Wednesday, December 18, 2019

Fuel Exhaustion: Cessna 172N Skyhawk, N5296H; accident occurred April 14, 2019 near John F. Kennedy International Airport (KJFK), New York, New York



The National Transportation Safety Board did not travel to the scene of this accident.

Additional Participating Entity:

Federal Aviation Administration / Flight Standards District Office; Farmingdale, New York

Aviation Accident Factual Report - National Transportation Safety Board: https://app.ntsb.gov/pdf


Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms


https://registry.faa.gov/N5296H


Location: New York, NY 

Accident Number: ERA19LA150
Date & Time: 04/14/2019, 2215 EDT
Registration: N5296H
Aircraft: Cessna 172
Aircraft Damage: Substantial
Defining Event: Fuel exhaustion
Injuries: 3 Minor
Flight Conducted Under: Part 91: General Aviation - Personal 

On April 14, 2019, about 2215 eastern daylight time, a Cessna 172N, N5296H, was substantially damaged when it impacted a building and powerlines during a diversion to John F. Kennedy International Airport (JFK), New York, New York. The private pilot and two passengers sustained minor injuries. The airplane was registered to N5296H LLC. and operated by 2BAPilot NYC Flight School and Aircraft Rental under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. Night instrument meteorological conditions prevailed, and an instrument flight rules flight plan was filed for the flight that originated from Niagara Falls International Airport (IAG), Niagara Falls, New York about 1710 and was destined for Republic Airport (FRG), Farmingdale, New York.

The pilot reported that on the morning of the accident, he and his passengers arrived at FRG airport about 0630 and departed for IAG, arriving about 1100. They spent the day in the area and departed to return with a direct route to FRG; while enroute, the pilot reported that his planned route was changed by air traffic control which increased the enroute time by about 40-50 minutes longer than he had expected. Once arriving into the FRG area, he attempted a precision instrument landing system (ILS) approach to runway 14 which resulted in a missed approach. He attempted the ILS approach again, and on this attempt, "saw some lights," but was unable to see the runway and performed another missed approach.

The pilot attempted the FRG ILS runway 14 approach for a third time, and during the approach he noticed that there was "something wrong with the heading indicator." He realized his course was "zigzagging," so he began to have a passenger tell him what the track heading was displaying on an electronic flight bag application; he subsequently decided a "bigger airport will be better" so he diverted to JFK, via radar vectors from air traffic control.

The pilot reported that he attempted three ILS approaches to runway 22L at JFK. The first two resulted in missed approaches, and on the third attempt, the pilot reported that the "fuel went out" and the "engine totally stopped." During the power out descent, he flew the "best glide speed" and about 100 ft above ground, he saw streetlights and made a left turn towards a road. While in the turn the airplane impacted the roof of a building and powerlines. The airplane came to rest entangled in the power lines suspended just a few feet above the ground; the pilot and passengers were able to exit from the main cabin doors onto the street below.

The pilot reported that he utilized a timing method for his fuel consumption, because he noticed that after about one hour of flying time enroute, both fuel gauges were stuck indicating full. He believed he had about 5 hours and 20 minutes of fuel onboard at takeoff, which was a full 42 gallons. The pilot reported that he expected the accident flight to take about 3 hours and 30 minutes; however, the total flight time was about 5 hours and 5 minutes.

Review of an FAA summary of air traffic control and pilot communications revealed that controllers provided the pilot with several observation weather reports and pilot reports (PIREPs) during his approaches at FRG and JFK. They also requested and received updates from the pilot regarding his low fuel state during the approaches. The record revealed that the pilot did not declare an emergency throughout the flight; however, during the diversion to JFK, air traffic control internally designated the flight as an emergency and had alerted emergency equipment prior to the airplane's loss of engine power.

According to a Federal Aviation Administration (FAA) inspector who examined the airplane at the accident site, the fuselage, wings, and empennage sustained substantial damage. There was no odor of fuel at the accident site, nor was fuel observed in the wing tanks.

A subsequent examination of the engine found no pre-impact mechanical malfunctions or failures that would have precluded normal operation. Additional examination of the vacuum system found that the pump remained intact, the drive coupling operated normally, there were no blockages observed in the vacuum air hoses, and the pump's wear indicator was within normal operational limits.

According to FAA airmen records, the pilot held a commercial pilot certificate with ratings for airplane single and multi-engine land, and instrument airplane. He held a first-class medical certificate issued in January 2018. The pilot reported that he had logged about 80 hours of simulated instrument flight time, of which one hour was in actual instrument conditions and that flight was with a flight instructor. He reported that the accident flight was his first flight in actual instrument conditions as the pilot in command.

According to FAA airworthiness records, the 4-seat high wing airplane was powered by a Lycoming O-320-H2AD 160-horsepower engine. The most recent annual inspection was completed in January 2019.

According to an NTSB weather study, about the time of departure from IAG and throughout the cross-country flight, IFR conditions were observed at the destination airport and the filed alternate airport (LaGuardia Airport (LGA), New York, New York). The weather conditions reported at FRG and JFK during the pilot's approaches included low visibility and cloud ceilings. At 2153 the weather conditions reported at FRG were, visibility 1/4-mile, fog, vertical visibility 200 ft above ground, wind 200° at 8 knots, temperature 14°C, dew point 14°C, and barometric pressure of 29.65 inches of mercury. One-hour prior at FRG, the visibility and cloud ceiling were the reported as the same (visibility 1/4-mile, fog, vertical visibility 200 ft).

At 2212 the weather conditions at JFK were, visibility 1/8-mile, fog, vertical visibility 200 ft above ground, wind 180° at 15 knots, temperature 13°C, dew point 13°C, and barometric pressure of 29.64 inches of mercury. About the time of the accident, FRG, JFK, LGA, and several other New York area airports were observing low IFR conditions. Figure 1 depicts the surrounding weather observation reports at the time of the accident.


Figure 1: Weather Observations at the Time of the Accident in the New York Area.

Forecast weather products issued prior to the departure from IAG, including AIRMETs and Terminal Aerodrome Forecast (TAFs), called for low IFR conditions at the accident airport and surrounding airports about the time of the pilot's estimated time of arrival.

According to Leidos Flight Service, there was no record that the pilot requested a weather briefing for the accident flight. The pilot reported in a written statement that, "I found that FRG will be bad weather but one of my friend need to go Korea next day. I decide to try to come back, and alternate LGA, because I could land [at] big airport."

The FAA Pilot's Handbook of Aeronautical Knowledge provided a variety of tools regarding aeronautical decision making. One such item was the "PAVE" checklist. The FAA PHAK stated in part:

The PAVE Checklist

Another way to mitigate risk is to perceive hazards. By incorporating the PAVE checklist into preflight planning, the pilot divides the risks of flight into four categories: Pilotin-command (PIC), Aircraft, enVironment, and External pressures (PAVE) which form part of a pilot's decision-making process.

E = External Pressures

External pressures are influences external to the flight that create a sense of pressure to complete a flight—often at the expense of safety. Factors that can be external pressures include the following:

Someone waiting at the airport for the flight's arrival, a passenger the pilot does not want to disappoint;
The desire to demonstrate pilot qualifications;
The desire to impress someone (Probably the two most dangerous words in aviation are "Watch this!");
The desire to satisfy a specific personal goal ("get-there-itis");
The pilot's general goal-completion orientation. 

Pilot Information

Certificate: Commercial
Age: 27, Male
Airplane Rating(s): Multi-engine Land; Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used:
Instrument Rating(s): Airplane
Second Pilot Present: No
Instructor Rating(s): None
Toxicology Performed: No
Medical Certification: Class 1 With Waivers/Limitations
Last FAA Medical Exam: 01/19/2018
Occupational Pilot: No
Last Flight Review or Equivalent: 03/04/2019
Flight Time:  279 hours (Total, all aircraft), 232 hours (Total, this make and model), 214 hours (Pilot In Command, all aircraft), 46 hours (Last 90 days, all aircraft), 14 hours (Last 30 days, all aircraft), 4 hours (Last 24 hours, all aircraft)



Aircraft and Owner/Operator Information

Aircraft Make: Cessna
Registration: N5296H
Model/Series: 172 N
Aircraft Category: Airplane
Year of Manufacture: 1977
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: 17269408
Landing Gear Type: Tricycle
Seats: 4
Date/Type of Last Inspection: 01/11/2019, Annual
Certified Max Gross Wt.: 2300 lbs
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time: 2857.1 Hours at time of accident
Engine Manufacturer: Lycoming
ELT: Installed, activated, did not aid in locating accident
Engine Model/Series: O-320-H2AD
Registered Owner: N5296H LLC.
Rated Power: 160 hp
Operator: 2BAPilot NYC Flight School and Aircraft Rental
Operating Certificate(s) Held: None 

Meteorological Information and Flight Plan

Conditions at Accident Site: Instrument Conditions
Condition of Light: Night
Observation Facility, Elevation: KJFK, 12 ft msl
Distance from Accident Site: 2 Nautical Miles
Observation Time: 2212 EDT
Direction from Accident Site: 50°
Lowest Cloud Condition: Unknown / 200 ft agl
Visibility:  
Lowest Ceiling: Indefinite (V V) / 200 ft agl
Visibility (RVR): 1400 ft
Wind Speed/Gusts: 15 knots /
Turbulence Type Forecast/Actual: None / None
Wind Direction: 180°
Turbulence Severity Forecast/Actual: N/A / N/A
Altimeter Setting: 29.64 inches Hg
Temperature/Dew Point: 13°C / 13°C
Precipitation and Obscuration: Moderate - Fog
Departure Point: Niagara Falls, NY (IAG)
Type of Flight Plan Filed: IFR
Destination: Farmingdale, NY (FRG)
Type of Clearance: IFR
Departure Time: 1710 EDT
Type of Airspace: Class B

Airport Information

Airport: John F Kennedy Intl (JFK)
Runway Surface Type: Asphalt
Airport Elevation: 12 ft
Runway Surface Condition: Dry
Runway Used: 22L
IFR Approach: ILS
Runway Length/Width: 8400 ft / 200 ft
VFR Approach/Landing: None

Wreckage and Impact Information

Crew Injuries: 1 Minor
Aircraft Damage: Substantial
Passenger Injuries: 2 Minor
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 3 Minor
Latitude, Longitude: 40.676944, -73.714167 (est)

10 comments:

  1. First, the video -
    In the unedited/raw video there's a firefighter employee (paid to do a firefighting job) lights up, after several successful attempts, his cigarette - this all the while up very close to the downed aircraft. This paid employee should have been removed immediately (escorted off the cash site) and relieved of his all his duties. He is a disgrace to other fire departments that constantly practice aircraft safety. Pull his paychecks and benefits.

    Next, the pilot - "I found that FRG will be bad weather but one of my friend need to go Korea next day. I decide to try to come back, and alternate LGA, because I could land [at] big airport."
    This pilot should voluntarily surrender his FAA airman certificate. I certainly don't want my family to be sharing the air space with this foolish idiot.

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  2. Of course, the best time for your first ever flight into IFR conditions, should always be with passengers onboard and in a complex high density traffic area where all airports are in IFR conditions. Wow.

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  3. Another perfectly good airplane ruined by poor decision making.

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  4. Agree with your firefighter comments.... That's just "plane" stupid! Get it?! :-)

    I am a career Fire Captain... and if on scene would have had this guys ass!

    The fire service is still an occupation where a fat, lazy, stupid, employee can make a great living..... and it is s fact that most fire departments send their problem employees to slow airport stations to get them out of site!

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  5. If this man continues to try to operate a plane (which he should not) he will never have to worry about passengers again. No sane person would get in with him.

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  6. Awe come on. Firefighter was behind the yellow tape.

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  7. A new sort of flight 'planning' ?
    "If little airport no good, then I land at Big Airport..."

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  8. Ho Lee Fuk
    Wee Tu Lo
    Bang Din Ow ...... history repeats ;)

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  9. Damn lucky to walk away from that. I'd buy stock in a powerline company if I were them...

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