DEN06FA013

NTSB accident investigation · Beech A36 · Datil, NM · November 8, 2005

Accident · FatalField investigationFinal report
Date
November 8, 2005, 12:30 local (19:30 UTC)
Place
Datil, NM
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N1548YBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report August 29, 2006
Report
Approved by Office Director
Parties
Teledyne Continental Motors, Inc., Federal Aviation Administration, Raytheon Aircraft Company
FAA report
20051108027199A
Case key
62808

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 pilot's loss of control during flight as a result of incapacitation due to atherosclerotic cardiovascular disease.

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 control - in flightCruise
Aircraft control - not possiblePilot in commandCause
Incapacitation(cardiovascular)Pilot in commandCause
In flight collision with terrain/waterCruise
Terrain condition - mountainous/hilly
Terrain condition - rising

Analysis

Approximately 45 minutes into the cross-country flight, the airplane collided with hilly terrain during daytime hours in visual meteorological conditions. Examination of the airframe, engine, and propeller revealed no anomalies that precluded normal operation prior to impact. Postmortem examination of the pilot revealed atherosclerotic cardiovascular disease with severe blockage of the coronary arteries, and a clot noted in the left anterior descending artery. The autopsy report stated, "...the presence of significant atherosclerotic narrowing of the left anterior descending artery may have precipitated an abnormal heart rhythm (dysrhythmia) producing an incapacitating event during flight that resulted in the crash."

Factual narrative

History of flight

On November 8, 2005, approximately 1230 mountain standard time, a Beech A36 single-engine airplane, N1548Y, was destroyed when it collided with terrain on the Double H Ranch near Datil, New Mexico. The private pilot, who was the sole occupant, sustained fatal injuries. The airplane was registered to and operated by the pilot. Visual meteorological conditions prevailed, and a flight plan was not filed for the Title 14 Code of Federal Regulations Part 91 personal flight. The flight departed Block Ranch Airport (4AZ2), Capitan, New Mexico, approximately 1145, and was destined for Phoenix Deer Valley Airport (DVT), Phoenix, Arizona.

According to the Block Ranch manager, the pilot departed for Phoenix approximately 1145 from the ranch airstrip. The pilot flew over the ranch residence and then departed toward the west. The manager reported no anomalies with the airplane during the takeoff or when it flew over the residence.

Approximately 1300, a Double H ranch hand noticed a fire on a hillside in the northwest corner of the ranch property. The ranch hand informed the Double H ranch manager of the fire, and they responded to the site. Upon reaching the fire location, the ranch manager realized the fire had been started as a result of an airplane accident. The ranch manager then contacted the United States Forest Service (USFS), Magdalena, New Mexico, and the New Mexico State Police. The USFS responded to the accident site and extinguished the fire.

Personnel information

The 77-year old pilot held a private pilot certificate with airplane single-engine land, airplane multi-engine land, and instrument airplane ratings. The pilot was issued a third-class medical certificate on February 28, 2005, with the limitations: "Must wear corrective lenses for near and distant vision. Not valid for any class after February 28, 2006." According to the Federal Aviation Administration's (FAA) medical records, on March 10, 2005, the pilot's medical certificate was suspended due to a history of glaucoma with visual field defect left eye. On June 6, 2005, the pilot successfully completed a FAA medical flight test, and the pilot received a third-class medical certificate. The pilot reported no "heart or vascular trouble" on any previous medical applications.

The pilot's logbooks were not located; however, according to the pilot's February 28, 2005, medical application, the pilot reported a total time of 11,010 hours and 100 hours in the past 6 months. On January 21-23, 2005, the pilot completed a Beech Pilot Proficiency Program Approved Bonanza Recurrent Course.

Aircraft information

The 1989-model Beech A36, serial number E-2483, was a low wing, retractable landing gear, semi-monocoque design airplane. The airplane was powered by a six-cylinder, direct drive, air cooled, horizontally-opposed, fuel injected Teledyne Continental Motors IO-550-B engine (serial number 297185-R), rated at 300 horsepower, and equipped with a McCauley three-bladed constant speed propeller. The airplane was configured to carry a maximum of six occupants, and the maximum gross weight for the airplane was 3,650 pounds.

The airplane was issued a standard airworthiness certificate and was certificated for normal category operations. The airplane's current registration was issued to the pilot on July 2, 2002. Complete airframe, engine, and propeller logbooks were not located; however, charred remnants of airplane maintenance records were found in the airplane wreckage. According to the maintenance facility that completed the last annual and 100-hour inspections on May 26, 2005, the airframe and engine had accumulated total times of 3,404.8 and 336.6 hours, respectively. The total airframe and engine times at the time of the accident could not be determined.

Meteorological information

Approximately 1045, the pilot obtained a weather briefing from the Albuquerque Flight Service Station. According to the weather brief audio recording, the briefer informed the pilot that the weather along the pilot's intended route of flight was clear below 12,000 feet msl and visibility was unrestricted. The briefer stated the pilot may experience moderate turbulence near Socorro, New Mexico (located approximately 50 east of the accident site) below 18,000 feet msl. The winds aloft near Socorro at 9,000 feet msl were from 280 degrees at 11 knots, and at 12,000 feet msl, were from 260 degrees at 28 knots.

According to employees of the Double H ranch, at the time the accident site was located, the sky was clear and the wind was calm.

Wreckage and impact information

The accident site was located in hilly and rocky terrain on the northwest corner of the Double H ranch property, approximately 10 miles northeast of Datil. Examination of the accident site revealed the airplane impacted terrain on a measured magnetic heading of 255 degrees at an elevation of 7,676 feet msl. The Global Positioning System coordinates recorded at the accident site were latitude North 34 degrees 22.608 minutes and longitude West 107 degrees 43.732 minutes.

Examination of the accident site revealed the left wing impacted the tops of pinion pine trees prior to impact with terrain. The outboard portion of the right wing came to rest entangled in a pinion pine adjacent to the initial ground scar. Measurements of the pinion pine tree cuts at the initial impact indicated the airplane impacted the vegetation in a 3 degree nose down and 10 degree right wing down attitude. Navigation antennas, mounted on the underside of the fuselage, were located in the initial impact ground scar.

Airplane debris fanned outward from the initial ground scar to the main wreckage and was distributed on rising terrain. The incline of the rising terrain measured approximately 19 degrees. The debris field contained sections of the left and right wings, engine cowling, engine accessories, one propeller blade, and broken sections of the windscreen. The main wreckage came to rest upright on a measure magnetic heading of 205 degrees and was located approximately 136 feet from the initial ground scar at an elevation of 7,720 feet msl. The main wreckage consisted of the fuselage, portions of the left and right wings, the empennage, and the engine. The main wreckage was destroyed by a post-impact fire.

The inboard portion of the left wing remained attached to the fuselage and partially consumed by fire. The flap and inboard section of the aileron remained attached to the wing, and the outboard section of the aileron was separated and located in the debris field. The flap actuator and its attach points were consumed by fire. The trailing edge of the flap was intact. The left main landing gear remained partially attached to the wing structure and was in the retracted position.

The inboard portion of the right wing with the flap attached, remained attached to the fuselage, was bent aft and partially consumed by fire. The outboard portion of the right wing with the aileron attached, was located in a pinion pine adjacent to the initial impact. The flap actuator and its attach points were consumed by fire. The trailing edge of the flap was intact. The right main landing gear remained partially attached to the wing structure and was in the retracted position.

The empennage remained partially attached to the fuselage. The vertical stabilizer remained partially attached to the empennage and exhibited fire damage. The rudder remained attached to the vertical stabilizer and exhibited fire damage. The left horizontal stabilizer was intact and displayed damage to the leading edge. The left elevator remained attached to the horizontal stabilizer. The right horizontal stabilizer and elevator were consumed by fire, and the control cable and rod terminating ends were located at the position of the right elevator. Measurement of the left and right actuators corresponded to

Aircraft

Registration
N1548Y
Reported as
Beech A36
Category
Airplane
Serial number
E-2483
Airframe hours
3,404.8
Engine
Teledyne Continental IO-550-B, 300 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
R. A. Canning
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2005
Departed
4AZ2 · Capitan, NM
Destination
DVT · Phoenix, AZ

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
77
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
January 1, 2005
Seat
Left
Toxicology
Performed
Flight hours
11,000 total · 9,000 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
70 °F

FAA reports on this event · 1

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