CEN23LA264

NTSB accident investigation · Beech B19 · Scott City, KS · June 24, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 24, 2023, 11:30 local (16:30 UTC)
Place
Scott City, KS
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N9721QBeech B19
Defining event
Initial climb: Fuel starvation
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA
FAA report
20230624007999A
Case key
192456

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

A partial loss of engine power as a result of carburetor icing that formed while the engine was operating at a low power setting for an extended period before departure.

Findings · 2

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.

Temp/humidity/pressure: conducive to carburetor icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentBeech B19: 1 caseAll aircraft: 435 casesProbable cause
Ice/rain protection system: intake anti-ice, deiceAircraft › Aircraft systems · Not used/operatedBeech B19: 1 caseAll aircraft: 108 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 after he started the engine, he let it idle about 600 rpm for a “few minutes,” and began to taxi to the runway for departure. He waited for another airplane to perform a back-taxi and depart, then he back-taxied and completed an engine run-up before realizing he left something behind. He then taxied back to the fixed base operator (FBO), collected his items, and again taxied to the runway for departure. He did not complete another engine run-up before takeoff. During the takeoff roll, he noticed the engine rpm increased and did not note any anomalies. During the initial climb, the engine rpm maintained about 2,200 rpm with full throttle set. He stated that he was able to climb about 500 ft above ground level (agl) and attempted a return to the airport. He said that when he was abeam the runway, he thought he was “losing altitude and power,” and made a shallow left turn towards the runway. Unable to maintain altitude during the turn, the pilot landed on a dirt road. During touchdown, the airplane bounced, exited the roadway, impacted a ditch, and slid into a cornfield, which resulted in substantial damage to the fuselage. During a postaccident examination, no preimpact mechanical malfunctions or failures were discovered that would have precluded normal operation. When the temperature and dewpoint at the time of the accident were plotted on a carburetor icing probability chart, it was revealed that the airplane was operating in an environment conducive for serious carburetor icing at a glide power setting. The pilot stated that he checked the carburetor heat before departure. After the carburetor heat check, it is likely that ice began to form in the carburetor’s venturi during the extended ground operation before departure, which, in turn, limited the engine rpm at 2,200.

Factual narrative

On June 24, 2023, about 1130 central daylight time, a Beech B19, N9721Q, sustained substantial damage when it was involved in an accident near Scott City, Kansas. The pilot was uninjured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to the pilot, he added 17.16 gallons of fuel which brought the total quantity to about 30 gallons. He then started the engine, let it idle about 600 rpm for a “few minutes,” and began to taxi to runway 35 at Scott City Municipal Airport (TQK). He waited for another airplane to perform a back-taxi and depart, then he back-taxied and completed an engine run-up before realizing he left something behind. He then taxied back to the FBO, collected his items, and taxied back to the runway for departure. The pilot stated that during the takeoff roll, he noticed that the engine rpm increased and did not note any anomalies. During the initial climb, he saw the engine RPM maintained about 2,200 rpm with full throttle. He stated that he was able to climb to about 500 ft agl and attempted a return to the airport. He said that when he was abeam the runway, he thought he was “losing altitude and power,” and made a shallow left turn towards the runway. Unable to maintain altitude during the turn, the pilot attempted a landing on a dirt road. During touchdown, the airplane bounced, exited the roadway, impacted a ditch, and slid into a cornfield, which resulted in substantial damage to the fuselage. A pilot witness reported seeing the accident airplane depart and noted that it did not appear to be climbing well when it started a turn to the northeast. He estimated the airplane was about 50 to 100 ft agl, when he lost sight of it while he was taxing. After he turned his airplane around, he saw the accident airplane again when it was southwest of the runway. He stated that it appeared to be less than 100 ft agl and about 30° nose down at the time of impact. During a postaccident examination, continuity was established from the engine controls in the cockpit to their respective engine attach points. No preimpact mechanical malfunctions or anomalies were found that would have precluded normal operation. The reported weather conditions about 15 minutes before the accident included a temperature of 82°F and dewpoint of 59°F. When plotted on a carburetor icing probability chart, the airplane was operating in an environment conducive for serious carburetor icing at a glide power setting. (See Figure 1) Figure 1: Carburetor Icing Probability Chart. Reference: Special Airworthiness Information Bulletin CE-09-35

Aircraft

Registration
N9721Q
Reported as
Beech B19
Category
Airplane
Serial number
MB-493
Built
1970
Airframe hours
3,482
Engine
Lycoming O-320-E2C, 150 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 10, 2023 · 4 hours before
Departed
KTQK · Scott City, KS
Destination
KCYW · Clay Center, KS
Airport
TQK · Scott City Muni
Equipment
Handheld GPS, Stall warning system

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
50
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
May 5, 2018
Seat
Left
Restraint
Lap only
Flight hours
134 total · 84 in this make and model · 116 as pilot in command · 0 in the last 90 days · 0 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
82 °F, dew point 59 °F
Altimeter
29.96 inHg
Observed at
KTQK, 1 nm away
METAR
KTQK 241615Z AUTO 02012KT 10SM CLR 28/15 A2996 RMK AO2 T02770146

Docket · 4

The files NTSB released with the investigation on October 5, 2023, 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.