Tuesday, July 2, 2019

Loss of Control on Ground: Beech A36 Bonanza, N636M, accident occurred December 19, 2018 at Sedona Airport (KSEZ), Arizona

Additional Participating Entity:
Federal Aviation Administration / Flight Standards District Office; Scottsdale, Arizona

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


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


https://registry.faa.gov/N636M




Location: Sedona, AZ
Accident Number: GAA19CA102
Date & Time: 12/19/2018, 1530 MST
Registration: N636M
Aircraft: Beech 36
Aircraft Damage: Substantial
Defining Event: Loss of control on ground
Injuries: 3 None
Flight Conducted Under: Part 91: General Aviation - Personal

Analysis 

The pilot reported that he was flying a recently purchased airplane. During initial climb, the front right cockpit door opened. He decided that the condition was unsafe and entered a left downwind to land. The approach end of the runway had rising terrain, and the airplane was too high and fast. About 200 ft above ground level, he decided to abort the landing, but the engine sputtered, and he continued the landing. The airplane overran the runway and collided with a fence.

The airplane sustained substantial damage to the left wing and the elevator.

The pilot reported that there were no mechanical malfunctions or failures with the airplane that would have precluded normal operation.

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 the proper airspeed during landing, which resulted in the airplane landing too fast and too far down the runway to safely stop it.

Findings

Aircraft
Airspeed - Not attained/maintained (Cause)

Personnel issues
Aircraft control - Pilot (Cause)

Environmental issues
Fence/fence post - Contributed to outcome

Factual Information

History of Flight

Landing-landing roll
Loss of control on ground (Defining event)
Attempted remediation/recovery
Runway excursion
Collision with terr/obj (non-CFIT)




Pilot Information

Certificate: Airline Transport
Age: 44, Male
Airplane Rating(s): Multi-engine Land; Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used: 3-point
Instrument Rating(s): Airplane
Second Pilot Present: No
Instructor Rating(s):None 
Toxicology Performed: No
Medical Certification: Class 1 With Waivers/Limitations
Last FAA Medical Exam: 08/10/2018
Occupational Pilot: Yes
Last Flight Review or Equivalent: 08/11/2018
Flight Time:  (Estimated) 11000 hours (Total, all aircraft), 95 hours (Total, this make and model), 150 hours (Last 90 days, all aircraft), 59 hours (Last 30 days, all aircraft), 2.5 hours (Last 24 hours, all aircraft) 



Aircraft and Owner/Operator Information

Aircraft Make: Beech
Registration: N636M
Model/Series: 36 A36
Aircraft Category: Airplane
Year of Manufacture: 1976
Amateur Built:No 
Airworthiness Certificate: Utility
Serial Number: E-874
Landing Gear Type: Retractable - Tricycle
Seats: 6
Date/Type of Last Inspection: 04/01/2018, Annual
Certified Max Gross Wt.: 3780 lbs
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time: 4900 Hours as of last inspection
Engine Manufacturer: Continental
ELT: Installed, activated, did not aid in locating accident
Engine Model/Series: IO-550-B
Registered Owner: 636M LLC
Rated Power: 300 hp
Operator: 636M LLC
Operating Certificate(s) Held: None 



Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation:  KSEZ, 4827 ft msl
Distance from Accident Site: 0 Nautical Miles
Observation Time: 2235 UTC
Direction from Accident Site: 72°
Lowest Cloud Condition: Clear
Visibility:  10 Miles
Lowest Ceiling: None
Visibility (RVR):
Wind Speed/Gusts: 3 knots /
Turbulence Type Forecast/Actual: 
Wind Direction: 140°
Turbulence Severity Forecast/Actual:
Altimeter Setting: 30.17 inches Hg
Temperature/Dew Point: 18°C / -1°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: Sedona, AZ (SEZ)
Type of Flight Plan Filed: None
Destination: Sedona, AZ (SEZ)
Type of Clearance: VFR Flight Following
Departure Time: 1530 MST
Type of Airspace: Class G



Airport Information

Airport: Sedona (SEZ)
Runway Surface Type: Asphalt
Airport Elevation: 4830 ft
Runway Surface Condition: Dry
Runway Used: 21
IFR Approach: None
Runway Length/Width: 5132 ft / 100 ft
VFR Approach/Landing: Full Stop; Precautionary Landing; Traffic Pattern



Wreckage and Impact Information

Crew Injuries: 1 None
Aircraft Damage: Substantial
Passenger Injuries: 2 None
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 3 None
Latitude, Longitude: 34.848611, -111.788333 (est)

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