Sunday, September 06, 2020

Loss of Control in Flight: Beechcraft A23 Musketeer, N8868M; accident occurred July 05, 2020 near Sedona Airport (KSEZ), Yavapai County, Arizona


Aviation Accident Final Report - National Transportation Safety Board

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

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

    
Location: Sedona, AZ
Accident Number: WPR20CA205
Date & Time: 07/05/2020, 1030 MST
Registration: N8868M
Aircraft: Beech 23
Aircraft Damage: Substantial
Defining Event: Loss of control in flight
Injuries: 2 None
Flight Conducted Under: Part 91: General Aviation - Personal

Analysis

The pilot was departing from an airport where the density altitude was 7,700 feet. While departing with a slight left quartering, the airplane lifted off from the runway near the mid field point and began slowly climbing. Crossing the end of the runway, the airplane yawed and then began to lose altitude. After the airplane exited the airport boundary, which was on a plateau, it continued to lose altitude and descended down the sloped terrain. Unable to gain airspeed or maintain altitude, the pilot initiated a forced landing to a road. During the landing, the right main and nose landing gear collapsed. The right wing and lower fuselage were substantially damaged. 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 inability to maintain a climb after an attempted takeoff in high density altitude conditions, which resulted in a forced landing on a road and subsequent landing gear collapse. 

Findings

Personnel issues Aircraft control - Pilot
Aircraft Climb capability - Not attained/maintained
Environmental issues High density altitude - Effect on operation

Factual Information

History of Flight

Initial climb Loss of control in flight (Defining event)
Landing-flare/touchdown Landing gear collapse

Pilot Information

Certificate: Flight Instructor; Commercial
Age: 55, Male
Airplane Rating(s): Multi-engine Land; Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): Helicopter
Restraint Used:
Instrument Rating(s): Airplane; Helicopter
Second Pilot Present: No
Instructor Rating(s):  Airplane Single-engine; Helicopter; Instrument Airplane; Instrument Helicopter
Toxicology Performed: No
Medical Certification: Class 1 With Waivers/Limitations
Last FAA Medical Exam: 11/18/2019
Occupational Pilot: Yes
Last Flight Review or Equivalent: 04/30/2020
Flight Time:  (Estimated) 9800 hours (Total, all aircraft), 30 hours (Total, this make and model), 97 hours (Pilot In Command, all aircraft), 45 hours (Last 90 days, all aircraft), 10 hours (Last 30 days, all aircraft)

Aircraft and Owner/Operator Information

Aircraft Make: Beech
Registration: N8868M
Model/Series: 23 A23
Aircraft Category: Airplane
Year of Manufacture: 1964
Amateur Built: No
Airworthiness Certificate: Normal
Serial Number: M-606
Landing Gear Type: Tricycle
Seats: 4
Date/Type of Last Inspection: 08/28/2019, 100 Hour
Certified Max Gross Wt.: 2350 lbs
Time Since Last Inspection: 17 Hours
Engines: 1 Reciprocating
Airframe Total Time: 2799.98 Hours at time of accident
Engine Manufacturer: Continental
ELT: Installed, not activated
Engine Model/Series: IO-346-A
Registered Owner: On file
Rated Power: 165 hp
Operator: On file
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: 1035 MST
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: None / None
Wind Direction: 240°
Turbulence Severity Forecast/Actual: N/A / N/A
Altimeter Setting: 30.15 inches Hg
Temperature/Dew Point: 32°C / 6°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: Sedona, AZ (SEZ)
Type of Flight Plan Filed: VFR
Destination: Chandler, AZ (CHD)
Type of Clearance: None
Departure Time: 1030 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: 03
IFR Approach: None
Runway Length/Width:  5132 ft / 100 ft
VFR Approach/Landing:None 

Wreckage and Impact Information

Crew Injuries: 1 None
Aircraft Damage: Substantial
Passenger Injuries: 1 None
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 2 None
Latitude, Longitude: 34.863889, -111.791944 (est)

Landing Gear Collapse: Beech F33A Bonanza, N727P; accident occurred July 06, 2020 at Roberts Field Airport (KRDM), Redmond, Deschutes County, Oregon


Aviation Accident Final Report - National Transportation Safety Board

The National Transportation Safety Board did not travel to the scene of this accident. 

Additional Participating Entity: 
Federal Aviation Administration / Flight Standards District Office; Hillsboro, Oregon

Investigation Docket - National Transportation Safety Board:

Leading Edge Aviation Inc


Location: Redmond, OR
Accident Number: WPR20CA213
Date & Time: 07/06/2020, 1030 PDT
Registration:N727P
Aircraft: Beech 33
Aircraft Damage: Substantial
Defining Event: Landing gear collapse
Injuries: 2 None
Flight Conducted Under: Part 91: General Aviation - Instructional

Analysis

The purpose of the flight was for both flight instructors to perform a proficiency flight with one another. After performing maneuvers in the practice area, they returned to the departure airport to conduct touch-and-go practice takeoffs and landings. After the right-seated flight instructor made two landings, the left-seated flight instructor conducted the landing. After touchdown, while the airplane was in the landing roll, the left-seated flight instructor manipulated the landing gear position selection lever to the "up" position instead of the flap lever. Both instructors realized the mistake and attempted to move the gear lever back to the "down" position, but the left landing gear had already collapsed. The landing gear continued to retract, and they became airborne. After performing troubleshooting of the landing gear and performing a flyby, they decided to land at another airport with more facilities.

