CEN21LA208

NTSB accident investigation · Beech 23 · Hutchinson, KS · May 1, 2021

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
May 1, 2021, 09:25 local (14:25 UTC)
Place
Hutchinson, KS
Injuries
2 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N2378ZBeech 23
Defining event
Initial climb: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Federal Aviation Administration; ICT FSDO
FAA report
20210501009269A
Case key
103030

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 abort the takeoff and his high pitch attitude after takeoff, which resulted in an exceedance of the critical angle of attack and a subsequent aerodynamic stall.

Findings · 3

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.

Performance/control parameters: climb rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech 23: 1 caseAll aircraft: 265 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · PilotBeech 23: 2 casesAll aircraft: 792 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBeech 23: 5 casesAll aircraft: 9,295 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 stated that during takeoff on the 4,012-ft-long runway, the airplane seemed to accelerate slowly and use a greater amount of runway than normal. After liftoff, the airplane would not accelerate and climbed very slowly. The pilot turned the airplane toward the right, and it began to lose altitude. The airspeed decreased, and the airplane stalled about 20 to 30 ft above the ground. The airplane then impacted the ground. Postaccident examination of the airplane and engine did not reveal any mechanical anomalies that would have precluded normal operation. Takeoff performance data from the airplane’s flight manual showed that the airplane should have been about 50 ft above the ground when it was 2,281 ft down the runway. Given the length of the runway, the pilot had the opportunity to safely abort the takeoff when he realized that the airplane was not accelerating normally and not achieving its expected takeoff performance. However, the pilot continued the takeoff and likely raised the nose of the airplane to a high pitch and high drag attitude in an attempt to gain altitude. The high pitch attitude placed the airplane close to the critical angle of attack, and when the airplane entered a turn, it experienced an aerodynamic stall and descended to ground impact.

Factual narrative

On May 1, 2021, at 0925 central daylight time, a Beech 23, N2378Z, was involved in an accident near Hutchinson, Kansas. The airplane sustained substantial damage. The pilot and a passenger received minor injuries, and two passengers were uninjured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, the purpose of the flight was to take two children for a ride as part of the Experimental Aircraft Association’s (EAA) Young Eagles program. The pilot stated that during takeoff on the 4,012-ft-long runway 17, the airplane seemed to accelerate slowly and use a greater amount of runway than normal. He rotated the airplane at 70 mph, and after liftoff, the airplane would not accelerate beyond 75 mph and climbed very slowly. The pilot turned the airplane toward the right, and the airplane began to descend. The airspeed decreased, and the airplane stalled about 20 to 30 ft above the ground. The airplane then impacted the ground resulting in substantial damage to the left wing. Postaccident examination of the airplane and engine did not reveal any mechanical anomalies that would have precluded normal operation. The pilot calculated that the takeoff weight of the airplane was 2,296 lbs. According to the airplane flight manual, at a takeoff weight of 2,300 lbs, a pressure altitude of 2,000 ft, a head wind of 0 knots, and an outside air temperature of 7o0 F, the ground roll and total takeoff distance to attain a 50 ft height were 1,316 ft and 2,281 ft, respectively. According to the EAA website, the EAA’s Young Eagles program was launched in 1992 and provides young people free introductory flights to introduce and inspire children in the world of aviation. The pilots participating in the Young Eagles program are local chapter members of EAA, who volunteer their time and aircraft. According to the EAA website, each pilot is licensed by the FAA (or a governing organization outside of the United States, such as Transport Canada), and all aircraft are likewise licensed by the government. The flights are conducted according to federal regulations. No aerobatic maneuvers are to be performed. The program is designed to use existing FAA oversight and requirements appropriate to a general aviation privately owned aircraft operation.

Aircraft

Registration
N2378Z
Reported as
Beech 23
Category
Airplane
Serial number
M-102
Built
1962
Engine
Lycoming O320-DB2, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Pilot
Registered owner
Pilot
Airworthiness certificate
Standard, Normal
Destination
Same as departure
Airport
HUT · Hutchinson Regional Airport, runway 17, 4,012 × 75 ft, concrete

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
63
Injuries
Minor
Certificate
Private
Airplane ratings
Single-engine land
Medical
BasicMed
Last flight review
December 28, 2020
Seat
Left
Restraint
Lap only
Flight hours
184 total · 52 in this make and model · 86 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 13 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 45 °F
Altimeter
30.01 inHg
Observed at
HUT, 0.5 nm away

Docket · 6

The files NTSB released with the investigation on June 13, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.4 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.