# NTSB ERA17LA189: Beech 58, N9132S, Augusta, GA, May 24, 2017 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: May 24, 2017, 01:00 local (05:00 UTC) - Place: Augusta, GA - Coordinates: 33.381111, -81.970558 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=33.3811&lon=-81.9706&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-flare/touchdown: Landing gear not configured](https://openairdocs.org/ntsb-events/095) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report November 6, 2018 - Report: Approved by Office Director - NTSB office: Eastern Region Aviation - Parties: FAA/FSDO - NTSB case key (mKey): 95232 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA17LA189 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/95232/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=95232 - Page: https://openairdocs.org/ntsb/ERA17LA189 ## Probable cause The pilot’s failure to properly configure the airplane for landing. Contributing to the accident were the pilot’s fatigue and self-induced distractions. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Action: forgotten action/omission](https://openairdocs.org/ntsb-findings/02041035): Personnel issues › Action/decision · Pilot (probable cause); cases with it: [Beech 58, 5 cases](https://openairdocs.org/ntsb-findings/02041035/cases.md?model=1152740), [All aircraft, 440 cases](https://openairdocs.org/ntsb-findings/02041035/cases.md) - [Landing gear system](https://openairdocs.org/ntsb-findings/01023200): Aircraft › Aircraft systems · Not used/operated (probable cause); cases with it: [Beech 58, 2 cases](https://openairdocs.org/ntsb-findings/01023200/cases.md?model=1152740), [All aircraft, 113 cases](https://openairdocs.org/ntsb-findings/01023200/cases.md) - [Alertness/Fatigue: fatigue due to work schedule](https://openairdocs.org/ntsb-findings/02013520): Personnel issues › Physical · Pilot (probable cause); cases with it: [Beech 58, 1 case](https://openairdocs.org/ntsb-findings/02013520/cases.md?model=1152740), [All aircraft, 25 cases](https://openairdocs.org/ntsb-findings/02013520/cases.md) - [Attention/monitoring](https://openairdocs.org/ntsb-findings/02021500): Personnel issues › Psychological · Pilot (probable cause); cases with it: [Beech 58, 1 case](https://openairdocs.org/ntsb-findings/02021500/cases.md?model=1152740), [All aircraft, 18 cases](https://openairdocs.org/ntsb-findings/02021500/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 gear not configured](https://openairdocs.org/ntsb-events/095) (defining event); cases with it: [Beech 58, 10 cases](https://openairdocs.org/ntsb-events/095/sequence.md?model=1152740), [All aircraft, 584 cases](https://openairdocs.org/ntsb-events/095/sequence.md) ## Analysis The commercial pilot reported that the flight was concluding at the end of his 17-hour duty day. He stated that he did not confirm a safe landing gear indication before landing and that the airplane subsequently landed with the landing gear retracted, which resulted in substantial damage. The pilot also stated that fatigue and self-induced distractions contributed to the accident, and that there were no mechanical anomalies with the airplane that would have precluded normal operation. ## Factual narrative On May 24, 2017, about 0100 eastern daylight time, a Beechcraft BE-58, N9132S, was substantially damaged during a gear-up landing at Augusta Regional Airfield (AGS), Augusta, Georgia. The commercial pilot was not injured. Instrument meteorological conditions prevailed and an instrument flight rules flight plan had been filed. The on-demand cargo flight departed Chicago Executive Airport (PWK), Chicago, Illinois, was conducted under the provisions of 14 Code of Federal Regulations Part 135.The pilot stated he departed on a personal flight at 0715. Later in the day, he accepted a Part 135 flight with an expected departure time of 1630, but the departure was delayed until 2000. The pilot stated that while on approach he did not extend the landing gear at the final approach fix, which was standard procedure, and he failed to confirm a safe landing gear indication before landing. He reported that their no mechanical malfunctions or failures of the airplane that would have precluded normal operation. He also reported that he was fatigued, and his attempts to contact the fixed base operator during approach distracted him. On scene examination of the wreckage by a Federal Aviation Administration inspector revealed substantial damage to the wing ribs and stringers. The pilot held a commercial pilot certificate with ratings for airplane single engine land, airplane multiengine land, and instrument airplane. His most recent FAA second class medical certificate was issued August 11, 2016. The pilot reported 14,000 total hours of flight experience, of which 6,000 hours were in the accident airplane make and model. The six-seat, low-wing, retractable tricycle-gear airplane was manufactured in 1976 and was powered by two Continental, IO-520, 285-horsepower engines. The airplane's most recent inspection was completed on May 9, 2017, at 13,247 total aircraft hours. At 0053, recorded weather at AGS included an overcast ceiling at 700 feet, calm wind, and 10 miles of visibility. The temperature was 21° C, the dew point was 20° C, and the altimeter setting was 29.69 inches of mercury. ## Aircraft - Registration: [N9132S](https://openairdocs.org/deregistered/N9132S-2018-02-05), registration cancelled 2018-02-05, S/N TH-724, built 1976 (OpenAirDocs) - Reported make and model: BEECH 58 (UNDESIGNAT) - 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-724 - Year built: 1976 - Airframe hours: 13247.6 - Engines: CONT MOTOR IO 520-CB 285 horsepower reciprocating; CONT MOTOR IO 520 SERIES 285 horsepower reciprocating - Damage: Substantial damage - Flight: Part 135 - Operator: Gerlach And Associates LLC, doing business as Midwest Airlink - Registered owner: Slegers John E - Airworthiness certificate: Standard, Normal - Last inspection: Continuous airworthiness, May 9, 2017 - Departed: PWK, CHICAGO/PROSPECT HEIGHTS/WHEELING, IL - Destination: AGS, Augusta, GA - Flight plan: IFR - Airport: AGS, Augusta Rgnl At Bush Field, runway 17, 8,001 × 150 ft, concrete - Equipment: Stall warning system, Satellite tracking device, Onboard weather, Auto-pilot, Electronic multifunction display ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 71; injuries: none; private, commercial; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 2, with waivers/limitations; last flight review February 1, 2017; seat: left; restraint: lap only; flight hours: 14,000 total, 6,000 in this make and model, 11,000 as pilot in command, 130 in the last 90 days, 50 in the last 30 days, 6 in the last 24 hours ## Weather - Conditions: Instrument (IMC), Night - Wind: calm - Visibility: 10 statute miles - Lowest ceiling: 700 ft overcast - Temperature: 70 °F, dew point 68 °F - Altimeter: 29.69 inHg - Observed at: KAGS, 1 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 (OpenAirDocs). - [Accident 20170524004879A](https://openairdocs.org/incident/20170524004879A), May 24, 2017: Beech 58, Augusta, GA, Substantial damage. On may 24, 2017 at approximately 1:05 am local time a Beechcraft baron 58 call sign N9132S was cleared to land on runway 17 at Augusta Regional Airport in… ## Docket (2 files) The files NTSB released with the investigation on June 21, 2018, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=95232. 1.5 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40464360&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF - Photo Array (item 2, .PDF, 2 photos, 184 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40464361&FileExtension=.PDF&FileName=Photo%20Array-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.