The right-seated flight instructor performed the landing at the alternate airport and the airplane rolled on all three landing gear for about 1,000 ft. The left landing gear then collapsed and the airplane veered off the runway. The left aileron sustained damage as a result of the gear collapse. The left-seated flight instructor reported that there were no preimpact 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 left seated flight instructor’s improper manipulation of the landing gear position selection lever to the up position while still on the landing roll, which ultimately resulted in a landing gear collapse during a subsequent landing. 

Findings

Personnel issues Use of equip/system - Instructor/check pilot

Factual Information

History of Flight

Landing-landing roll Landing gear collapse (Defining event)

Pilot Information

Certificate: Flight Instructor; Commercial
Age: 26, Male
Airplane Rating(s): Multi-engine Land; Single-engine Land
Seat Occupied: Left
Other Aircraft Rating(s): None
Restraint Used:
Instrument Rating(s): Airplane
Second Pilot Present: No
Instructor Rating(s): Airplane Multi-engine; Airplane Single-engine; Instrument Airplane
Toxicology Performed: No
Medical Certification: Class 1 Without Waivers/Limitations
Last FAA Medical Exam: 10/18/2019
Occupational Pilot: Yes
Last Flight Review or Equivalent: 10/18/2019
Flight Time: 1477 hours (Total, all aircraft), 15 hours (Total, this make and model), 1412 hours (Pilot In Command, all aircraft), 58 hours (Last 90 days, all aircraft), 29 hours (Last 30 days, all aircraft), 1 hours (Last 24 hours, all aircraft)

Pilot Information

Certificate: Flight Instructor; Commercial
Age: 35, Male
Airplane Rating(s): Multi-engine Land; Single-engine Land
Seat Occupied: Right
Other Aircraft Rating(s): None
Restraint Used:
Instrument Rating(s): Airplane
Second Pilot Present: No
Instructor Rating(s): Airplane Single-engine; Instrument Airplane
Toxicology Performed: No
Medical Certification: Class 1 Without Waivers/Limitations
Last FAA Medical Exam: 05/13/2020
Occupational Pilot:Yes
Last Flight Review or Equivalent: 04/19/2019
Flight Time: 1202 hours (Total, all aircraft), 39 hours (Total, this make and model), 1115 hours (Pilot In Command, all aircraft), 63 hours (Last 90 days, all aircraft), 48 hours (Last 30 days, all aircraft)

Aircraft and Owner/Operator Information

Aircraft Make: Beech
Registration: N727P
Model/Series: 33 F33A
Aircraft Category: Airplane
Year of Manufacture: 1973
Amateur Built: No
Airworthiness Certificate: Utility
Serial Number: CE-425
Landing Gear Type: Tricycle
Seats: 4
Date/Type of Last Inspection: 03/06/2020, 100 Hour
Certified Max Gross Wt.: 3400 lbs
Time Since Last Inspection: 35 Hours
Engines: 1 Reciprocating
Airframe Total Time: 6448 Hours as of last inspection
Engine Manufacturer: Continental
ELT: Installed, not activated
Engine Model/Series: IO-520-BB10B
Registered Owner: Leading Edge Aviation Inc
Rated Power: 285 hp
Operator: Leading Edge Aviation Inc
Operating Certificate(s) Held: Pilot School (141)

Meteorological Information and Flight Plan

Conditions at Accident Site: Visual Conditions
Condition of Light: Day
Observation Facility, Elevation: KRDM, 3084 ft msl
Distance from Accident Site: 1 Nautical Miles
Observation Time: 1714 UTC
Direction from Accident Site: 79°
Lowest Cloud Condition: Clear
Visibility: 10 Miles
Lowest Ceiling: None
Visibility (RVR):
Wind Speed/Gusts: 5 knots /
Turbulence Type Forecast/Actual: None / None
Wind Direction: 130°
Turbulence Severity Forecast/Actual: N/A / N/A
Altimeter Setting: 30.02 inches Hg
Temperature/Dew Point: 20°C / 6°C
Precipitation and Obscuration: No Obscuration; No Precipitation
Departure Point: Redmond, OR (RDM)
Type of Flight Plan Filed: None
Destination: Redmond, OR (RDM)
Type of Clearance: None
Departure Time: 0930 PDT
Type of Airspace:

Airport Information

Airport: Roberts Field (RDM)
Runway Surface Type: Asphalt
Airport Elevation: 3081 ft
Runway Surface Condition: Dry
Runway Used: 11
IFR Approach: None
Runway Length/Width: 7006 ft / 100 ft
VFR Approach/Landing: Straight-in; Touch and Go

Wreckage and Impact Information

Crew Injuries: 2 None
Aircraft Damage: Substantial
Passenger Injuries: N/A
Aircraft Fire: None
Ground Injuries: N/A
Aircraft Explosion: None
Total Injuries: 2 None
Latitude, Longitude: 44.254167, -121.152222