Aircraft Accident/Incident Report

Anchorage, Alaska 99513
Saturday, July 9, 2011 15:16 AKD

NTSB Narrative Summary Released at Completion of Accident

The pilot was returning from a remote lodge when the airplane’s engine lost power, resulting in an off airport emergency landing. During the landing, the airplane nosed over. The pilot reported that prior to departure from the lodge, there were 26 gallons of fuel in the right main fuel tank, and 8 to 10 gallons in the left main fuel tank. He commonly used the fuel in the right tank for the flight, and the left tank fuel was the reserve supply. When the engine lost power, he switched fuel tanks, and held the emergency fuel boost pump on for about 3 seconds. When the engine did not respond, he moved the fuel lever back and forth, turned the boost pump on, and moved the fuel mixture control to the full rich position. Unable to restart the engine, he made an off airport emergency landing. The right front seat passenger said that prior to takeoff, he asked the pilot if they had enough fuel, because all four fuel gauges were on or near the empty mark. An examination of the airplane revealed that the right main fuel tank was empty, and about 3 inches of fuel remained in the left main fuel tank. The left header tank was full, and the right header tank contained a small quantity of fuel and water. No mechanical anomalies were found with the fuel system. The engine was test run and it operated satisfactorily. According to the airplane’s Pilot Operating Handbook (POH), the minimum fuel for the flight (without the required VFR reserve) would have been about 26.8 gallons. The POH treats the running of a fuel tank below a usable level in-flight as a normal operating procedure, but has very specific guidelines for engine restart. The pilot did not follow those procedures. The POH does not discuss the altitude lost or time required for a successful engine restart. Considering the witnesses’ observations, the postaccident examination of the fuel system and the successful engine operation, it is likely that the pilot inadvertently ran the right main fuel tank below a usable level. Due to the low altitude, time available, and his incorrect restart procedure, he was unable to get the engine restarted to avoid an off-airport landing. Eighty-nine fuel related accidents involving Cessna single-engine airplanes were reviewed, disclosing that 52 of those accidents were initiated by a fuel tank either being intentionally or unintentionally run below a usable level. All 89 accidents resulted from the pilot not being able to get the engine restarted. Of the major airplane manufacturers producing piston engine powered airframes, Cessna is the only one that places a loss of engine power due to intentionally running a fuel tank below a usable level in the “Normal” operating section of its POH.

NTSB Probable Cause Narrative

The pilot’s decision to depart with minimal fuel and his improper fuel management and engine restart procedures, which resulted in a loss of engine power due to fuel starvation. Contributing to the accident was the Pilot Operating Handbook did not provide the altitude or time that would be lost in the event of an engine restart.

Event Information

Type of Event Accident
Event Date 7/9/2011
Event Day of the Week Saturday
Time of Event 1516
Event Time Zone --
Event City Anchorage
Event State ALASKA
Event Country --
Zipcode of the event site 99513
Event Date Year 2011
Event Date Month 7
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 --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness --
Investigator's weather source Pilot
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID --
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 19
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 90
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 3
Injury Total None 2
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 29723
NTSB Notification Source FAA Anchorage, ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Apr 18 2012 3:48PM
User who most recently changed record johb
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9129M
NTSB Number ANC11LA061
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Unknown
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model U206E
Aircraft Series Identifier --
Aircraft Serial Number U20601529
Certified Max Gross Weight --
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 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Jul 8 2011 12:00AM
Airframe hours since last inspection --
Airframe Hours 11845
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type C126
Aircraft Owner Name CRATTY TERRY R
Aircraft Owner Street Address --
Aircraft Owner City ANCHORAGE
Aircraft Owner State AK
Aircraft Owner Country USA
Aircraft Owner Zipcode 99502
Operator is an individual? No
Operator Name GREAT NORTHERN AIR LLC
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Anchorage
Operator State AK
Operator Country USA
Operator Zip code 99502
Operator Code G2HC
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation --
Operator Certificate Number G2HC823K
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code --
Departure City Lake Marie Lodg
Departure State AK
Departure Country USA
Departure Time 1445
Departure Time Zone ADT
Destination Same as Local Flt --
Destination Airport Code MRI
Destination City Anchorage
Destination State AK
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 21 2012 4:30PM
User who most recently changed record stam
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --