ATL91LA055

NTSB accident investigation · Beech C23 · Concord, NC · February 14, 1991

Accident · No injuriesLimited investigationFinal report
Date
February 14, 1991, 16:45 local (21:45 UTC)
Place
Concord, NC
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N9146SBeech C23
Weather
Not reported
Status
Completed · report March 31, 1993
Report
Approved by Office Director
FAA report
19910214003889A
Case key
8374

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot's inadequate preflight planning in that he disregarded the crosswind limit in the pilot's operating handbook. Factors were the wet runway and the ravine at the end of the runway.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

In flight encounter with weatherTakeoff - initial climb
Preflight planning/preparation - inadequatePilot in commandCause
Performance data - disregardedPilot in commandCause
On ground/water collision with objectLanding - roll
OverrunTakeoff - aborted
Airport facilities,runway/landing area condition - wetFactor
Terrain condition - ravineFactor
Nose overLanding - roll

Analysis

The pilot reported that during takeoff the wind shifted from a headwind to a tailwind. One wing dipped & the airplane descended back into ground effect. There were trees at the end of the runway so, he elected to abort. The grass/dirt runway was wet. A ground loop was attempted but acft continued in a straight line, sideways. It was realigned with the runway, rolled off the end into a stream, & nosed over. A cold front had passed & winds were strong & gusty. The pilot reported the winds but failed to note the crosswind limits in the pilot's handbook.

Aircraft

Registration
N9146S
Reported as
Beech C23
Category
Airplane
Serial number
M1769
Engine
Lycoming O-360-A4K, 180 horsepower, reciprocating
Damage
Substantial damage
Fire
In-Flight
Flight
Personal · Part 91
Operator
Dawson, John M.
Airport
4NC8 · Goodnight Field, runway 33, 2,400 × 30 ft, grass/turf

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
35
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Flight hours
356 total · 77 in this make and model · 246 as pilot in command · 8 in the last 90 days · 2 in the last 30 days

Weather

Conditions
Not reported
Lowest ceiling
8,000 ft broken
Temperature
-0 °F, dew point -0 °F
Observed at
CLT, 20 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.