Lebanon-Warren County Airport
Aircraft Accident/Incident Report

Lebanon, Ohio 45036
Wednesday, December 28, 2011 16:00 EST

NTSB Narrative Summary Released at Completion of Accident

Shortly after departure, the top of the passenger door cracked open and the pilot decided to return to the airport and land. While on the 45-degree approach to the downwind leg, he turned on the fuel boost pump and switched the fuel selector from the left tank to the right tank, since the checklist called for switching the fuel selector to the fullest tank. During the flare, the airplane was descending too fast, and a gust of wind caused it to drift left, so the pilot initiated a go-around. As the airplane was making a climbing, left-crosswind turn at 500 feet above ground level, the engine made a loud “popping sound” and immediately lost all power. The pilot initiated a forced landing and attempted to restart the engine but was not successful. The airplane hit trees and power lines before it came to rest inverted. The postaccident examination of the airplane revealed that the fuel tank selector valve was in a partial OFF position (between the right tank and OFF position). When the valve was rotated, it was stiff to move and there were no apparent detents for either the fuel tanks or the OFF position. A teardown of the fuel selector valve revealed that the inside of the valve contained dirt and contamination, and that the position washer was worn. The airplane manufacturer issued Service Bulletin No. 355 on June 5, 1972, that stated: “Inspect position washer to ascertain that it will not allow the valve to rotate beyond its stop positions. Also, inspect position washer inner perimeter surface for indications of extreme wear; should this be evident, replace position washer.” The service bulletin called for repetition of this inspection at 100-hour intervals and for replacement of the position washer if the valve was difficult to rotate or if the washer did not allow the valve to rotate beyond the stop position. The fuel tank selector valve was reassembled and tested with the fuel selector handle in the same position as it was found at the accident site. The test indicated that the stream of fluid exiting the fuel selector valve was at a greatly reduced flow rate as compared to when the handle was positioned on the left or right fuel tank. The test indicated that there was not enough fuel flow to the engine at maximum power used during the go-around, which resulted in the engine’s total loss of power. The pilot reported that when he switched the fuel selector valve from the left tank to the right tank during the accident flight, he did not look to confirm the position of the lever.

NTSB Probable Cause Narrative

The pilot’s inadvertent positioning of the fuel selector valve between the right tank and OFF position, which resulted in fuel starvation and a total loss of engine power. Contributing to the accident was the inadequate inspection of the fuel valve and failure to replace the worn fuel valve's position washer.

Event Information

Type of Event Accident
Event Date 12/28/2011
Event Day of the Week Wednesday
Time of Event 1600
Event Time Zone Eastern Standard Time
Event City Lebanon
Event State OHIO
Event Country --
Zipcode of the event site 45036
Event Date Year 2011
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 392712N
Event Location Longitude 0841429W
Event Location Airport Lebanon-Warren County Airport
Event Location Nearest Airport ID I68
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 898
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1653 Eastern Standard Time
Direction of event from weather observation facility (degrees) 360
Weather Observation Facility ID MGY
Elevation of weather observation facility 957
Distance of event from weather observation facility (units?) 8
Time Zone of the weather observation EST
Lighting Conditions Dusk
Lowest Ceiling Height 2800
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) 1
Dew Point at event time (in degress fahrenheit) -4
Wind Direction (degrees magnetic) 250
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.03
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report KMGY 282153Z AUTO 25005KT 10SM BKN028 01/M04 A3003
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 3
Injury Total None --
Injury Total Serious 1
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 30069
NTSB Notification Source FAA-AGL-ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jul 6 2012 2:36PM
User who most recently changed record bowl
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N994NC
NTSB Number CEN12LA116
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 Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name PIPER
Aircraft Model PA-28-180
Aircraft Series Identifier --
Aircraft Serial Number 28-2590
Certified Max Gross Weight 2400
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 4
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jan 24 2011 12:00AM
Airframe hours since last inspection 31
Airframe Hours 6833
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name WARREN COUNTY AIRPORT LTD
Aircraft Owner Street Address 2460 GREENTREE RD
Aircraft Owner City LEBANON
Aircraft Owner State OH
Aircraft Owner Country USA
Aircraft Owner Zipcode 45036-8157
Operator is an individual? No
Operator Name WARREN COUNTY AIRPORT LTD
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 2460 GREENTREE RD
Operator City LEBANON
Operator State OH
Operator Country USA
Operator Zip code 45036-8157
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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 I68
Departure City Lebanon
Departure State OH
Departure Country USA
Departure Time 1545
Departure Time Zone EST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code I68
Destination City Lebanon
Destination State OH
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 12 2012 6:18PM
User who most recently changed record silj
Since inspection or accident Last Inspection
Event Location Runway Number and Location 19
Runway Length 4500
Runway Width 65
Sight Seeing flight No
Air Medical Flight No
Medical Flight --