Accident Beechcraft F33A Bonanza N84MD,
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ASN Wikibase Occurrence # 175506
 
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Date:Saturday 18 April 2015
Time:11:00
Type:Silhouette image of generic BE33 model; specific model in this crash may look slightly different    
Beechcraft F33A Bonanza
Owner/operator:Clark Daniel W
Registration: N84MD
MSN: CE577
Year of manufacture:1975
Total airframe hrs:4474 hours
Engine model:Continental IO 520 SERIES
Fatalities:Fatalities: 0 / Occupants: 1
Aircraft damage: Substantial
Category:Accident
Location:Near Pierce County Airport/Thun Field (KPLU), Puyallup, WA -   United States of America
Phase: Take off
Nature:Private
Departure airport:Puyallup, WA (PLU)
Destination airport:Puyallup, WA (PLU)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The private pilot was conducting the airplane’s first flight after an annual inspection. On the morning of the accident, the pilot picked up the airplane and conducted a run-up, during which the engine lost power. The airplane was towed back to the maintenance shop, and a mechanic recommended that the pilot wait until a more detailed examination could be completed. The pilot downloaded the data from the airplane’s engine data monitor and took it home to examine. After returning to the airport later that day, the pilot reported to the mechanic that he did not observe anything abnormal in the data, and he got back in the airplane to depart for the accident flight. The pilot reported that, about 350 ft above the ground during initial climb, the engine lost power with no abnormal noises or sounds, and he landed in a field. The airplane subsequently rolled down an embankment, the nosewheel collapsed, and the airplane then came to rest.
During a postaccident engine run, the airplane started without hesitation; however, it lost power after the fuel boost pump was turned off. Further examination revealed that the B-nut to the fuel pump inlet was loose. The B-nut was tightened, and the engine then started and operated up to about 2,100 rpm with no additional anomalies. Data from the engine’s data management system were analyzed, and the data revealed seven separate data sessions on the day of the accident, six leading up to the accident session. Based on the evidence, it is likely that the mechanic did not properly tighten the B-nut to the fuel pump inlet during the annual inspection and that the loose B-nut at the fuel pump resulted in the airplane being starved of fuel without the assistance of the pump. The accident likely would have been avoided if the pilot had not attempted to take off with indications that the airplane was not operating normally.

Probable Cause: A total loss of engine power due to fuel starvation as a result of a mechanic’s failure to properly tighten the B-nut to the fuel pump inlet during a recent annual inspection. Contributing to the accident was the pilot's decision to take off despite indications that the engine was not operating normally.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: WPR15LA167
Status: Investigation completed
Duration:
Download report: Final report

Sources:

NTSB
FAA register: http://registry.faa.gov/aircraftinquiry/NNum_Results.aspx?NNumbertxt=84MD

Location

Revision history:

Date/timeContributorUpdates
19-Apr-2015 02:06 Geno Added
21-Dec-2016 19:30 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
01-Dec-2017 13:02 ASN Update Bot Updated [Operator, Other fatalities, Nature, Departure airport, Destination airport, Source, Narrative]

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