# NTSB CEN24LA001: Beech 23, N1963F, Waupaca, WI, October 1, 2023

- Type: NTSB accident investigation
- Classification: Accident · Serious injuries · Class 4 · Limited · Final report
- Date: October 1, 2023, 14:30 local (19:30 UTC)
- Place: Waupaca, WI · Runway 10 at PCZ.
- Coordinates: 44.333337, -89.031999 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=44.3333&lon=-89.0320&mi=10
- Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping)
- Defining event: [Landing-aborted after touchdown: Loss of control on ground](https://openairdocs.org/ntsb-events/230)
- Highest injury: Serious injuries
- Injuries: 2 serious
- Status: Completed
- Report: Approved by Office Director
- Investigation class: Class 4 - Basic report with no Prelim publish
- NTSB office: Central Region
- Parties: FAA Milwaukee FSDO
- NTSB case key (mKey): 193173
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN24LA001
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/193173/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=193173
- Page: https://openairdocs.org/ntsb/CEN24LA001

## Probable cause

The pilot’s failure to maintain directional control during the go-around, that resulted in a runway excursion and an impact with terrain.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Beech 23, 5 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=1151202), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md)
- [Performance/control parameters: directional control](https://openairdocs.org/ntsb-findings/01062020): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Beech 23, 3 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=1151202), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md)
- [Performance/control parameters: altitude](https://openairdocs.org/ntsb-findings/01062012): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Beech 23, 3 cases](https://openairdocs.org/ntsb-findings/01062012/cases.md?model=1151202), [All aircraft, 1,310 cases](https://openairdocs.org/ntsb-findings/01062012/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Landing-aborted after touchdown: Loss of control on ground](https://openairdocs.org/ntsb-events/230) (defining event); cases with it: [Beech 23, 2 cases](https://openairdocs.org/ntsb-events/230/sequence.md?model=1151202), [All aircraft, 4,585 cases](https://openairdocs.org/ntsb-events/230/sequence.md)
- [Landing-aborted after touchdown: Runway excursion](https://openairdocs.org/ntsb-events/300); cases with it: [Beech 23, 2 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=1151202), [All aircraft, 3,643 cases](https://openairdocs.org/ntsb-events/300/sequence.md)
- [Landing-aborted after touchdown: Collision during takeoff/land](https://openairdocs.org/ntsb-events/490); cases with it: [Beech 23, 2 cases](https://openairdocs.org/ntsb-events/490/sequence.md?model=1151202), [All aircraft, 1,309 cases](https://openairdocs.org/ntsb-events/490/sequence.md)

## Analysis

The pilot reported that during the landing, the airplane bounced twice, and he initiated a go-around. During the go-around, the airplane departed the runway to the left, and impacted a grass hill near the runway. The airplane came to rest upright and sustained substantial damage to the fuselage and both wings. The pilot informed local authorities there were no preimpact mechanical malfunctions or failures with the airframe or the engine that would have precluded normal operation.

## Aircraft

- Registration: [N1963F](https://openairdocs.org/aircraft/N1963F), registered now, S/N M-541, built 1963 (OpenAirDocs)
- Reported make and model: BEECH 23 (UNDESIGNATED SERIES)
- Registry model: [Beech 23](https://openairdocs.org/model/beech-23) (registry code 1151202) (OpenAirDocs)
- Registry engine: [Lycoming 0-320 series](https://openairdocs.org/engine/lycoming-0-320-series) (registry code 41508, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: M-541
- Year built: 1963
- Airframe hours: 2637
- Engines: Lycoming Engines O-320-D2B 160 horsepower reciprocating
- Damage: Substantial damage
- Flight: Personal, Part 91
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, December 2, 2022
- Airport: PCZ, Waupaca Muni, runway 10/28, 5,200 × 100 ft, asphalt
- Equipment: Stall warning system, ADS-B, Electronic flight bag or handheld device

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 69; injuries: serious; private; airplane ratings: single-engine land; medical: basicmed, with waivers/limitations; last flight review September 19, 2023; seat: left; restraint: lap only; flight hours: 165.7 total, 162.7 in this make and model, 26.7 as pilot in command, 24.1 in the last 90 days, 12.9 in the last 30 days

## Weather

- Conditions: Visual (VMC), Day
- Wind: 150° at 5 knots
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 86 °F, dew point 64 °F
- Altimeter: 30.21 inHg
- Observed at: KPCZ, 1 nm away
- METAR: KPCZ 011915Z AUTO 15005KT 10SM CLR 30/18 A3021 RMK AO2 T02980184

## 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 20231001014859A](https://openairdocs.org/incident/20231001014859A), Oct 1, 2023: Beech 23, Waupaca, WI, Substantial damage. The aircraft was on approach and landing at pcz ( Waupaca Municipal) runway 10. Daytime VFR conditions operating under part 91, wind 170 degrees at 7G10 knots.…

## Other investigations on N1963F (2)

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.

- [NTSB DEN81FTE58](https://openairdocs.org/ntsb/DEN81FTE58), Jul 13, 1981: Beech 23 (N1963F), Eaton, CO, substantial damage
- [NTSB LAX67F0222](https://openairdocs.org/ntsb/LAX67F0222), Dec 11, 1966: Beech 23 (N1963F), Holbrook, AZ, substantial damage

## Docket (3 files)

The files NTSB released with the investigation on November 9, 2023, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=193173. 9.2 MB in all.

- Pilot/operator aircraft accident report, NTSB form 6120.1 (item 1, PDF, 9 pages, 5.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=16207315&FileExtension=pdf&FileName=NTSB%20Form%206120_1%20-%20N1963F%20Redacted-Rel.pdf
- Accident photographs (item 2, PDF, 4 pages, 3.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=16211284&FileExtension=pdf&FileName=Photo%20Array%20-%20N1963F-Rel.pdf
- Memorandum for record a�� waupaca police department report (N1963F accident) (item 3, PDF, 1 page, 64 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=16207020&FileExtension=pdf&FileName=CEN24LA001%20MOR-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.

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