Saturday, February 09, 2019

Loss of Control in Flight: Beechcraft E90 King Air, N48TA, fatal accident occurred June 13, 2017 near Sierra Blanca Regional Airport (KSRR), Ruidoso, Lincoln County, New Mexico

Justin Alan and Hayden Alan King


The National Transportation Safety Board traveled to the scene of this accident.


Additional Participating Entities:

Federal Aviation Administration / Flight Standards District Office; Albuquerque, New Mexico
Textron Aviation; Wichita, Kansas
Pratt & Whitney; Bridgeport, West Virginia

Aviation Accident Final Report - National Transportation Safety Board: https://app.ntsb.gov/pdf



Investigation Docket - National Transportation Safety Board: https://dms.ntsb.gov/pubdms

Aviation Accident Data Summary - National Transportation Safety Board: https://app.ntsb.gov/pdf


http://registry.faa.gov/N48TA



Location: Ruidoso, NM
Accident Number: CEN17FA227
Date & Time: 06/13/2017, 2210 MDT
Registration: N48TA
Aircraft: BEECH E 90
Aircraft Damage: Destroyed
Defining Event: Loss of control in flight
Injuries: 2 Fatal
Flight Conducted Under: Part 91: General Aviation - Personal 

Analysis 

The commercial pilot had filed an instrument flight rules flight plan and was departing in dark night visual meteorological conditions on a cross-country personal flight. A witness at the departure airport stated that during takeoff, the airplane sounded and looked normal. The witness said that the airplane lifted off about halfway down runway 24, and there was "plenty" of runway remaining for the airplane to land. The witness lost sight of the airplane and did not see the accident because the airport hangars blocked her view.

The wreckage was located about 2,400 ft southeast of the departure end of runway 24. Examination of the accident site indicated that the airplane impacted in a nose-down attitude with a left bank of about 20°. A left turn during departure was consistent with the airport's published instrument departure procedures for obstacle avoidance, which required an immediate climbing left turn while proceeding to a navigational beacon located about 7 miles east-northeast of the airport.

Examination of the wreckage did not reveal any evidence of preimpact mechanical malfunctions that would have precluded normal operation.

The pilot had reportedly been awake for about 15 hours and was conducting the departure about the time he normally went to sleep and, therefore, may have been fatigued about the time of the event; however, given the available evidence, it was impossible to determine the role of fatigue in this event.

Although the circumstances of the accident are consistent with spatial disorientation, there was insufficient evidence to determine whether it may have played a role in the sequence of events. 

Probable Cause and Findings

The National Transportation Safety Board determines the probable cause(s) of this accident to be:
The pilot's failure to maintain clearance from terrain after takeoff during dark night conditions. 

Findings

Aircraft
Altitude - Not attained/maintained (Cause)

Environmental issues
Dark - Effect on operation

Factual Information

History of Flight

Enroute-climb to cruise
Loss of control in flight (Defining event)

Collision with terr/obj (non-CFIT)

On June 13, 2017, about 2210 mountain daylight time, a Beech E 90, N48TA, impacted terrain during initial climb after takeoff from runway 24 at Sierra Blanca Regional Airport (SRR), Ruidoso, New Mexico. The commercial pilot and the passenger sustained fatal injuries. The airplane was destroyed by impact forces and postcrash fire. The airplane was registered to King Industries Corporation and was being operated by the pilot under Title 14 Code of Federal Regulations Part 91 as a personal flight. Dark night visual meteorological conditions prevailed at the time of the accident. An instrument rules flight plan was filed for the flight that was originating at the time of the accident and was destined for Abilene Regional Airport (ABI), Abilene, Texas.

The flight plan was filed at 2155 and listed a proposed departure time of 2320 from SRR. The planned flight to ABI was 1 hour 5 minutes, and the fuel on board was 2 hours 50 minutes.

According to the pilot's wife, on the day of the accident, their oldest son played in a championship baseball game, and after the game, the family drove to the airport, arriving about 2130. She said that her husband did "all the preflight checks" of the airplane and then he and their oldest son boarded the airplane. She further said that her husband did an engine runup by the hangar area; everything "looked good, sounded good"; the airplane then taxied to runway 24.

