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|
Attributes | |
ACN | 584570 |
Time | |
Date | 200306 |
Day | Fri |
Local Time Of Day | 1201 To 1800 |
Place | |
Locale Reference | atc facility : zjx.artcc |
State Reference | FL |
Altitude | msl single value : 13000 |
Environment | |
Flight Conditions | VMC |
Light | Daylight |
Aircraft 1 | |
Controlling Facilities | artcc : zjx.artcc |
Operator | general aviation : personal |
Make Model Name | Experimental |
Operating Under FAR Part | Part 91 |
Flight Phase | descent : intermediate altitude |
Flight Plan | IFR |
Person 1 | |
Affiliation | other |
Function | flight crew : single pilot |
Qualification | pilot : atp |
Experience | flight time last 90 days : 100 flight time total : 6000 flight time type : 0.5 |
ASRS Report | 584570 |
Events | |
Anomaly | aircraft equipment problem : critical other anomaly other |
Independent Detector | other flight crewa |
Resolutory Action | flight crew : diverted to another airport flight crew : landed in emergency condition |
Consequence | other other |
Supplementary | |
Problem Areas | Aircraft Flight Crew Human Performance |
Primary Problem | Flight Crew Human Performance |
Narrative:
Engine failure during descent which resulted in divert to lancaster, sc (T73). Cause of engine failure improper fuel management. Possible contributing factors: 1) aircraft was flown at 17000 ft during cruise in an unpressurized cockpit using a supplemental oxygen system that blows air toward the pilot's nostrils vice requiring him to wear a canula -- possible slight hypoxia. 2) procedures requiring alternate use of fuel tanks and boost pumps. Corrective action: 1) inclusion of a 'reminder' device (light, buzzer, etc) to enhance pilot situational awareness toward individual tank levers. 2) revision of aircraft procedures to include b-pumps being on at all times, with a corresponding worst case scenario being fuel imbal vice flameout. 3) wearing of blood oxygen monitor until verification of satisfactory oxygen delivery system can be verified. Result of flameout in this situation resulted in pilot selecting nearest available airfield, the short length of which contributed to 2 blown tires during rollout. Damage: none. Injuries: none.
Original NASA ASRS Text
Title: TURBOPROP PLT CAUSED AN ENG FLAMEOUT WHEN HE MISHANDLED FUEL MGMNT AND CAUSED ENG FUEL STARVATION IN ZJX CLASS E AIRSPACE.
Narrative: ENG FAILURE DURING DSCNT WHICH RESULTED IN DIVERT TO LANCASTER, SC (T73). CAUSE OF ENG FAILURE IMPROPER FUEL MGMNT. POSSIBLE CONTRIBUTING FACTORS: 1) ACFT WAS FLOWN AT 17000 FT DURING CRUISE IN AN UNPRESSURIZED COCKPIT USING A SUPPLEMENTAL OXYGEN SYS THAT BLOWS AIR TOWARD THE PLT'S NOSTRILS VICE REQUIRING HIM TO WEAR A CANULA -- POSSIBLE SLIGHT HYPOXIA. 2) PROCS REQUIRING ALTERNATE USE OF FUEL TANKS AND BOOST PUMPS. CORRECTIVE ACTION: 1) INCLUSION OF A 'REMINDER' DEVICE (LIGHT, BUZZER, ETC) TO ENHANCE PLT SITUATIONAL AWARENESS TOWARD INDIVIDUAL TANK LEVERS. 2) REVISION OF ACFT PROCS TO INCLUDE B-PUMPS BEING ON AT ALL TIMES, WITH A CORRESPONDING WORST CASE SCENARIO BEING FUEL IMBAL VICE FLAMEOUT. 3) WEARING OF BLOOD OXYGEN MONITOR UNTIL VERIFICATION OF SATISFACTORY OXYGEN DELIVERY SYS CAN BE VERIFIED. RESULT OF FLAMEOUT IN THIS SIT RESULTED IN PLT SELECTING NEAREST AVAILABLE AIRFIELD, THE SHORT LENGTH OF WHICH CONTRIBUTED TO 2 BLOWN TIRES DURING ROLLOUT. DAMAGE: NONE. INJURIES: NONE.
Data retrieved from NASA's ASRS site as of July 2007 and automatically converted to unabbreviated mixed upper/lowercase text. This report is for informational purposes with no guarantee of accuracy. See NASA's ASRS site for official report.