185
2004-AUG-13 · Florence, Kentucky

Air Tahoma — Flight 185

Air Tahoma Flight 185, a Convair 580 cargo flight operating for DHL, crashed one mile short of the runway in Florence, Kentucky, following a dual-engine flameout caused by fuel starvation. The captain had opened the fuel crossfeed valve to balance the tanks but failed to follow approved procedures, leading to a pressure differential that caused both engines to draw fuel exclusively from the left tank while simultaneously transferring unused fuel into the right tank. The left tank eventually ran dry during the approach, while the right tank remained nearly full but inaccessible to the engines due to the crossfeed configuration and air entering the lines.

Aircraft
Convair 580
Registration
N586P
Phase
Cause
Souls on Board
2
Fatalities
1
Origin → Dest
Memphis International Airport → Cincinnati/Northern Kentucky International Airport
Report

Investigation Summary

During the cruise phase, the captain noticed a fuel imbalance and opened the crossfeed valve to 'balance out the fuel.' However, due to differing output pressure settings on the boost pumps, the left tank's pump dominated the system. This not only supplied both engines from the left tank but also pumped excess fuel from the left side into the right tank. The captain became preoccupied with correcting weight and balance paperwork, which he had calculated incorrectly before departure, and failed to monitor the fuel gauges or close the crossfeed valve. As the left tank reached exhaustion, the aircraft developed a significant lateral imbalance, requiring the first officer to apply heavy control force to keep the wings level. The crew misidentified the handling issues as a mechanical control problem rather than a fuel state. By the time the captain realized the crossfeed was still open, the left tank was empty, and both engines flamed out at approximately 2,400 feet. The aircraft crashed onto a golf course 1.2 miles short of runway 36R.

Final Conclusions

The NTSB determined the probable cause was fuel starvation due to the captain's failure to follow approved fuel crossfeed procedures. Contributing factors included inadequate preflight planning, the captain's distraction with paperwork during flight, the late initiation of the in-range checklist, and the crew's failure to monitor fuel gauges or recognize that changing handling characteristics were indicative of a severe fuel imbalance.

Photographic Evidence (1)

Overview of crash site
© NTSB · Wikimedia Commons

Video Analysis

The Plane That Ran Out Of Fuel With Plenty Of Fuel Onboard — A detailed look at how a simple crossfeed error and a distraction with paperwork led to the fuel starvation and crash of Air Tahoma Flight 185.

If playback is blocked, the owner has disabled embedding — use the link above.

Airframe & Maintenance

Airframe Hours
67,886
Engines
Allison 501-D13D

Crew Experience

Captain

Total hours
2,500
On type
1,337

Bruno Pichelli, aged 49.

First Officer

Total hours
2,488
On type
145

Michael Gelwicks, aged 37.

Systems & Failure Modes

i

Fuel Crossfeed System

Designed to allow engines to draw fuel from the opposite tank; improper use with boost pumps active created a pressure differential that emptied one tank into the other.

i

Allison 501-D13D Engines

Twin turboprop engines that suffered a dual flameout when the engine-driven pumps drew air from the exhausted left fuel tank.

Interesting Facts

  • 01The aircraft was a 51-year-old Convair 580 (serial number 068) with 67,886 flight hours.
  • 02The right fuel tank contained ample fuel, but the engines flamed out because they were drawing from the empty left tank via the open crossfeed.
  • 03The weight and balance computer was inoperative, forcing the captain to perform manual calculations that he later became distracted by during the flight.
  • 04The first officer was the flying pilot during the approach.
  • 05The crash occurred in visual meteorological conditions (VMC).
  • 06The captain survived with minor injuries, while the first officer was fatally injured.

Safety Actions & Advisories

Fuel Crossfeed Placard and Procedures

The NTSB highlighted that the Airplane Flight Manual (AFM) and cockpit placards explicitly prohibited fuel transfer from tank to tank and required turning off the fuel valve for the tank not being used when operating the crossfeed system.

Weight and Balance Oversight

The investigation led to recommendations regarding Air Tahoma's weight and balance procedures, specifically addressing the lack of a load manifest left at the departure station and the use of manual calculations when automated systems are inoperative.

Location

Florence, Kentucky · 39.0089, -84.6467

Case File History

  1. New evidenceUpdated event timeline and findings.
  2. New evidenceUpdated findings and safety actions.

Related Cases

Case ID · air-tahoma-185-2004Last updated · Filed

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