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Atlas / NTSB / WPR24LA012

NTSB CAROL · Event

Event WPR24LA012

2023-10-11 Chandler, Arizona, United States Airport · CHD None 1 aircraft Status: Completed

Registry · N4380D

FAA Aircraft Registry record.

Make / Model

PIPER PA-46-310P

Year of manufacture

1985 · 38 years old at event

Engine

CONT MOTOR TSIO-520 SER (300 hp)

Seats / Engines

6 seats · 1 engine

Last airworthiness date

19850321

ADS-B equipped

Yes — Mode-S A54332

Registrant of record

LIVENGOOD LEASING CO LLC

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

The pilot’s failure to adequately confirm the fuel quantity before departure, resulting in fuel exhaustion and a partial loss of engine power.

Factual narrative

HISTORY OF FLIGHTOn October 11, 2023, about 1150 mountain standard time, a Piper PA-46-310P Malibu, N4380D, was substantially damaged when it was involved in an accident near Chandler, Arizona. The air transport pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The purpose of the flight was for the accident airplane to be photographed by another pilot from a different airplane. The pilot stated that he believed there were 35 gallons of fuel onboard the airplane based on the airplane’s flight logs. He was unable to visually verify the actual fluid quantity in the tanks during the preflight because it would be below the filler neck. After a normal run-up, the pilot departed runway 22R. During the initial climb, when the airplane was about 5 miles from the departure end of the runway, at an altitude of about 1,500 ft agl, the engine exhibited a partial loss of power. The pilot declared an emergency to air traffic control and made 180° turn in an attempt to return back to the airport. The airplane was unable to maintain sufficient altitude and the pilot elected to retract the landing gear in an effort to reduce the drag. The pilot touched down in a dirt area about 500 ft short of the threshold for runway 04R. The airplane came to rest upright and sustained damage to the left aileron. AIRCRAFT INFORMATIONThe last maintenance was reported as being an annual inspection that was completed on February 08, 2023, about 52.1 hours before the accident. A fuel receipt revealed that the last fueling was the addition of 16.5 gallons on September 19, 2023; it is unknown how much fuel was already in the tanks at that time. Since that fueling, the ADS-B showed that the airplane had flown about 2 hours and 45 minutes over 4 different flights. The FAA reported that the last occasion the fuel tanks were topped off to full was in March 2023. Thereafter, fuel quantities could not be definitely determined, nor could the fuel loss from evaporation be quantified. According to the airplane’s Pilot’s Operating Handbook (POH): Fuel is stored in two main integral wing tanks located outboard of the mid-wing splice. Fuel quantity held by each wing tank is 60 usable gallons with one gallon of unusable fuel, for a total of 122 gallons…Fuel quantity is indicated by gauges located above the fuel selector handle. Each tank has two sensor sending units. Gauges are electrical and will operate when the battery switch is ON. Fuel tanks can be visually confirmed full if fuel level is up to the filler neck…Selection of left or right auxiliary fuel pump is determined at the fuel selector by moving the selector handle to the left or right tank The fuel tanks are independent of each other, and it is not possible to draw fuel from both tanks at the same time. AIRPORT INFORMATIONThe last maintenance was reported as being an annual inspection that was completed on February 08, 2023, about 52.1 hours before the accident. A fuel receipt revealed that the last fueling was the addition of 16.5 gallons on September 19, 2023; it is unknown how much fuel was already in the tanks at that time. Since that fueling, the ADS-B showed that the airplane had flown about 2 hours and 45 minutes over 4 different flights. The FAA reported that the last occasion the fuel tanks were topped off to full was in March 2023. Thereafter, fuel quantities could not be definitely determined, nor could the fuel loss from evaporation be quantified. According to the airplane’s Pilot’s Operating Handbook (POH): Fuel is stored in two main integral wing tanks located outboard of the mid-wing splice. Fuel quantity held by each wing tank is 60 usable gallons with one gallon of unusable fuel, for a total of 122 gallons…Fuel quantity is indicated by gauges located above the fuel selector handle. Each tank has two sensor sending units. Gauges are electrical and will operate when the battery switch is ON. Fuel tanks can be visually confirmed full if fuel level is up to the filler neck…Selection of left or right auxiliary fuel pump is determined at the fuel selector by moving the selector handle to the left or right tank The fuel tanks are independent of each other, and it is not possible to draw fuel from both tanks at the same time. TESTS AND RESEARCHThe FAA inspector who responded to the accident stated that upon arrival, he drained about 0.5 gallon from each wing tank. After turning the airplane's power on, he noted that the fuel gauges indicated that the fuel tanks were empty and the JPI engine monitor indicated that 32 gallons remained. Neither wings nor their respective fuel tanks were breached; there was no evidence of a fuel leak or blue staining on the airframe. The fuel selector was positioned on the “LEFT” tank. A postaccident examination was conducted