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Pilot seriously injured when wrong fuel put into his plane

By NTSB · September 13, 2023 ·

The pilot reported that, shortly after takeoff from the airport in Palo Alto, California, when the Beech 58 was about 500 feet above the ground, both engines lost power.

A forced landing was initiated to an open area. During the landing, the left wing hit a wooden post and was substantially damaged. The pilot was seriously injured in the crash.

The airplane was fueled before the flight. The fueler reported that he incorrectly fueled the airplane with Jet A fuel instead of avgas.

He added that he did not notice the “avgas only” label adjacent to the fuel port, and that he did not follow the company’s fueling checklist while fueling the accident airplane.

Probable Cause: The fueler’s addition of the incorrect fuel to the fuel tanks which resulted in a total loss of engine power.

NTSB Identification: 103850

To download the final report. Click here. This will trigger a PDF download to your device.

This September 2021 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. Cary Alburn says

    September 16, 2023 at 8:59 pm

    I’m with the others. I’m glad the pilot survived, but the misfueling is on him.

  2. DM says

    September 16, 2023 at 9:03 am

    Lazy Pilot!
    Pilot’s Fault!
    No excuse!

  3. dave says

    September 16, 2023 at 8:13 am

    I’m just glad that the pilot survived. Dave

  4. Leigh Smith says

    September 16, 2023 at 4:56 am

    Quit being lazy pilots. There is only one person fueling my plane, me! If you don’t know how, learn. Minimum be standing there when they fuel. It’s amazing how many planes have gone down over the years because the pilots were to lazy to be around when fueling! Ask the dead pilots if it was worth being in a rush. Rushing in Avaition will always lead to an accident sight. Stand by the plane till the fuel truck shows and check the type of fuel in it. It’s your life!!

  5. Gary Keller says

    September 15, 2023 at 1:53 am

    Over a period of 7 years (2014 – 2021) there have been 5 mis-fueling incidents involving 100LL and Jet-A fuel. Here are three of them with explanations: https://aerossurance.com/safety-management/wrong-fuel-pa31-accident/
    One would think that by now there would be something in place, in addition to the three checks, that would make such an incident impossible to occur.

  6. Michael P. says

    September 14, 2023 at 7:26 am

    How did the “fueler” put the Jet A nozzle into the Avgas hole? Jet A fuel nozzles are “duck billed” shaped (not a round tube) and are too wide to place into a standard Avgas tank.

    • Michael A. Schulz says

      September 18, 2023 at 1:21 pm

      A VERY clever fueler indeed! I was thinking that myself.

  7. Wylbur Wrong says

    September 14, 2023 at 6:39 am

    I am curious: How much Jet-A does it take to keep the plugs from firing and getting some power from the engine(s): 2%? 10%?

    I’m asking this because in this case over 100 gallons of JETA was put into this plane, so no doubt that sumping the tanks would have shown the contamination. One should (unless one has a cold) be able to smell the kerosene while sumping and the fuel should even appear with the wrong color. (I’m agreeing with both John T & JimH).

    But what if this had been done so that only a gallon of JetA went into a 100 gallon tank?
    I don’t think one would see it in the sumping, or smell it. I don’t think the color of the fuel would change. And that is a bit disconcerting.

    • JimH in CA says

      September 14, 2023 at 9:46 am

      That’s an interesting question on how much jet-a would damage an avgas engine.?
      If 10% of the fuel was jet-a, which has an ‘octane’ rating of about 20… 10% jet-a and 90% avgas would have an octane rating of about 90. So, the engine may run ok at low power, but might detonate at 75% power. …??

      In this case 130 gallons of jet-a was added to the 64 gallons of avgas remaining in the tanks. [ assuming the tanks were equal ].
      So, 67% of the fuel was jet-a… and, the effective ‘octane’ rating of the mixed fuel would be about 45.
      So, even low compression engines would run poorly on this mix. !!

  8. John T says

    September 13, 2023 at 8:24 pm

    Did the pilot LOOK at the fuel receipt? No. [Strike one]!; Did the pilot personally observe the fueling?) Uh-uh! [Strike Two!!]; Did the pilot take a fuel sample and then add a few drops of fuel to a piece of paper (the FINAL test for Jet-A vs gasoline)? NOPE!!! [Strike THREE]!!! The pilot’s the three chances to catch the error have passed. The pilot is now soggy toast…

    I’m glad the pilot survived, and hope the lesson is learned. Never, EVER trust a fueler with your life and the lives of your passengers.

  9. JimH in CA says

    September 13, 2023 at 12:30 pm

    As a pilot I am always watching the refueler , making sure the correct fuel is put in the tanks, and then checking the fuel levels, if I want the tanks full.
    Then, always sump the tanks after a few minutes to check for water and that it’s the 100LL.

    So, I fault the pilot for not ensuring that the aircraft is properly refueled and safe for flight.
    ref; 91.3[a].

  10. ET says

    September 13, 2023 at 8:57 am

    The lowest paid aviation workers are the most important.

    • Francis D Koester says

      September 14, 2023 at 3:44 pm

      They’re also usually quite inexperienced.

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