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Failure to use checklists results in fuel starvation

By NTSB · March 19, 2018 ·

The student pilot departed on the solo cross-country flight with about four hours of fuel onboard the Cessna 172.

About two hours into the flight, he noticed that the left tank fuel gauge was indicating almost empty. He was not concerned about the indication, stating that he had been trained not to rely on the accuracy of the fuel gauges.

However, after landing at one of the intermediate airports along his route of flight, he did not visually check the fuel levels at the tank filler necks.

About 45 minutes after takeoff from that airport, the engine experienced a partial loss of power.

Concerned that performing troubleshooting steps could further exacerbate the situation, the student did not follow any emergency checklists.

For the next five minutes, the engine continued to operate intermittently as the airplane gradually descended, then experienced a total loss of power.

The student made a forced landing to a field near McNeil Island, Washington, and the airplane nosed over during the landing roll.

Following the accident, the fuel selector valve was found in the left tank position, and the left tank was about one-quarter full. Although enough fuel remained in the left tank to power the engine, it had most likely migrated from the right to left tank via the tank vent crossover line, as the airplane lay inverted for several days after the accident.

The fuel capacity of the left tank was about equal to that which would have been used during the flight.

Post-accident examination did not reveal any anomalies with the airframe or engine that would have precluded normal operation.

The engine was tested while attached to the airframe and fuel supply system, and ran uneventfully at various power settings. The partial, then total, loss of power is consistent with a fuel starvation event.

The student stated that he always operated the airplane with the fuel selector valve in the “both” position and that, on the day of the accident, he only checked it once during the preflight inspection before the first takeoff.

If the student had verified the fuel selector position before takeoff on the accident leg, as required in the engine start and before takeoff checklists, or switched tanks when the engine began to run rough, the total loss of engine power would not have occurred.

Probable cause: The student pilot’s fuel mismanagement, which led to fuel starvation and a total loss of engine power during cruise flight. Contributing to the accident was his failure to follow the appropriate engine start, before takeoff, and emergency checklists.

NTSB Identification: WPR16LA090

This March 2016 accident report is provided by the National Transportation Safety Board. Published as an educational tool, it is intended to help pilots learn from the misfortunes of others.

About NTSB

The National Transportation Safety Board is an independent federal agency charged by Congress with investigating every civil aviation accident in the United States and significant events in the other modes of transportation, including railroad, transit, highway, marine, pipeline, and commercial space. It determines the probable causes of accidents and issues safety recommendations aimed at preventing future occurrences.

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Comments

  1. JimH. says

    March 20, 2018 at 8:10 am

    More thoughts..
    Cessnas are notorious for uneven fuel feeding with the fuel selector on ‘both’. When the pilot noted that the left gauge was reading near ’empty’,he should have noted that the right tank was indicating ‘full’.!
    This should have triggered the pilot to check the selector, and , at least, move it to the ‘right’ position.

    So, again, this is a result of very poor instruction on the aircraft operation.

  2. JimH. says

    March 20, 2018 at 8:04 am

    This unfortunate student pilot had some very poor instruction. Yes, the fuel gauges are unreliable in indicating accurately the amount of fuel in each tank. But, they are required to be accurate at the ’empty’ indication.
    This student should have been taught this.
    Also, the before takeoff check list has a ‘check fuel selector’ , before takeoff.

    So, I call this a ‘stupid instructor trick’ , note impressing on the student the proper actions vs conditions.

  3. gbigs says

    March 20, 2018 at 7:51 am

    “He was not concerned about the indication, stating that he had been trained not to rely on the accuracy of the fuel gauges.”

    His CFI needs to lose his ticket too.

  4. Comanche-Indian says

    March 20, 2018 at 7:44 am

    This guy is too stooopid and should never become a pilot.

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