No fatalities

2015-08-31: Piper PA-46 (Malibu/Meridian/Mirage/Matrix/M-Class) (D-ESPE) — Private Germany — Cannes, France

Cannes, FranceTakeoff (climb)

On August 31, 2015, a Piper PA-46 (Malibu/Meridian/Mirage/Matrix/M-Class) (registration D-ESPE) operated by Private Germany was involved in an aviation accident near Cannes, France during takeoff. No fatalities were reported. Investigators recorded the probable cause as: The engine failure was the result of an incorrect refueling, due to an intake initial order probably incorrect that the incomplete application of procedures by the operator in charge of refueling and the lack of attention of the pilot did not allow recovery. This summary draws on records from the Bureau of Aircraft Accidents Archives (B3A); 15 related events involving the same aircraft type or operator are linked below.

Sourcesthe Bureau of Aircraft Accidents Archives (B3A)Primary reportUpdated 1781192824Data APIEditorial standards

A single-engine aircraft ditched offshore shortly after takeoff from Cannes-Mandelieu due to engine failure caused by incorrect refueling. Both occupants were slightly injured.

Accident Details

The accident involved a single-engine aircraft that departed Cannes-Mandelieu Airport on a private flight to Triengen, Switzerland. The aircraft carried one pilot and one passenger. Shortly after takeoff from runway 17, during initial climb, the pilot observed engine troubles and a decrease in speed.

Pilot Actions

The pilot managed to maintain a straight-in path and ditched the aircraft a few hundred metres offshore. Both occupants sustained minor injuries. The aircraft sank and was lost.

Investigation Findings

The investigation determined that the engine failure resulted from an incorrect refueling. The initial fuel order was probably incorrect, and the incomplete application of procedures by the operator in charge of refueling, combined with a lack of attention from the pilot, prevented recovery. The quantity of 100LL fuel present in the feeders and pipes allowed taxiing and takeoff without the pilot noticing any anomaly. Once that 100LL was consumed, the JET A1 fuel in the lower part of the tanks fed the engine, causing power loss.

Contributing factors included:

  • Coordination between the aerodrome operator and subcontractors during the fuel order, which did not encourage confirmation of fuel type under time constraints.
  • A practice of refueling certain helicopters with incompatible filler ports, normalizing nozzle changes for JET A1 and occasionally leading to incorrect order confirmation vouchers, reducing the effectiveness of keying devices.
  • Ineffectiveness of the fuel type check item in the pre-flight procedure.

Probable cause

The engine failure was the result of an incorrect refueling, due to an intake initial order probably incorrect that the incomplete application of procedures by the operator in charge of refueling and the lack of attention of the pilot did not allow recovery. The quantity of 100LL present in the feeders and the pipes allowed the taxiing and the take-off run, without the pilot noticing any anomaly. Once this quantity of 100LL consumed, the JET A1 present in the lower part of the tanks fed the engine and caused the power decrease. Contributed to the accident: - Coordination between the aerodrome operator and its subcontractors during the fuel order taken by the ramp agent, who does not encourage the operator in charge of refueling to confirm the type of fuel in a service carried out under strong time constraints, - A usual practice for refueling certain types of helicopters, whose reservoir ports are not compatible with the dimensions of the standard refueling nozzles, which trivialize the change of nozzle for the refueling of JET A1, occasionally leading to the filling of order confirmation vouchers, thus reducing the effectiveness of the manifest safety for the operator through the presence of keying devices specific to each fuel, - The ineffectiveness of the fuel type check item of the pre-flight procedure.