North Perry Airport
Aircraft Accident/Incident Report

Hollywood, Florida 33024
Wednesday, October 12, 2011 13:34 EDT

NTSB Narrative Summary Released at Completion of Accident

In anticipation of the maintenance test flight, a about 72 gallons of fuel was added to the left fuel tank to balance the fuel load. During the preflight, the pilot noted that the left tank had 105 gallons and that the right tank had 108 gallons. Because of the fuel level indications, the pilot did not visually inspect the tanks; even if he had done so the wing dihedral would have prevented him from seeing the fuel level. About 20 minutes after takeoff, the pilot received the first annunciation of “Fuel Low R,” which lasted for about 10 seconds then went out. This indicates the fuel quantity is less than or equal to 9 gallons of usable fuel in the right tank. The pilot attributed this to a malfunction of the low fuel level sensor, since the fuel gauge showed about 98 gallons of fuel. He instructed the right front seat occupant (the mechanic) to make a note so the sensor would be replaced after the flight. Shortly thereafter, the amber “Fuel Unbalance” illuminated, and indicated that the right fuel quantity was greater than the left; as a result the pilot switched the fuel selector to the right tank. He then initiated a descent to 10,000 feet to perform system checks, and after levelling off at that altitude for about 15 minutes, received a second “Fuel Low R” annunciation; he verified that the fuel selector automatically switched to the left tank and noted that the message went out after about 10 seconds. Either before or during a descent to 4,000 feet, the second “Fuel Unbalance” annunciation occurred. The right tank again depicted a greater quantity of fuel, so the pilot again switched the fuel selector to the right tank. The flight continued to a nearby airport, where the pilot terminated an instrument approach with a low approach. The flight then proceeded to the destination airport and entered the traffic pattern on a left downwind leg.. While on the downwind leg, the pilot received the third “Fuel Unbalance” annunciation and at this time the left fuel gauge indicated 55 gallons while the right fuel gauge indicated 74 gallons. Because he intended to land within a few minutes, the pilot manually selected the fullest (right) tank, then turned to base then final. While at 800 feet on final approach, the red warning message “Fuel Press” illuminated and the engine lost all power. Attempts to restore engine power were unsuccessful. Unable to reach the airport, the pilot landed on a nearby turnpike. Both fuel tanks were breached, and fuel leakage, likely from the left fuel tank, was noted at the site. Inspection of the fuel outlet filter on the engine and the fuel sequencer reservoir considered an airframe item revealed both contained minimal fuel consistent with fuel starvation from the right fuel tank that actually did not contain an adequate supply of fuel. Postaccident operational testing of the engine revealed no evidence of preimpact failure or malfunction that would have resulted in the loss of power. Examination and testing of the right fuel gauge harness revealed that a high impedance shielded cable was not correctly soldered to the shielding braid when the airplane was manufactured, which resulted in erroneous high readings of the fuel quantity in the right tank. Several opportunities existed to detect the fuel quantity errors in the right tank during the airplane’s 600-hour and annual inspection, which was signed off the day before. Several times during the inspection, electrical power was applied and different fuel quantities for the right tank were displayed, yet nothing was done to determine the reason for the different fuel indications. For example, 41 gallons was displayed, yet 70 gallons was drained; the fuel was returned to the tank after maintenance, yet the gauge showed 51 gallons, and after a post-maintenance run was performed, the gauge showed over 140 gallons even though it hadn’t been fueled. Maintenance personnel incorrectly attributed the difference to fuel migration. Further, the pilot had the opportunity to terminate the test flight after multiple conflicting indications from the right tank, yet he continued the test flight, which resulted in fuel starvation.

NTSB Probable Cause Narrative

The pilot’s failure to terminate the flight after observing multiple conflicting errors associated with the inaccurate right fuel quantity indication. Contributing to the accident were the total loss of engine power due to fuel starvation from the right tank, the inadequate manufacturing of the right fuel gauge electrical harness, and failure of maintenance personnel to recognize and evaluate the reason for the changing fuel level in the right fuel tank.

Event Information

Type of Event Accident
Event Date 10/12/2011
Event Day of the Week Wednesday
Time of Event 1334
Event Time Zone Eastern Daylight Time
Event City Hollywood
Event State FLORIDA
Event Country --
Zipcode of the event site 33024
Event Date Year 2011
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 255950N
Event Location Longitude 0801319W
Event Location Airport North Perry Airport
Event Location Nearest Airport ID HWO
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 1
Degrees magnetic from airport --
Airport Elevation 8
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1335 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 283
Weather Observation Facility ID HWO
Elevation of weather observation facility 8
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation EDT
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) 30
Dew Point at event time (in degress fahrenheit) 20
Wind Direction (degrees magnetic) 230
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.85
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 2
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 32487
NTSB Notification Source News Media
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Mar 10 2014 3:54PM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N37SV
NTSB Number ERA12FA023
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name SOCATA
Aircraft Model TBM 700
Aircraft Series Identifier --
Aircraft Serial Number 441
Certified Max Gross Weight 7400
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 Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Oct 12 2011 12:00AM
Airframe hours since last inspection 2
Airframe Hours 593
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name SV LEASING COMPANY OF FLORIDA
Aircraft Owner Street Address 3725 LEAFY WAY
Aircraft Owner City MIAMI
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 33133-6407
Operator is an individual? No
Operator Name SOCATA North America, Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 7501 S. Airport Road
Operator City Pembroke Pines
Operator State FL
Operator Country USA
Operator Zip code 33023
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) Flight Test
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code HWO
Departure City Hollywood
Departure State FL
Departure Country USA
Departure Time 1216
Departure Time Zone EDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code HWO
Destination City Hollywood
Destination State FL
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 10 2014 3:54PM
User who most recently changed record kenj
Since inspection or accident Last Inspection
Event Location Runway Number and Location 27L
Runway Length 3255
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --