Piper PA-28-180 accident near Lebanon, Ohio, December 28, 2011
On December 28, 2011 at about 9:00 pm local time, a Piper PA-28-180, registered N994NC, was substantially damaged in an accident during approach (VFR go-around) near Lebanon, Ohio (Lebanon-Warren County Airport). It was a personal flight under general aviation rules (Part 91). 1 person was seriously injured and 3 people had minor injuries. The weather was visual conditions (good weather).
The NTSB's probable cause their words, unchanged
The pilot’s inadvertent positioning of the fuel selector valve between the right tank and OFF position, which resulted in fuel starvation and a total loss of engine power. Contributing to the accident was the inadequate inspection of the fuel valve and failure to replace the worn fuel valve's position washer.
Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.
What the record shows
- Date
- December 28, 2011 · about 9:00 pm local time
- Place
- Lebanon, Ohio · Lebanon-Warren County Airport · map
- Type
- Accident
- Injuries
- 1 person was seriously injured and 3 people had minor injuries.
- Weather
- visual conditions (good weather)
- Aircraft
- Piper PA-28-180 · all PA-28-180s on the register
- Registration
- N994NC · no longer on the register · serial 28-2590
- Damage
- Substantial damage
- Flight
- Personal flight · general aviation rules (Part 91)
The NTSB's narrative final · quoted from the NTSB record
Shortly after departure, the top of the passenger door cracked open and the pilot decided to return to the airport and land. While on the 45-degree approach to the downwind leg, he turned on the fuel boost pump and switched the fuel selector from the left tank to the right tank, since the checklist called for switching the fuel selector to the fullest tank. During the flare, the airplane was descending too fast, and a gust of wind caused it to drift left, so the pilot initiated a go-around. As the airplane was making a climbing, left-crosswind turn at 500 feet above ground level, the engine made a loud “popping sound” and immediately lost all power. The pilot initiated a forced landing and attempted to restart the engine but was not successful. The airplane hit trees and power lines before it came to rest inverted. The postaccident examination of the airplane revealed that the fuel tank selector valve was in a partial OFF position (between the right tank and OFF position). When the valve was rotated, it was stiff to move and there were no apparent detents for either the fuel tanks or the OFF position. A teardown of the fuel selector valve revealed that the inside of the valve contained dirt and contamination, and that the position washer was worn. The airplane manufacturer issued Service Bulletin No. 355 on June 5, 1972, that stated: “Inspect position washer to ascertain that it will not allow the valve to rotate beyond its stop positions. Also, inspect position washer inner perimeter surface for indications of extreme wear; should this be evident, replace position washer.” The service bulletin called for repetition of this inspection at 100-hour intervals and for replacement of the position washer if the valve was difficult to rotate or if the washer did not allow the valve to rotate beyond the stop position. The fuel tank selector valve was reassembled and tested with the fuel selector handle in the same position as it was found at the accident site. The test indicated that the stream of fluid exiting the fuel selector valve was at a greatly reduced flow rate as compared to when the handle was positioned on the left or right fuel tank. The test indicated that there was not enough fuel flow to the engine at maximum power used during the go-around, which resulted in the engine’s total loss of power. The pilot reported that when he switched the fuel selector valve from the left tank to the right tank during the accident flight, he did not look to confirm the position of the lever.
The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.
The factual record from the NTSB's investigation tables, in plain English
What happened, in order
- Fuel starvation during approach (VFR go-around) defining event
- Loss of engine power (total) during approach (VFR go-around)
- Collision with terrain or object (not controlled flight into terrain) during emergency descent
- Collision with terrain or object (not controlled flight into terrain) during uncontrolled descent
The NTSB's findings
- cause Aircraft › Aircraft systems › Fuel system › Fuel selector/shutoff valve › Fatigue/wear/corrosion
- cause Aircraft › Aircraft systems › Fuel system › Fuel selector/shutoff valve › Not serviced/maintained
- cause Personnel issues › Task performance › Maintenance › (general) › Maintenance personnel
- cause Personnel issues › Action/decision › Action › Incorrect action performance › Pilot
- Personnel issues › Experience/knowledge › Experience/qualifications › Total experience w/ equipment › Pilot
Pilot
- Certificate: private
- Ratings: single-engine land
- Flight time: 63 hours in all; 2 in this make and model
- Last flight review: September 19, 2011
- Medical certificate: Class 3 (without waivers/limitations)
- Seat: left
- Injury: minor injuries
The aircraft
- Airframe total time: 6,833 hours
- Last inspection: annual inspection, January 24, 2011; 31 hours since
- Maximum gross weight: 2,400 lb
- Seats: 4
- Landing gear: fixed
- Engine: Lycoming O-360-A4A (piston); 0 hours total
- Fire on the ground
- Operator: Warren County Airport LTD
The flight
- Departed from: I68 Lebanon OH at 8:45 pm
- Destination: I68 Lebanon OH
- Flight plan: none
- Runway 19, 4,500 ft by 65 ft
Weather at the time
- Light: dusk
- Wind: from 250° at 5 knots
- Visibility: 10 statute miles
- Sky: broken clouds at 2,800 ft
- Temperature: 34°F (1°C), dew point 25°F (-4°C)
- Altimeter: 30.03 inHg
- Observation at 9:53 pm from MGY, 8 miles away
Injuries
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Flight crew | 1 | |||
| Passengers | 1 | 2 |
Documents from the investigation the NTSB's docket: the evidence folder behind the report
The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.
Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.
