CEN21LA118

NTSB accident investigation · Beech 300 · Davenport, IA · January 28, 2021

Accident · No injuriesClass 4 · LimitedFinal report
Date
January 28, 2021, 16:10 local (22:10 UTC)
Place
Davenport, IA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N217USBeech 300
Defining event
Takeoff: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Central Region
Parties
FAA
FAA report
20210128013189A
Case key
102579

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 maintain directional control of the airplane, and the flight instructor’s inadequate oversight during a simulated engine out takeoff that resulted in a runway excursion and impact with a snowbank.

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 · Instructor/check pilotRaytheon B300: 1 caseAll aircraft: 894 cases
Object/animal/substance: snow/iceEnvironmental issues › Physical environment · Contributed to outcomeRaytheon B300: 1 caseAll aircraft: 67 cases
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedRaytheon B300: 1 caseAll aircraft: 3,958 cases

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 simulated engine failure after decision speed (V1) takeoff, when the flight instructor reduced power on the airplane’s left engine during the takeoff roll, the airplane yawed left and veered toward the left edge of the runway where there was packed snow. The pilot reported that he applied right rudder and back pressure to rotate the airplane as the instructor pilot added right rudder with his set of rudder pedals. The instructor pilot reported he then attempted to restore left engine power as the airplane struck a snowbank on the edge of the runway. The airplane exited the left side of the runway and came to a stop. The airplane sustained substantial damage to the engine nacelles and the fuselage. The left engine was separated from the airplane and the right engine remained attached by skin. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The instructor pilot reported that the flight’s purpose was for the pilot to conduct training in a twin-engine turboprop airplane, in preparation of an upcoming checkride. The plan was to simulate an engine failure during the takeoff roll, after passing takeoff decision speed (V1). He added that the plan was briefed the day prior and that the speeds were calculated and confirmed in the primary flight display (PFD) before the takeoff. The instructor pilot added that the runway was plowed 75 ft wide, with patches of packed snow near the edges.

Aircraft

Registration
N217US
Reported as
Beech 300
Category
Airplane
Serial number
FL-519
Built
2007
Airframe hours
3,214.1
Engines
P &W PT-6A-60A, turbo propP &W PT-6A-60A, turbo prop
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Carver Aero
Registered owner
Mm-Air LLC
Airworthiness certificate
Standard, Commuter
Last inspection
Continuous airworthiness · December 21, 2020
Destination
Same as departure
Airport
DVN · Davenport, runway 15, 5,511 × 100 ft
Equipment
Onboard weather, Electronic multifunction display, Stall warning system, ADS-B

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
61
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
September 23, 2020
Seat
Right
Restraint
Lap only
Flight hours
19,112 total · 62 in this make and model · 18,340 as pilot in command · 73 in the last 90 days · 35 in the last 30 days · 11 in the last 24 hours
Role
Pilot
Age
58
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 2, With waivers/limitations
Seat
Left
Restraint
Lap only
Flight hours
1,769 total · 10 in this make and model · 1,650 as pilot in command · 43 in the last 90 days · 12 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 8 knots
Visibility
10 statute miles
Temperature
21 °F, dew point 9 °F
Altimeter
30.59 inHg
Observed at
KDVN

Docket · 3

The files NTSB released with the investigation on September 1, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.8 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.