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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

May 4, 1993 · Beech A23A · N2312W

Fort Myers, FL

Overview

Report Status
Probable Cause
Event Type
Accident
Date
May 4, 1993
Injury Outcomes
No injuries (2 uninjured)
Location
Fort Myers, FL
Aircraft
Beech A23A
Tail Number
N2312W
Operator
Samion Patrick J
Injuries
None
Aircraft Damage
Substantial
NTSB Number
MIA93LA116

Before departure, 20 gallons of fuel were added to the remaining amount from the 3.7 hour two-leg flight to the place where an annual inspection was performed. An engine run following accomplishment of an annual inspection was performed but the pilot did not take this into account for determining fuel quantity before departure. The pilot received a weather briefing but did not request winds aloft. While en route, he was required to deviate and did not lean the fuel/air mixture. When the flight was near the planned destination, the engine sputtered. The pilot immediately repositioned the fuel selector to the opposite tank. The flight continued and when it was at the destination airport, the flight was cleared to land on runway 23 but the pilot was disoriented. The pilot stated the engine sputtered again then quit and he attempted to land on a taxiway. Examination of the airplane revealed that the left fuel tank contained about 1/2 gallon of fuel. The right fuel tank contained about 1/3 gallons of fuel.

NTSB Probable Cause

TOTAL LOSS OF ENGINE POWER DUE TO FUEL EXHAUSTION AND POOR PREFLIGHT PLANNING/PREPARATION BY THE PILOT IN COMMAND. CONTRIBUTING TO THE ACCIDENT WAS THE PILOT'S FAILURE TO REQUEST WINDS ALOFT DURING THE WEATHER BRIEFING.

Full Narrative

BEFORE DEPARTURE, 20 GALLONS OF FUEL WERE ADDED TO THE REMAINING AMOUNT FROM THE 3.7 HOUR TWO-LEG FLIGHT TO THE PLACE WHERE AN ANNUAL INSPECTION WAS PERFORMED. AN ENGINE RUN FOLLOWING ACCOMPLISHMENT OF AN ANNUAL INSPECTION WAS PERFORMED BUT THE PILOT DID NOT TAKE THIS INTO ACCOUNT FOR DETERMINING FUEL QUANTITY BEFORE DEPARTURE. THE PILOT RECEIVED A WEATHER BRIEFING BUT DID NOT REQUEST WINDS ALOFT. WHILE EN ROUTE, HE WAS REQUIRED TO DEVIATE AND DID NOT LEAN THE FUEL/AIR MIXTURE. WHEN THE FLIGHT WAS NEAR THE PLANNED DESTINATION, THE ENG SPUTTERED. THE PILOT IMMEDIATELY REPOSITIONED THE FUEL SELECTOR TO THE OPPOSITE TANK. THE FLT CONTINUED & WHEN IT WAS AT THE DESTINATION AIRPORT, THE FLIGHT WAS CLEARED TO LAND ON RWY 23 BUT THE PILOT WAS DISORIENTED. THE PILOT STATED THE ENGINE SPUTTERED AGAIN THEN QUIT & HE ATTEMPTED TO LAND ON A TAXIWAY. EXAMINATION OF THE AIRPLANE REVEALED THAT THE LEFT FUEL TANK CONTAINED ABOUT 1/2 GALLON OF FUEL. THE RIGHT FUEL TANK CONTAINED ABOUT 1/3 GALLONS OF FUEL.

Flight

Event TypeAccident
Event Time14:24 EDT
Nearest AirportPage Field (0nm)
Runway0
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBeech A23A
Tail NumberN2312W
Aircraft CategoryAir
DamageSubstantial
OperatorSamion Patrick J
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · IO-346A · Reciprocating · 165
Seats4

People & Injuries

Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 43 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind270° @ 15 kt
Visibility7 sm
CeilingNone
Temperature / Dew Point70 F
Altimeter30.00 inHg
Observation Time18:28
Weather SourceWFAC

Appendix: Source Data