DEN04FA109

NTSB accident investigation · Beech 58P · Fort Collins, CO · July 24, 2004

Accident · FatalField investigationFinal report
Date
July 24, 2004, 12:07 local (18:07 UTC)
Place
Fort Collins, CO
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N69CLBeech 58P
Weather
Visual (VMC) · Day
Status
Completed · report September 13, 2005
Report
Approved by Office Director
Parties
Teledyne Continental Motors, Fort Collins Police Department, Raytheon Aircraft Corporation, FAA Flight Standards District Office
FAA report
20040724018749A
Case key
59731

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 loss of engine power for undetermined reasons, and the pilot's failure to maintain adequate airspeed which resulted in a stall/spin. Clouds and the pilot's diverted attention were contributing factors.

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.

Loss of engine powerClimb - to cruise
Reason for occurrence undeterminedCause
1 engine
Loss of control - in flightClimb - to cruise
Airspeed - not maintainedPilot in commandCause
Stall/spin - inadvertentPilot in commandFactor
Diverted attentionPilot in command
Weather condition - cloudsFactor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - residential area
Terrain condition - roadway/highway

Analysis

The pilot obtained a "standard weather briefing," filed an instrument flight rules flight plan, and took off. Four minutes later, after several routine radio communications, the controller issued the pilot a radar vector. He did not acknowledge. The controller repeated the vector. There was a squelch break and in the background, a noise and tone could be heard. The pilot reported, "We have got some sort of malfunction going on here." Witnesses reported hearing an engine "sputtering" and losing power. The airplane emerged from a low overcast in a flat counterclockwise spin. The airplane impacted a street and driveway in a residential subdivision. On-scene investigation disclosed the landing gear and flaps were retracted. Both elevators were deflected up and jammed by impact. Subsequent examination of the airplane revealed the cockpit fuel selector handles were in the LEFT TANK-LEFT ENGINE/RIGHT TANK-RIGHT ENGINE positions. The left and right fuel selector valves, located in the wheel wells, were OFF and ON, respectively. Analysis of the ATC communications tape revealed two engines operating until the pilot reported the "malfunction," then which only one engine sound could be heard. A steady 1,000-hertz tone, similar to an aural stall warning system, was also heard. Both engines, turbochargers, and propellers were later disassembled and examined. No anomalies were noted. Neither propeller was feathered. On the day before the accident, the pilot had undergone recurrent ground and flight training, a flight review, and an instrument proficiency check in the airplane. Flight time totaled 5.3 hours.

Factual narrative

History of flight

On July 24, 2004, at 1207 mountain daylight time, a Beech 58P, N69CL, piloted by a private pilot, was destroyed when it impacted terrain in a residential area of Fort Collins, Colorado. Visual meteorological conditions (VMC) prevailed at the time of the accident. The personal cross-country flight was being conducted on an instrument flight rules (IFR) flight plan under the provisions of Title 14 CFR Part 91. The pilot and two passengers sustained fatal injuries. The flight originated from Fort Collins-Loveland Airport (FNL) at 1202, and was en route to Eppley Field (OMA), Omaha, Nebraska.

According to Jet Center records, the airplane was serviced with 76.7 gallons of 100-LL aviation-grade gasoline prior to its departure from Fort Collins-Loveland Airport. According to FAA documents, the pilot telephoned the Denver (DEN) Automated Flight Service Station (AFSS) at 1037 and obtained a "standard weather briefing" for an IFR flight from FNL to OMA. When the briefing ended, the pilot filed an IFR flight plan.

At 1151, the pilot inadvertently contacted Denver terminal radar control (TRACON) instead of the Denver AFSS. The controller obtained and issued the pilot his IFR clearance, and the pilot read it back correctly. At 1156, the pilot advised the controller he was ready for takeoff on runway 15. The controller said there would be a 20-minute delay due to inbound IFR traffic. The controller suggested that if the pilot would be willing to depart on runway 33, he could release him almost immediately. The pilot said he would taxi to and depart on runway 33.

At 1202, the pilot said he was ready for takeoff. The controller "released" the flight and instructed the pilot to turn right to a heading of 350 degrees and climb and maintain 8,000 feet. The pilot was given an IFR clearance void time of 1205. At 1204, the pilot reported passing 5,800 feet. The controller advised the pilot that he was in radar contact. At 1205, the controller instructed the pilot to climb and maintain 8,000 feet and the pilot acknowledged. The controller then instructed the pilot to turn right to a heading of 080 degrees. The pilot acknowledged.

