Additional Participating Entity:
Federal Aviation Administration / Flight Standards District Office; Rochester, New York
Investigation Docket - National Transportation Safety Board:
Location: Le Roy, New York
Accident Number: GAA20CA048
Date & Time: October 27, 2019, 15:00 Local
Registration: N9008V
Aircraft: Beech A36
Aircraft Damage: Substantial
Defining Event: Loss of control on ground
Injuries: 4 Minor
Flight Conducted Under: Public aircraft
Analysis
The pilot reported that, before the takeoff roll, he had increased the trim because the tail felt like it was "lifting ahead of the nose when not heavily loaded in the rear." During the takeoff roll, while about 73 knots and 1,800 ft down the runway, the airplane lifted off. The airplane was still in ground effect, and the pilot applied forward yoke pressure to increase the airspeed. He recalled checking the gauges, and all appeared within normal limits. The airplane descended to the runway about 74 knots and bounced. The airplane overran the runway, and the pilot pushed forward on the yoke to level the airplane, but the airplane encountered a wind gust from the left and touched down in the grass about 155 ft beyond the end of the runway. The nose landing gear collapsed, and the airplane stopped. The airplane sustained substantial damage to the engine mounts, the elevator, and both wings. The pilot reported that there were no preaccident mechanical failures or malfunctions 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 improper pitch control during takeoff in high, gusting wind conditions, which resulted in a runway overrun and the nose landing gear collapsing.
Findings
Personnel issues Aircraft control - Pilot
Aircraft Pitch control - Not attained/maintained
Environmental issues High wind - Effect on operation
Environmental issues Gusts - Effect on operation
Factual Information
History of Flight
Takeoff Abnormal runway contact
Takeoff Runway excursion
Takeoff Loss of control on ground (Defining event)
Pilot Information
Certificate: Private
Age: 48, Male
Airplane Rating(s): Single-engine land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used: 4-point
Instrument Rating(s): None
Second Pilot Present: No
Instructor Rating(s): None
Toxicology Performed: No
Medical Certification: Class 3 Without waivers/limitations
Last FAA Medical Exam: February 18, 2019
Occupational Pilot: No
Last Flight Review or Equivalent: September 15, 2016
Flight Time: (Estimated) 285 hours (Total, all aircraft), 115 hours (Total, this make and model), 183 hours (Pilot In Command, all aircraft), 11.8 hours (Last 90 days, all aircraft), 8.6 hours (Last 30 days, all aircraft), 4 hours (Last 24 hours, all aircraft)
Aircraft and Owner/Operator Information
Aircraft Make: Beech
Registration: N9008V
Model/Series: A36
Aircraft Category: Airplane
Year of Manufacture: 1969
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: E-185
Landing Gear Type: Retractable - Tricycle
Seats: 6
Date/Type of Last Inspection: December 8, 2018 Annual
Certified Max Gross Wt.: 3651 lbs
Time Since Last Inspection:
Engines: 1 Reciprocating
Airframe Total Time: 7666 Hrs as of last inspection
Engine Manufacturer: Continental
ELT: Installed, not activated
Engine Model/Series: IO-520
Registered Owner:
Rated Power: 285 Horsepower
Operator: On file
Operating Certificate(s) Held: None
Meteorological Information and Flight Plan
Conditions at Accident Site: Visual (VMC)
Condition of Light: Day
Observation Facility, Elevation: KROC,555 ft msl
Distance from Accident Site: 14 Nautical Miles
Observation Time: 18:54 Local
Direction from Accident Site: 54°
Lowest Cloud Condition:
Visibility: 10 miles
Lowest Ceiling: Broken / 2900 ft AGL
Visibility (RVR):
Wind Speed/Gusts: 17 knots / 30 knots
Turbulence Type Forecast/Actual: /
Wind Direction: 260°
Turbulence Severity Forecast/Actual: /
Altimeter Setting: 29.7 inches Hg
Temperature/Dew Point: 15°C / 9°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: Le Roy, NY (5G0 )
Type of Flight Plan Filed: None
Destination: Canandaigua, NY (IUA)
Type of Clearance: None
Departure Time: 15:00 Local
Type of Airspace: Class G
Airport Information
Airport: LE ROY 5G0
Runway Surface Type: Asphalt
Airport Elevation: 780 ft msl
Runway Surface Condition: Dry
Runway Used: 28 IFR
Approach: None
Runway Length/Width: 3854 ft / 60 ft
VFR Approach/Landing: None
Wreckage and Impact Information
Crew Injuries: 1 Minor
Aircraft Damage: Substantial
Passenger Injuries: 3 Minor
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 4 Minor
Latitude, Longitude: 42.981388,-77.935279(est)
Four-point restraint is what saved the day. Accidents like this are often fatal with lap belts. A superb upgrade to any airplane that does not already have three or four-point restraints.
ReplyDeleteYep. The 1985 172P I used to own had shoulder harnesses for the front seats that were stowed over the door when chosen to not be used. I never chose to not use it nor did my right seat passengers. The back seaters were the ones at real risk of necks breaking slamming into the back of the front seats since they did not have shoulder harnesses. Exactly the reason I required they be installed before agreeing to buy the aircraft (it was only $400 back then, or about $1K in today's dollars).
DeleteThankfully it appears they are all gonna be ok to fly again.
ReplyDelete