CEN10FA299

NTSB accident investigation · Beech G35 · Marble, CO · June 6, 2010

Accident · FatalField investigationFinal report
Date
June 6, 2010, 07:15 local (13:15 UTC)
Place
Marble, CO
Injuries
1 fatal, 1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N887MBeech G35
Defining event
Maneuvering: Controlled flight into terr/obj (CFIT)
Weather
Visual (VMC) · Day
Status
Completed · report April 7, 2011
Report
Approved by Office Director
NTSB office
Central Region
Parties
Federal Aviation Administration, Hawker Beechcraft
FAA report
20100606005579A
Case key
76222

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 miscalculation of the airplane's turn radius and climb capabilities at high altitude, resulting in controlled flight into terrain. Contributing to the accident was the pilot's lack of mountain flying experience and restricted visibility due to the rising sun.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Environmental issuesEnvironmental issues › Physical environment · Effect on operationBeech G35: 1 caseAll aircraft: 24 cases
Experience/qualificationsPersonnel issues › Experience/knowledge · PilotBeech G35: 1 caseAll aircraft: 18 casesProbable cause
Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Effect on operationBeech G35: 1 caseAll aircraft: 278 casesProbable cause
Light condition: bright lightEnvironmental issues › Conditions/weather/phenomena · Effect on personnelBeech G35: 1 caseAll aircraft: 28 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The private pilot was attempting to land to the east on a private airstrip in mountainous terrain. The surviving passengers reported that the sun had just crested the mountains, obscuring their vision as they approached the vicinity of the airstrip. The pilot overflew the intended destination and informed the passengers that he would turn to land on the airstrip. The pilot misjudged his turn radius and the proximity of the mountains and turned into terrain. The passengers stated that the pilot attempted to maneuver away from the mountain but was unable. A postaccident examination of the airplane did not reveal any preimpact anomalies which would have precluded normal operation of the airplane. A review of the pilot's log book revealed that he had only operated in mountainous terrain when he flew into the airstrip a few days prior to the accident. Several medications, including hydrocodone, were detected during toxicology. The lack of hydrocodone in the blood sample suggests that the pilot had not ingested this medication within the previous 12 hours and was not impaired by its use. It is unclear what conditions the pilot was treating with medication and whether these conditions interfered with his ability to pilot the airplane.

Factual narrative

HISTORY OF FLIGHT On June 6, 2010, approximately 0715 mountain daylight time, a Beech G35, N887M, was substantially damaged upon impact with terrain while maneuvering to land at a private airfield near Marble, Colorado. The private pilot was fatally injured, one passenger was seriously injured, and one passenger sustained minor injuries. The airplane was owned and operated by a private individual. No flight plan was filed and visual meteorological conditions prevailed for the Title 14 Code of Federal Regulations Part 91 personal flight. The local flight departed the private airstrip approximately 0630. The two passengers were interview by the National Transportation Safety Board investigator-in-charge (IIC) and two inspectors from the Federal Aviation Administration (FAA). Both passengers reported that the local flight was uneventful until the airplane attempted to land on the airstrip. They stated that the pilot lowered the landing gear and began looking for the airstrip. The passengers described that the sun had risen above the eastern ridge line and the airplane was flying towards the sun making forward visibility difficult. The passenger stated, the pilot said he had "overshot" the landing area and the airplane began a left turn. The airplane's flight path headed towards rising terrain and the passengers stated that the pilot initiated a climb at the last moment, but was not successful. The airplane collided with several tall aspen trees before impacting terrain. The passengers both stated that the engine sounded normal throughout the flight and that the pilot did not remark about any aircraft malfunction. PERSONNEL INFORMATION The pilot, age 38, held a private pilot certificate for airplane single engine land issued on November 1, 2006, and a third-class airman certificate without limitations issued on May 25, 2006. The pilot’s logbook and notepad containing flight times were recovered for examination. Logs revealed that the pilot had logged approximately 521 total hours and approximately 23 hours in make and model. The pilot’s last flight review occurred on May 4, 2008, in a Cessna 182. On May 2, 2010, the pilot flew 1.3 hours in the accident airplane and received an endorsement to operate high performance airplanes. In an interview with an FAA inspector, the certified flight instructor who performed the high performance endorsement flight stated that the flight on May 2, 2010, was not flown as a flight review. In addition, a review of the pilot’s log book showed that he had not operated airplanes in mountainous terrain. He had performed one landing to the airstrip a few days prior to the accident, but was not familiar with the local area. AIRCRAFT INFORMATION The four-seat, low wing, retractable gear airplane, serial number D-4747, was manufactured in 1956. It was powered by a 225 horsepower Teledyne Continental Motors E-225-8 engine, serial number 31032-D-1-8, driving a metal two-bladed Beech 215-107 constant speed propeller. A review ofmaintenance logbooks found that on February 3, 2010, an annual inspection was completed on the airplane at a tachometer time of 517.1 hours and a total aircraft time of 3,942.1 hours. The tachometer time at the accident scene was recorded as 551.3 hours. METEOROLOGICAL INFORMATION At 0653, an automated weather reporting facility located approximately 16.5 nautical miles northwest of the accident site reported winds calm, visibility 10 miles, skies clear, temperature 54 degrees Fahrenheit, dew point 43 degrees Fahrenheit, and a barometric pressure of 29.84 inches of Mercury. AIRPORT INFORMATION The Marble airstrip is located on privately owned property and is not open to the general public. Pilots must obtain permission from the land-owner to operate their airplanes on the airstrip. The airstrip area is an open field that is 4,600 feet long, of which 4,000 feet is suitable for landing. A windsock is located near mid-field to the north of the landing area. Information located on the Marble Tourism Association’s website states that “...[a]nyone who wishes to fly into Marble must be an experienced mountain pilot. The airstrip has no tower and is [surrounded] by tall mountains.” WRECKAGE AND IMPACT INFORMATION On June 7, 2010, the investigator-in-charge and two inspectors from the FAA responded to the accident site and examined the wreckage. The accident site was located in a heavily wooden area approximately 2.5 nautical miles east of the runway, at an approximate elevation of 8,400 feet mean sea level. The airplane had come to rest with a nose-up attitude against tall trees. The left wing remained attached to the fuselage and displayed several semi-circular impacts with embedded tree debris consistent with tree strikes. The left wing auxiliary tank was torn from the wing. The right wing remained attached to the fuselage. Damage signatures on the right wing were consistent with a tree tearing the wing from the trailing edge of the wing towards the fuel cap. The right wing auxiliary tank remained attached to the wing. An unmeasured amount of fuel remained in both wing tanks. The empennage was bent to the left and twisted approximately 90 degrees counter-clockwise. The right ruddervator’s push-pull rod was fractured in overload, a portion of the push-pull rod remained secured to the ruddervator horn; the horn was also fractured in overload. All major aircraft components were accounted for at the accident scene. Flight control continuity was established from the flight control surfaces to the cockpit control. The airplane’s configuration was consistent with the landing gear being extended and the flaps in the retracted position at the time of the accident. The airplane was equipped with a single “throw-over” yoke. The yoke was found secured with the controls toward the pilot. The airplane’s altimeter was set to 30.38 inches of Mercury. The engine separated from the firewall but remained attached to the fuselage via the control cables. Both propellerblades displayed chord-wise scratches; one blade displayed curling and the other blade was bent rearward. Continuity was established through the engine. No pre-impact anomalies were detected with either the airframe or the engine. A Lowrance Airmap 2000 global positioning system (GPS) was located at the accident scene and retained for further examination. MEDICAL AND PATHOLOGICAL INFORMATION On June 7, 2010, an autopsy was performed on the pilot by the Montrose Memorial Hospital Division of Forensic Pathology, Montrose, Colorado, as authorized by the Gunnison County Coroner’s Office. The manner of death was ruled an accident. Forensic toxicology was performed on specimens from the pilot by the FAA Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma. The toxicology noted the following findings: 0.047 (ug/mL, ug/g) Dihydrocodeine detected in Urine 0.036 (ug/ml, ug/g) Diphenhydramine detected in Blood Diphenhydramine detected in Urine 0.124 (ug/ml, ug/g) Hydrocodone detected in Urine 0.066 (ug/mL, ug/g) Hydromorphone detected in Urine Naproxen detected in Urine Opiates NOT detected in Blood The pilot’s last application for medical occurred on May 25, 2006. The pilot had not informed the FAA of any changes in his medical status since the issuance of his medical certificate. ADDITIONAL INFORMATION Lowrance Airmap 2000 GPS The GPS was examined by the NTSB laboratories. The information retained in the GPS was insufficient to provide any insight into the accident. Density altitude The airplane impacted terrain at an elevation of approximately 8,400 feet mean sea level. Using data obtained from a weather reported station located 16.5 nautical miles to the northeast of the accident site placed the density altitude of the accident site near 10,240 feet. Carburetor icing A review of the carburetor icing chart located in the FAA Special Airworthiness Bulletin CE-09-35 "Carburetor Icing Prevention" revealed that the airplane was operating in an area conducive for serious icing at cruise power. Damage to the airplane precluded documentation of the carburetor heat control. However, the passengers did not report any abnormal sound from the engine prior to impact.

Aircraft

Registration
N887M
Reported as
Beech G35
Category
Airplane
Serial number
D-4747
Airframe hours
3,976.4
Engine
Cont Motor E225 SERIES, 225 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 3, 2010 · 34 hours before
Departed
Marble, CO
Destination
Marble, CO
Airport
Private grass strip, runway 09, 4,500 × 75 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
38
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
May 4, 2008
Seat
Left
Toxicology
Performed
Flight hours
521 total · 23 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 5 knots
Visibility
10 statute miles
Temperature
54 °F, dew point 41 °F
Altimeter
30.37 inHg
Observed at
KASE, 18 nm away

Docket · 10

The files NTSB released with the investigation on December 10, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 MB in all.

FAA reports on this event · 1

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