CEN19TA205

NTSB accident investigation · Beech 23 · Vaiden, MS · July 4, 2019

Accident · Serious injuriesClass 3Final report
Date
July 4, 2019, 13:55 local (18:55 UTC)
Place
Vaiden, MS
Injuries
2 serious, 2 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N7618RBeech 23
Defining event
Approach-VFR go-around: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Flight Standards District Office
FAA report
20190704009139A
Case key
99769

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 unstable approach and failure to properly configure the flaps during the attempted go-around, which resulted in an aerodynamic stall and impact with terrain.

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.

Personnel issuesPersonnel issues › Task performance · PilotBeech B23: 1 caseAll aircraft: 137 casesProbable cause
Action: forgotten action/omissionPersonnel issues › Action/decision · PilotBeech B23: 1 caseAll aircraft: 440 casesProbable cause
Performance/control parameters: climb rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech B23: 1 caseAll aircraft: 265 casesProbable cause
Flight control system: tE flap control systemAircraft › Aircraft systems · Not used/operatedBeech B23: 1 caseAll aircraft: 74 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 had conducted a sightseeing flight with three passengers. He configured the airplane with flaps full down for the approach to land on the 2,500-ft turf runway with the airplane near its maximum gross weight. He reported that, due to excessive speed on the final approach, the airplane floated halfway down the runway, and he initiated a go-around. The wing flaps remained fully extended, and the pilot recognized the climb rate was not enough to clear trees at the end of the runway, so he pulled back on the flight control yoke. He then realized that the airplane was in an aerodynamic stall condition and decreased the pitch attitude. The airplane impacted rising terrain about 330 ft beyond the departure end of the runway, which resulted in substantial damage to the wings and fuselage. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. The pilot’s failure to retract the wing flaps during the go-around likely affected the airplane’s performance and ability to climb.

Factual narrative

On July 4, 2019, about 1355 central daylight time, a Beech B23 airplane, N7618R, was substantially damaged when it was involved in an accident at Mitchell's Airport (3MS5), near Vaiden, Mississippi. The pilot and one passenger were seriously injured and two passengers received minor injuries. The airplane was owned and operated by the pilot as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that following a sightseeing flight, he flew a visual pattern to 3MS5 and configured the airplane with flaps full down. He recalled that the airspeed was excessive while on final approach, which resulted in the airplane floating about halfway down the 2,500 ft turf runway. During the pilot's go-around, he perceived that the engine responded normally and produced power. With flaps full down, the pilot noticed the climb rate was not enough to clear trees at the end of the runway. The pilot pulled back on the yoke to clear the trees and subsequently recognized that the airplane was in an aerodynamic stall condition, so he relaxed back pressure on the yoke to decrease the airplane's pitch attitude. The airplane impacted rising terrain about 330 ft beyond the departure end of the runway; both wings and the fuselage sustained substantial damage. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. Based on the pilot's estimate of passenger weights, the airplane was near its maximum gross weight during the approach.

Aircraft

Registration
N7618R
Reported as
Beech 23
Category
Airplane
Serial number
M-1241
Built
1969
Airframe hours
2,221
Engine
Lycoming O&VO-360 SER, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 19, 2010 · 21 hours before
Departed
5A6 · Winona, MS
Destination
3MS5 · Vaiden, MS
Airport
3MS5 · Mitchell'S, runway N, 2,500 × 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
72
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
December 7, 1998
Seat
Left
Flight hours
520 total · 520 in this make and model · 0 in the last 90 days · 0 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
77 °F, dew point 73 °F
Altimeter
30.04 inHg
Observed at
KGWO, 18 nm away

Docket · 2

The files NTSB released with the investigation on June 9, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 118 KB 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.