ATL95FA021

NTSB accident investigation · Beech 95B55 · Mableton, GA · November 27, 1994

Accident · FatalField investigationFinal report
Date
November 27, 1994, 18:03 local (23:03 UTC)
Place
Mableton, GA
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N8933MBeech 95B55
Weather
Instrument (IMC) · Day
Status
Completed · report June 29, 1995
Report
Approved by Office Director
FAA report
19941127039539A
Case key
3463

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 weather evaluation in that he failed to account for forecasted winds at altitude that resulted in an increased time en route and fuel exhaustion.

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.

Loss of engine power(total) - nonmechanicalMissed approach (ifr)
All enginesCause
Fluid,fuel - exhaustionCause
Weather evaluation - inadequatePilot in commandCause
Wind information - not usedPilot in commandCause
Fuel consumption calculations - inaccuratePilot in commandCause
Forced landingDescent - emergency
Loss of control - in flightDescent - emergency
Airspeed(vs) - not maintainedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilot obtained two weather briefings prior to departing on the cross-country flight. Forecasted en route winds which were high were provided. The pilot did not change his estimated time en route when he filed an IFR flight plan. Destination weather was forecasted to improve; however, the fss specialist stated that he doubted there would be improvement. Destination weather was not requested again until near the arrival airport. At the destination, a VOR approach was attempted, even though weather was below minimum descent altitude. A missed approach followed, and the pilot proceeded to the alternate airport. En route, he reported low fuel. An ILS approach at the alternate ended in a missed approach when the pilot reported he did not see the runway. Weather was at minimums. During the second approach to the alternate, the pilot reported that one engine had quit. The second engine quit during an attempt to begin a third approach. Four and one-half gallons of fuel were drained from the airplane at the accident site.

Factual narrative

History of flight

On November 27, 1994, about 1803 eastern standard time, a Beech 95B55, N8933M, collided with trees and terrain during an uncontrolled descent at Mableton, Georgia about 1.5miles southeast of the Fulton County Airport. The airplane was operated by the owner/pilot under the provisions of 14 CFR Part 91, and instrument flight rules (IFR). Instrument meteorological conditions prevailed. An IFR flight plan was filed for the personal flight. The private, instrument and multi-engine rated, pilot was fatally injured, and the airplane was substantially damaged. Origination of the flight was Pennridge Airport, Perkasie, Pennsylvania, about 1259, on the same day.

The pilot obtained two pre-flight weather briefings from Altoona Automated Flight Service Station (AFSS) and Williamsport AFSS at 0906 and 1216, respectively. Information regarding the freezing level, upper level icing, and upper level winds were specifically discussed by the AFSS specialist and the pilot. The airport forecasts for the destination area were for improving conditions to 2500 feet scattered cloud layers, and visibility exceeding seven miles. During the second weather briefing, the AFSS specialist noted that the current weather at Dekalb-Peachtree airport, about 30 miles northwest of Covington, Georgia, the destination, was ceiling, 300 feet overcast, with 1.5 miles visibility. The Atlanta International Airport had an indefinite ceiling, 100 feet obscured, with visibility 1/8 mile. The second specialist went on to note the forecast of improving weather and stated that "I wouldn't count on it if they're still down that low now." According to air traffic control records, the pilot requested additional weather information at 1636 from Atlanta Air Route Traffic Control Center (ARTCC).

Information obtained from air traffic control indicated that the flight was routine until its arrival in the Atlanta metropolitan area. Upon arrival at the flight planned destination, Covington, Georgia, a VOR-DME approach to the Covington Airport an uncontrolled field, was executed, followed by a missed approach. The pilot requested to proceed to his alternate, Fulton County Airport. Prior to beginning an approach at Fulton County Airport, the pilot had reported that he had about 15-20 minutes of fuel remaining. An instrument landing system (ILS) approach to runway 8 was attempted. The pilot stated he did not see the runway environment. Following a missed approach, the flight was provided an airport surveillance approach. During the surveillance approach the pilot reported that an engine had quit. The surveillance approach was continued with the pilot never sighting the runway environment. Subsequently, radio and radar contact with the airplane was lost, about 1.5 miles west of the airport. The wreckage was located 1.5 miles, bearing 278 degrees from the airport. All of the wreckage debris was confined to an area approximately within the wingspan of the airplane.

