ATL04CA106
2004-05-03 · Winder, Georgia, United States · Serious · 1 aircraft · Status: Completed
Airport WDR
Aircraft involved
Probable cause & findings
The pilot's mismanagement of the fuel supply resulted in fuel starvation and a loss of power in both engines.
Factual narrative
On May 2, 2004, at 2030 eastern daylight time, a Beech 65 Excalibur, N870KS, registered to and operated by Quueenair Inc., collided with the ground following a loss of engine power in Winder, Georgia. The flight was operated under the provisions of Title 14 CFR Part 91 with no flight plan filed. Visual meteorological conditions prevailed at the time of the accident. The private pilot received serious injuries and the airplane was substantially damaged. The personal flight departed Lawrenceville, Georgia, on May 2, 2004, at 2015. Prior to the flight, the pilot reported that the airplane had intermediate magneto drops in power. According to the pilot, he was enroute to Winder-Barrow County Airport, Winder, Georgia, for routine maintenance. The airplane lost power in the right engine first. The left engine lost power approximately 30 seconds later. The pilot stated he immediately looked for a suitable landing area. He selected and open field away from populated areas, and elected to land with the landing gear retracted. The airplane collided with the ground one mile southeast of the airport. Examination of the wreckage site revealed the airplane came to rest in an open field on a heading 005 degrees magnetic. The wreckage path was approximately 200 feet long and 120 feet wide. Examination of the wreckage revealed that the right wing was separated at the upper attachment points. The left wing had spar damage. Both sides of the fuselage were buckled. The right propeller assembly was separated at the crankshaft. Examination of the fuel tanks revealed that both inboard main fuel tanks were empty. Both auxiliary fuel tanks were approximately half full. Trace amounts of fuel were recovered from the left fuel line and no fuel was recovered from the right fuel line. During the examination of the airplane, no fuel leakage or fuel stains were observed on the airframe. Further examination of the airplane revealed the right fuel selector was in the main detent position, and the left fuel selector was observed 15 degrees away from the main detent position. According to refueling records, the airplane was last refueled in Kalamazoo, Michigan on May 1, 2004 with 107 gallons of 100 low lead fuel. On May 2, 2004, the pilot flew for 3.2 hours from Kalamazoo, Michigan to Lawrenceville, Georgia. At 1910 on May 2, 2004, the pilot departed Lawrenceville, Georgia with a Certified Flight Instructor on a local flight lasting 20 minutes for purposes of demonstrating autopilot capabilities. According to the pilot, at the time of takeoff from Kalamazoo, Michigan on May 2, 2004, the fuel selector was on the main tanks. He stated that at cruise altitude, he switched to the auxiliary fuel tanks. He stated that he switched back to the main fuel tanks at the time of initial descent into Lawrenceville, Georgia terminal area. He also stated that the local flight from Lawrenceville, Georgia was conducted solely on the main fuel tanks, as was the flight to Winder, Georgia. The Certified Flight Instructor who flew with the pilot on May 2, 2004, prior to the accident flight reported that before departing on a 20-minute local flight at Lawrenceville, Georgia, he observed both fuel selector valves on the main position and fuel gages reading one-quarter full in both main tanks and one-half full in both auxiliary fuel tanks. Further examination of the engines revealed that both fuel sumps were damaged. External examination of both engines revealed full intake and exhaust valve action, internal component rotation was accomplished, and compression and suction in all cylinders were noted. Both fuel flow dividers were dry and free of debris when examined. The magnetos were checked for internal and engine timing: both engine magnetos were within prescribed limits. Also, both engine magnetos produced ignition sparks on all ignition leads when rotated. A review of the airplane logbooks revealed that the right engine magneto was retimed on April 22, 2004. At the time of maintenance the airplane's total time in service was 1200.5. At the time of the accident the total time of the airplane was 1213.8. The pilot reported that the airplane lost power in the right engine first, and the left engine lost power approximately thirty seconds later. Efforts by the pilot to restart the engines were unsuccessful. The airplane collided with the ground one mile southeast of Winder Barrow County Airport. Prior to the flight, the pilot reported that the airplane had intermediate magneto drops in power. Examination of the fuel tanks revealed that both inboard main fuel tanks were empty. Both auxiliary fuel tanks were approximately half full. Trace amounts of fuel were recovered from the left fuel line and no fuel was recovered from the right fuel line. During the examination of the airplane, no fuel leakage or fuel stains were observed on the airframe. Further examination of the airplane revealed the right fuel selector was in the main detent position, and the left fuel selector was observed 15 degrees away from the main detent position. Further examination of the engines revealed that both fuel sumps were damaged. External examination of both engines revealed full intake and exhaust valve action, internal component rotation was accomplished, and compression and suction in all cylinders were noted. Both fuel flow dividers were dry and free of debris when examined. The magnetos were checked for internal and engine timing; both engine magnetos were within prescribed limits. Also, both engine magnetos produced ignition sparks on all ignition leads when rotated. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_2004_ATL04CA106.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (fuel starvation, maintenance, autopilot). All research papers
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
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- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- arXiv 2025 · arXiv preprint ROSflight 2.0: Lean ROS 2-Based Autopilot for Unmanned Aerial Vehicles
ROSflight is a lean, open-source autopilot ecosystem for unmanned aerial vehicles (UAVs). Designed by researchers for researchers, it is built to lower the barrier to entry to UAV research and acceler…
- arXiv 2025 · arXiv preprint ROSplane 2.0: A Fixed-Wing Autopilot for Research
Unmanned aerial vehicle (UAV) research requires the integration of cutting-edge technology into existing autopilot frameworks.
- Semantic Scholar 2025 · Article (Applied Sciences) Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.