AAIB Bulletin: 11/2020
Reims-Cessna F150 · Other Documents
Overview
This document is an AAIB (Air Accidents Investigation Branch) bulletin detailing a serious incident involving the Reims Cessna F150M aircraft, registration G-CSBM. The incident occurred on July 10, 2020, when the aircraft experienced engine power loss due to fuel exhaustion during a flight from Blackbushe Airport to Sandown Airport. The pilot made a precautionary landing in a field, resulting in no injuries or damage to the aircraft. The bulletin highlights the importance of accurate fuel management and the risks associated with using incorrect fuel dipsticks. It serves as a reminder for pilots to ensure they use the correct dipstick calibrated for their specific aircraft model and to monitor fuel levels accurately before and during flights.
- The Reims Cessna F150M maximum takeoff weight is 1,600 lbs (726 kg).
- The basic weight of G-CSBM was 526 kg.
- The pilot calculated the aircraft's weight at takeoff to be 732 kg, including 54 kg of fuel and 152 kg of occupants.
- Fuel tanks hold 26 US gallons, with 3.5 US gallons being unusable, resulting in a total usable capacity of 22.5 US gallons.
- Using an incorrectly calibrated dipstick led to an overestimation of fuel, resulting in fuel exhaustion.
Document
Source
Originally published by assets.publishing.service.gov.uk. Sprinkle hosts a reference copy with an added summary, specifications and searchable full text.
Document details
- Type
- Other Documents
- Year
- 2020
- Pages
- 6
- File size
- 539 KB
- Publisher
- assets.publishing.service.gov.uk
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In this document
Incident Synopsis
The incident involved the Reims Cessna F150M, G-CSBM, which lost engine power due to fuel exhaustion while approaching Blackbushe Airport. The pilot made a precautionary landing in a field, successfully avoiding any damage or injury. The power loss was attributed to the pilot's use of an incorrectly calibrated fuel dipstick, leading to an overestimation of the fuel onboard.
Flight History
The pilot planned a return flight from Blackbushe to Sandown with one passenger. He calculated a need for 16 US gallons of fuel, including reserves. Prior to departure, he checked fuel levels using a dipstick that was not calibrated for the aircraft, leading to a miscalculation of available fuel.
Fuel Management Guidance
The bulletin emphasizes the unreliability of fuel gauges in light aircraft and recommends physically checking fuel levels using a calibrated dipstick. It advises pilots to use at least two methods to verify fuel levels before flight and to maintain an accurate fuel log.
Weight and Balance Information
The maximum takeoff weight for the Reims Cessna F150 is 1,600 lbs (726 kg). The basic weight of G-CSBM was recorded at 526 kg. The pilot calculated the aircraft's weight at takeoff to be 732 kg, which included 54 kg of fuel and a combined occupant weight of 152 kg.
Safety Recommendations
Following the incident, the flying club reminded pilots to use only the dipstick calibrated for their specific aircraft type. This incident serves as a critical reminder of the importance of accurate fuel management and the potential consequences of using incorrect equipment.
Safety notes
- Fuel gauges in light aircraft are often unreliable and should not be solely relied upon for fuel management.
- Always use a dipstick calibrated for the specific aircraft to measure fuel levels accurately.