Personnel information

The pilot obtained his private certificate in December 1986. An instrument rating was obtained in January 1992. On his application for the instrument rating he listed 893 total flight hours and 47 instrument flight hours. A multiengine rating was issued to the pilot in December 1993. He listed 1041 total flight hours, and 60 instrument flight hours, on the rating application. He listed four flight hours in the aircraft used for the multiengine flight check. N8933M was registered to the pilot in September 1993. The aircraft log indicated 921 total hours for the airplane in July 1993. The airplane's hour meter reflected 1076.5 hours at the accident site. The last entry in the pilot's log is dated October 25, 1992, and listed 22.1 total multiengine flight hours. Therefore, the pilot's multiengine flight hours are estimated to be 170 (1076.5-921=155.5+22.1=177.6).

The pilot certificate issued to the pilot in December 1993, for the added multiengine rating, stated that the multiengine rating was for visual flight rules only. The designated examiners's report stated that the rating for which tested was "multiengine (private VFR)."

A second class medical certificate was issued to the pilot on April 26, 1993. It contained a limitation that the holder must wear corrective lenses while exercising the privileges of the certificate.

Aircraft information

The airplane was registered to the pilot. An annual inspection was recorded in the aircraft log and was dated August 16, 1994. The aircraft total time on that date was listed as 5129.4 hours with a tachometer hour meter reading of 1024.2 hours. The left and right engine logbooks indicated an inspection on August 16 and August 18, 1994, respectively. The left engine log listed 963.7 hours since overhaul and the right engine log listed 2693.2 total engine hours. The aircraft records indicated that the propellers were overhauled on November 22, 1988.

An entry in the aircraft log indicated that the altimeter, the static system, the automatic pressure altitude reporting equipment and the transponder were tested in July, 1991. 14 Code of Federal Regulations (CFR) Part 91.411 requires that each static pressure system, each altimeter instrument, and each automatic pressure altitude reporting system must be inspected within 24 calendar months, preceding the operation of the airplane in controlled airspace under instrument flight rules. Similarly, 14 CFR Part 91.413 requires that the transponder be inspected within the preceding 24 calendar months.

Meteorological information

At the time of the accident, and immediately preceding it, aircraft that were executing approaches to Dekalb-Peachtree Airport, about 15 Nmi northeast of the accident site, were missing the approach and landing at Fulton County Airport. The surface weather analysis at Fulton County at 1750 on November 27, 1994 was sky measured 300 feet overcast; visibility 3/4 mile in fog; temperature 47 degrees F.; dew point missing; wind 110 degrees at five knots; and altimeter setting 30.06 In. Hg.

Another pilot, operating a Piper Cherokee, landed at Fulton County Airport after the accident had occurred. He reported that the cloud tops were about 3,000 to 4,000 feet. The cloud layer was solid until just above decision height, about 250 feet above ground level. He first observed the approach strobe lights to identify the runway environment.

Aids to navigation

Several aircraft completed an ILS approach to Fulton County Airport prior to and following N8933M. There were no pilot reports of problems with the localizer or glide slope signals. Additionally, the manager of the Fulton County Air Traffic Control Tower stated that proper operation of the ILS system was verified by airways facilities personnel.

Airport information

Runway 8 at the Fulton County Airport is equipped with High Intensity Runway Lights and a Medium Intensity Approach Light System with Runway Alignment Indicator Lights (MALSR). The decision height is 1,078 feet mean sea level, 270 feet above ground level.

Wreckage and impact information

The airplane impacted in a wooded lot, adjacent to a residence. One propeller blade from the right propeller was separated from the airplane and located about 15 feet behind the right wing. About three feet of the outboard end of the right wing was separated from the airplane and located about 25 feet to the left rear of the left wing tip. The outboard portion of the left wing tip had pine bark trapped in the folds of chordwise accordion-like damage to the leading edge. A concave shaped indentation was co-located with the chordwise accordion-like damage. The remainder of the airplane lay, upright, within the confines of its fuselage length and wingspan. One tree had freshly broken limbs and was located about 15 feet on a 45 degree angle from the left wing tip leading edge. A second tree was topped, and

Aircraft

Registration
N8933M
Reported as
Beech 95B55
Category
Airplane
Serial number
TC556
Airframe hours
5,129
Engine
Continental IO-470-L, 260 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Brown, Grant M.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 16, 1994 · 52 hours before
Departed
N70 · Perkasie, PA
Destination
9A1 · Covington, GA
Flight plan
IFR
Airport
FTY · Fulton County Brown Field, runway 8, 5,796 × 100 ft, asphalt

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
57
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,041 total · 985 as pilot in command

Weather

Conditions
Instrument (IMC) · Day
Wind
110° at 5 knots
Visibility
0.75 statute miles
Lowest ceiling
300 ft overcast
Temperature
48 °F
Altimeter
30.00 inHg
Observed at
FTY, 1 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.

Other investigations on N8933M · 2

Matched to the same aircraft by N-number and date.