# NTSB CEN22LA116: Beech C35, N1908D, Shell Knob, MO, February 8, 2022 - Type: NTSB accident investigation - Classification: Accident · Serious injuries · Class 4 · Limited · Final report - Date: February 8, 2022, 15:30 local (21:30 UTC) - Place: Shell Knob, MO - Coordinates: 36.604535, -93.61409 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=36.6045&lon=-93.6141&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: 1 serious, 1 minor - Status: Completed - Report: Approved by Office Director - Investigation class: Class 4 - Basic report with no Prelim publish - NTSB office: Central Region - Parties: Federal Aviation Administration, Kansas City FSDO - NTSB case key (mKey): 104618 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN22LA116 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/104618/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=104618 - Page: https://openairdocs.org/ntsb/CEN22LA116 ## Probable cause The pilot’s failure to maintain airplane control that resulted in an aerodynamic stall during approach and impact with terrain. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Action: incorrect action performance](https://openairdocs.org/ntsb-findings/02041015): Personnel issues › Action/decision · Pilot (probable cause); cases with it: [All aircraft, 1,386 cases](https://openairdocs.org/ntsb-findings/02041015/cases.md) - [Performance/control parameters: angle of attack](https://openairdocs.org/ntsb-findings/01062042): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [All aircraft, 990 cases](https://openairdocs.org/ntsb-findings/01062042/cases.md) - [Performance/control parameters: airspeed](https://openairdocs.org/ntsb-findings/01062010): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [All aircraft, 1,681 cases](https://openairdocs.org/ntsb-findings/01062010/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Approach-VFR go-around: Loss of control in flight](https://openairdocs.org/ntsb-events/240) (defining event); cases with it: [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md) - [Approach-VFR go-around: Stall warn/stick-shaker/pusher](https://openairdocs.org/ntsb-events/430); cases with it: [All aircraft, 37 cases](https://openairdocs.org/ntsb-events/430/sequence.md) - [Approach-VFR go-around: Aerodynamic stall/spin](https://openairdocs.org/ntsb-events/241); cases with it: [All aircraft, 1,529 cases](https://openairdocs.org/ntsb-events/241/sequence.md) - [Uncontrolled descent: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis The private pilot of the personal flight reported that he did not feel comfortable continuing the approach for landing at the destination airport, so he initiated a go-around. During the go-around, the airplane was too slow, and the pilot said he heard the stall warning horn come on. The airplane then stalled and impacted terrain. The airplane was destroyed by impact forces. Postaccident examination of the airplane flight control system confirmed flight control continuity. A National Transportation Safety Board Pilot/Operator Aircraft Accident/Incident Report was not received from the pilot. ## Factual narrative The private pilot of the personal flight stated that he did not feel comfortable continuing the approach for landing at the destination airport, so he initiated a go-around. During the go-around, the airplane was too slow, and the pilot said he heard the stall warning horn. The airplane then stalled and impacted terrain. The airplane was destroyed by impact forces. Postaccident examination of the airplane flight control system confirmed flight control continuity. A National Transportation Safety Board Pilot/Operator Aircraft Accident/Incident Report was not received from the pilot. ## Aircraft - Registration: N1908D (not matched to a registry record) - Reported make and model: BEECH C35 - Category: Airplane - Serial number: D-3186 - Year built: 1952 - Airframe hours: 6081.7 - Engines: Continental E-185-11 reciprocating - Damage: Destroyed - Flight: Personal, Part 91 - Operator: Pilot - Registered owner: Pilot - Airworthiness certificate: Standard, Normal - Last inspection: Annual, August 27, 2020 - Departed: AGS, August, GA - Destination: Same as departure - Airport: MO06, Discovery Bay Airport at Norwalk Landing, runway 2, 1,900 × 50 ft, asphalt - Equipment: Unknown ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 44; injuries: serious; private; airplane ratings: single-engine land; medical: class 3; seat: left ## Weather - Conditions: Visual (VMC), Day ## 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 20220208000889A](https://openairdocs.org/incident/20220208000889A), Feb 8, 2022: Beech C35, Shell Knob, MO, Destroyed. This aircraft was on approach to runway 2 at MO06 when the pilot decided to initiate a go-around due to length of the runway and the anticipated touch down… ## Docket (3 files) The files NTSB released with the investigation on October 7, 2022, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=104618. 44.8 MB in all. - Pilot/operator aircraft accident report, NTSB form 6120.1 - not received (item 1, PDF, 3 pages, 44.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=14526469&FileExtension=pdf&FileName=6120%20Request%20Redacted-Rel.pdf - Record of conversation - FAA (item 2, PDF, 1 page, 106 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=14528347&FileExtension=pdf&FileName=RECORD%20OF%20CONVERSATION%20FAA-Rel.pdf - Photo log (item 3, PDF, 1 page, 205 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=14526710&FileExtension=pdf&FileName=Photo%20Log-Rel.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.