NTSB CAROL · Event
Event LAX98LA040
Aircraft involved
Probable cause & findings
The pilot's failure to verify that there was an adequate supply of fuel in the selected fuel tank prior to takeoff.
Factual narrative
On November 18, 1997, at 1530 hours Pacific standard time, an Aero Commander 200D, N2910T, collided with terrain short of the runway 12 while landing at the San Carlos, California, airport. The aircraft was substantially damaged and the commercial pilot was not injured. Visual meteorological conditions prevailed for the personal flight which departed from Marysville, California, at 1450. In his report to the Safety Board, the pilot stated that due to approaching inclement weather, he abbreviated the preflight inspection of the aircraft at the departure airport. Specifically, he did not visually examine the fuel level in the tanks. The flight was conducted on the left tank, which has a 20-gallon capacity, and indicated full at takeoff. During the before landing checklist the left gage still read 1/4 tank. On final approach, about 200 feet altitude, the engine lost power and there was insufficient time to switch tanks and restart the engine before impacting the ground short of the runway. The pilot reported that after the accident a visual check of the left tank showed it to be empty and yet the fuel gage read 1/4. In a telephone conversation with the Safety Board, the pilot said that the aircraft had been in Marysville for an annual inspection. He had flown the aircraft from San Carlos to Marysville and back using fuel from the left tank. The total flying time is 1:20, the tank holds 20 gallons, and the fuel consumption rate is about 15 gallons per hour. The pilot said that he knew that on previous occasions the fuel gage had been inaccurate and that he made note of this to the maintenance facility before the annual inspection. According to the FAA inspector's report of the accident, the Airplane Flight Manual recommends selecting the main tank with the most fuel in it for landing. After the accident the left main tank contained 1 cup of fuel, the right main tank contained 1 gallon of fuel, the left auxiliary tank was nearly full, and the right auxiliary tank, which had leaked after the accident, contained 5 gallons of fuel. The aircraft's engine lost power on final approach and the aircraft collided with terrain short of the landing runway. The pilot stated that due to approaching inclement weather he abbreviated the preflight inspection of the aircraft. Specifically, he did not visually examine the fuel level in the tanks. The flight was conducted on the left tank, which the fuel gage indicated full at takeoff. During the before landing checklist the left gage still read 1/4 tank. On final approach, about 200 feet altitude, the engine stopped and there was insufficient time to switch tanks and restart the engine before impacting the ground short of the runway. The pilot reported that after the accident a visual check of the left tank showed it to be empty, and yet the fuel gage read 1/4. The pilot said that he knew that on previous occasions the fuel gage had been inaccurate and that he made note of it to the maintenance facility performing the just completed annual inspection. After the accident the left main tank contained 1 cup of fuel, the right main tank contained 1 gallon of fuel, the left auxiliary tank was nearly full, and the right auxiliary tank, which had leaked after the accident, contained 5 gallons of fuel. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1997_LAX98LA040.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Academic papers and agency reports matching this event's aircraft type or causal vocabulary (maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA)
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- Semantic Scholar 2025 · Article (Applied Sciences)
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- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
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- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER)
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In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Just Culture in Aviation: A Metaphorical Study on Aircraft Maintenance Students
Just Culture, a sub-dimension of safety culture, has been a prominent and debated topic in aviation safety in recent years.
- Embry-Riddle Scholarly Commons 2024 · Journal article (IJAAA)
Performance PRISM: A Comprehensive Framework For Performance Measurement In Aircraft Maintenance
Aircraft maintenance is governed by rigorous safety requirements and high operational complexity, demanding robust performance measurement frameworks to ensure optimal maintenance practices.
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