At 1206, the controller instructed the pilot to turn right to a heading of 100 degrees. The pilot did not acknowledge. The controller repeated the instruction. There was a squelch break and in the background, noise and a tone could be heard. The controller then asked the pilot, "How do you hear?" The pilot answered, "We hear you loud and clear. We have got some sort of malfunction going on here." The controller asked if he was having communications difficulties. There was no reply from the pilot, nor were there any further communications. The controller then contacted the Fort Collins Police Communications Center and advised that the airplane was believed to have crashed northwest of Fort Collins.

At 1207, the controller advised the pilot that radar contact had been lost. It was also at this time that the Fort Collins Police Communications Center received the first of numerous 9-1-1 calls. At 1244, the police department notified Denver TRACON and confirmed that the airplane had crashed in a Fort Collins neighborhood.

Telephone interviews or written statements were taken from 16 witnesses. Witness 3 heard "an abrupt decrease in engine noise," and witness 7 heard "erratic revving of a plane motor, followed by the sound of a motor stalling. [It] sputtered four times before dying." Witness 4 heard "erratic engine noise." Witness 5 said the "engines were missing, sputtering, cutting to silence, then sputtering again." Witness 8 heard the airplane "lose an engine," and witness 11 said "the engine quit." Witness 12 said "the engines didn't sound normal...kind of higher pitched...like he was climbing. Engines were revved at high RPMs...[Then] the sound changed, [like] when a plane is diving to make a run." Witness 16 said the plane's engine sounded "like it was failing or under heavy load (higher RPM)," and witness 14 thought "the pilot had slowed the engine down."

The airplane was seen to emerge from the overcast in a flat spin. Several witnesses (1, 6, 10, 16) said the airplane fell "straight down," and witness (10) added, "with no forward motion." Witnesses 1 and 7 said the airplane was spinning counterclockwise. Witness 3 said "it appeared the right hand engine propeller had stopped turning. Witness 4 said "one engine [was] dead (prop not spinning on starboard side)." This witness added, "The elevator on the aircraft was fully deflected in the up position during the descent and at impact."

The airplane impacted the street and driveway in front of 3027 Stonehaven Drive. Fuel flowed underneath a parked automobile and into the storm drain. Seconds later, the fuel ignited and engulfed the airplane and the parked automobile and blew off four manhole covers.

Personnel information

The pilot, age 50, held a private pilot certificate with airplane single/multiengine land and instrument ratings, dated March 29, 2002. He also held and third class airman medical certificate, dated March 17, 2003, with the limitation, "must have available glasses for near vision."

The pilot's two logbooks were examined. The first logbook contained entries from February 26, 1997, when he took his first flying lesson, to September 10, 2003. The second logbook contained entries from September 23, 2003, to July 28, 2004. He began taking multiengine instruction in a Beech 55 on November 6, 2001, and received an airplane multiengine land rating on March 29, 2002. He did not fly multiengine airplanes again until the following year. Between March 5 and 8, 2003, the pilot received 15 hours of instruction in a Beech 58P simulator from Simcom, including "pressurization, instrument emergency, single engine procedures, and high altitude descents." His logbook was endorsed as having satisfactorily completed "training requirements outlined in Advisory Circular 91-91H, paragraph 7(i)," and "an instrument proficiency check required by FAR 61.57(d)." After that, the only multiengine airplane the pilot flew was the Beech 58P, N69CL.

On July 23, 2004, the day before the accident, the pilot received 5.3 hours of instruction from ATM (Aviation Training Management) of Vero Beach, Florida. The training included "preflight operations, line inspection, aircraft servicing, use of checklists, cockpit orientation, start, taxi, run up, takeoff, climb to altitude, normal operations, simulated emergency engine/electrical/cockpit fires, medium, steep bank 360's, unusual attitudes, partial panel operations, VOR radial intercept, track, hold, multiple instrument approaches, autopilot coupled approaches, go around, land, GPS operations, single engine operations." His logbook was endorsed as having satisfactorily completed "the recurrent ground and flight training," a "flight review required by FAR 61.56," and "and instrument proficiency check FAR 61.57(d)(2)."

The pilot had accumulated the following flight time (in hours):

Total time: 1,397.4

Pilot-in-command: 1,271.1

Instruction received: 119.4

Single engine: 1,153.2

Multiengine: 211.6

Cross-country: 852.7

Night: 46.6

Actual instruments: 80.4

Simulated instruments: 71.0

Simulator: 16.0

The pilot had logged 171.0 hours in the Beech 58P, N69CL, of which 16.0 hours were in a simulator, 2.3 hours were in simulated instrument conditions, and 31.4 hours were in actual instrument conditions.

