DEN05FA032

NTSB accident investigation · Beech A45 · Montgomery, TX · December 7, 2004

Accident · FatalField investigationFinal report
Date
December 7, 2004, 10:20 local (16:20 UTC)
Place
Montgomery, TX
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N141SWBeech A45
Weather
Visual (VMC) · Day
Status
Completed · report February 28, 2006
Report
Approved by Office Director
Parties
Federal Aviation Administration AAI-100, Federal Aviation Administration ACE-118W, T-34 Association, Raytheon Aircraft Company, Teledyne Continental Motors, Inc., Aviation Safety Training, Federal Aviation Administration ACE-110
FAA report
20041207035169A
Case key
60683

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

The NTSB’s determination of the probable cause, and any contributing factors.

the in-flight separation of the left wing as a result of extensive fatigue cracking throughout the wing carry-through structure.

Analysis

While maneuvering during an upset recovery training flight, the left wing separated from the airframe, which resulted in an uncontrolled descent and impact with terrain. A review of an on-board video revealed the instructor and student were performing training maneuvers which included steep turns, stalls, accelerated stalls, unusual attitudes and recoveries from these to a wings level attitude using several techniques. During the final maneuver, the instructor asked the student to lower the nose to "about a hundred and forty knots", and afterwards told the student to slowly pitch the nose upward "until we're pointed straight up." The airplane was seen climbing vertically up and visual contact with the ground disappeared. The instructor then told the student to "pull the way we just did a minute ago and pull the airplane into a stall." A brief stall occurred, and then the airplane continued to pitch in the same direction, and its path resembled the remainder of an inside loop. As the ground reappeared into the view, the aircraft was inverted and descending. There was a slight roll to the left as the airplane was descending while its pitch attitude continued in the same trend toward a vertical nose down attitude. While in a steep nose down attitude (no sky visible in the view), the instructor told the student to "pull it into a stall right now." At that moment, the recording ended. The main wreckage came to rest on the side of a hard surface gravel road, and the left wing, left horizontal stabilizer, inboard section of left elevator, aft canopy frame, and a portion of the left wing skin were located in a wooded area approximately 0.4 miles southwest of the main wreckage. The true history of the airframe could not be substantiated. All applicable Federal Aviation Administration Airworthiness Directives had been complied with at the time of the accident. Examination of the wing and carry-through structure revealed the structure failed as the result of extensive and widespread fatigue cracking in the -31 and -33 channels and the -3 and -85 webs. The cracks in the channels were in hidden areas and probably could not have been directly detected without extensive disassembly of the structure. However, the cracks in the webs would have been easily detected, and the crack in the forward web apparently was detected, based on the stop-drilled hole and the notes in the maintenance records. The materials of the structure were in compliance with required specifications. However, the workmanship was poor as indicated by the trapped debris and damaged holes. This may have been acceptable standards of workmanship at the time of manufacture, but have since been recognized as having a large negative impact on fatigue life of the structures. The fractured hole in the rear spar was recently inspected with no indication of cracks. It is highly unlikely that the cracks initiated and grew to the current sizes in less than 40 hours of flight time since the inspection. The localized damage and enlargement of the hole could have reduced the effectiveness of the inspection. The fatigue cracking in the carry-through, the rear wing spar, and the horizontal stabilizer indicate that the fatigue life of the entire aircraft structure has been expended. It is strongly suspected that these conditions may exist in other T-34 airframes.

Factual narrative

The factual narrative1,242 words

History of flight

On December 7, 2004, at 1020 central standard time, a Beech A45 single-engine airplane, N141SW, registered to PRVNY PLUK, LLC, of Houston, Texas, and operated by Texas Air Aces Inc., d.b.a. Aviation Safety Training, of Spring, Texas, was destroyed when it impacted terrain following an in-flight separation of the left wing and subsequent loss of control near Montgomery, Texas. The airline transport pilot (pilot-in-command/safety pilot) and pilot-rated passenger (client) were both fatally injured. Visual metrological conditions prevailed, and no flight plan was filed for the 14 Code of Federal Regulations Part 91 demonstration flight. The flight originated from the David Wayne Hooks Municipal Airport (DWH), near Houston, Texas, approximately 0945.

The client attended Aviation Safety Training for a two-day Advanced Maneuvering Program (AMP). The program included ground school and flight training that focused on unusual attitudes and upset recovery. The client completed the ground school portion of the training the day prior to the accident. The accident flight was the first of two flights for the flight portion of the program. The accident flight was a single aircraft flight; according to the operator, typically the AMP training consisted of two aircraft training simultaneously in the practice area.

The airplane was equipped with an on-board video/audio recording system. According to the operator, the videotapes are used for the purpose of post-flight debriefings. A review of the videotape revealed the video view was from a tail-mounted camera, which looked forward toward the canopy, and the view extended laterally to both wingtips. The camera view remained the same throughout the recording. The recording contained approximately 35:27 (minutes:seconds) of continuously recorded video and audio. All times of the recording in the History of Flight section of the factual report are elapsed times from the beginning of the recording unless otherwise specified. The elapsed time format is in hours, minutes, and seconds (HHMM:SS).

The recording began with the airplane on the ground at DWH in a parking area with the engine running. The safety pilot, seated in the rear seat, requested and received clearance and taxi instructions to runway 35L. The airplane approached the departure end of the runway, stopped on the taxiway, and the safety pilot performed pre-flight run-up procedures. After a position and hold clearance, the airplane was cleared for takeoff and began the takeoff roll. Shortly after the takeoff roll began, the safety pilot gave control of the airplane to the client, informed him that the takeoff would be his, and the safety pilot would maintain control of the engine power.