Full document text
104 © Crown copyright 2020 All times are UTC AAIB Bulletin: 11/2020 G-CSBM AAIB-26778 SERIOUS INCIDENT Aircraft Type and Registration: Reims Cessna F150M, G-CSBM No & Type of Engines: 1 Continental Motors Corp O-200-A Year of Manufacture: 1977 (Serial no: 1359) Date & Time (UTC): 10 July 2020 at 1438 hrs Location: Winchfield, Hampshire Type of Flight: Private Persons on Board: Crew - 1 Passengers - 1 Injuries: Crew - None Passengers - None Nature of Damage: None Commander’s Licence: Private Pilot’s Licence Commander’s Age: 24 years Commander’s Flying Experience: 215 hours (of which 103 were on type) Last 90 days - 23 hours Last 28 days - 17 hours Information Source: Aircraft Accident Report Form submitted by the pilot and further enquiries by the AAIB Synopsis As the aircraft approached Blackbushe Airport the engine lost power and the pilot made a precautionary landing in a field. There was no damage to the aircraft and neither occupant was injured. The engine lost power due to fuel exhaustion. The pilot had used a fuel dipstick through a desire to measure the fuel onboard more accurately, but the dipstick used was not calibrated for the aircraft; this led him to overestimate the fuel onboard. History of the flight The pilot and a friend planned to fly a return trip from Blackbushe Airport (Blackbushe) in Hampshire to Sandown Airport (Sandown) on the Isle of Wight. He was aware that with the two people on board he could not completely fill the fuel tanks as this would put the aircraft above its maximum takeoff weight. He had calculated that he required 16 US gal of fuel for the return trip which included 5 US gal of reserve fuel. Prior to departing from Blackbushe the pilot checked the fuel quantity onboard with a dipstick. There was a wooden dipstick in the aircraft which was marked with a 0, ¼, ½, ¾ and full scale but the pilot found it difficult to see the fuel level on the stick and he wanted a more accurate measurement. Therefore, he found a dipstick which was marked with a more detailed scale, that was easier to read and was similar to one he had previously used on the Cessna 150. Using this he determined there was 9-10 US gal in each tank which he believed was sufficient for his intended trip. 105 © Crown copyright 2020 All times are UTC AAIB Bulletin: 11/2020 G-CSBM AAIB-26778 The flight from Blackbushe to Sandown was uneventful. On the ground in Sandown the pilot re-measured the fuel quantity in each tank using the same dipstick. This showed there was 3-4 US gal in one tank and 9-10 US gal in the other. He was surprised that the tanks were not balanced so contacted another pilot who advised that this was not abnormal for this aircraft type. He was confident he had enough fuel for the return flight plus reserves, so did not refuel. Blackbushe airfield 1 nm Approximate position where the engine lost power Figure 1 Aircraft track approaching Blackbushe Airport The pilot had been trained that the fuel gauges on light aircraft are unreliable, and so did not use them. The return flight was uneventful until the aircraft was approximately 2 nm from Blackbushe. The pilot had just descended to circuit height when the engine started to cough and lose power. He did not know what was wrong with the engine but, being aware that landing options close to the airport were limited if the engine failed completely, he decided the safest option was to make a precautionary landing in a field. He selected a large grass field on his left side and made an 180° turn to position the aircraft on a base leg for the field (Figure 1). The engine continued to run but was still losing power. He landed in the field using full flap and stopped the aircraft (Figure 2). There was no damage to the aircraft and both occupants were uninjured. After landing no fuel could be seen visually in either fuel tank. It was subsequently discovered that the dipstick the pilot had used was calibrated for a Cessna 172 so showed a greater quantity of fuel than was actually present. 106 © Crown copyright 2020 All times are UTC AAIB Bulletin: 11/2020 G-CSBM AAIB-26778 Figure 2 G-CSBM after the precautionary landing Flying club comment The owner of the flying club commented that whilst pilots are trained not to rely on the fuel gauges in light aircraft the gauges on G-CSBM are reasonably accurate. After the incident he sent a message to all pilots at the club reminding them that the fuel dipsticks are different in each aircraft type and to ensure they use the one calibrated for the aircraft they are flying. The flying club uses an electronic aircraft log, so it is not possible for pilots to see when the aircraft was last refuelled and how much flying the aircraft has done since. The owner reported that this was intentional to ensure pilots did not rely on this information and instead measured how much fuel was onboard before each flight. Aircraft information The Cessna 150 has two interconnected fuel tanks, one in each wing. Fuel is gravity fed to the engine (Figure 3). The tanks can hold 26 US gal of fuel but 3.5 US gal is unusable, giving a total usable capacity of 22.5 US gal. Although the fuel tanks are interconnected, it was reported that it is not uncommon for the fuel to be imbalanced after flight. This can be caused by several banked turns in the same direction prior to landing causing the fuel to migrate to one side. 107 © Crown copyright 2020 All times are UTC AAIB Bulletin: 11/2020 G-CSBM AAIB-26778 Figure 3 Cessna 150 fuel system Weight and balance The Cessna 150 maximum takeoff weight is 1,600 lbs (726 kg). G-CSBM basic weight was 526 kg. The pilot calculated that on takeoff from Blackbushe, with 54 kg of fuel and with a combined occupant weight 152 kg, the aircraft weighed 732 kg. Fuel planning and management guidance The CAA skyway code (CAP 1535S1) states that: ‘Fuel gauges in most general aviation aircraft are not very accurate and should
