Air transportation safety investigation A23C0096

The TSB has completed this investigation. The report was published on 28 March 2024.

Table of contents

    Incorrect type of fuel
    2080061 Ontario Inc. (dba SkyCare Air Ambulance)
    Piper PA-31-350, C-GQXD
    Pickle Lake Airport, Ontario

    View final report

    The occurrence

    On 14 October 2023, a Piper PA-31-350 aircraft, operated by SkyCare Air Ambulance, was conducting a flight from Pickle Lake Airport, Ontario, to Winnipeg/St. Andrews Airport, Manitoba.

    Before the flight, the aircraft was fuelled by a local fuelling company at the Pickle Lake Airport. After the aircraft departed, the fueller realized that the aircraft was given the wrong type of fuel. The fuelling company relayed a message to the flight crew to advise them.

    The engines continued to run with some abnormal indications and the crew diverted to Sioux Lookout Airport, Ontario, where the aircraft landed without incident.

    Media materials

    News release

    2024-03-28

    Investigation report: Aircraft supplied with incorrect type of fuel at Pickle Lake Airport, Ontario
    Read the news release

    Investigation information

    Map showing the location of the occurrence

    A23C0096

    Incorrect type of fuel
    2080061 Ontario Inc. (dba SkyCare Air Ambulance)
    Piper PA-31-350, C-GQXD
    Pickle Lake Airport, Ontario

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    Class of investigation

    This is a class 4 investigation. These investigations are limited in scope, and while the final reports may contain limited analysis, they do not contain findings or recommendations. Class 4 investigations are generally completed within 220 days. For more information, see the Policy on Occurrence Classification.

    TSB investigation process

    There are 3 phases to a TSB investigation

    1. Field phase: a team of investigators examines the occurrence site and wreckage, interviews witnesses and collects pertinent information.
    2. Examination and analysis phase: the TSB reviews pertinent records, tests components of the wreckage in the lab, determines the sequence of events and identifies safety deficiencies. When safety deficiencies are suspected or confirmed, the TSB advises the appropriate authority without waiting until publication of the final report.
    3. Report phase: a confidential draft report is approved by the Board and sent to persons and corporations who are directly concerned by the report. They then have the opportunity to dispute or correct information they believe to be incorrect. The Board considers all representations before approving the final report, which is subsequently released to the public.

    For more information, see our Investigation process page.

    The TSB is an independent agency that investigates air, marine, pipeline, and rail transportation occurrences. Its sole aim is the advancement of transportation safety. It is not the function of the Board to assign fault or determine civil or criminal liability.