The airplane took off and generally maintained runway heading for the next 12 minutes of video. The airplane climbed in steps; first to 2,800 feet and then to 3,800 feet in order to remain clear of Class B airspace. Approximately 0015:00, the airplane reached the vicinity of Lake Conroe at 3,800 feet. At 0016:17, a climb to 6,000 feet was initiated. After reaching 6,000 feet, the safety pilot and client began performing the AMP training maneuvers. The safety pilot described each maneuver beforehand, as well as during each maneuver. The training maneuvers included steep turns, stalls, accelerated stalls, unusual attitudes and recoveries from these to a wings level attitude using several techniques. The maneuvers performed demonstrated the airplane's response to 'rudder only' recovery techniques at low and high angles of attack, 'rudder combined with aileron' recoveries also at low and high angles of attack, and demonstrations of positive dynamic and static stability of the airplane.

At 0034:50, the safety pilot asked the client to lower the nose to "about a hundred and forty knots," and afterwards told the client to slowly pitch the nose upward "until we're pointed straight up." The airplane was seen climbing vertically up and visual contact with the ground disappeared. The safety pilot then told the client to "pull the way we just did a minute ago and pull the airplane into a stall." A brief stall occurred, and then the airplane continued to pitch in the same direction, and its path resembled the remainder of an inside loop. As the ground reappeared into the view, the aircraft was inverted and descending. There was a slight roll to the left as the airplane was descending while its pitch attitude continued in the same trend toward a vertical nose down attitude. While in a steep nose down attitude (no sky visible in the view), the safety pilot told the client to "pull it into a stall right now." At that moment (0035:26), the recording appeared to end.

According to witness statements, at the time of the accident, the witnesses were working approximately 1/2 mile from the accident site. Witnesses heard a "bang" and noticed an airplane in a near vertical attitude. The witnesses then observed a wing and several other small components separate from the airplane. After the wing separation, the airplane spiraled nose down toward the ground. Subsequently, the airplane impacted a hard surface gravel road. The witnesses secured the area until the local authorities arrived.

Personnel information

The pilot-in-command, designated as the safety pilot, occupied the rear seat. The pilot held an airline transport pilot certificate with an airplane multi-engine land rating. The pilot also held a commercial pilot certificate with an airplane single-engine land rating. The pilot was issued a second-class medical certificate on October 4, 2004, with a limitation for corrective lenses. According to the pilot's insurance records dated November 16, 2004, the pilot had accumulated 5,280 total flight hours and 792 total hours in the make and model of the accident airplane, of which 20 hours were in the previous 90 days. The records revealed the pilot was an ex-military fighter pilot. According to the operator, the pilot had been employed with them since October 2001, and had been the operator's chief pilot since December 2003.

The pilot-rated passenger, designated as the client, occupied the front seat. The pilot held an airline transport pilot certificate with an airplane multi-engine land rating. The pilot also held a commercial pilot certificate with an airplane single-engine land rating. The pilot was issued a first-class medical certificate on October 24, 2004, with no restrictions or limitations. According to an October 2003 medical certificate application, the pilot reported a total of 14,700 hours.

Aircraft information

The A-45 (military designation T-34A, B45) airplane is a single-engine, tandem-seat trainer manufactured by Beech Aircraft Corporation. The airplane was designed to meet the requirements of a primary military trainer and, at the same time, prepare the student pilot for the transition to heavier, higher-performance airplanes. The overall dimensions of the airplane are a wingspan of 32.8 feet, a length of 25.9 feet and a height of 9.6 feet. The normal gross weight of the airplane is 2,950 pounds. The airplane utilizes three landing gear in a retractable tricycle configuration. The entire T-34 A and B production was sold to U.S. military customers or exported to foreign military customers. The airplane was delivered with a Continental O-470-13 engine rated at 225 horsepower. The accident airplane had a Continental IO-550-B9F engine rated at 300 horsepower.

According to Federal Aviation Administration (FAA) registration records, the accident airplane was loaned to the Dyes Air Force Base (AFB), Texas, Aero Club on September 29, 1958, at a reported time of 1,901.09 hours. On October 15, 1958, the airplane was issued a FAA Standard Airworthiness Certificate and entered civilian use as a Dyes AFB Aero Club asset. It was released from the United States Air Force (US

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.

Airframe/component/system failure/malfunctionManeuvering
Fuselage,attachment - failure,totalCause
Fuselage,attachment - fatigueCause
Wing,spar - failure,total
Wing,spar - fatigue
Horizontal stabilizer attachment - failure,total
Horizontal stabilizer attachment - fatigue
Loss of control - in flightDescent - uncontrolled
Aircraft control - not possiblePilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - roadway/highway

Aircraft

Registration
N141SW
Reported as
Beech A45
Category
Airplane
Serial number
G-13
Airframe hours
9,316.3
Engine
Teledyne Continental IO-550-B9F, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Operator
Texas Air Aces, doing business as Aviation Safety Training
Registered owner
Prvny Pluk, LLC
Airworthiness certificate
Standard, Aerobatic
Last inspection
100 hour · August 3, 2004 · 36.2 hours before
Departed
DWH · Montgomery, TX

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Injuries
Fatal
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
October 1, 2004
Seat
Rear
Toxicology
Performed
Flight hours
5,280 total · 95 in this make and model · 5,280 as pilot in command
Role
Other flight crew
Age
38
Injuries
Fatal
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Front
Toxicology
Performed
Flight hours
13,800 total

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
61 °F, dew point 46 °F
Altimeter
30.05 inHg
Observed at
CXO, 10 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.