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not be considered a reliable indicator of fuel level. You should physically check fuel levels on the ground by dipping the fuel tanks.’ Following several fuel starvation and fuel exhaustion accidents in New Zealand the Civil Aviation Authority of New Zealand published a guidance document titled ‘Fuel Management’2. The document contains the following guidance: ‘It’s good practice to check the fuel available before flight by at least two separate methods. We can do this by referring to the fuel gauge(s), loading a known quantity and, in many aircraft, by dipping the tanks. Footnote 1 CAA, ‘The Skyway Code’ available at https://publicapps.caa.co.uk/modalapplication. aspx?appid=11&mode=detail&id=7920 (accessed 3 August 2020). 2 Civil Aviation Authority of New Zealand, ‘Fuel Management’ available at https://www.aviation.govt.nz/assets/ publications/gaps/Fuel_Management.pdf (accessed 3 August 2020). 108 © Crown copyright 2020 All times are UTC AAIB Bulletin: 11/2020 G-CSBM AAIB-26778 Using a fuel dipstick is the most accurate way of determining the fuel on board. It’s therefore important to ensure that you have the correct dipstick for your aircraft. Each dipstick has been specifically calibrated to the fuel tanks of a particular aircraft and is therefore not interchangeable with those of any other aircraft, even of the same type – which is why it should be clearly marked with the aircraft registration and also show whether the figures are total or usable fuel. Keep an accurate fuel log. This, in combination with fuel gauge readings, is an important part of monitoring your fuel status in flight. The bottom line is that every method and aid you have for monitoring fuel quantity should be used. Remember to keep a close eye on the fuel gauge. Some pilots dismiss gauges as unreliable. That’s possibly unwise, considering the number of fuel starvation or exhaustion incidents where pilots have pressed on with low gauge readings. Make regular reading of fuel gauges an integral part of your fuel management strategy. If, despite doing this, your fuel situation becomes critical […] then a precautionary landing is the best course of action. Too many accidents have occurred because pilots pressed on thinking that they could make it. The fact that the aircraft may be damaged in a precautionary landing should not influence the decision – aircraft can always be repaired. It’s human nature that, when faced with marginal situations, we feel the pressure to reach our intended destination. “My passengers need to get to the destination today”; “the aircraft has to be back tomorrow”; “I don’t want anyone to know that I stuffed up”; are the types of thoughts that usually run through our minds. Ignore them, and take decisive action to divert, or land.’ Analysis As the aircraft approached Blackbushe Airport the engine lost power due to fuel exhaustion. The pilot’s decision to make a precautionary landing in a field produced a safe outcome. The fuel exhaustion occurred because, before the flight, the pilot had measured the fuel with a dipstick which was calibrated for another aircraft type. Consequently, he thought there was more fuel onboard than was actually present. The pilot wanted to measure it as accurately as possible to ensure he had enough for his intended journey but also to remain below the aircraft’s maximum takeoff weight. The desire for a more accurate reading led him to use a fuel dipstick which he thought was more accurate. The accident highlights the importance of checking the dipstick is calibrated for aircraft being flown. The pilot did not use the fuel gauges on the aircraft in flight as he believed them to be unreliable. However, the aircraft owner reported that on this aircraft the gauges are accurate. Many guidance documents stated that fuel gauges on light aircraft can be unreliable, but, as highlighted in the New Zealand CAA guidance, this does not mean that they should not be used at all. Fuel gauges can be used as part of an overall fuel management strategy. In this event it is likely that the fuel gauges would have indicated the low fuel state. 109 © Crown copyright 2020 All times are UTC AAIB Bulletin: 11/2020 G-CSBM AAIB-26778 The New Zealand CAA guidance recommends checking the fuel onboard by two independent means. One means of estimating the fuel onboard is checking the total flight time since the aircraft was last fuelled to a known state. This can usually be determined from the aircraft’s log. The flying club which operated G-CSBM used an electronic log system that did not enable the pilot to see the previous flights. This removed one possible barrier which might have alerted the pilot to the incorrect fuel measurement. When the engine began to lose power the pilot decided to make a precautionary landing. The pilot’s decision to land before the engine stopped completely gave him time to position the aircraft into a suitable large field and focus on flying the aircraft to ensure a safe outcome. Conclusion The pilot made a safe precautionary landing in a field due to loss of engine power. The engine had lost power due to fuel exhaustion. Through a desire to measure the fuel accurately the pilot had used the incorrect fuel dipstick leading him to overestimate the fuel onboard. Safety action The flying club have reminded pilots of the importance of only using the dipstick calibrated for the aircraft they are flying.







