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ERA21LA328 · Piper PA-28-140

16 Aug 2021 · Orlando, FL, United States

Airline Training Academy Piper PA-28-140 · Accident: fuel starvation en route

From North Perry Airport (HWO) to Orlando Executive Airport (ORL)

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Event

NTSB case
ERA21LA328
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
Event fatalities
Unknown
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-28-140

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
N98304
Onboard fatalities
Unknown
Route
From North Perry Airport (HWO), Hollywood, FLTo Orlando Executive Airport (ORL), Orlando, FL
Aircraft age
About 52 years (built 1969)
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
En route · descent
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 › Task performance

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

NTSB narrative

The purpose of the cross-country flight was so that the private pilot could accrue flight time to meet the requirements for a commercial pilot certificate. During the flight, the private pilot was in the left seat and a flight instructor was in the right seat. During the descent to their destination airport, the private pilot switched fuel tanks and, about 700 feet above mean sea level (msl), there was a loss of engine power. The flight instructor assumed control of the airplane, declared an emergency and conducted a forced landing. During the forced landing, the airplane was substantially damaged, and the private pilot was seriously injured. During recovery of the wreckage form the accident site, 5 gallons of fuel were drained from the left wing fuel tank and 10 gallons of fuel were drained from the right wing fuel tank. Examination of the wreckage revealed that the fuel selector and fuel selector valve cover were not installed per the manufacturer’s guidance. The selector valve cover had been improperly installed directly to the interior side panel with oversize screws, which interfered with the movement of the selector handle. The cover was not in the correct mounting orientation, the selector cover attach bracket was not installed, nor was the spring-loaded metal stop (which would keep the fuel selector valve from inadvertently being placed in the FUEL OFF position). The fuel selector was observed between the L TANK (left fuel tank) and FUEL OFF position. Prior to verification of the fuel selector position, fuel line continuity could not be established with low pressure air from the left or right wing root fuel lines to the gascolator. Removal of the cover also confirmed that the fuel selector valve was positioned between the left fuel tank and fuel off positions. Detents in the fuel selector valve were also confirmed, but the fuel selector valve cover selector position labeling did not align with the detent positions as the fuel selector valve cover had not been properly indexed. After the examination, when the fuel selector valve was placed in either the correct left fuel tank or right fuel tank positions, the engine was able to be run without any anomalies. Based on this information, the loss of engine power was most likely the result of fuel starvation, after the flight crew inadvertently placed the fuel selector into a position between the left fuel tank and off positions. Maintenance records indicated that the airplane had undergone a 100-hour inspection 20 days before the accident. However, 13 days before the accident, a Federal Aviation Administration (FAA) inspector performed an inspection of the airplane and identified 42 discrepancies, including that the fuel selector valve handle should be painted red and that the installed fuel tank selector placard was unsatisfactory. After discussing the condition of the airplane with one of the owners, the inspector was advised that they were not going to use the aircraft at the flight school. Maintenance records indicated that 8 days before the accident, a mechanic installed a fuel selector valve cover and certified that all work was accomplished in accordance with the manufacturer’s maintenance manual. None of the sections explicitly listed in the maintenance log entry, however, addressed the installation of the fuel selector valve or fuel selector valve cover. Based on this information, the improper installation of the fuel selector valve cover, which was accomplished at the direction of the operator/owner, likely directly contributed to the flight crew’s incorrection positioning of the fuel selector valve.

Probable cause

A total loss of engine power due to fuel starvation that resulted from improper maintenance of the fuel selector valve and fuel selector valve cover.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ERA21LA328
Event ID
20210817103717
Case number
ERA21LA328
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, cause areas. Values present in the bulk record are kept.
  • The date is the local date; the NTSB stores the UTC date 2021-08-17.
  • API snapshot SHA-256: bb4699aacc7b32222e0ec8f99aa05f2c96835423540bf9d43fa91738420f4363; retrieved 2026-09-16T14:25:55.891Z.