# NTSB ERA15CA154: Beech 58, N50NH, Monroe, NC, March 4, 2015 - Type: NTSB accident investigation - Classification: Accident · No injuries · Data collection · Final report - Date: March 4, 2015, 09:38 local (14:38 UTC) - Place: Monroe, NC - Coordinates: 35.025276, -80.611946 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=35.0253&lon=-80.6119&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-flare/touchdown: Landing area overshoot](https://openairdocs.org/ntsb-events/380) - Highest injury: No injuries - Injuries: 4 uninjured - Status: Completed, report August 11, 2015 - Report: Approved by Office Director - NTSB office: Eastern Region Aviation - Parties: FAA/FSDO - NTSB case key (mKey): 90868 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA15CA154 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/90868/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=90868 - Page: https://openairdocs.org/ntsb/ERA15CA154 ## Probable cause The pilot's failure to maintain a proper glidepath and failure to perform a go-around once a safe landing could not accomplished, which resulted in a landing area overshoot and runway excursion. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Performance/control parameters: descent/approach/glide path](https://openairdocs.org/ntsb-findings/01062040): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Beech 58, 2 cases](https://openairdocs.org/ntsb-findings/01062040/cases.md?model=1152740), [All aircraft, 809 cases](https://openairdocs.org/ntsb-findings/01062040/cases.md) - [Action: incorrect action selection](https://openairdocs.org/ntsb-findings/02041010): Personnel issues › Action/decision · Pilot (probable cause); cases with it: [Beech 58, 4 cases](https://openairdocs.org/ntsb-findings/02041010/cases.md?model=1152740), [All aircraft, 397 cases](https://openairdocs.org/ntsb-findings/02041010/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Landing-flare/touchdown: Landing area overshoot](https://openairdocs.org/ntsb-events/380) (defining event); cases with it: [Beech 58, 2 cases](https://openairdocs.org/ntsb-events/380/sequence.md?model=1152740), [All aircraft, 400 cases](https://openairdocs.org/ntsb-events/380/sequence.md) - [Landing-landing roll: Runway excursion](https://openairdocs.org/ntsb-events/300); cases with it: [Beech 58, 7 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=1152740), [All aircraft, 3,643 cases](https://openairdocs.org/ntsb-events/300/sequence.md) - [Landing-flare/touchdown: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Beech 58, 19 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=1152740), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis The pilot had initially intended to perform a GPS approach to runway 23, into the wind; however, the weather was below minimums for that approach and he then elected to perform an instrument landing system (ILS) approach in the opposite direction to runway 5. While about 100 feet above decision height for the ILS approach to runway 5, the pilot did not have the runway environment in sight and started to make the motions to go-around, but did not increase engine power. He then observed the runway centerline markings and due to excess speed and a tailwind, the airplane floated and landed long. When asked about the touchdown point location and speed at touchdown, the pilot estimated it was about 1,000 feet before the departure end of the 7,001-foot-long runway, at a speed of 85 knots. He applied the brakes, but the runway was wet and he did not feel deceleration. He left the flaps fully extended as the airplane traveled off the end of the runway, coming to rest upright in a grass area. The pilot added that there were no preimpact mechanical malfunctions with the airplane. The recorded weather at the airport, about the time of the accident, included an 11-knot tailwind. Examination of the wreckage by a Federal Aviation Administration inspector revealed damage to the landing gear and lower fuselage. ## Factual narrative The pilot had initially intended to perform a GPS approach to runway 23, into the wind; however, the weather was below minimums for that approach and he then elected to perform an instrument landing system (ILS) approach in the opposite direction to runway 5. While about 100 feet above decision height for the ILS approach to runway 5, the pilot did not have the runway environment in sight and started to make the motions to go-around, but did not increase engine power. He then observed the runway centerline markings and due to excess speed and a tailwind, the airplane floated and landed long. When asked about the touchdown point location and speed at touchdown, the pilot estimated it was about 1,000 feet before the departure end of the 7,001-foot-long runway, at a speed of 85 knots. He applied the brakes, but the runway was wet and he did not feel