Aircraft Accident/Incident Report

Carolina
Monday, January 16, 1989 18:14 AST

NTSB Narrative Summary Released at Completion of Accident

THE PLT ORDERED 42 GALLONS OF FUEL TO BE ADDED TO THE ACFT WHICH WOULD BRING THE TOTAL FUEL LOAD TO 60 GALLONS. THE LINEMAN ADDED 4.2 GALLONS BRINGING THE TOTAL FUEL LOAD TO 22.2 GALLONS. THE PLT DID NOT VERIFY THE FUEL LOAD PRIOR TO DEPARTURE. THE ACFT WAS FLOWN FROM SAN JUAN TO VIEQUES IN WHICH 12 GALLONS WERE BURNED. NO FUEL WAS ADDED AND THE PLT AGAIN DID NOT VERIFY HIS FUEL LOAD. THE FLT DEPARTED VIEQUES EN ROUTE BACK TO SAN JUAN WITH 10.2 GALLONS OF FUEL. ON DESCENT INTO SAN JUAN BOTH ENGINES FAILED AND A FORCED LANDING WAS MADE IN A SUGAR CANE FIELD. AFTER ROLLING ABOUT 100 YDS THE LEFT LDG GR COLLAPSED. POST CRASH EXAMINATION OF THE ACFT REVEALED IT CONTAINED 36 OUNCES OF FUEL WITH NO EVIDENCE OF LEAKAGE. THE ENGINES WERE OPERATED TO FULL POWER WITH NO EVIDENCE OF MECHANICAL FAILURE OR MALFUNCTION AFTER THE ACCIDENT. THE LINEMAN HAD BEEN HIRED AS A PART-TIME EMPLOYEE ON 1/2/89. HE STATED HE WAS WORKING ONLY HIS FIFTH DAY AND THAT HE HAD NO FORMAL REFUELING TRNG.

NTSB Probable Cause Narrative

FUEL EXHAUSTION AND THE FAILURE OF THE PILOT TO INSURE THAT THE PROPER FUEL LOAD WAS PLACED ON THE AIRCRAFT FOR THE FLIGHT. CONTRIBUTING FACTORS INCLUDED THE IMPROPER REFUELING OF THE AIRCRAFT, IMPROPER INITIAL TRAINING OF THE REFUELER AND THE CROP, WHICH CAUSED SUBSTANTIAL DAMAGE TO THE AIRCRAFT.

Event Information

Type of Event Accident
Event Date 1/16/1989
Event Day of the Week Monday
Time of Event 1814
Event Time Zone Atlantic Standard Time
Event City CAROLINA
Event State PUERTO RICO
Event Country --
Zipcode of the event site 00628
Event Date Year 1989
Event Date Month 1
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 0
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1753 Atlantic Standard Time
Direction of event from weather observation facility (degrees) 330
Weather Observation Facility ID SJU
Elevation of weather observation facility 9
Distance of event from weather observation facility (units?) 3
Time Zone of the weather observation AST
Lighting Conditions Dusk
Lowest Ceiling Height 9000
Lowest Non-Ceiling Height 1200
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 12
Air Temperature at event time (in degrees celsius) 23
Dew Point at event time (in degress fahrenheit) 21
Wind Direction (degrees magnetic) 120
Variable Wind Indicator Unknown
Wind Speed (knots) 5
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) 900
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 6
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 142
NTSB Notification Source --
NTSB Notification Date Jan 16 1989 12:00AM
NTSB Notification Time 1900
Fiche Number and/or location -used to find docket information 38335
Date of most recent change to record Dec 13 2000 12:25PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N457SA
NTSB Number MIA89FA065
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed VFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BRITTEN-NORMAN
Aircraft Model BN-2A
Aircraft Series Identifier BN-2A
Aircraft Serial Number 27
Certified Max Gross Weight 6000
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 10
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Jan 12 1989 12:00AM
Airframe hours since last inspection 9
Airframe Hours 9938
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name VIEQUES AIR LINK, INC.
Aircraft Owner Street Address ANTONIO G. MELLADO #360
Aircraft Owner City VIEQUES
Aircraft Owner State PR
Aircraft Owner Country
Aircraft Owner Zipcode
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code VLIA
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 Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code VQS
Departure City VIEQUES
Departure State PR
Departure Country
Departure Time 1750
Departure Time Zone AST
Destination Same as Local Flt --
Destination Airport Code SIG
Destination City SAN JUAN
Destination State PR
Destination Country
Specific Phase of Flight Landing
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 0
Runway Width 0
Sight Seeing flight No
Air Medical Flight No
Medical Flight --