# NTSB CEN19TA205: Beech 23, N7618R, Vaiden, MS, July 4, 2019 - Type: NTSB accident investigation - Classification: Accident · Serious injuries · Class 3 · Final report - Date: July 4, 2019, 13:55 local (18:55 UTC) - Place: Vaiden, MS - Coordinates: 33.301944, -89.814445 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=33.3019&lon=-89.8144&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Defining event: [Approach-VFR go-around: Loss of control in flight](https://openairdocs.org/ntsb-events/240) - Highest injury: Serious injuries - Injuries: 2 serious, 2 minor - Status: Completed - Report: Approved by Office Director - Investigation class: Class 3 - NTSB office: Central Region - Parties: Flight Standards District Office - NTSB case key (mKey): 99769 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN19TA205 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/99769/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=99769 - Page: https://openairdocs.org/ntsb/CEN19TA205 ## 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 NTSB's coded findings; those marked are part of the probable cause. - [Info processing/decision: identification/recognition](https://openairdocs.org/ntsb-findings/02041510): Personnel issues › Action/decision · Pilot (probable cause); cases with it: [Beech B23, 1 case](https://openairdocs.org/ntsb-findings/02041510/cases.md?model=1151240), [All aircraft, 559 cases](https://openairdocs.org/ntsb-findings/02041510/cases.md) - [Personnel issues](https://openairdocs.org/ntsb-findings/02060000): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Beech B23, 1 case](https://openairdocs.org/ntsb-findings/02060000/cases.md?model=1151240), [All aircraft, 137 cases](https://openairdocs.org/ntsb-findings/02060000/cases.md) - [Action: forgotten action/omission](https://openairdocs.org/ntsb-findings/02041035): Personnel issues › Action/decision · Pilot (probable cause); cases with it: [Beech B23, 1 case](https://openairdocs.org/ntsb-findings/02041035/cases.md?model=1151240), [All aircraft, 440 cases](https://openairdocs.org/ntsb-findings/02041035/cases.md) - [Performance/control parameters: climb rate](https://openairdocs.org/ntsb-findings/01062035): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Beech B23, 1 case](https://openairdocs.org/ntsb-findings/01062035/cases.md?model=1151240), [All aircraft, 265 cases](https://openairdocs.org/ntsb-findings/01062035/cases.md) - [Flight control system: tE flap control system](https://openairdocs.org/ntsb-findings/01022750): Aircraft › Aircraft systems · Not used/operated (probable cause); cases with it: [Beech B23, 1 case](https://openairdocs.org/ntsb-findings/01022750/cases.md?model=1151240), [All aircraft, 74 cases](https://openairdocs.org/ntsb-findings/01022750/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Landing: Landing area overshoot](https://openairdocs.org/ntsb-events/380); cases with it: [Beech B23, 1 case](https://openairdocs.org/ntsb-events/380/sequence.md?model=1151240), [All aircraft, 400 cases](https://openairdocs.org/ntsb-events/380/sequence.md) - [Approach-VFR go-around: Loss of control in flight](https://openairdocs.org/ntsb-events/240) (defining event); cases with it: [Beech B23, 3 cases](https://openairdocs.org/ntsb-events/240/sequence.md?model=1151240), [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md) - [Approach-VFR go-around: Collision during takeoff/land](https://openairdocs.org/ntsb-events/490); cases with it: [Beech B23, 2 cases](https://openairdocs.org/ntsb-events/490/sequence.md?model=1151240), [All aircraft, 1,309 cases](https://openairdocs.org/ntsb-events/490/sequence.md) ## 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](https://openairdocs.org/deregistered/N7618R-2022-06-04), registration cancelled 2022-06-04, S/N M-1241, built 1969 (OpenAirDocs) - Reported make and model: Beech 23 - Registry model: [Beech B23](https://openairdocs.org/model/beech-b23) (registry code 1151240) (OpenAirDocs) - Registry engine: [Lycoming O&VO-360 series](https://openairdocs.org/engine/lycoming-o-vo-360-series) (registry code 41514, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: M-1241 - Year built: 1969 - Airframe hours: 2221 - Engines: 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 ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 72; injuries: serious; 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 ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20190704009139A](https://openairdocs.org/incident/20190704009139A), Jul 4, 2019: Beech B23, Vaiden, MS, Destroyed. On July 4, 2019 at about 13:55 CDT (1855 UTC), a Beechcraft musketeer airplane (BE-B23), FAA registration N7618R, impacted terrain near Vaiden, Mississippi.… ## Docket (2 files) The files NTSB released with the investigation on June 9, 2020, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=99769. 118 KB in all. - NTSB Accident Report Not Submitted (item 1, .PDF, 50 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40484210&FileExtension=.PDF&FileName=NTSB%20Accident%20Report%20Not%20Submitted-Master.PDF - Record of Correspondence with FAA (item 2, .PDF, 69 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40484211&FileExtension=.PDF&FileName=Record%20of%20Correspondence%20with%20FAA-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.