deceleration. He left the flaps fully extended as the airplane traveled off the end of the runway, coming to rest upright in a grass area. The pilot added that there were no preimpact mechanical malfunctions with the airplane. The recorded weather at the airport, about the time of the accident, included an 11-knot tailwind. Examination of the wreckage by a Federal Aviation Administration inspector revealed damage to the landing gear and lower fuselage. ## Aircraft - Registration: [N50NH](https://openairdocs.org/deregistered/N50NH-2015-11-04), registration cancelled 2015-11-04, S/N TH-1030, built 1979 (OpenAirDocs) - Reported make and model: BEECH 58 - Registry model: [Beech 58](https://openairdocs.org/model/beech-58) (registry code 1152740) (OpenAirDocs) - Registry engine: [Continental IO-520 series](https://openairdocs.org/engine/continental-io-520-series) (registry code 17032, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: TH-1030 - Year built: 1979 - Airframe hours: 4432.3 - Engines: CONT MOTOR IO-520-CB 285 horsepower reciprocating; CONT MOTOR IO-520-CB 285 horsepower reciprocating - Damage: Substantial damage - Flight: Business, Part 91 - Operator: Brick Street Mutual Insurance Company - Registered owner: Mountain State Insurance Agency - Airworthiness certificate: Standard, Normal - Last inspection: Annual, August 20, 2014, 154 hours before - Departed: CRW, Charleston, WV - Destination: EQY, Monroe, NC - Flight plan: IFR - Airport: EQY, Charlotte-Monroe County, runway 05, 7,001 × 100 ft, asphalt - Equipment: Auto-pilot, Electronic flight bag or handheld device, Electronic multifunction display, Stall warning system, Onboard weather ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 67; injuries: none; flight instructor, commercial; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 2, with waivers/limitations; last flight review November 9, 2013; seat: left; restraint: 3-point; flight hours: 14,500 total, 900 in this make and model, 14,500 as pilot in command, 66.8 in the last 90 days, 33.4 in the last 30 days, 0 in the last 24 hours ## Weather - Conditions: Instrument (IMC), Day - Wind: 230° at 11 knots - Visibility: 0.25 statute miles - Lowest ceiling: 200 ft indefinitevv - Temperature: 54 °F, dew point 52 °F - Altimeter: 30.03 inHg - Observed at: EQY ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20150304003379A](https://openairdocs.org/incident/20150304003379A), Mar 4, 2015: Beech 58, Monroe, NC, Substantial damage. On 3/4/2015 at 0953 EST, Beechcraft BE-58, N50NH, registered to mountain state insurance agency, inc., was substantially damaged when the aircraft departed the… ## Docket (8 files) The files NTSB released with the investigation on July 28, 2015, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=90868. 24.3 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 424 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40429835&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Weather Report and Record (item 2, .PDF, 104 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40429836&FileExtension=.PDF&FileName=Weather%20Report%20and%20Record-Master.PDF - Airport Notice to Airman Regarding Runway 5 ILS (item 3, .PDF, 80 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40429837&FileExtension=.PDF&FileName=Airport%20Notice%20to%20Airman%20Regarding%20Runway%205%20ILS-Master.PDF - Record of Conversations (item 4, .PDF, 64 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40429838&FileExtension=.PDF&FileName=Record%20of%20Conversations-Redacted.PDF - Photo 1 – Resting Position of the Airplane Beyond the Departure End of Runway 5 (Photo Courtesy of FAA) (item 5, .PDF, 5.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40429839&FileExtension=.PDF&FileName=Photo%201%20%E2%80%93%20Resting%20Position%20of%20the%20Airplane%20Beyond%20the%20Departure%20End%20of%20Runway%205%20(Photo%20Courtesy%20of%20FAA)-Master.PDF - Photo 2 – Wreckage (Photo Courtesy of FAA) (item 6, .PDF, 5.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40429840&FileExtension=.PDF&FileName=Photo%202%20%E2%80%93%20Wreckage%20(Photo%20Courtesy%20of%20FAA)-Master.PDF - Photo 3 – Electronic Instrument Approach Chart Utilized by the Pilot (Photo Courtesy of FAA) (item 7, .PDF, 5.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40429841&FileExtension=.PDF&FileName=Photo%203%20%E2%80%93%20Electronic%20Instrument%20Approach%20Chart%20Utilized%20by%20the%20Pilot%20(Photo%20Courtesy%20of%20FAA)-Master.PDF - Photo 4 – Skid Marks in Grass Beyond the Departure End of Runway 5 (Photo Courtesy of FAA) (item 8, .PDF, 6.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40429842&FileExtension=.PDF&FileName=Photo%204%20%E2%80%93%20Skid%20Marks%20in%20Grass%20Beyond%20the%20Departure%20End%20of%20Runway%205%20(Photo%20Courtesy%20of%20FAA)-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.