ERA11LA344

NTSB accident investigation · Beech A100 · Gray, TN · June 15, 2011

Accident · No injuriesLimited investigationFinal report
Date
June 15, 2011, 14:05 local (18:05 UTC)
Place
Gray, TN
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N15LBeech A100
Defining event
Enroute-cruise: Inflight upset
Weather
Instrument (IMC) · Day
Status
Completed · report June 14, 2012
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Hawker Beechcraft Corporation, Dynamic Aviation, FAA/FSDO
FAA report
20110615010759A
Case key
80789

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

An encounter with convectively-induced turbulence and icing, which resulted in an in-flight upset and a loss of airplane control.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Convective weather: thunderstormEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentAll aircraft: 100 casesProbable cause
Turbulence: convective turbulenceEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentAll aircraft: 145 casesProbable cause
Performance/control parametersAircraft › Aircraft oper/perf/capability · Not specifiedAll aircraft: 1,269 cases
Temp/humidity/pressure: conducive to structural icingEnvironmental issues › Conditions/weather/phenomena · Effect on equipmentAll aircraft: 103 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The airplane was flying in instrument meteorological conditions at flight level 200 (about 20,000 feet), and a large area of thunderstorm activity was located to the northwest. About 20 miles from the thunderstorm activity, the airplane began to encounter moderate turbulence and severe icing conditions. The pilot deviated to the south; however, the turbulence increased, and the airplane entered an uncommanded left roll and dive. The autopilot disengaged, and the pilot's attitude indicator dropped. The pilot leveled the airplane at an altitude of 8,000 feet and landed without further incident. Subsequent examination revealed that one-third of the outboard left elevator separated in flight and that the empennage was substantially damaged. Meteorological and radar data revealed the airplane entered an area of rapidly intensifying convective activity, which developed along the airplane's flight path, and likely encountered convectively-induced turbulence with a high probability of significant icing. The effect of icing conditions on the initiation of the upset could not be determined; however, airframe structural icing adversely affects an airplane's performance and can result in a loss of control.

Factual narrative

On June 15, 2011, about 1405 eastern daylight time, a Beech A100, N15L, operated by Dynamic Avlease Inc., was substantially damaged when it experienced an in-flight upset, while in cruise flight near Gray, Tennessee. The two certificated commercial pilots were not injured. Instrument meteorological conditions (IMC) prevailed and an instrument flight rules flight plan had been filed for the flight that departed Bridgewater Air Park (VBW), Bridgewater, Virginia, destined for Mid-Continent Airport (ICT), Wichita, Kansas. The positioning flight was conducted under the provisions of Title 14 Code of Federal Regulations Part 91. According to the flight crew, the airplane was flying in smooth IMC conditions at flight level 200 (20,000 feet mean sea level), with an area of "moderate to heavy to extreme" precipitation located about 30 miles to the northwest. As the airplane approached 20 miles from the weather, it began to experience moderate turbulence and rime ice on the windscreen. The pilot flying deviated course 40-degrees to the south. Turbulence increased further for about 10 seconds, and the airplane then entered an uncommanded left roll and dive. The autopilot disengaged and the pilot's electrically driven attitude indicator tumbled. The flight crew reduced the engine power levers to idle and were able to recover utilizing the copilot's vacuum driven attitude indicator. The airplane was returned to straight and level flight at an altitude of 8,000 feet; however, flight control instability persisted. The flight crew subsequently diverted to Tri-Cities Regional Airport (TRI), Blountville, Tennessee, where the airplane landed without further incident. Subsequent examination of the airplane by a Federal Aviation Administration (FAA) inspector revealed that the outboard one-third of the left elevator separated in flight, and the outboard right elevator was deformed downward. In addition, the horizontal stabilizer bulkhead frame was fractured and the aft portion of the airframe sustained several areas of deformation. Review of FAA air traffic control information revealed that the flight crew requested an approximate 15 to 20 degree left deviation at 1405:05, which was approved 11 seconds later. Broken transmissions consistent with the in-flight upset began at 1405:50. According to an NTSB Weather Study, satellite imagery and North American Mesoscale model soundings corresponded to cloud-top heights in the accident area of about 32,000 and 36,000 feet; respectively. Weather radar data revealed heavy values of reflectivity west and northwest of the airplane consistent with convective activity, as it approached the area of the in-flight upset. At 1359, reflectivity values in the immediate area of the accident location were scarce and light; however, by 1407, intensification of reflectivity values were observed immediately along the airplane's flight path. By 1412, this area of reflectivity had further intensified in a pattern consistent with developingconvection. A three-dimensional projection of reflectivity values at the area of the in-flight upset confirmed significant vertical development in the convective area during the minutes surrounding the accident time. Several convective significant meteorological information (SIGMETs) were issued for the accident region prior to the accident time; however, none were active for the accident location. The flight crew subsequently filed a pilot report pertaining to the in-flight upset, in which the icing conditions were described as "severe clear/rime." [For additional information regarding meteorological conditions, please see the NTSB Weather Study located in the public docket.] The operator reported the pilot's total flight experience as 4,837 hours; which included 1,941 hours in multiengine airplanes, and 87 hours in the same make and model as the accident airplane. The airplane was maintained under a continuous airworthiness inspection program, and had been operated for approximately 16,170 total hours at the time of the accident. With regards to encountering severe icing conditions, the airplane flight manual stated, in part, "...Warning: Severe icing may result from environmental conditions outside of those for which the airplane is certificated." Procedures for exiting severe icing conditions included disengaging the autopilot, after holding the control wheel firmly.

Aircraft

Registration
N15L
Reported as
Beech A100
Category
Airplane
Serial number
B-212
Airframe hours
16,170
Engines
P&W Canada PT6A-34, 750 horsepower, turbo propP&W Canada PT6A-34, 750 horsepower, turbo prop
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Dynamic Avlease Inc
Registered owner
Dynamic Avlease Inc
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · June 9, 2011 · 2 hours before
Departed
VBW · Bridgewater, VA
Destination
ICT · Wichita, KS
Flight plan
IFR

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
39
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 2, With waivers/limitations
Last flight review
July 8, 2010
Seat
Left
Flight hours
4,837 total · 87 in this make and model · 4,491 as pilot in command · 78 in the last 90 days · 3 in the last 30 days · 2 in the last 24 hours
Role
Pilot
Age
38
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
March 10, 2010
Seat
Right
Flight hours
900 total · 2 in this make and model

Weather

Conditions
Instrument (IMC) · Day
Wind
0° at 0 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
77 °F, dew point 12 °F
Altimeter
29.96 inHg
Observed at
TRI, 5 nm away

Docket · 13

The files NTSB released with the investigation on May 8, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports.

FAA reports on this event · 1

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