DCA92MA016

NTSB accident investigation · Beech 1900C · Gabriels, NY · January 3, 1992

Accident · FatalMajor investigationFinal report
Date
January 3, 1992, 05:46 local (10:46 UTC)
Place
Gabriels, NY
Injuries
2 fatal, 2 serious
Damage
Destroyed
Phase of flight
Approach
Aircraft
N55000Beech 1900C
Weather
Instrument (IMC) · Night/dark
Status
Completed · report March 17, 1994
Report
Approved by Office Director
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19920103000109A
Case key
15954

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

Failure of the captain to establish a stabilized approach, his inadequate cross-check of instruments, his descent below specified minimum altitude at the final approach fix, and failure of the copilot to monitor the approach. Factors related to the accident were: weather conditions and possible precipitation static interference, caused by inadequate grounding between the radome and fuselage that could have resulted in unreliable glide slope indications.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

In flight collision with terrain/waterApproach - faf/outer marker to threshold (ifr)
Light condition - dark nightFactor
Weather condition - cloudsFactor
Weather condition - static dischargeFactor
Comm/nav equipment,glide slope receiver - unreliableFactor
Ifr procedure - improperPilot in commandCause
Monitoring - inadequateCopilot/second pilotCause
Minimum descent altitude - not maintainedPilot in commandFactor
Terrain condition - mountainous/hillyFactor
Proper altitude - not maintainedPilot in commandCause

Analysis

On IFR arrival, flt 4821 was cleared to intersection 17 NE of airport at 6000', then for ILS runway 23 approach. Radar service was terminated 6.5 east of intersection. Radar data showed that flight crossed & then bracketed localizer. Flight intercepted glide slope from below about 7 mi outside of outer marker & thence deviated above glide slope. About 2 miles outside of marker, flight was at a full fly down deflection when it entered a descent varying from 1200 to 2000 fpm. Aircraft struck wooded mountain top 2.0 mi inside of outer marker (3.9 mi from rwy) at elevation of 2280'. Minimum altitude at marker was 3600'. Glide slope elevation at point of impact was aprx 2900'. Evidence was found of inadequate electrical ground path between radome & fuselage which, when combined with existing weather conditions, may have produced electrostatic discharge (precipitation static). Although post-accident tests were not conclusive, the safety board believes that the glide slope indications might have been unreliable due to precipitation static interference.

Aircraft

Registration
N55000
Reported as
Beech 1900C
Category
Airplane
Serial number
UC-135
Airframe hours
1,675
Engine
P&W PT6A-65B, 1,100 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Operator
Commutair, doing business as Usair Express
Registered owner
Champlain Enterprises
Last inspection
Continuous airworthiness · December 29, 1991 · 29 hours before
Departed
PLB · Plattsburgh, NY
Destination
SLK · Saranac Lake, NY
Flight plan
IFR
Airport
SLK · Adirondack, runway 23, 6,573 × 150 ft, asphalt

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
30
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
7,700 total · 3,700 in this make and model · 2,700 as pilot in command · 180 in the last 90 days · 60 in the last 30 days

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
Calm
Visibility
2 statute miles
Lowest ceiling
500 ft
Temperature
28 °F, dew point 25 °F
Altimeter
30.00 inHg
Observed at
SLK, 5 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.