Beaver County Airport
Aircraft Accident/Incident Report

Beaver Falls, Pennsylvania 15010
Friday, March 23, 2012 12:20 EDT

NTSB Narrative Summary Released at Completion of Accident

According to the flight instructor, while on final approach, he perceived that the airplane was low on the desired glidepath. He said that he issued corrective instructions to the student twice before taking the flight controls. The instructor moved the throttle forward to increase power, and the engine stopped producing power. He selected a forced landing site, issued a Mayday call to the tower, and attempted an engine restart. However, he had to conduct a power-off landing on a roadway. Before ground contact, the airplane struck wires, and, during the accident sequence, the nose gear and tail section of the airplane separated. During the examination of the wreckage, the engine was started, and it ran continuously on the airframe using the airplane's own fuel system. However, when the power was reduced to idle, the engine did not respond as expected to subsequent throttle and mixture inputs. After the initial run, the operator's director of maintenance was asked to produce the tools and documents used to calibrate the fuel system at installation. He produced instructions and gauges that resembled those used at the manufacturer’s factory, but no calibration stickers were displayed on the gauges. The gauges were installed, and, during a subsequent engine run, both the metered and unmetered fuel pressure readings were below factory specifications. The fuel system was removed and flow tested at the engine manufacturer's facility. The fuel pump and fuel control assembly were intact, and bench testing demonstrated their ability to function, but both were found with several parameters outside of their respective calibrated specifications. The fuel manifold and nozzles were also tested and found to exhibit a normal flow vs. pressure indication on the test bench. The fuel pump was found adjusted "down" and flowed less than the required fuel flow specifications. The throttle body and mixture control unit were found adjusted to a position that allowed more than the required fuel flow at three specific settings. The combination of both the fuel pump and throttle body mixture control adjustments resulted in an idle fuel flow rate 2.5 times the maximum required. When the throttle was advanced quickly to full throttle, the fuel flow rate was 40 percent of the required rate. This significant transition in fuel flow rates likely resulted in a momentary "cavitation" of the fuel pump, which allowed air to enter the system and resulted in a total loss of engine power.

NTSB Probable Cause Narrative

The operator’s maintenance personnel’s improper adjustment of the engine's fuel system, which resulted in a total loss of engine power.

Event Information

Type of Event Accident
Event Date 3/23/2012
Event Day of the Week Friday
Time of Event 1220
Event Time Zone Eastern Daylight Time
Event City Beaver Falls
Event State PENNSYLVANIA
Event Country --
Zipcode of the event site 15010
Event Date Year 2012
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 404621N
Event Location Longitude 0802329W
Event Location Airport Beaver County Airport
Event Location Nearest Airport ID BVI
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 2
Degrees magnetic from airport --
Airport Elevation 1253
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1215 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 90
Weather Observation Facility ID BVI
Elevation of weather observation facility 1253
Distance of event from weather observation facility (units?) 2
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) 25
Dew Point at event time (in degress fahrenheit) 8
Wind Direction (degrees magnetic) 110
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.05
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 1
Injury Total None --
Injury Total Serious 1
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 31120
NTSB Notification Source FAA Eastern ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Mar 21 2013 10:49AM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N166SE
NTSB Number ERA12LA246
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 DIAMOND AIRCRAFT IND INC
Aircraft Model DA 20-C1
Aircraft Series Identifier --
Aircraft Serial Number C0266
Certified Max Gross Weight 1764
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 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Dec 6 2011 12:00AM
Airframe hours since last inspection 69
Airframe Hours 1756
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name O TOOLE AVIATION LLC
Aircraft Owner Street Address --
Aircraft Owner City SMITHTON
Aircraft Owner State PA
Aircraft Owner Country USA
Aircraft Owner Zipcode 15479-9764
Operator is an individual? No
Operator Name O TOOLE AVIATION LLC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City SMITHTON
Operator State PA
Operator Country USA
Operator Zip code 15479-9764
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) Instructional
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code BVI
Departure City Beaver Falls
Departure State PA
Departure Country USA
Departure Time 1130
Departure Time Zone EDT
Destination Same as Local Flt crash at destination city
Destination Airport Code BVI
Destination City Beaver Falls
Destination State PA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 21 2013 10:49AM
User who most recently changed record kenj
Since inspection or accident Last Inspection
Event Location Runway Number and Location 10
Runway Length 4501
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --