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Hyannis Air Service Cessna 402C incident

22 Jan 2009 · Naples, FL, United States

Cessna 402C · Incident: fuel starvation en route

From Key West International Airport (EYW) to Southwest Florida International Airport (RSW)

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Event

NTSB case
ERA09IA140
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Incident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
0 · all aircraft and ground
Ground fatalities
Unknown
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
Charter & commuter
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Visual Meteorological Cond

Cessna 402C

Aircraft type
Cessna 402
Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N2615G
Onboard fatalities
Unknown
Route
From Key West International Airport (EYW), Key West, FLTo Southwest Florida International Airport (RSW), Fort Myers, FL
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 135: Air Taxi & Commuter
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
En route · cruise
Defining eventThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Fuel starvation
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
None

Cause areas

  • Personnel issues › Task performance

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

In the three months prior to the incident there were no reported discrepancies by any flight crew member related to either fuel selector valve. The incident flight was the pilot's fourth flight of the day in the incident airplane. The first three flights were uneventful; however, the pilot noticed that the difference between the left and the right fuel quantities became increasingly larger during the second, third, and fourth flights when the left fuel quantity indicator was indicating a greater amount than the right. During the third flight, the pilot attempted to correct the fuel imbalance by supplying fuel to both engines from the left main fuel tank for a brief period, then returned the right fuel selector to the right tank position.

Before takeoff of the incident flight, the pilot noted a 100-pound fuel imbalance; the left fuel quantity was indicating 300 pounds and the right fuel quantity was indicating 200 pounds. While climbing to 6,000 feet, he noticed a slight right-wing-heavy tendency but did not correct it at that time. The flight continued toward the destination airport and the fuel imbalance became greater as the flight progressed. Approximately halfway into the flight, for approximately 15 minutes, the pilot repositioned the left fuel selector to the right tank position; at that time the left fuel quantity gauge indicated 300 pounds and the right fuel quantity gauge indicated between 90 and 100 pounds. After 15 minutes he repositioned the left fuel selector to its respective tank position but was not able to position it into the detent and he failed to detect that the left fuel selector was not in the detent. The flight continued toward the destination airport with both engines being supplied fuel from the right main fuel tank. As the flight approached an area called Marco Island, the pilot became concerned because the left fuel quantity gauge was indicating 300 pounds and the right fuel quantity gauge indicated 50 pounds.

He later stated that he thought the imbalance to be an indication issue. The flight continued toward the destination airport and the right engine began surging; the right fuel quantity indicator was indicating zero at that time while the left fuel quantity indicator was indicating approximately 300 pounds. He immediately moved the right fuel selector to the left tank position (crossfeed), which restored engine power; then the left engine began to surge, followed by the right engine. Unable to restore engine power in both engines, the pilot declared an emergency with air traffic control and executed a 180-degree turn towards Naples Municipal Airport. While descending he successfully feathered both propellers and landed uneventfully on runway 14 at the Naples Municipal Airport.

Following recovery of the airplane only residual fuel was noted in the fuel lines and both engine compartments, which is consistent with total fuel starvation. An adequate quantity of fuel was noted in the left main fuel tank. Postincident testing revealed the left main fuel selector would not travel into the main tank detent upon selection in the cockpit because of inadequate lubrication of the fuel selector detents. Lubrication of the fuel selector detents was not being performed by the operator due to their misinterpretation of the airplane manufacturer maintenance manual. Additionally, the operator was using an incorrect lubricant on the fuel selector gearbox. Misinterpretation of the maintenance manual also occurred with six other operators who operate the Cessna 402C airplanes. Both engines operated normally after an adequate quantity of fuel was supplied to them.

Probable cause

The pilot's failure to recognize that both engines were being supplied fuel only from the right main fuel tank, resulting in fuel starvation and a subsequent loss of engine power from both engines. Contributing to the incident were the pilot's inability to properly position the left fuel selector valve and the airplane operator's misinterpretation of the manufacturer's service recommendations to lubricate the fuel selector detents.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ERA09IA140
Event ID
20090122X34526
Case number
ERA09IA140
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: local date, investigation status, damage. Values present in the bulk record are kept.
  • The date is the local date; the NTSB stores the UTC date 2009-01-23.
  • API snapshot SHA-256: a5e18dc369cd2cbb3c7399822f291399664827d62407497952c134e1cd192559; retrieved 2026-09-15T10:42:31.226Z.