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Accidents · NTSB WPR22FA265 · Final report

North American T-28B accident near Fallbrook, California, July 23, 2022

On July 23, 2022 at about 8:31 pm local time, a 1953 North American T-28B, registered N787AS, was substantially damaged in an accident during takeoff near Fallbrook, California (Fallbrook Community Airpark airport). It was a personal flight under general aviation rules (Part 91). 1 person was killed and 1 person had minor injuries. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

A loss of power due to an unmaintained carburetor diaphragm and inoperative electric fuel pump that resulted in fuel starvation to the engine.

Source: NTSB aviation accident database, copy made November 2, 2026. Docket and reports at the NTSB.

What the record shows

Date
July 23, 2022 · about 8:31 pm local time · cases in 2022
Place
Fallbrook, California · Fallbrook Community Airpark · cases near this airport · map
Type
Accident
Injuries
1 person was killed and 1 person had minor injuries.
Weather
visual conditions (good weather)
Aircraft
North American T-28B, built 1953 · all T-28Bs on the register
Registration
N787AS · no longer on the register · serial 137787
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The pilot flew the airplane earlier in the day and made a stop at the accident airport. He performed a pre-flight inspection and positioned himself in the front seat, with the pilot-rated passenger in the rear seat. After takeoff, with the airplane about 200 feet above ground level (agl), the engine sustained a loss of power. The airplane collided with a plant nursery. The fuel system was designed where fuel flowed by gravity from all internal cells into the sump tank where an electric fuel boost pump was located. The airplane was also equipped with an engine-driven fuel pump. When the pilot turned the fuel “ON”, the electric fuel pump would simultaneously be turned on. An electric fuel-boost-pump test switch was in the cockpit and, as part of the start-up checklist, the switch had to be activated to momentarily interrupt power to the electric pump, allowing the pilot to confirm that the engine-driven fuel pump pressure is adequate (and that the electric fuel pump is operational). There was a 20-amp circuit breaker in series with the switch and the pump. If the electric pump fails below 10,000 feet pressure altitude, fuel drawn by the engine-driven pump is designed to bypass through the electric pump and sustain approximately normal fuel flow to the carburetor (with a slight drop in fuel pressure indication that may be noted). Disassembly of the electric fuel pump revealed that metal shavings were lodged in the armature creating a short in the system. The blades on the impeller showed wear consistent with instability of the shaft during rotation. The upper commutator was cracked and showed wear on the upper portion. The pump-end bearing was worn on the outside with the labyrinth seal, washer, and shims deformed. The bearing cage was determined to be the metal pieces shorting out the armature. Continuity was established from the electric pump test switch in the cockpit to the electric pump and to the circuit breaker. Attempts to trip the breaker were unsuccessful and further testing of the unit revealed it was functional. It could not be determined why the breaker did not trip when the electric pump shorted, but if the pilot had used the test switch, he likely would have been able to see the pump had failed. A flow test of the carburetor revealed that numerous parameters were out of limits. At low power settings, the carburetor ran rich (more fuel flow than required for normal operation), and at high power settings the carburetor ran lean (less fuel flow than required for normal operation). Disassembly revealed that the enrichment valve’s diaphragm was stiff/rigid, consistent with it not being submerged in fuel for long durations. The carburetor manufacturer recommended that it should be overhauled at least every ten years and be pressurized regularly (if in a hot and dry climate, it should be done monthly). The internal diaphragms become brittle and can fail if they are not wetted with fuel regularly. The carburetor was overhauled over 12 years before the accident, equating to about 400 hours of flight time; during that time the pilot stated he had not completed any maintenance on it. At takeoff power, the carburetor was not able to provide enough fuel to the engine because the enrichment diaphragm was brittle from inactivity. Additionally, because the electric fuel pump was inoperative, the fuel flow pressure was diminished providing less fuel to the carburetor.

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

  1. Fuel starvation during takeoff defining event

The NTSB's findings

Pilot

  • Certificate: airline transport pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane multi-engine; instructor: airplane single-engine; instructor: instrument airplane; instrument: airplane
  • Flight time: 27,700 hours in all
  • Medical certificate: Class 1 (with waivers/limitations)
  • Seat: frt
  • Injury: serious injuries

The aircraft

  • Last inspection: continuous airworthiness programme
  • Seats: 2
  • Landing gear: retractable
  • Engine: Wright R-1820-86B (piston); 0 hours total
  • Operator: Mach One Air Charters INC

The flight

  • Destination: F70 Temecula CA
  • Flight plan: none
  • Runway 18, 2,160 ft by 60 ft
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Wind: from 230° at 8 knots
  • Visibility: 10 statute miles
  • Sky: a few clouds at 20,000 ft
  • Temperature: 77°F (25°C), dew point 63°F (17°C)
  • Altimeter: 29.86 inHg
  • Observation at 1:52 pm from KNFG, 6 miles away

Weather report (METAR): KNFG 232052Z 23008KT 10SM FEW200 25/17 A2986 RMK AO2 SLP110 T02500172 58007 $

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

15 documents, released by the NTSB on February 28, 2024. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

#DocumentWhat it is
1 Investigation Supplemental Material PDF, 25 pages · our copy View Download
2 Cockpit Displays - Specialist's Factual Report PDF, 7 pages · our copy View Download
3 Attachment 1 to Cockpit Displays - Specialist's Factual Report data file · our copy Download
4 Video Study PDF, 14 pages · our copy View Download
5 Record of Conversations PDF, 3 pages · our copy View Download
6 Maintenance Logbook Excerpts PDF, 6 pages · our copy View Download
7 radar Data data file · our copy Download
8 Video 1 MOV file · our copy Download
9 Video 2 video · our copy View Download
10 Video 3 video · our copy View Download
11 Video 4 video · our copy View Download
12 Video 5 video View Download
13 Video 6 video View Download
14 Video 7 video View Download
15 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 1 page · our copy View Download

The same docket at the NTSB.

Connections how this case links to the rest of the register

Aircraft
Place

The whole map of how records connect · these connections as data: /graph/accident/WPR22FA265.json.

The bigger picture in Aviation Analytics: accidents over time since 1982, by model, by phase of flight and conditions, by place and on the map.

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 does not name anyone involved, its policy at this time. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.