N/A Airport
Aircraft Accident/Incident Report

Montrose, Pennsylvania 18801
Thursday, November 28, 2013 2:51 EDT

NTSB Narrative Summary Released at Completion of Accident

The pilot reported that he had the airplane refueled before takeoff but that he did not check the fuel tanks for contaminants after fueling. The pilot performed an engine run-up before departure and reported no discrepancies. After departure, the airplane climbed to 8,500 feet mean sea level while proceeding toward the destination airport. After about 15 minutes in cruise flight, the pilot positioned the fuel selector to the left tank, and, about 15 minutes later, the engine lost power; however, the fuel flow increased to about 140 pounds per hour, and the fuel flow needle reached the maximum indication. The pilot’s attempts to restore engine power were unsuccessful. The airplane was unable to maintain altitude, so the pilot used the on-board GPS receiver to locate the nearest airport; however, he realized that the airplane would be unable to reach the airport. He maneuvered the airplane for a forced landing on a road but again realized that he would be unable to reach that road. After descending below the clouds, he maneuvered the airplane for a landing on another road, and the airplane subsequently collided with an unmarked power line that crossed the road diagonally. The airplane contacted the ground and then came to rest upright. Postaccident examination of the airplane revealed water contamination in both fuel tanks, the fuel strainer, and left header tank; however, no water was detected in the engine fuel system components; both of the fuel caps’ seals were satisfactory. There were no reports of other airplanes fueled by the same truck having water contamination issues, and an examination of the truck used revealed that it was clean and in good repair. The source of the water could not be determined. The engine was removed from the airplane and placed in a test cell, and it was operated to near-full takeoff rpm with no discrepancies noted. Although no water was detected in the engine fuel system components, the excessive fuel flow reported by the pilot at the time of the total loss of engine power was consistent with water freezing at the manifold valve, which prevented the piston from allowing the fuel to flow to each cylinder. Postaccident surveillance of the airline by its Federal Aviation Administration principal maintenance inspector revealed four instances in which other company pilots did not check the fuel tanks for contaminants after fueling, which was not in accordance with the operator’s operations manual. After the accident, the company’s director of operations issued flight operations bulletins reminding company pilots of the requirement to check the fuel tanks after fueling and the location of the fuel tank drains.

NTSB Probable Cause Narrative

The pilot’s failure to check the fuel tanks for contaminants after fueling, which resulted in a total loss of engine power due to water contamination.

Event Information

Type of Event Accident
Event Date 11/28/2013
Event Day of the Week Thursday
Time of Event 251
Event Time Zone Eastern Daylight Time
Event City Montrose
Event State PENNSYLVANIA
Event Country --
Zipcode of the event site 18801
Event Date Year 2013
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 415030N
Event Location Longitude 0754825W
Event Location Airport N/A
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 Weather Observation Facility
Time of the weather observation 253 Eastern Standard Time
Direction of event from weather observation facility (degrees) 341
Weather Observation Facility ID BGM
Elevation of weather observation facility 1636
Distance of event from weather observation facility (units?) 23
Time Zone of the weather observation EST
Lighting Conditions Night
Lowest Ceiling Height 2800
Lowest Non-Ceiling Height 1900
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 3
Air Temperature at event time (in degrees celsius) -7
Dew Point at event time (in degress fahrenheit) -11
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 15
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 25
Altimeter Setting at event time (in. Hg) 29.85
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report KBGM 280753Z AUTO 30015G25KT 3SM -SN SCT019 OVC028
Event Highest Injury Minor
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 --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 32913
NTSB Notification Source FAA AEA 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 29 2014 3:29PM
User who most recently changed record kenj
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N777BK
NTSB Number ERA14LA051
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 210L
Aircraft Series Identifier --
Aircraft Serial Number 21060560
Certified Max Gross Weight 3803
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 1
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Oct 25 2013 12:00AM
Airframe hours since last inspection 32
Airframe Hours 16551
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type Unknown
Aircraft Owner Name FLIGHT EXPRESS INC
Aircraft Owner Street Address 7250 STAR CHECK DR
Aircraft Owner City COLUMBUS
Aircraft Owner State OH
Aircraft Owner Country USA
Aircraft Owner Zipcode 432171025
Operator is an individual? No
Operator Name AIRNET SYSTEMS, INC.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 7250 STAR CHECK DR
Operator City COLUMBUS
Operator State OH
Operator Country USA
Operator Zip code 432171025
Operator Code BSYA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number BSYA610C
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Cargo
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code TEB
Departure City Teterboro
Departure State NJ
Departure Country USA
Departure Time 136
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 --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 29 2014 3:29PM
User who most recently changed record kenj
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 --