# Accident 20191027018939A: Beech A36, Leroy, NY, October 27, 2019 - Type: FAA accident report (Accident/Incident Data System), as reported - Date: October 27, 2019, 15:03 local time - Place: Leroy, NY - Airport: Le Roy - Damage: Substantial damage - Phase of flight: Takeoff: Rotation - Operating rules: General operating rules (Part 91) - Location: 42.9814° N, 77.9353° W: From the FAA - Nearby events: https://openairdocs.org/map.md?lat=42.9814&lon=-77.9353&mi=10 - Aircraft: N9008V, a cancelled registration (https://openairdocs.org/deregistered/N9008V-2021-10-30) (OpenAirDocs) - Registry model: Beech A36 (registry code 1151604, https://openairdocs.org/model/beech-a36) (OpenAirDocs) - Registry engine: Continental IO-520 series (registry code 17032, https://openairdocs.org/engine/continental-io-520-series) (OpenAirDocs) - Reported make and model: BEECH A36 - Reported engine: CONT MOTOR IO 520 SERIES - People aboard: 4 - Fatal injuries: 0 - Other injuries: 4 - Pilot certificates: Private pilot - Pilot flight hours: 285 total, 115 in this make and model, 11 in the last 90 days - NTSB investigation: [NTSB GAA20CA048](https://openairdocs.org/ntsb/GAA20CA048) (OpenAirDocs) - FAA source: FAA Aviation Safety Information Portal (https://asip.faa.gov/) - Page: https://openairdocs.org/incident/20191027018939A ## Narrative As the FAA filed it, in capitals; the FAA replaces private details with ^PRIVACY DATA OMITTED^. ATTEMPTED TAKEOFF FROM A PAVED RUNWAY/CRASHED IN GRASS AREA AT THE END OF THE RUNWAY. FOUR OCCUPANTS TAKEN TO HOSPITAL WITH UNKNOWN INJURIES. FLIGHT ORIGINATED @ 0930 CDT (EVV), STOPPED AT ERIE PA, STOP @ (5G0), FINAL PLANNED STOP @ (IUA) NY. PILOT MEDICAL SECOND CLASS 12/12/2016. THE PILOT PROVIDED AN FAA FORM 8700-2 BASIC MED DATED 2/18/2019. PROOF OF REQUIRED MEDICAL CLASS WAS NOT PROVIDED, (NO MEDICIAL). THE ACCIDENT AIRCRAFT WAS CONFIGURED WITH 5 SEATS. THE FAA APPROVED FM WAS IN AIRCRAFT GLOVE BOX. A NON-APPROVED CHECKLIST WAS FOUND IN THE PILOTS SEAT. VALID REGISTRATION WAS DISCOVERED. DAMAGE ASSESSMENT: SUBSTANTIAL. ENGINE DEPARTED AIRCRAFT AT FIREWALL; RIGHT WING SPAR DAMAGE, LANDING GEAR AND ATTACH POINTS DAMAGED; VERTICAL TAIL SECTION SUBSTANTIALLY DAMAGED; FUSELAGE AT VERTICAL TAIL SECTION, AND MIDDLE OF CABIN SECTION BENT. MAINTENANCE HISTORY: LAST AIRFRAME, ENGINE, AND PROP ANNUAL INSPECTION WAS ACCOMPLISHED AT 12/08/18 BY A+P/IA CERTIFICATE ^#79548976^, CB AVIATION, INC. ENGINE TACH 1078.6, TTIS 7547.7, SMOH 0180.1. FUEL INFORMATION: PILOT STATED 50 GALLONS 100LL ON BOARD, RIGHT TANK WAS SELECTED. SIPHONED FUEL FROM BOTH TANKS. THERE WAS 25+ GALLONS REMOVED FROM LEFT TANK, AND 22+ GALLONS REMOVED FROM RIGHT TANK. FUEL DID NOT APPEAR TO HAVE WATER IN IT. WEATHER 5G0 LISTED HUMIDITY 86%; WIND SPEED W 23 G 35 MPH; BAROMETER 29.73 IN (1006.7 MB); DEWPOINT 49F (9C); VISIBILITY 8.00 MI; WIND CHILL 47F (8C); LAST UPDATE 27 OCT 3:56 PM EDT. THERE WAS AN ADDITIONAL NATIONAL WEATHER SERVICE WIND WARNING POSTED FOR 3 MILES E LEROY NY: URGENT - WEATHER MESSAGE NATIONAL WEATHER SERVICE BUFFALO NY, 930 AM EDT SUN OCT 27 2019,...WIND ADVISORY REMAINS IN EFFECT UNTIL 6 PM EDT THIS EVENING. SOUTHWEST WINDS 25 TO 35 MPH WITH GUSTS UP TO 50 MPH EXPECTED. 