CEN23LA423

NTSB accident investigation · Beech A36 · Broken Bow, OK · September 29, 2023

Accident · FatalClass 3 · LimitedFinal report
Date
September 29, 2023, 14:15 local (19:15 UTC)
Place
Broken Bow, OK
Injuries
1 fatal, 1 uninjured; on the ground: 1 fatal
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N9379QBeech A36
Defining event
Landing-flare/touchdown: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report September 30, 2025
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA
FAA report
20230929019449A
Case key
193162

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 the runway centerline during landing and subsequent failure to maintain clearance from the airport grounds worker during the landing roll. Contributing to the accident was the absence of a NOTAM for mowing operations at the time of the accident.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBeech A36: 43 casesAll aircraft: 9,295 casesProbable cause
Airport facilities/design: airport communicationEnvironmental issues › Operating environment · Availability of related infoBeech A36: 1 caseAll aircraft: 2 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech A36: 7 casesAll aircraft: 3,958 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

While on approach to land, the pilot watched for tractors that were bailing hay. During the landing flare, the pilot saw an airport grounds worker mowing the grass next to the right side of the runway. He attempted to avoid the worker by pulling back on the control yoke. The airplane drifted to the right, touched down, and the right wing struck the worker, who was fatally injured. The airplane sustained substantial damage to the right wing. The worker was mowing along the edge of runway, which was 50 ft. wide. The wingspan of the airplane was 33 ft 6 inches; therefore, the centerline of the airplane would have to have been at least 8 ft 3 inches to the right of the runway centerline to place the right wingtip directly over the runway edge. The pilot did not adequately compensate for the crosswind during landing, and the airplane was not aligned with the runway centerline during landing and landing roll, which resulted in the airplane striking the grounds worker. According to the airport manager, the worker was not scheduled to be mowing at the airport on the day of the accident, and he was unaware that she elected to begin mowing at the airport. He was also unaware that Notices to Airmen (NOTAM) should be issued, and no NOTAM had been issued for the mowing or hay bailing operations being conducted at the airport.

Factual narrative

On September 29, 2023, about 1425 central daylight time, a Beech A36 airplane, N9379Q, was involved in an accident while landing at Broken Bow Airport (90F), near Broken Bow, Oklahoma. The pilot was not injured. An airport grounds worker was fatally injured. The airplane received substantial damage. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. A worker was mowing the grass along the west side of runway 17 at 90F and was traveling toward the south. The airplane landed on runway 17 and was rolling out when the right wing struck the worker, resulting in fatal injuries. At the time of the accident there was also a work crew bailing hay about 1,000 ft south of the worker on the opposite side of the runway. There were no Notices to Airmen (NOTAM) active for the mowing or hay bailing operations being conducted at the airport. According to the pilot, while on approach to land, the pilot watched for tractors that were bailing hay. He set up for a straight-in approach for runway 17 and made several position reports on the Universal Communications frequency. While on final approach, he identified that the runway environment was clear and continued. During the landing flare, he saw a small black riding lawnmower on the right side of the runway. The pilot pulled back on the control yoke, and the airplane drifted to the right of runway centerline due to a crosswind. The main landing gear touched down and he pulled back on the control yoke again to avoid the mower; however, the right wing struck the grounds worker. The pilot reported that the right wing received substantial damage due to the impact. According to a local law enforcement report of the accident, the grounds worker was mowing on the edge of the runway when she was struck by the airplane. According to Federal Aviation Administration chart supplements, the runway width was 50 ft. According to the Airplane Flight Manual, the Beech A36 airplane has a wingspan of 33 ft 6 inches. The airport manager was contacted through legal representatives and reported that the grounds worker had been instructed to mow in the cemetery across the street and that after she completed mowing that area, she voluntarily and without direction, moved to the airport and began mowing. It was confirmed that a NOTAM was not issued to advise pilots that mowing would be in progress because the airport manager was not aware that the worker would be mowing at the airport. The airport manager was also not aware that NOTAMs needed to be issued since the airport did not receive any federal funding. After the accident, a Federal Aviation Administration Inspector provided counseling to the airport manager regarding best practices including NOTAM issuance, use of high visibility devices for the workers and vehicles, and communication radio usage. All the suggested improvements were implemented by the city following the accident.

Aircraft

Registration
N9379Q
Reported as
Beech A36
Category
Airplane
Serial number
E-305
Built
1972
Airframe hours
3,380
Engine
Continental IO-520-BA, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Utility
Last inspection
Annual · June 25, 2023
Departed
TKI · McKinney, TX
Destination
90F · Broken Bow, OK
Flight plan
VFR
Airport
90F · Broken Bow Municipal Airport, runway 17, 3,200 × 50 ft, asphalt
Equipment
Electronic flight bag or handheld device, Auto-pilot, ADS-B, Stall warning system, Onboard weather, Electronic primary flight display, Electronic multifunction display

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
70
Injuries
None
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
March 7, 2022
Seat
Left
Flight hours
1,430 total · 820 in this make and model · 1,430 as pilot in command · 12 in the last 90 days · 3 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
90 °F, dew point 66 °F
Altimeter
30.00 inHg
Observed at
K4O4, 8 nm away
METAR
K4O4 291915Z AUTO VRB06G12KT 10SM CLR 32/19 A3000 RMK AO2

Docket · 3

The files NTSB released with the investigation on September 30, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.6 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.