by a certified airframe and powerplant mechanic under the auspices of the FAA inspector. The fuel supply line was disconnected from the firewall supply line (that led to the engine-driven fuel pump). No residual fuel was observed in the line upon disconnection. A flexible extension hose was connected to the firewall line, which remained attached to the engine-driven fuel pump. The opposite end of the hose was placed into a five-gallon container. With the airplane’s battery master switch powered on, the fuel quantity gauge indicated there was no fuel. Functional testing of the electric boost pumps confirmed operation on both high and low settings, with audible pump activity. Despite sounding as though they were functioning, no fuel exited from the tanks (even during manipulation of the fuel selector to different positions). A visual inspection confirmed that no circuit breakers were pulled or tripped. The sump drains were removed from both the left and right collector tanks. Approximately six ounces of fuel exited as the drain fittings were being disconnected. There was no other fluid found in the system. The airplane was equipped with a JPI EDM-900 Primary Engine Data Management System. The system includes several non-primary fuel functions that require manual input by the pilot, including "Fuel Remaining," "Fuel Required," and "Fuel Reserve." The displayed indication of 32 gallons remaining was based on pilot-entered values and was not consistent with the aircraft’s fuel quantity gauges, which indicated that no fuel was onboard. A review of the non-volatile memory downloaded from the JPI revealed that the engine powered up to takeoff rpm at 1043:11. After 2 minutes of stable power indications, the manifold pressure began to fluctuate in conjunction with changes in exhaust gas temperatures (EGTs). The manifold pressure decreased to atmospheric pressure or below, then increased, as did the EGTs, until approximately 10:45:41. Thereafter, minor fluctuations were observed; however, engine power was not restored. Fuel flow data from the transducer indicated residual flow around 2 to 3 gallons per hour, consistent with air and fuel droplets moving through the engine-driven and electric boost pumps, a pattern that is consistent with fuel starvation. The pilot stated that the purpose of the flight was for the accident airplane to be photographed by another pilot from a different airplane. The pilot stated that he believed there were 35 gallons of fuel onboard the airplane based on the airplane’s flight logs. He was unable to visually verify the actual fluid quantity in the tanks during the preflight inspection because of the design of the tanks and the lower quantity of fuel (below the fuel filler). During the initial climb, at an altitude of about 1,500 ft above ground level (agl), the engine exhibited a partial loss of power. The pilot performed a 180° turn in an attempt to return to the airport. The airplane was unable to maintain sufficient altitude and touched down in a dirt area about 500 ft short of the runway. Shortly after the accident, about 0.5 gallon of fuel was drained from each wing tank. The airplane’s fuel gauges indicated that the fuel tanks were empty and the engine monitor indicated that 32 gallons remained. Both wings and their respective fuel tanks were not breached; there was no evidence of a fuel leak or blue staining on the airframe. A post-accident examination revealed only trace amounts of fuel throughout the system and the boost pumps sounded to be operating normally. The engine monitoring system requires manual input by the pilot for the “Fuel Remaining.” The displayed indication of 32 gallons remaining was based on pilot-entered values and was not consistent with the airplane’s fuel quantity gauges, which indicated that no fuel was onboard. A review of the data from the engine monitoring system revealed that following takeoff, the engine was operating normally for about two minutes. Thereafter, engine power decreased and was not restored. Fuel flow data from the transducer indicated residual flow around 2 to 3 gallons per hour, consistent with air and fuel droplets moving through the engine-driven and electric boost pumps, which is indicative of fuel starvation or exhaustion. The last occasion the fuel tanks were topped off to full was 7-8 months before the accident and the fuel quantities thereafter could not be definitively determined, nor could the fuel loss from evaporation be quantified. Because the fuel system did not appear to be breached and only trace amounts of fuel were found in both independent fuel tanks, it is likely the fuel quantity was inadequate, resulting in air entering in the system, leading to a partial loss of power. The pilot believed the likely erroneous fuel-remaining calculations from the pilot-entered fuel quantities rather than visually confirming the quantity or verifying with the airplane’s fuel gauges. 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-Inadequate inspection
  • Aircraft-Fluids/misc hardware-Fluids-Fuel-Fluid level
  • Personnel issues-Task performance-Inspection-Preflight inspection-Pilot

Verbatim from NTSB's published report. Source file NTSB_2023_WPR24LA012.txt. Findings + structured fields enriched from FAA avall.mdb. Full investigation docket on data.ntsb.gov ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (fuel exhaustion, fuel starvation, 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.

Browse the full corpus — academia portal ↗