# NTSB CHI03LA225: Beech C23, N9361S, Madison, WI, July 25, 2003 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: July 25, 2003, 17:10 local (22:10 UTC) - Place: Madison, WI - Coordinates: 43.104999, -89.185554 - Nearby events: https://openairdocs.org/map.md?lat=43.1050&lon=-89.1856&mi=10 - Phase of flight: [Takeoff](https://openairdocs.org/ntsb-phases/300) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report July 29, 2004 - Report: Approved by Office Director - Parties: Federal Aviation Administration - NTSB case key (mKey): 57574 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CHI03LA225 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/57574/pdf - Page: https://openairdocs.org/ntsb/CHI03LA225 ## Probable cause The dual student's delay in executing the aborted takeoff. Also causal was the pilot-in-command's delayed remedial action. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Overrun, takeoff - aborted - preflight planning/preparation - inadequate, pilot in command(cfi) (cause) - aborted takeoff - delayed, dual student (cause) - remedial action - delayed, pilot in command(cfi) (contributing factor) ## Analysis The airplane, operated as an instructional flight, overran runway 22 during an aborted touch and go takeoff. According to the certified flight instructor (CFI), the private pilot was attempting to perform a short field landing. The CFI stated that the pilot misjudged the flare, the airplane ballooned again, power was added, and a landing made. The private pilot retracted flaps and added power at what was described by the CFI as slower than normal and beyond the half way point of the runway or about 1,200 feet of runway remaining. After full power was established, the CFI reportedly commented to the private pilot on the length of time it took him to add power. The private pilot then reportedly closed the throttle. The CFI stated that prior to the power reduction, they had enough runway remaining. ## Factual narrative On July 25, 2003, at 1710 central daylight time, a Beech C23, N9361S, piloted by a private pilot, received substantial damage during an aborted touch and go landing on runway 22 (2,953 feet by 57 feet, dry asphalt) at Blackhawk Airfield (87Y), Madison, Wisconsin. Visual meteorological conditions prevailed at the time of the accident. The 14 CFR Part 91 instructional flight was not operating on flight plan. The private pilot and the certified flight instructor (CFI) were uninjured. The flight originated from Wittman Regional Airport, Oshkosh, Wisconsin, at 1615, en route to 87Y. The CFI stated in the National Transportation Safety Board (NTSB) Pilot/Operator Aircraft Accident Report, that the short field approach was normal with an approach speed of 73 knots. An obstacle on short final was cleared by 25 feet and a flare was initiated at the first third of the runway. The CFI stated that the pilot misjudged the flare height by about 5 feet and left the power at 1,500 rpm. The airplane ballooned again and the student added more power, which was then removed by the CFI. The CFI stated that the landing was okay. The student then retracted the flaps and added power somewhat slower that normal and beyond half way point down the runway which was an intersecting runway or about 1,200 feet of remaining runway. Immediately after full power was established, the CFI commented, 'It took you a long time to get the power in there' and about 1 second later, the pilot closed the throttle. The CFI stated that prior to the power reduction, they had enough runway remaining to clear the bushes and ditch by 5 to 10 feet. In the 1 second it took the CFI to decide whether to continue the abort, or attempt the take off, they lost any chance to clear the bushes. The airplane overran the runway going about 25 knots and stopped about 20 feet past the runway end. The Madison, Wisconsin, Automated Surface Observing System (ASOS), recorded at 1710: wind 180 degrees at 15 knots; visibility 10 statute miles; temperature 27 degrees Celsius; dew point 19 degrees Celsius; altimeter setting 30.01 inches of mercury. The CFI reported that at the time of the accident the MSN ASOS was reporting winds 190 at 18 knots gusting to 21 knots. ## Aircraft - Registration: [N9361S](https://openairdocs.org/aircraft/N9361S), registered now, S/N M-1660, built 1975 (OpenAirDocs) - Reported make and model: Beech C23 - Registry model: [Beech C23](https://openairdocs.org/model/beech-c23) (registry code 1151242) (OpenAirDocs) - Registry engine: [Lycoming O&VO-360 series](https://openairdocs.org/engine/lycoming-o-vo-360-series) (registry code 41514, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: M1660 - Airframe hours: 10530 - Engines: Lycoming O360-A4J 180 horsepower reciprocating - Damage: Substantial damage - Flight: Instructional, Part 91 - Registered owner: Steve D. Davis - Airworthiness certificate: Standard, Normal - Last inspection: Annual, July 20, 2003, 100 hours before - Departed: OSH, OSHKOSH, WI - Destination: 87Y, Madison, WI - Airport: 87Y, Blackhawk Airfield, runway 22, 2,953 × 57 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 33; injuries: none; private; airplane ratings: single-engine land; medical: class 3, valid medical--w/ waivers/lim; last flight review September 17, 2002; seat: left; flight hours: 141 total, 30 in this make and model, 73 as pilot in command, 24 in the last 90 days, 5 in the last 30 days, 1 in the last 24 hours - Flight instructor; age 54; injuries: none; flight instructor, airline transport; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 2, valid medical--w/ waivers/lim; last flight review March 7, 2003; seat: right; flight hours: 25,275 total, 8,000 in this make and model, 20,756 as pilot in command, 200 in the last 90 days, 70 in the last 30 days, 6 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 180° at 15 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 81 °F, dew point 66 °F - Altimeter: 30.01 inHg - Observed at: MSN, 7 nm away ## 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 20030725020069A](https://openairdocs.org/incident/20030725020069A), Jul 25, 2003: Beech C23, Madison, WI, Substantial damage. (-23) During touch and goes on runway 22 at Blackhawk airfield (87Y), the student pilot retarded the throttle after landing and then applied power for take… 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.