5G0 SURVEILLANCE VIDEO CAUGHT LAST FEW SECONDS OF THE EVENT. IT DEPICTED THE AIRCRAFT AT APPROXIMATELY 6 TO 10 FEET OVER WEST END OF RUNWAY 28 AT THE NUMBERS, FOLLOWED BY A SHARP ~10 LEFT BANK FOLLOWED BY A SHARP ~90 RIGHT BANK, FOLLOWED BY CLOSE TO LEVEL FLIGHT AND THE INITIAL GROUND IMPACT. TIME STAMP NOTED/ADDITIONAL CAMERAS REVIEWED FOR WIND INDICATIONS. VIDEO TIME STAMP DISCOVERED WIND SOCK TO BE STRAIGHT OUT WESTERLY WINDS WITH OCCASIONAL SOUTHERLY/SOUTHWESTERLY CROSS WINDS. WINDS 23 KNOTS GUSTING 35. TWO SKID MARKS WERE NOTED ON THE PAVEMENT AT THE END OF THE RUNWAY, NOSE TIRE AND MAIN. END OF THE RUNWAY LIGHTS NOT DAMAGED. INITIAL GROUND IMPACT APPROX. 155 FEET WEST OF END OF PAVEMENT, (4258'53.68"N/ 7756'34.90"W). AIRCRAFT HIT NOSE GEAR FIRST, LOW ANGLE, THEN RIGHT MAIN GEAR, APPEARED TO COLLAPSE INWARDS. FLAP SWITCH WAS IN UP POSITION, LANDING GEAR SWITCH WAS IN DOWN POSITION. TRIM SETTINGS: ELEVATOR TRIM: INDICATED 6D. POINT OF INTEREST #1: THE BONANZA-A36 NORMAL TAKEOFF CHECKLIST A NON- FAA APPROVED, WAS FOUND LOOSE IN FRONT COCKPIT AREA/STATED: TRIM SET A) AILERON NEUTRAL; B) ELEVATOR 3 (6 IF ONLY FRONT SEATS ARE OCCUPIED) ACCIDENT AIRCRAFT TRIM WAS SET 6D, FOUR PEOPLE ON BOARD. POINT OF INTEREST #2: THE NON-APPROVED CHECK LIST FOUND IN COCKPIT, INCLUDED: THIS CHECK LIST IS NOT TO BE USED AS A SUBSTITUTION FOR THE OWNERS MANUAL. POINT OF INTEREST #3: THE NON-APPROVED CHECK LIST WAS WORDED DIFFERENTLY THAN FAA APPROVED FLIGHT MANUAL. THE WORDS, NOSE UP, WERE NOT STATED IN THE NON-APPROVED CHECK LIST. POINT OF INTEREST #4 AILERON TRIM: THE AILERON TRIM SELECTOR APPEARED TO BE IN THE FULL RIGHT WING DOWN POSITION. PILOT STATED HE DID NOT KNOW WHAT THE AILRERON TRIM WAS AND NEVER TOUCHED THAT. INTERVIEW REVEALED PILOT HAD NOT HAD HIS FLIGHT REVIEW COMPLETED AT THE TIME OF THE ACCIDENT. AS REQUIRED BY 14 CFR 61.56 ## The NTSB's investigation of this event (1) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB GAA20CA048](https://openairdocs.org/ntsb/GAA20CA048), Oct 27, 2019: Beech A36 (N9008V), Le Roy, NY, substantial damage. Probable cause: 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. ## Other reports on N9008V (1) Matched to the same aircraft by N-number and date. - [Incident 20040827025899I](https://openairdocs.org/incident/20040827025899I), Aug 27, 2004: Beech A36 (N9008V), Batesville, MS, Minor damage. (-23) The pilot raised the landing gear lever instead of the flap lever during landing. Before the correction could be completed, the aircraft landed without… From the FAA Accident/Incident Data System. Reports are matched to registry aircraft by N-number and event date, checked against the reported make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. For accidents, the NTSB's own investigation is the fuller record. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.