Aircraft information

N69CL (s/n TJ-444), a model 58P Baron, was manufactured by the Beech Aircraft Corporation in 1984, and was registered to L-Petrel LLC, of Dover, Delaware. It was equipped with two Continental TSIO-520-WB(3) engines (s/n 248186-R, left; 274490-R, right), rated at 325 hp at 2700 rpm, driving two Hartzell all metal, 3-blade, full-feathering constant speed propellers (m/n 3AF32C511-C).

The airframe, both engines, and both propeller

Aircraft

Registration
N69CL
Reported as
Beech 58P
Category
Airplane
Serial number
TJ-444
Airframe hours
2,101
Engine
Continental TSIO-520-WB, 325 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Leo J. Schuster
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 20, 2004
Departed
FNL · Loveland, CO
Destination
OMA · Omaha, NE
Flight plan
IFR

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
50
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
July 23, 2004
Seat
Left
Toxicology
Performed
Flight hours
1,397 total · 32 in this make and model · 1,271 as pilot in command · 60 in the last 90 days · 28 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 9 knots
Visibility
10 statute miles
Lowest ceiling
1,100 ft broken
Temperature
57 °F, dew point 48 °F
Altimeter
30.45 inHg
Observed at
FNL, 9 nm away

Docket · 38

The files NTSB released with the investigation on December 27, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.9 MB in all.

Sound Spetrum Study- Air Traffic Control recordingItem 1 · .PDF · 72 KBSupplement SItem 2 · .PDF · 29 KBNTSB Report of Engine-Turbocharger DisassemblyItem 3 · .PDF · 41 KBWitness Interview Notes and StatementsItem 4 · .PDF · 919 KBFAA Controller StatementsItem 5 · .PDF · 188 KBMaps or Charts of Accident Area, Wreckage DiagramsItem 6 · .PDF · 237 KBWeather Reports and RecordsItem 7 · .PDF · 351 KBTranscript of Radio CommunicationsItem 8 · .PDF · 142 KBNTAP Data and PlotsItem 9 · .PDF · 84 KBExcerpts from FAA Report of Aircraft AccidentItem 10 · .PDF · 73 KBDaily Record of Denver TRACONItem 11 · .PDF · 49 KBFAA Form 7230-7.2, Flight Progress StripItem 12 · .PDF · 15 KBExcerpts from Fort Collins Police Department Incident ReportItem 13 · .PDF · 404 KBMcCauley Propellers Disassembly ReportItem 14 · .PDF · 67 KBFuel InvoiceItem 15 · .PDF · 74 KBRaytheon Aircraft Corporation Safety Communique No. 249Item 16 · .PDF · 126 KBStatement of Party Representatives to NTSB InvestigationItem 17 · .PDF · 112 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 18 · .PDF · 39 KBToxicological ReportsItem 19 · .PDF · 126 KBPhoto # 1 - 1209.15, airplane shortly after ground impactItem 20 · .PDF · 1.5 MBPhoto #2 - 1209.27. airplane suddenly bursts into flamesItem 21 · .PDF · 1.6 MBPhoto #3 - 1210.19. Fuel flows down gutter into storm drain, igniting minivan and blowing off four manhole coversItem 22 · .PDF · 1.5 MBPhoto #4 - Left side of airplaneItem 23 · .PDF · 209 KBPhoto #5 - Front of airplane at 3027 Stonehaven DrItem 24 · .PDF · 714 KBPhoto #6 - Right side of airplaneItem 25 · .PDF · 203 KBPhoto #7 - Rear of airplaneItem 26 · .PDF · 211 KBPhoto #8 - Left engine and remains of propeller assemblyItem 27 · .PDF · 854 KBPhoto #9 - Right engine and remains of propeller assemblyItem 28 · .PDF · 850 KBPhoto #10 - Fuel selector handlesItem 29 · .PDF · 215 KBPhoto #11 - Fuel selector valves from wheel wellsItem 30 · .PDF · 191 KBPhoto #12 - Power quadrantItem 31 · .PDF · 610 KBPhoto #13 - Magneto switchesItem 32 · .PDF · 216 KBPhoto #14 - EDM-760 engine analyzerItem 33 · .PDF · 186 KBPhoto #15 - Left elevator counterweightItem 34 · .PDF · 173 KBPhoto #16 - Matching counterweight with left stabilizer and elevatorItem 35 · .PDF · 173 KBPhoto #17 - Another viewItem 36 · .PDF · 169 KBPhoto #18 - Right elevator counterweightItem 37 · .PDF · 612 KBPhoto #19 - Matching counterweight with right stabilizer and elevatorItem 38 · .PDF · 580 KB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.