Aircraft Accident/Incident Report

Coatesville, Pennsylvania 19320
Sunday, March 6, 2005 14:13 EST

NTSB Narrative Summary Released at Completion of Accident

The pilot took off from his home airport, and flew to an airport approximately 1 hour away. Prior to his return flight, he fueled the twin-engine airplane with 20 gallons of fuel, with 10 gallons added to each outboard fuel tank. About 45 minutes after departing the intermediate airport, witnesses observed the airplane on final approach to the pilot's home airport. During the approach, the airplane made a "hard left turn," and impacted a field. One witness reported hearing "at least one engine running," and another witness reported hearing the airplane's engine "throttle, and then no throttle, and throttle again," prior to the impact. Post-accident examination of the airplane revealed that both the right inboard and right outboard fuel tanks were ruptured; however, more than 15 gallons of fuel was drained from the right wing. The right fuel selector valve and handle were selected to the "inboard" position, and the right engine propeller blades displayed rotational signatures. Both the left inboard and left outboard fuel tanks remained intact. The outboard tank contained a "trace" amount of fuel, and the inboard tank contained about 10 gallons of fuel. The left engine fuel selector valve was selected to the outboard tank, and no fuel was observed in the fuel line from the left engine fuel pump to the fuel servo. A "trace" amount of fuel was observed in the left engine fuel distributor, as well as the regulator section of the fuel servo. In addition, the left engine propeller revealed no rotational signatures and was not in the feathered position. No pre-impact mechanical anomalies were noted with either the airplane or the engines. The procedure outlined in the pilot operating handbook, for a loss of engine power in flight, called for the pilot to feather the propeller of the failed engine, to reduce the yaw that would occur in the direction of that engine.

NTSB Probable Cause Narrative

The pilot's inadequate remedial action during an engine failure, which resulted in a loss of airplane control. A factor was the pilot's improper fuel management, which resulted in fuel starvation to one engine, and its subsequent loss of engine power.

Event Information

Type of Event Accident
Event Date 3/6/2005
Event Day of the Week Sunday
Time of Event 1413
Event Time Zone Eastern Standard Time
Event City Coatesville
Event State PENNSYLVANIA
Event Country --
Zipcode of the event site 19320
Event Date Year 2005
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 395708N
Event Location Longitude 0755108W
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 --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1351 Eastern Standard Time
Direction of event from weather observation facility (degrees) 120
Weather Observation Facility ID ILG
Elevation of weather observation facility 79
Distance of event from weather observation facility (units?) 22
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 11000
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 8
Dew Point at event time (in degress fahrenheit) -3
Wind Direction (degrees magnetic) 220
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 21
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 27
Altimeter Setting at event time (in. Hg) 29.73
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 19587
NTSB Notification Source EROC
NTSB Notification Date Mar 6 2005 12:00AM
NTSB Notification Time 1454
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 25 2006 11:00AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Philadelphia FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N2343Z
NTSB Number NYC05FA053
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-23-250
Aircraft Series Identifier --
Aircraft Serial Number 27-8054018
Certified Max Gross Weight 5200
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 6
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Mar 1 2004 12:00AM
Airframe hours since last inspection 89
Airframe Hours 5336
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name Bar Aviation Inc
Aircraft Owner Street Address 4615 Newark Rd.
Aircraft Owner City Cochronville
Aircraft Owner State PA
Aircraft Owner Country USA
Aircraft Owner Zipcode 19330
Operator is an individual? No
Operator Name Richard Simons
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Malvern
Operator State PA
Operator Country USA
Operator Zip code 19355
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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 THV
Departure City York
Departure State PA
Departure Country USA
Departure Time 1330
Departure Time Zone EST
Destination Same as Local Flt crash at destination city
Destination Airport Code 40N
Destination City Coatesville
Destination State PA
Destination Country USA
Specific Phase of Flight Approach
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Jan 30 2006 8:08AM
User who most recently changed record COXP
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --