CEN12LA116 · Piper PA-28-180
Warren County Airport Piper PA-28-180 · Accident: fuel starvation on approach
From Warren County Airport/John Lane Field (I68) to Warren County Airport/John Lane Field (I68)
Event
- NTSB case
- CEN12LA116
- 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
- Accident
- 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
- General aviation
- 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
Piper PA-28-180
- Aircraft type
- Piper PA-28
- 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
- N994NC
- Operator
- Warren County Airport
- Onboard fatalities
- Unknown
- Route
- From Warren County Airport/John Lane Field (I68), Lebanon, OHTo Warren County Airport/John Lane Field (I68), Lebanon, OH
- 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 91: General Aviation
- 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
- Approach · VFR go-around
- 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
- Substantial
Cause areas
- Aircraft › Aircraft systems
- Personnel issues › Action/decision
- Personnel issues › Task performance
Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.
NTSB narrative
Shortly after departure, the top of the passenger door cracked open and the pilot decided to return to the airport and land. While on the 45-degree approach to the downwind leg, he turned on the fuel boost pump and switched the fuel selector from the left tank to the right tank, since the checklist called for switching the fuel selector to the fullest tank. During the flare, the airplane was descending too fast, and a gust of wind caused it to drift left, so the pilot initiated a go-around. As the airplane was making a climbing, left-crosswind turn at 500 feet above ground level, the engine made a loud “popping sound” and immediately lost all power. The pilot initiated a forced landing and attempted to restart the engine but was not successful. The airplane hit trees and power lines before it came to rest inverted.
The postaccident examination of the airplane revealed that the fuel tank selector valve was in a partial OFF position (between the right tank and OFF position). When the valve was rotated, it was stiff to move and there were no apparent detents for either the fuel tanks or the OFF position. A teardown of the fuel selector valve revealed that the inside of the valve contained dirt and contamination, and that the position washer was worn. The airplane manufacturer issued Service Bulletin No. 355 on June 5, 1972, that stated: “Inspect position washer to ascertain that it will not allow the valve to rotate beyond its stop positions. Also, inspect position washer inner perimeter surface for indications of extreme wear; should this be evident, replace position washer.” The service bulletin called for repetition of this inspection at 100-hour intervals and for replacement of the position washer if the valve was difficult to rotate or if the washer did not allow the valve to rotate beyond the stop position. The fuel tank selector valve was reassembled and tested with the fuel selector handle in the same position as it was found at the accident site. The test indicated that the stream of fluid exiting the fuel selector valve was at a greatly reduced flow rate as compared to when the handle was positioned on the left or right fuel tank. The test indicated that there was not enough fuel flow to the engine at maximum power used during the go-around, which resulted in the engine’s total loss of power. The pilot reported that when he switched the fuel selector valve from the left tank to the right tank during the accident flight, he did not look to confirm the position of the lever.
Probable cause
The pilot’s inadvertent positioning of the fuel selector valve between the right tank and OFF position, which resulted in fuel starvation and a total loss of engine power. Contributing to the accident was the inadequate inspection of the fuel valve and failure to replace the worn fuel valve's position washer.
Verbatim NTSB analysis and probable cause from the NTSB dataset
Sources
NTSB record CEN12LA116
- Event ID
- 20111228X90250
- Case number
- CEN12LA116
- 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: investigation status. Values present in the bulk record are kept.
- The date is the local date, which is the same as the UTC date the NTSB stores.
- API snapshot SHA-256: d37b9f1304064e093043f6e2415c7c0d18da01e5ded3fa4a6559303887855b56; retrieved 2026-09-15T17:01:50.441Z.