She reported that the airplane lifted off about halfway down the runway, and "plenty of runway" remained for the airplane to "set back down." She further reported that the airplane was airborne by the time it flew in front of her truck, and "everything sounded okay." She said that she did not see any flames from the airplane or its engines. She could not see if there was any smoke, since it was dark outside. She said the takeoff was "normal," and the airplane did not sink. She lost sight of the airplane as it climbed out because her truck was parked by one of the hangars, which blocked her view, and she did not see the accident.

The wreckage was located by first responders about 2,400 ft southeast from the departure end of runway 24. 

Pilot Information

Certificate: Commercial
Age: 39, Male
Airplane Rating(s): Multi-engine Land; Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used: Unknown
Instrument Rating(s): Airplane
Second Pilot Present: No
Instructor Rating(s): None
Toxicology Performed: Yes
Medical Certification: Class 2 Without Waivers/Limitations
Last FAA Medical Exam: 04/25/2015
Occupational Pilot: No
Last Flight Review or Equivalent: 02/10/2017
Flight Time: 1073 hours (Total, all aircraft), 25 hours (Total, this make and model) 

The pilot held a commercial pilot certificate with airplane single- and multi-engine land and instrument ratings; he also held a mechanic certificate. At the time of his last airman medical examination on March 25, 2015, he reported a flight experience of 400 total hours with no hours in the last 6 months. His second-class airman medical certificate had no limitations.

On an aviation insurance application dated January 31, 2017, the pilot listed a total flight experience of 1,073 hours including 197.1 hours in multi-engine land airplanes, 10 hours of instrument flight experience, and 25 hours of turbine flight experience. The application did not have an entry block for night flight time, and no night flight time was listed in any other area on the application.

Between February 10, 2017 and February 17, 2017, the pilot completed 25.0 hours of BE-90 initial flight training, which was provided by Aviation Group Florida, LLC.

The pilot's wife stated that her husband got up about 0700 to 0730 on the day of the accident and that she did not know what time he went to work. She said that her husband went to his office to do some work and did not have any meetings. She said her husband would typically go to sleep about 2130 to 2200 and wake up at 0700 to 0730.

Aircraft and Owner/Operator Information

Aircraft Make: BEECH
Registration: N48TA
Model/Series: E 90 NO SERIES
Aircraft Category: Airplane
Year of Manufacture: 1978
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: LW-283
Landing Gear Type: Retractable - Tricycle
Seats:
Date/Type of Last Inspection: 02/09/2017,
Certified Max Gross Wt.: 10099 lbs
Time Since Last Inspection:
Engines: 2 Turbo Prop
Airframe Total Time: 12621.9 Hours as of last inspection
Engine Manufacturer: Pratt & Whitney
ELT: Installed, not activated
Engine Model/Series: PT6A-28
Registered Owner: King Industries Corporation
Rated Power: 680 hp
Operator: Pilot
Operating Certificate(s) Held: None

On February 3, 2017, the airplane was sold to King Industries Corporation by Aviation Group Florida, LLC. An aircraft registration application for the airplane was signed by the pilot, whose title was listed as Vice President, on February 3, 2017. 

Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Night/Dark
Observation Facility, Elevation: SRR, 6814 ft msl
Distance from Accident Site: 1 Nautical Miles
Observation Time: 2155 MDT
Direction from Accident Site: 35°
Lowest Cloud Condition: Clear
Visibility:  
Lowest Ceiling: None
Visibility (RVR):
Wind Speed/Gusts: 12 knots /
Turbulence Type Forecast/Actual: / None
Wind Direction: 220°
Turbulence Severity Forecast/Actual: / N/A
Altimeter Setting: 30.13 inches Hg
Temperature/Dew Point: 19°C / -12°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: Ruidoso, NM (SRR)
Type of Flight Plan Filed: IFR
Destination: Abilene, TX (ABI)
Type of Clearance: IFR
Departure Time: 2210 MDT
Type of Airspace: 

According to the U.S. Naval Observatory, Astronomical Applications Department, on June 13, 2017, moon rise in Ruidoso was at 2323, and the phase of the moon was waning gibbous with 85% of the moon's visible disk illuminated.

Airport Information

Airport: Sierra Blanca Regional Airport (SRR)
Runway Surface Type: Asphalt
Airport Elevation: 6814 ft
Runway Surface Condition:
Runway Used: 24
IFR Approach: None
Runway Length/Width: 8120 ft / 100 ft
VFR Approach/Landing: None 

SRR did not have an air traffic control tower. There were two published instrument departure procedures designed for obstacle avoidance while climbing out of the airport area. For departures from runway 24, both procedures required an immediate climbing left turn while proceeding to a navigational beacon located about 7 miles east-northeast of the airport. 

Wreckage and Impact Information

Crew Injuries: 1 Fatal
Aircraft Damage: Destroyed
Passenger Injuries: 1 Fatal
Aircraft Fire: On-Ground
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 2 Fatal
Latitude, Longitude: 33.453056, -105.543056 (est) 

The accident site was located about 2,400 ft southeast of the departure end of runway 24 at an elevation of about 6,756 ft. The airplane wreckage path was on a southeasterly heading and was about 168 ft in length. The terrain from the northwest to the southeast was upsloping and exhibited soot and fire damage to the ground and surrounding trees. The northwest end of the wreckage path had trees with breaks that exhibited a downward slope estimated to be about 20° toward the left as viewed looking southeast. The left wingtip was located near the broken trees. The outboard section of the right wing was located about midway along the wreckage path and to the right side of the path as viewed looking southeast. The remaining wing sections and control surfaces were located along the wreckage path. The southeast end of the wreckage path contained the airplane fuselage and empennage.

Both propellers were separated from the engines and were resting along the debris path. Both propellers exhibited S-shaped bending, leading edge damage, and chordwise scratching consistent with engine power being produced at impact. Postaccident disassembly examination of both propellers revealed witness marks that indicated about a 30° blade angle, which was consistent with mid-range power. None of the propeller blades exhibited a feathered position.

Postaccident disassembly examination of both engines revealed impact and postcrash fire damage. The compressor and turbine sections of both engines exhibited circumferential contact damage of the compressor and turbine disks. There were no mechanical anomalies found that would have precluded normal operation of the engines.

The cockpit avionics, flight instruments, and control panel switches were destroyed by impact forces and fire. The landing gear was found in the retracted position.

Examination of the flight control cables revealed overload separations. The left outboard wing flap was in the retracted position, and the remaining flaps were separated from the wings. 

Medical And Pathological Information

The University of New Mexico Health Sciences Center, Office of the Medical Examiner, Albuquerque, New Mexico conducted an autopsy of the pilot. The autopsy report stated that the cause of death was blunt trauma.

The Federal Aviation Administration's Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, performed forensic toxicology on specimens from the pilot. According to the toxicology report, carbon monoxide and cyanide testing were not performed; no ethanol was detected, and ibuprofen was detected in muscle.



NTSB Identification: CEN17FA227
14 CFR Part 91: General Aviation
Accident occurred Tuesday, June 13, 2017 in Ruidoso, NM
Aircraft: BEECH E 90, registration: N48TA
Injuries: 2 Fatal.

This is preliminary information, subject to change, and may contain errors. Any errors in this report will be corrected when the final report has been completed. NTSB investigators either traveled in support of this investigation or conducted a significant amount of investigative work without any travel, and used data obtained from various sources to prepare this aircraft accident report.

On June 13, 2017, about 2210 mountain daylight time, a Beech E-90, N48TA, impacted terrain about 2,400 feet southeast of the departure end of runway 24 (8,120 feet by 100 feet, asphalt) Sierra Blanca Regional Airport (SRR), Ruidoso, New Mexico, during a departure climb. The airplane was destroyed by impact forces and post-crash fire. The commercial pilot and a passenger sustained fatal injuries. The airplane was operated by the pilot under 14 Code of Federal Regulations Part 91 as a personal flight. Night visual meteorological conditions prevailed at the time of the accident. An instrument rules flight plan was filed for the flight that was originating at the time of the accident and was destined to Abilene Regional Airport, Abilene, Texas.

The airplane wreckage path was distributed along an approximate heading of 138 degrees and was about 168 feet in length. Both propellers were separated from the engines and were resting along the debris path. Both propellers exhibited S-shaped bending, leading edge damage, and chordwise scratching consistent with engine power.

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