600 ROSCOE BOULEVARD
Aircraft Owner City VAN NUYS
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 91406
Operator is an individual? --
Operator Name BALTER WORLDWIDE CORP.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 7045 SOPHIA AVENUE
Operator City VAN NUYS
Operator State CA
Operator Country
Operator Zip code 91406
Operator Code B4WA
Owner has at least one certificate Yes - certificate holder
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) Positioning
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code IFP
Departure City BULLHEAD CITY
Departure State AZ
Departure Country
Departure Time 1328
Departure Time Zone MST
Destination Same as Local Flt crash at destination city
Destination Airport Code VNY
Destination City
Destination State
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 5 2001 4:00AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 16R
Runway Length 8001
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --