CEN16CA359

NTSB accident investigation · Beech 58 · Wichita Falls, TX · August 26, 2016

Accident · No injuriesData collectionFinal report
Date
August 26, 2016, 08:50 local (13:50 UTC)
Place
Wichita Falls, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N15MDBeech 58
Defining event
Takeoff: Flight control sys malf/fail
Weather
Visual (VMC) · Day
Status
Completed · report December 5, 2016
Report
Approved by Office Director
NTSB office
Central Region
FAA report
20160826020449A
Case key
93969

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

On this page

Probable cause

The incorrect maintenance of the airplane's ventilation system which resulted in an obstruction of the elevator control system.

Findings · 2

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.

Flight control system: elevator control systemAircraft › Aircraft systems · InoperativeBeech 58: 1 caseAll aircraft: 74 casesProbable cause
Air conditioning system: air distribution systemAircraft › Aircraft systems · Incorrect service/maintenanceBeech 58: 1 caseAll aircraft: 2 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 pilot reported that, during a maintenance test flight, when the airplane reached rotation speed on takeoff, he applied elevator control to rotate. The elevator control could not be moved sufficiently aft for rotation and liftoff, and the pilot aborted the takeoff. During the aborted takeoff, the airplane travelled off the departure end of the runway and came to a stop on an airport access road. The airplane's left main landing gear collapsed and the left wing was bent during the accident. The pilot reported that he had performed a control system check prior to the flight and that the controls functioned normally during that check. Examination of the airplane revealed that the elevator control operated normally after the accident, but further examination revealed that a plastic elbow fitting for the windshield defroster duct was loose and could be rotated into a position that obstructed full motion of the control yoke. Examination of the elbow revealed that it was not an approved part and appeared to be the type of plastic elbow found in home supply stores. The recent maintenance performed was not in the area where the plastic elbow was located.

Factual narrative

The pilot reported that, during a maintenance test flight, when the airplane reached rotation speed on takeoff, he applied elevator control to rotate. The elevator control could not be moved sufficiently aft for rotation and liftoff, and the pilot aborted the takeoff. During the aborted takeoff, the airplane travelled off the departure end of the runway and came to a stop on an airport access road. The airplane's left main landing gear collapsed and the left wing was bent during the accident. The pilot reported that he had performed a control system check prior to the flight and that the controls functioned normally during that check. Examination of the airplane revealed that the elevator control operated normally after the accident, but further examination revealed that a plastic elbow fitting for the windshield defroster duct was loose and could be rotated into a position that obstructed full motion of the control yoke. Examination of the elbow revealed that it was not an approved part and appeared to be the type of plastic elbow found in home supply stores. The recent maintenance performed was not in the area where the plastic elbow was located.

Aircraft

Registration
N15MD
Reported as
Beech 58 (UNDESIGNAT)
Category
Airplane
Serial number
TH-441
Built
1974
Airframe hours
7,676
Engines
Cont Motor IO 520 SERIES, 285 horsepower, reciprocatingCont Motor IO 520 SERIES, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Flight test · Part 91
Operator
Cobra Kai Flight Academy
Registered owner
Cobra Kai, Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 4, 2016
Departed
CWC · Wichita Falls, TX
Destination
CWC · Wichita Falls, TX
Airport
CWC · Kickapoo Downtown, runway 17, 4,450 × 75 ft, concrete
Equipment
Stall warning system, Auto-pilot

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
44
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
4,507 total · 423 in this make and model · 4,004 as pilot in command · 130 in the last 90 days · 38 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
120° at 6 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 68 °F
Altimeter
30.06 inHg
Observed at
CWC

Docket · 2

The files NTSB released with the investigation on October 25, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.1 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.