# NTSB CHI91LA275: Beech B23, N2389L, Jenison, MI, August 28, 1991

- Type: NTSB accident investigation
- Classification: Accident · Minor injuries · Limited investigation · Final report
- Date: August 28, 1991, 19:40 local (23:40 UTC)
- Place: Jenison, MI
- Coordinates: 42.900085, -85.819877 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=42.9001&lon=-85.8199&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Highest injury: Minor injuries
- Injuries: 1 minor
- Status: Completed, report March 31, 1993
- Report: Approved by Office Director
- NTSB case key (mKey): 15169
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CHI91LA275
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/15169/pdf
- Page: https://openairdocs.org/ntsb/CHI91LA275

## Probable cause

FAILURE OF THE PILOT TO PERFORM REMEDIAL ACTION DURING FUEL SYSTEM CARBURETOR ICING.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Loss of engine power, cruise
  - weather condition - carburetor icing conditions
  - remedial action - not performed, pilot in command (cause)
  - fuel system,carburetor - ice
- Forced landing, descent - emergency
- In flight collision with terrain/water, landing

## Analysis

THE ACCIDENT AIRPLANE COLLIDED WITH TERRAIN SHORTLY AFTER TAKEOFF. ACCORDING TO THE PILOT THE AIRPLANE EXPERIENCED A MOMENTARY LOSS OF POWER TWICE BEFORE IT STOPPED COMPLETELY. CONDITIONS WERE FAVORABLE FOR THE FORMATION OF CARBURETOR ICE. NO DEFECTS WERE DISCOVERED DURING A POST-ACCIDENT INSPECTION OF THE ENGINE.

## Aircraft

- Registration: [N2389L](https://openairdocs.org/deregistered/N2389L-1991-10-28), registration cancelled 1991-10-28, S/N M234 (OpenAirDocs)
- Reported make and model: BEECH B23
- Registry model: [Beech 23](https://openairdocs.org/model/beech-23) (registry code 1151202) (OpenAirDocs)
- Category: Airplane
- Serial number: M-234
- Airframe hours: 2750
- Engines: LYCOMING O-320-D2B 160 horsepower reciprocating
- Damage: Substantial damage
- Flight: Personal, Part 91
- Operator: Michael G. Schimdt
- Last inspection: Annual, August 15, 1991, 1 hours before

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 35; private; airplane ratings: single-engine land; medical: class 3, valid medical--no waivers/lim.; flight hours: 388 total, 280 in this make and model, 332 as pilot in command, 22 in the last 90 days

## Weather

- Conditions: Visual (VMC), Day
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: -0 °F, dew point 70 °F
- Observed at: GRR, 13 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 19910828037239A](https://openairdocs.org/incident/19910828037239A), Aug 28, 1991: Beech 23BEECH, Jenison, MI, Substantial damage. Engine quit on climbout. Crash landed off end of runway. No engine defects. Carburetor icing conditions existed.

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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