CEN19LA086

NTSB accident investigation · Beech 65 · Colby, KS · February 22, 2019

Accident · No injuriesLimited investigationFinal report
Date
February 22, 2019, 09:45 local (15:45 UTC)
Place
Colby, KS
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N62069Beech 65
Defining event
Takeoff: Sys/Comp malf/fail (non-power)
Weather
Instrument (IMC) · Day
Status
Completed · report August 10, 2020
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA
FAA report
20190222010449A
Case key
99027

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 pilot’s failure to properly secure the crew hatch door before takeoff, which resulted in his distraction and his failure to maintain airplane control and airspeed.

Findings · 5

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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotBeech U-8F: 1 caseAll aircraft: 1,391 casesProbable cause
Attention/monitoring: attentionPersonnel issues › Psychological · PilotBeech U-8F: 1 caseAll aircraft: 226 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBeech U-8F: 1 caseAll aircraft: 9,295 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech U-8F: 1 caseAll aircraft: 1,681 casesProbable cause
Performance/control parameters: altitudeAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech U-8F: 1 caseAll aircraft: 1,310 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

Shortly after takeoff, the pilot noticed that the crew hatch door, located next to the left front seat, had unexpectedly opened. The pilot attempted to close the door without success. He indicated that, while trying to close the door, he "wasn't able to fully control the airplane normally (mainly [in] heading and pitch)," so he initiated a precautionary landing back to the departure airport. While maneuvering at a low altitude to stay in visual flight rules conditions (overcast ceiling at 300 ft), the airplane's airspeed decreased, the wing tips were dipping back and forth, and the airplane exhibited signs of nearing its critical angle of attack. The pilot retracted the landing gear and applied full engine power to try to gain airspeed. The pilot was unable to gain airspeed, and the airplane was losing altitude. Before impact, the pilot kept the wings level and the nose in a slight pitch-up attitude. The airplane then impacted the snow-covered terrain with the landing gear retracted, which resulted in substantial damage to the left wing and aileron. Postaccident examination of the airplane revealed no preimpact malfunctions with the crew hatch door; thus, it is likely the door had not been properly secured before takeoff.

Factual narrative

On February 22, 2019, about 0945 central standard time, a Beech 65 airplane, N62069, impacted terrain near Colby, Kansas, while maneuvering for a precautionary landing. The commercial pilot was not injured, and the airplane sustained substantial damage. The airplane was registered to and operated by Bemidji Aviation Services, Inc., as a Title 14 Code of Federal Regulations Part 91 positioning flight. Day instrument meteorological conditions prevailed at the time of the accident, and an instrument flight rules flight plan was filed. The flight was originating from Shalz Field Airport (CBK), Colby, Kansas, and destined for Denver, Colorado. According to the pilot, shortly after takeoff, he noticed the crew hatch door, located next to the left front seat, had unexpectedly opened. The pilot attempted to close the door, without success. While focusing on trying to close the door, the pilot "wasn't able to fully control the airplane normally (mainly [in] heading and pitch)," so he initiated a precautionary landing back to CBK. While maneuvering at a low altitude to stay in visual flight rules conditions (overcast ceiling at 300 ft), the airplane's airspeed decreased, and the wing tips were dipping back and forth. The pilot retracted the landing gear and applied full engine power to try and gain airspeed. The pilot was unable to gain airspeed, the airplane was losing altitude, and he knew the airplane was going to impact terrain. Prior to the impact, the pilot kept the wings level, and the nose in a slightly pitch up attitude. The airplane then impacted the snow-covered terrain with the landing gear retracted. Postaccident examination of the airplane by the operator revealed the left wing and left aileron were bent. No evidence was noted that the crew hatch door malfunctioned during the flight.

Aircraft

Registration
N62069
Reported as
Beech 65
Category
Airplane
Serial number
62-3866
Built
1962
Airframe hours
8,877
Engines
Lycoming IA-720-A1B, 400 horsepower, reciprocatingLycoming IA-720-A1B, 400 horsepower, reciprocating
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Bemidji Aviation Services Inc
Registered owner
Bemidji Aviation Services Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · January 29, 2019
Departed
CBK · Colby, KS
Destination
DEN · Denver, CO
Flight plan
IFR
Airport
CBK · Shalz Field Airport
Equipment
Unknown

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
27
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
February 18, 2019
Seat
Left
Restraint
3-point
Flight hours
2,550 total · 34 in this make and model · 2,444 as pilot in command

Weather

Conditions
Instrument (IMC) · Day
Wind
130° at 10 knots
Visibility
1.25 statute miles
Lowest ceiling
200 ft overcast
Temperature
30 °F, dew point 30 °F
Altimeter
29.95 inHg
Observed at
CBK, 1 nm away

Docket · 3

The files NTSB released with the investigation on March 19, 2019, 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.

Other investigations on N62069 · 2

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