CEN20LA174

NTSB accident investigation · Cessna T240 · Gonazales, TX · May 6, 2020

Accident · No injuriesClass 3 · LimitedFinal report
Date
May 6, 2020, 16:50 local (21:50 UTC)
Place
Gonazales, TX
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N25HECessna T240
Defining event
Landing-aborted after touchdown: Runway excursion
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA Flight Standards
FAA report
20200506002169A
Case key
101259

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 retract the speedbrakes during a delayed go-around attempt, which resulted in a runway excursion.

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.

Action: delayed actionPersonnel issues › Action/decision · PilotCessna T240: 1 caseAll aircraft: 894 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna T240: 2 casesAll aircraft: 1,391 casesProbable cause
Action: forgotten action/omissionPersonnel issues › Action/decision · PilotCessna T240: 1 caseAll aircraft: 440 casesProbable cause
Aircraft capability: climb capabilityAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna T240: 1 caseAll aircraft: 183 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 landing about one-third of the way down the runway. He did not believe the airplane would be able to stop on the remaining runway and decided to execute a go-around. The pilot added full engine power and left the flaps at the takeoff position. He did not recall retracting the speedbrakes and noted the airplane seemed to get "no lift." The airplane subsequently departed the runway pavement, which resulted in substantial damage to the left wing. Postaccident examination revealed the cockpit speedbrake switch was in the UP position. The airframe manufacturer noted the speedbrakes were actuated by the instrument panel-mounted switch and will not retract automatically due to a go-around condition, by pressing the go-around button, or with throttle lever advancement. The pilot commented the go-around could have been initiated earlier; if so, he may have had more time to fully prepare for a go-around. It is likely that the pilot did not retract the speedbrakes during the delayed go-around attempt, which resulted in a reduction of lift and a subsequent runway excursion.

Factual narrative

On May 6, 2020, about 1650 central daylight time, a Cessna T240 airplane, N25HE, was substantially damaged during a runway excursion after landing at the Roger M. Dreyer Memorial Airport (T20), Gonzales, Texas. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot entered the airport traffic pattern for runway 33 and set the wing flaps to the takeoff (12°) position. The airspeed on final approach was about 130 kts and he extended the speed brakes to reduce the speed. He did not use full landing flaps (40°) because he was concerned about the "strong wind gusts." The airplane touched down approximately one-third of the way down the runway at about 100 kts. The pilot stated he did not believe the airplane would be able to stop on the remaining runway and decided to execute a go-around. He added full engine power and left the flaps at the takeoff (12°) position. He did not recall retracting the speed brakes and noted the airplane seemed to get "no lift." The airplane subsequently departed the runway pavement and came to rest about 200 yards beyond the end of the runway in a field. The pilot commented the go-around could have been initiated earlier. He stated there were no mechanical failures or malfunctions before the accident. Federal Aviation Administration inspectors conducted a postaccident examination of the airplane at the accident site. At the time of the examination, the cockpit speed brake switch was in the UP position. The speed brakes were in the down (retracted) position at that time consistent with the airplane electrical power being off. Recovery personnel confirmed damage to the right wing and engine mount. The airplane flight manual (AFM) noted the speed brakes can be used for glide path control on final approach and airspeed reduction. Both the normal and short field landing checklists specified, "SPD BRK Switch – UP (as desired)" after touching down. The balked landing (go-around) checklist included retracing the speed brakes, "SPD BRK Switch – DN." The amplified landing procedures contained in the AFM did not include any additional guidance related to the use of the speed brakes. According to the airframe manufacturer, the speed brakes are electrically actuated by the cockpit instrument panel mounted switch. They will not retract automatically due to a go-around condition, pressing the go-around button, or throttle lever advancement. The flight manual systems description stated there are three conditions that will automatically retract the speed brakes: if the circuit breaker is pulled, if they deploy asymmetrically, or due to a low voltage electrical condition.

Aircraft

Registration
N25HE
Reported as
Cessna T240
Category
Airplane
Serial number
T24002027
Built
2013
Airframe hours
590.2
Engine
Continental Motors TSIO-550-C21B, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Clearshot Air LLC
Registered owner
Clearshot Air LLC
Airworthiness certificate
Standard, Utility
Last inspection
Annual · July 26, 2019 · 81 hours before
Departed
PGR · Paragould, AR
Destination
T20 · Gonazales, TX
Flight plan
IFR
Airport
T20 · Roger M Dreyer Memorial, runway 33, 3,200 × 50 ft, asphalt
Equipment
Stall warning system, ADS-B, Angle of attack indicator, Onboard weather, Electronic primary flight display, Auto-pilot, Electronic multifunction display, Electronic flight bag or handheld device

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
59
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
February 5, 2019
Seat
Left
Restraint
3-point
Flight hours
696 total · 130 in this make and model · 544 as pilot in command · 15 in the last 90 days · 15 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
60° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 50 °F
Altimeter
30.09 inHg
Observed at
T20, 1 nm away

Docket · 6

The files NTSB released with the investigation on June 22, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.4 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.