Chautauqua County/Jamestown Airport
Aircraft Accident/Incident Report

Jamestown, New York 14701
Monday, January 8, 2007 9:50 EST

NTSB Narrative Summary Released at Completion of Accident

During the initial climb, a "throbbing or surging" sound was heard as the airplane departed in gusting wind conditions with a 600-foot ceiling and 1/2 mile visibility in snow. Moments later the airplane came "straight down" and impacted the ground. During examination of the wreckage, it was discovered that that the fuel selector switch for the right engine had been in the "X-FEED" position during the accident. Examination of documents discovered in the wreckage revealed, three documents pertaining to operation of an Aerostar. These documents consisted of two airplane flight manuals (AFMs) from two different manufacturers, and a checklist. Examination of the first of the AFMs revealed, that it had the name of both the pilot and the operator on the cover of the document. Further examination revealed that it had been published 4 years prior to the manufacture of the accident airplane, and contained information for a Ted Smith Aerostar Model 601P, which the operator had previously owned. This document contained no warnings regarding the use of the crossfeed system during takeoff. Examination of the second of the two AFMs found in the wreckage revealed that it was the Federal Aviation Administration (FAA) approved AFM for the accident airplane. Unlike the first AFM, the second AFM advised that the fuel selector "X-FEED" position should be used in "level coordinated flight only." It also advised that each engine fuel selector "must be in the ON position for takeoff, climb, descent, approach, and landing." It also warned that, if the airplane was not in a level coordinated flight attitude, "engine power interruptions may occur on one or both engines" when "X-FEED" is selected "due to unporting of the respective engine's fuel supply intake port." Review of the checklist contained in the FAA approved AFM for the Piper Aircraft Model 601P under "STARTING ENGINES," required a check of the crossfeed system prior to engine start by selecting each fuel selector to "ON," then selecting "X-FEED," and after verifying valve actuation and annunciator light illumination, returning the fuel selector to "ON." Additionally, under "BEFORE TAKEOFF" It also required that the fuel selectors be checked in the "ON" position, and that the "X-FEED" annunciator light was out, prior to takeoff. Examination of the pilot's checklist revealed that, it consisted of multiple pages inserted into plastic protective sleeves and included both typed, and hand written information. A review of the section titled "BEFORE TAKEOFF" revealed that the checklist item "Fuel Selectors - ON Position," which was listed in the AFM, had been omitted.

NTSB Probable Cause Narrative

The pilot's incorrect selection of the right engine fuel selector position, which resulted in fuel starvation of the right engine, a loss of the right engine's power, and a loss of control during initial climb. Contributing to the accident were the pilot's inadequate preflight planning and preparation, and his improper use of the manufacturer's published normal operating procedures.

Event Information

Type of Event Accident
Event Date 1/8/2007
Event Day of the Week Monday
Time of Event 950
Event Time Zone Eastern Standard Time
Event City Jamestown
Event State NEW YORK
Event Country --
Zipcode of the event site 14701
Event Date Year 2007
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 420858N
Event Location Longitude 0791615W
Event Location Airport Chautauqua County/Jamestown
Event Location Nearest Airport ID JHW
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 1723
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 951 Eastern Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID JHW
Elevation of weather observation facility 1723
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 600
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 0.5
Air Temperature at event time (in degrees celsius) 0
Dew Point at event time (in degress fahrenheit) -2
Wind Direction (degrees magnetic) 260
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 16
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 26
Altimeter Setting at event time (in. Hg) 29.6
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 23555
NTSB Notification Source EROC
NTSB Notification Date Jan 8 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 30 2008 1:28PM
User who most recently changed record NTSB\johb
Basic weather conditions Instrument Meteorological Cond
FAA District Office Rochester, NY

Aircraft Involved

Aircraft #1

Aircraft Registration Number N720Z
NTSB Number NYC07FA055
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-60-601P
Aircraft Series Identifier --
Aircraft Serial Number 61P05927963262
Certified Max Gross Weight 6000
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 Oct 1 2006 12:00AM
Airframe hours since last inspection 29.3
Airframe Hours 2783.3
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name FTBA
Aircraft Owner Street Address --
Aircraft Owner City Wilmington
Aircraft Owner State DE
Aircraft Owner Country USA
Aircraft Owner Zipcode 19810
Operator is an individual? No
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 --
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 Yes
Departure Airport Code JHW
Departure City Jamestown
Departure State NY
Departure Country USA
Departure Time 950
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code BUF
Destination City Buffalo
Destination State NY
Destination Country USA
Specific Phase of Flight Takeoff - initial climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 28 2008 6:39PM
User who most recently changed record grer
Since inspection or accident Last Inspection
Event Location Runway Number and Location 25
Runway Length 5299
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --