NTSB CAROL · Event
Event ERA21FA237
Registry · N8780M
FAA Aircraft Registry record.
Make / Model
BEECH A23
Engine
CONT MOTOR IO-346 SERIES (165 hp)
Seats / Engines
4 seats · 1 engine
Last airworthiness date
19640903
ADS-B equipped
Yes — Mode-S AC1672
Registrant of record
TURNER MICHAEL T
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The flight instructor’s mismanagement of the available fuel, which resulted in a total loss of engine power due to fuel starvation.
Factual narrative
On June 1, 2021, about 1720 eastern daylight time, a Beech A23, N8780M, was substantially damaged when it was involved in an accident near Pinnacle, North Carolina. The student pilot was fatally injured and the flight instructor sustained serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The flight instructor stated that, after performing a series of maneuvers, while transitioning between practice areas, the engine lost total power. After multiple attempts to restart the engine, she performed a forced landing to a field. A review of the flight track data revealed that the flight departed runway 22 at Smith Reynolds Airport (INT), Winston Salem, North Carolina, about 1641. The airplane made a right turn and tracked northwest, then east, performing a series of turns, climbs, and descents, consistent with maneuvering flight. About 1718, while flying on an easterly track, the airplane entered a right descending 270° turn from about 2,100 ft mean sea level (msl). The last target was observed at 1719 as the airplane descended through 1,075 ft msl at a groundspeed of 64 knots, about 16 miles northwest of INT. The elevation at the accident site was about 1,000 ft. The airplane impacted a grass field on a residential property. The wreckage debris path was about 65 ft long and oriented on a magnetic heading of 162°. There was no postimpact fire and all major structural components of the airplane were located within the debris field. All flight control cables were continuous from the cockpit controls to the control surfaces. Manual manipulation of the aileron, stabilator, and rudder cables operated their respective control surfaces. The outboard portion of the left wing came to rest inverted and next to the inboard portion of the wing. The left wing was impact-separated from the fuselage at the wing root, the aileron cables remained attached. The empennage separated from the fuselage and came to rest behind the cabin, the elevator and rudder cables remained attached. The engine was partially separated; the fuel hoses, throttle, and mixture control cables remained attached. The nose and right main landing gear were separated. The engine fuel supply system remained intact. The fuel boost pump switch lever was fracture-separated, but the remaining portion was in the “ON” position. The left fuel tank was breached, the right fuel tank remained intact and contained about 1 pint of aviation fuel that was free of water and debris. Grass blighting was evident at the initial left wing impact location and continued along the wreckage path to the main wreckage. The fuel flow divider and fuel injector lines did not contain any fuel. The fuel injectors and fuel flow divider were disassembled and found to be free of debris. The fuel line from the engine-driven fuel pump to the fuel metering assembly contained fuel and the line from the fuel metering assembly to the flow divider contained a small amount of fuel. The fuel selector was in the right tank position, and the valve contained a small amount of fuel. The fuel outlet strainers in each wing, and all fuel supply lines and vents were free of obstructions. None of the fuel supply lines from the firewall forward were breached. The electric fuel boost pump was removed and hooked up to a power supply; it was successfully operated and pumped water. Both magnetos were removed and manually operated. The right and left magnetos produced spark on all leads. The top spark plugs were in new condition when compared to a Champion Spark Aviation Check-A-Plug chart AV-27. The engine was manually rotated; continuity was confirmed and thumb compression was verified on all cylinders. Each of the cylinder valves appeared well lubricated and their associated rockers and springs functioned smoothly. There were 6 quarts of oil inside the crankcase. The oil filter was cut open and the filter pleats were free of any ferrous material or debris. The propeller remained attached to the crankshaft flange. Blade A was unremarkable, and Blade B was uniformly bent aft around the engine. Blade B was cut from the hub to facilitate engine rotation. Neither blade exhibited leading edge gouging or polishing. According to the airplane flight log, the airplane flew 2.8 hours since it was last fueled to capacity one week before to the accident. After 1 flight hour, the left and right fuel tanks were “1/2 and FULL,” respectively. After the next flight, just over 1 hour, the fuel tanks were “2/3 and 1/2”, the same as the preflight fuel level for the accident flight. The flight instructor noted that they departed on the accident flight with about 30 gallons of fuel. The airplane was equipped with a 59.8-gallon fuel system, of which 58.8 gallons were usable. Each wing tank had a capacity of 29.9 gallons. The average fuel consumption was about 9 gallons per hour (gph), with higher amounts for takeoff and climb; however, according to the flight log, the airplane was consuming about 14 gph. The pilot operating handbook (POH) stated that the fuel return line from the engine-driven fuel pump returns about 3 to 6 gallons of fuel per hour to the left tank when the engine is operating at 75% power or less. The POH outlined the following emergency procedures in the event of an engine failure after liftoff and in flight if sufficient altitude was available for maneuvering: Fuel Selector Valve – SELECT OTHER TANK (Check to feel detent) Auxiliary Fuel Pump – ON Mixture – FULL RICH, then LEAN as required Magnetos – CHECK LEFT and RIGHT, then BOTH
NOTE
The most probable cause of engine failure would be loss of fuel flow or improper functioning of the ignition system According to the Federal Aviation Administration Airplane Flying Handbook (FAA-H-8083-3B), the key to successful management of an emergency situation, and/or preventing a non-normal situation from progressing into a true emergency, is a thorough familiarity with, and adherence to, the procedures developed by the airplane manufacturer and contained in the POH/AFM. The student pilot and flight instructor departed on a local training flight. After about 39 minutes, the engine lost total power. Flight track information indicated that the airplane continued to descend, and the last flight track target showed the airplane descending through 1,075 ft mean sea level (msl) at a groundspeed of 64 knots. The elevation at the accident site was about 1,000 ft. The airplane impacted a grass field and sustained substantial damage to the wings and fuselage. Review of the airplane’s flight log indicated that the airplane flew 2.8 hours since it was most recently fueled to capacity (58.8 gallons usable) one week before the accident, and that the airplane departed on the accident flight with the left-wing tank about 2/3 full and the right-wing tank about 1/2 full. The fuel consumption indicated by the flight log was consistent with about 14 gallons per hour. Postaccident examination of the engine and fuel system revealed that the left main fuel tank was breached; the right fuel tank, which remained intact, contained about 1 pint of fuel. The fuel selector was in the right tank position. Portions of the fuel system contained a trace amount of fuel, and no fuel was found in the fuel flow divider. When tested, the electric boost pump functioned normally. Other than the absence of fuel, no anomalies were noted with the engine that would have precluded normal operation. Based on the available information, it is likely that the loss of engine power was the result of fuel starvation when the fuel supply in the right tank was exhausted. The procedure for a loss of engine power in the pilot operating handbook included switching the fuel tanks; had the flight instructor switched the fuel selector from the right to the left-wing tank, it is likely that engine power would have been restored. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- — Aircraft-Fluids/misc hardware-Fluids-Fuel-Fluid management
- — Personnel issues-Task performance-Use of equip/info-Use of equip/system-Instructor/check pilot
Verbatim from NTSB's published report. Source file
NTSB_2021_ERA21FA237.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
Beyond the agency record
Search this event elsewhere.
Pre-filled searches into the sources where news + community discussion of aviation events lives. External sources are reported, not agency. Treat them as signal that something happened, not as fact about what happened.
Entity-clustered aviation events in the press — last 24 hr + 30-day archive.
Official agency record + docket.
Investigative docket: factual reports, photos, transcripts.
Long-running aviation incident database (Flight Safety Foundation).
Community NTSB synthesis blog — often has photos and witness reports.
Gold-standard aviation incident blog.
Aviation industry news search.
GA pilot forum — informed but rumor-prone.
GA pilot subreddit search.
Tail-number page — flight history (free tier limited).
AOPA Air Safety Institute search.
Mainstream press coverage. Recent events only.
Privacy-preserving news search.
External links open in a new tab. We don't ingest their content; we deep-link search queries.
Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (fuel starvation, engine failure). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- arXiv 2023 · arXiv preprint
Large-eddy simulations of the NACA23012 airfoil with laser-scanned ice shapes
In this study, five ice shapes generated at NASA Glenn's Icing Research Tunnel (IRT) are simulated at multiple angles of attack (Broeren et al., J. of Aircraft, 2018).
- arXiv 2022 · arXiv preprint
Multi-level Adaptation for Automatic Landing with Engine Failure under Turbulent Weather
This paper addresses efficient feasibility evaluation of possible emergency landing sites, online navigation, and path following for automatic landing under engine-out failure subject to turbulent wea…
- NASA NTRS 2019 · Conference Paper
Simulation of Liquid Rocket Engine Failure Propagation Using Self-Evolving Scenarios
Traditional probabilistic risk assessment approaches often require failure scenarios to be explicitly defined through event sequences that are then quantified as part of the integrated analysis.
- NASA NTRS 2019 · Conference Paper
Rocket engine failure detection using system identification techiques
The theoretical foundation and application of two univariate failure detection algorithms to Space Shuttle Main Engine (SSME) test firing data is presented.
- NASA NTRS 2019 · Conference Paper
Rocket engine failure detection using system identification techniques
The theoretical foundation and application of two univariate failure detection algorithms to Space Shuttle Main Engine (SSME) test firing data is presented.
- NASA NTRS 2019 · Technical Memorandum (TM)
A simulator investigation of engine failure compensation for powered-lift STOL aircraft
A piloted simulator investigation of various engine failure compensation concepts for powered-lift STOL aircraft was carried out at the Ames Research Center.
Browse the full corpus — academia portal ↗