# NTSB ERA20CA112: Beech 58, N60SH, Augusta, GA, February 23, 2020 - Type: NTSB accident investigation - Classification: Accident · Minor injuries · Class 4 · Data collection · Final report - Date: February 23, 2020, 14:15 local (19:15 UTC) - Place: Augusta, GA - Coordinates: 33.466667, -82.039443 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=33.4667&lon=-82.0394&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: Minor injuries - Injuries: 1 minor - Status: Completed - Report: Approved by Office Director - Investigation class: Class 4 - Basic report with no Prelim publish - NTSB office: Eastern Region Aviation - Parties: FAA / FSDO - NTSB case key (mKey): 100998 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ERA20CA112 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/100998/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=100998 - Page: https://openairdocs.org/ntsb/ERA20CA112 ## Probable cause The pilot's failure to land and stop the airplane within the available runway, which resulted in a runway overrun. Contributing to the outcome was the pilot's inadvertent feathering of both propellers during approach to landing. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Action: incorrect action performance](https://openairdocs.org/ntsb-findings/02041015): Personnel issues › Action/decision · Pilot (probable cause); cases with it: [Beech 58P, 2 cases](https://openairdocs.org/ntsb-findings/02041015/cases.md?model=1152744), [All aircraft, 1,386 cases](https://openairdocs.org/ntsb-findings/02041015/cases.md) - [Aircraft capability: landing distance](https://openairdocs.org/ntsb-findings/01061030): Aircraft › Aircraft oper/perf/capability · Capability exceeded (probable cause); cases with it: [Beech 58P, 1 case](https://openairdocs.org/ntsb-findings/01061030/cases.md?model=1152744), [All aircraft, 68 cases](https://openairdocs.org/ntsb-findings/01061030/cases.md) - [Propeller system: propeller feather/reversing](https://openairdocs.org/ntsb-findings/01046123): Aircraft › Aircraft propeller/rotor · Unintentional use/operation (probable cause); cases with it: [Beech 58P, 1 case](https://openairdocs.org/ntsb-findings/01046123/cases.md?model=1152744), [All aircraft, 26 cases](https://openairdocs.org/ntsb-findings/01046123/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 58P, 3 cases](https://openairdocs.org/ntsb-events/380/sequence.md?model=1152744), [All aircraft, 400 cases](https://openairdocs.org/ntsb-events/380/sequence.md) - [Landing-flare/touchdown: Miscellaneous/other](https://openairdocs.org/ntsb-events/900); cases with it: [Beech 58P, 2 cases](https://openairdocs.org/ntsb-events/900/sequence.md?model=1152744), [All aircraft, 1,556 cases](https://openairdocs.org/ntsb-events/900/sequence.md) - [Landing-landing roll: Runway excursion](https://openairdocs.org/ntsb-events/300); cases with it: [Beech 58P, 4 cases](https://openairdocs.org/ntsb-events/300/sequence.md?model=1152744), [All aircraft, 3,643 cases](https://openairdocs.org/ntsb-events/300/sequence.md) - [Landing-landing roll: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Beech 58P, 7 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=1152744), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis At the conclusion of a positioning flight for maintenance, the pilot of the twin-engine airplane joined the airport traffic pattern at the destination airport. During the landing flare, the pilot began pulling back on what he thought were the throttle levers, but was instead the propeller control levers, which he pulled into the feather position. When the propellers started feathering, he thought that he had lost power on both engines. He landed the airplane "long" on the remaining runway. It subsequently traveled off the end of the runway, through the airport perimeter security fence, crossed a roadway, and came to rest. During the runway overrun, the airplane was substantially damaged. After the accident, the pilot realized that he had been flying the twin-engine accident airplane like he typically flew his high performance single-engine airplane, and believed that was why he retarded the propeller control levers. Review of photographs provided by a Federal Aviation Administration (FAA) inspector showed that unlike the pilot's high performance single-engine airplane, which had its throttle control located on the left side of the control console with the propeller control in the middle, the twin-engine accident airplane had its propeller control levers located on the left side of the control console and the throttle control levers in the middle. According to FAA Airworthiness records, the twin engine accident airplane was manufactured in 1980. Review of the twin-engine airplane manufacturer's technical information indicated that it was not until 1984 that the manufacturer changed the instrument panel layout and relocated the throttle, propeller, and mixture controls to industry-standard positions, similar to those in the pilot's high performance single-engine airplane. ## Aircraft - Registration: [N60SH](https://openairdocs.org/aircraft/N60SH), registered now, S/N TJ-267, built 1980 (OpenAirDocs) - Reported make and model: Beech 58 (P) - Registry model: [Beech 58P](https://openairdocs.org/model/beech-58p) (registry code 1152744) (OpenAirDocs) - Registry engine: [Continental TSIO-520 series](https://openairdocs.org/engine/continental-tsio-520-series) (registry code 17040, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: TJ-267 - Year built: 1980 - Airframe hours: 2873.9 - Engines: Continental TSIO-520-WB 325 horsepower reciprocating; Continental TSIO-520-WB 325 horsepower reciprocating - Damage: Substantial damage - Flight: Positioning, Part 91 - Operator: Eagle Parts & Products Inc - Registered owner: Eagle Parts & Products Inc - Airworthiness certificate: Standard, Normal - Last inspection: Annual, March 22, 2019 - Departed: AGS, Augusta, GA - Destination: DNL, Augusta, GA - Flight plan: VFR/IFR - Airport: DNL, Daniel Field, runway 11, 3,733 × 100 ft, asphalt - Equipment: Stall warning system, Onboard weather, Auto-pilot, ADS-B ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 76; injuries: minor; commercial, airline transport; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 2, with waivers/limitations; last flight review April 16, 2019; seat: left; restraint: 3-point; flight hours: 7,484 total, 580.7 in this make and model, 7,311.7 as pilot in command, 57.4 in the last 90 days ## Weather - Conditions: Visual (VMC), Day - Wind: 120° at 6 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 61 °F, dew point 27 °F - Altimeter: 30.21 inHg - Observed at: DNL ## 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 20200223002259A](https://openairdocs.org/incident/20200223002259A), Feb 23, 2020: Beech 58P, Augusta, GA, Substantial damage. Pilot states that he filled the aircraft up with fuel at Augusta regional airport (ags) and was in route to Daniel Field (dnl) to get the oil changed on both… ## Docket (6 files) The files NTSB released with the investigation on September 2, 2020, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=100998. 5.2 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 1.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40486615&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF - Witness Statements and Interview Summaries (item 2, .PDF, 633 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40486616&FileExtension=.PDF&FileName=Witness%20Statements%20and%20Interview%20Summaries-Master.PDF - BE58 and PA-32 Control Console Comparison (item 3, .PDF, 172 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40486617&FileExtension=.PDF&FileName=BE58%20and%20PA-32%20Control%20Console%20Comparison-Master.PDF - Weather Reports and Records - KDNL METARs (item 4, .PDF, 67 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40486618&FileExtension=.PDF&FileName=Weather%20Reports%20and%20Records%20-%20KDNL%20METARs-Master.PDF - Photo Array (item 5, .PDF, 2.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40486619&FileExtension=.PDF&FileName=Photo%20Array-Master.PDF - Daniel Field Airport (KDNL) - Airport Diagram (item 6, .PDF, 173 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40486620&FileExtension=.PDF&FileName=Daniel%20Field%20Airport%20(KDNL)%20-%20Airport%20Diagram-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.