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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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NTSB Report

September 16, 1996 · Beech 33 · N108VW

West Palm Beach, FL

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
September 16, 1996
Injury Outcomes
1 injury (1 serious injury)
Location
West Palm Beach, FL
Aircraft
Beech 33
Tail Number
N108VW
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
ATL96LA127

The pilot was changing the fuel selector position from the left tank to the right tank when the engine lost power. He attempted an emergency landing; the airplane collided with the ground one mile west of the airport. Examination of the fuel selector valve assembly disclosed that the upper roll pin was not installed in the rotor assembly. A search of the wreckage at the accident site failed to recover the upper roll pin. An examination of the machined roll pin installation hole through the mast of the fuel selector also failed to reveal evidence of a previous installation. Additionally, safety wire material was recovered from under the selector detent plate. A flow check of the fuel selector assembly disclosed that fuel flowed through the assembly without restriction. According to the annual inspection checklist, the fuel selector valve should be inspected for leakage, security, freedom, proper detent, and condition. The airframe maintenance logs showed that a current annual inspection had been accomplished. The pilot reportedly had performed the annual inspection under the supervision of an Authorized Inspector (AI).

NTSB Probable Cause

The maintenance personnel failure to properly inspect the fuel system during the last annual inspection.

Full Narrative

On September 16, 1996, at 0727 eastern daylight time, a Beech BE-33, N108VW, collided with the ground during an emergency landing following a complete loss of engine power near West Palm Beach, Florida. The personal flight operated under the provisions of Title 14 CFR Part 91 with an instrument flight plan activated. Visual weather conditions prevailed at the time of the accident. The airplane was substantially damaged, and the pilot received serious injuries. The flight departed Fort Pierce, Florida, at 0700. According to the pilot's wife, he was changing the fuel selector from the left tank to the right tank when the engine lost power. The selector handle had reached the off position when the engine quit. The engine lost power, and the pilot attempted an emergency landing to the West Palm Beach North County Airport. The airplane collided with the ground one mile west of the airport. Examination of the fuel selector valve assembly disclosed that upper roll pin was not installed in the rotor assembly. A search of the wreckage at the accident site failed to recover the upper roll pin. An examination of the machined roll pin installation hole through the mast of the fuel selector, also failed to reveal a previous roll pin installation. Additionally, lockwire material was recovered from under the yoke of the selector detent plate. The lockwire that should have been secured to the yoke was missing. No record of recent maintenance was recorded in aircraft maintenance logs. A flow check of the fuel selector assembly disclosed that fuel flowed through the assembly without restriction. According to the annual inspection checklist, the fuel selector valve should be inspected for leakage. security, freedom, proper detent, and condition. A current annual inspection had been accomplished on the airplane. Reportedly the pilot performed the annual inspection under the supervision of an Authorized Inspector (AI).

Flight

Event TypeAccident
Event Time07:27 EDT
Nearest AirportNorth County Airport (1nm W)
Runway13
Runway Length4300 ft
Runway Width75 ft
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBeech 33
Tail NumberN108VW
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · IO-470-J · Reciprocating · 225
Seats4

People & Injuries

Injury Summary1 injury (1 serious injury)
Fatal0
Serious1
Minor0
Uninjured0
Total1
Crew 1Age 65 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind140° @ 5 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point70 F
Altimeter29.00 inHg
Observation Time11:44
Weather SourceWFAC

Appendix: Source Data