Fuel starvation

Fuel starvation and collision with terrain involving Piper PA-28, Bankstown Airport, New South Wales, on 2 April 2018

Brief

Occurrence Briefs are concise reports that detail the facts surrounding a transport safety occurrence, as received in the initial notification and any follow-up enquiries. They provide an opportunity to share safety messages in the absence of an investigation.

What happened

On 2 April 2018, a student pilot was conducting solo circuit training in a Piper PA-28 from Bankstown Airport, New South Wales.

At 1114 Eastern Standard Time, the aircraft was passing through 700 ft on climb to circuit height on the crosswind leg runway 29L, when the engine failed. The pilot immediately turned the aircraft towards the airport and conducted a forced landing, omitting the required checks. During landing, the aircraft contacted trees resulting in substantial damage. The pilot was not injured.

Post-flight it was determined that fuel starvation was the cause of the engine failure. The pilot stated they thought the right fuel tank was full and the left fuel tank was just under full before the flight. After the accident, fuel on board prior to the flight was calculated to be 24 litres in the left tank and 43 litres in the right tank. After the engine failed, the pilot did not switch fuel tanks.

The operator has an arrangement with a local refueller whereby they fill up the aircraft to full tanks and leave a chalk mark on a tyre. When an aircraft has been moved, the refueller can see this and tops up the tanks to full capacity. This did not occur on this occasion and may have led to complacency with the expectation that the tanks would be full.

Safety message

Accurate fuel management starts with knowing exactly how much fuel is being carried at the commencement of a flight. This is easy to know if the aircraft tanks are full, or filled to tabs. If the tanks are not filled to a known setting, then a different approach is needed to determine an accurate quantity of usable fuel.

Fuel starvation continues to be a common cause of engine failure. Effective fuel management in flight and the checking of fuel quantities reduces the risks of a fuel starvation event. Once an engine has failed or runs rough due to fuel starvation, changing the selected tanks should restore power but may take some time to take effect. Fuel tank changes should be done in conjunction with any other checks as recommended by the aircraft flight manual. For more information on fuel management, see ATSB research report, Starved and Exhausted: Fuel management aviation accidents (AR-2011-112).

About this report

Decisions regarding whether to conduct an investigation, and the scope of an investigation, are based on many factors, including the level of safety benefit likely to be obtained from an investigation. For this occurrence, no investigation has been conducted and the ATSB did not verify the accuracy of the information. A brief description has been written using information supplied in the notification and any follow-up information in order to produce a short summary report, and allow for greater industry awareness of potential safety issues and possible safety actions.

Occurrence summary

Mode of transport Aviation
Occurrence ID AB-2018-047
Occurrence date 02/04/2018
Location Bankstown Airport
State New South Wales
Occurrence class Accident
Aviation occurrence category Fuel starvation
Highest injury level None
Brief release date 28/09/2018

Aircraft details

Manufacturer Piper Aircraft Corp
Model PA-28
Sector Piston
Operation type Flying Training
Damage Substantial

Fuel starvation and forced landing involving Cessna 210M, 37 km east-south-east of Laverton Aerodrome, Western Australia, on 21 April 2018

Brief

Occurrence Briefs are concise reports that detail the facts surrounding a transport safety occurrence, as received in the initial notification and any follow-up enquiries. They provide an opportunity to share safety messages in the absence of an investigation.

What happened

On 21 April 2018, a Cessna 210M aircraft was conducting low-level survey operations to the south-east of Laverton Aerodrome, Western Australia. The pilot was the sole occupant on board.

After completing survey operations, the aircraft was returning to Laverton when, at about 1315 Western Standard Time (WST), the aircraft engine experienced power loss. Power was regained briefly, before the engine again experienced a loss of power. The pilot conducted procedures to identify the problem; including switching the fuel selector between tanks to rectify the rough running, but this did not improve the engine performance.

By this time, the aircraft altitude had reduced to tree top level, when the pilot prepared for a forced landing into the trees. The pilot activated the aircraft emergency location transmitter[1] (ELT) and Spidertracks[2] unit. The aircraft then contacted a number of trees before coming to a stop. A small fire started in the engine bay, which was extinguished. The aircraft received substantial damage to the left wing, empennage, firewall and survey stinger. The pilot was not injured.

The aircraft was fitted with auxiliary fuel tip tanks. The pilot commented that the normal fuel transfer procedure from the tip to the main tanks was changed, to lessen the effects of electrical interference to the survey equipment when running fuel transfer pumps. By focusing on the changed procedure, the pilot was distracted and did not ensure that all fuel had been transferred from the tips to the main tanks. This resulted in the starvation of fuel to the engine.

Safety message

This occurrence is an example of what can happen when procedures are not followed. Pilots are reminded to follow published procedures when operating any aircraft system in accordance with the manufacturer’s recommendations.

Issue number 5 in the ATSB’s Avoidable Accident Series, Avoidable Accidents No. 5 - Starved and exhausted: Fuel management aviation accidents (AR-2011-112), provides more detail on these scenarios. This report is available from the ATSB website.

About this report

Decisions regarding whether to conduct an investigation, and the scope of an investigation, are based on many factors, including the level of safety benefit likely to be obtained from an investigation. For this occurrence, no investigation has been conducted and the ATSB did not verify the accuracy of the information. A brief description has been written using information supplied in the notification and any follow-up information in order to produce a short summary report, and allow for greater industry awareness of potential safety issues and possible safety actions.

__________

  1. Emergency locator transmitter (ELT): a radio beacon that transmits an emergency signal that may include the position of a crashed aircraft, activated either manually or in the crash.
  2. Spidertracks is a satellite based tracking system which includes an SOS function for use in emergency.

Occurrence summary

Mode of transport Aviation
Occurrence ID AB-2018-058
Occurrence date 21/04/2018
Location 37 km ESE of Laverton Aerodrome
State Western Australia
Occurrence class Accident
Aviation occurrence category Fuel starvation
Highest injury level Minor
Brief release date 25/07/2018

Aircraft details

Manufacturer Cessna Aircraft Company
Model 210M
Sector Piston
Operation type Aerial Work
Departure point Laverton Aerodrome, WA
Damage Substantial