ERA22FA137

NTSB accident investigation · Beech 35 · Hilltown Township, PA · February 24, 2022

Accident · FatalClass 3 · FieldFinal report
Date
February 24, 2022, 16:56 local (21:56 UTC)
Place
Hilltown Township, PA · Intersection of Victoria Lane & Brittany Lane in Hilltown Township, PA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N6129VBeech 35
Defining event
Maneuvering: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
Textron, FAA
FAA report
20220224004209A
Case key
104702

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 pilots’ exceedance of the airplane’s critical angle of attack while practicing maneuvers during an instructional flight, which resulted in an aerodynamic stall and and a loss of airplane control.

Findings · 2

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · Flight crewBeech 35-C33: 5 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Capability exceededBeech 35-C33: 1 caseAll aircraft: 990 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 flight instructor and the pilot receiving instruction were conducting a flight in an airplane that the pilot receiving instruction owned, and the purpose of the accident flight was to prepare him for the commercial pilot practical examination. About 30 minutes after takeoff, the airplane was maneuvering at an altitude of about 1,600 ft above ground level. The airplane then entered a left spin and descended toward the ground, impacting a residential street. A witness stated that he heard a single engine airplane overhead and thought the airplane’s loud engine sound did not match its slow airspeed, which meant to him that the airplane was most likely in a steep climb to practice a stall. The witness looked up again and saw the airplane diving almost straight down and twisting toward the ground. Examination of the wreckage revealed no preimpact mechanical malfunctions. Review of automatic dependent surveillance-broadcast (ADS-B) data revealed that the airplane’s maneuvers during the final portion of flight were conducted below its flaps-up, idle power stall speed and were twice briefly below the flaps-down stall speed. During the final 30 seconds of flight, the airplane rolled rapidly to the left when engine noise was reduced. The airplane’s rapid left roll and loss of altitude were consistent with an aerodynamic stall. Thus, the pilot who was flying (which could not be determined based on the available evidence) allowed the airplane’s critical angle of attack to be exceeded, resulting in a loss of airplane control. Toxicological testing detected ethanol and metoprolol in the flight instructor’s specimens. The most likely source of the ethanol was postmortem production; therefore, the identified ethanol did not contribute to the circumstances of the accident. Although direct effects from the flight instructor’s use of metoprolol likely did not contribute to the events, the available evidence precluded a determination of whether effects from the flight instructor’s recent heart attack and underlying heart disease contributed to the circumstances of the accident. In addition, if the flight instructor had experienced a medical event during the flight, should have been reasonable able to control the airplane.

Factual narrative

Video Study The National Transportation Safety Board (NTSB) conducted a video study to estimate the speed of the airplane’s engine based on a video recorded by a camera installed on a residential building. The video was 65 seconds long and included sound. The study found that the engine was operating erratically near its expected operating speed—about 2,600 rpm. The last 11 seconds before ground impact included a 3-second period during which there was likely no combustion or the engine was idling. The airplane’s rapid descent toward the ground started about the same time as this 3-second period. Aircraft Performance Study The NTSB also conducted a performance study for the accident flight. ADS-B data showed that the airplane’s altitude varied between 1,400 and 4,000 ft mean sea level and that the calibrated airspeed varied between 50 and 150 knots. The study found that the airplane’s maneuvers during the final portion of flight were below its flaps-up, idle power stall speed and were twice briefly below the flaps-down stall speed. The performance study also used images toward the end of the flight from the video recording to correlate the video data with the flightpath data. The study found that, during the final 30 seconds of flight, the airplane rolled left when engine noise was reduced. On February 24, 2022, about 1656 eastern standard time, a Beech 35-C33, N6129V, was destroyed when it was involved in an accident near Hilltown Township, Pennsylvania. The flight instructor and the pilot receiving instruction were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The pilot receiving instruction owned the airplane and had successfully completed the commercial pilot written examination. The purpose of the accident flight was to prepare him for the commercial pilot practical examination. Review of Automatic Dependent Surveillance-Broadcast (ADS-B) data revealed that the airplane departed Doylestown Airport (DYL), Doylestown, Pennsylvania, about 1626. The data also showed that the airplane, while maneuvering at an altitude of about 2,000 ft mean sea level (about 1,600 ft above ground level), the airplane began to descend. A witness to the accident was a licensed private pilot who tended to look up at the sky as small airplanes flew over. When the witness was standing in his neighbor’s driveway, he heard a single-engine airplane overhead and thought the airplane’s engine was loud and the airspeed was slow, which indicated to him that the airplane was most likely in a steep climb to practice a stall. By the time that he looked up at the sky again, he saw the airplane “diving, almost straight down” and “twisting toward the ground.” The airplane was out of the witness’ view after it descended behind a tree line. The witness then saw “a black ball of smoke.” The airplane impacted a residential street. During the impact, a propeller blade separated and landed in a residence. The wreckagecame to rest upright, oriented about 125° magnetic and no debris path was observed. A postimpact fire consumed most of the wreckage. The Bucks County Coroner’s Office, Warminster, Pennsylvania, performed autopsies for both the pilot receiving instruction and the flight instructor by. Their cause of death was multiple blunt force injuries. The flight instructor had a heart attack about 3 weeks before the accident. The autopsy examination of his heart was limited by the extent of his injuries. Toxicology testing was performed on the pilot receiving instruction and flight instructor by the FAA Forensic Sciences Laboratory. The testing was negative for the pilot receiving instruction. The testing for the flight instructor identified ethanol in liver tissue but not in his muscle tissue. The testing also identified metoprolol in both tissues. Ethanol is primarily a social drug found in beer, wine, and liquor and is a central nervous system depressant. Ethanol can also be produced by body tissues after death. Metoprolol is a beta-blocking drug used to treat high blood pressure, control heart rate, and prevent recurrent heart attacks. The drug is generally considered not to be impairing. The pilot’s logbook was not recovered. On an application for his commercial pilot certificate, dated February 15, 2022, he reported a total flight experience of 733 hours. During a previous insurance renewal quote for the accident airplane, he reported 385 hours of flight experience in the make and model airplane. Review of the flight instructor’s logbook revealed that he had a total flight experience of approximately 11,500 hours; of which, 8,000 hours were providing flight instruction. The wreckage came to rest upright on a magnetic heading of about 125°, and no debris path was observed. The cockpit and cabin were mostly consumed by fire. Both wings separated from the airplane, but their respective flaps and ailerons remained attached. The empennage remained intact with the rudder and elevator still attached. The flaps and landing gear were retracted. Flight control continuity was confirmed from all flight control surfaces to the cockpit area. Measurement of the two elevator trim actuators corresponded to a 5° trim-tab-down (nose-up) position. The engine came to rest upright separate from the airframe. The three propeller blades separated from the hub. One blade was consumed by fire about 12 inches outboard of the root. Another blade exhibited fire damage, s-bending, chordwise scratching, and leading-edge gouging. The other propeller blade exhibited s-bending, chordwise scratching, and leading-edge gouging.

Aircraft

Registration
N6129V
Reported as
Beech 35 (C33)
Category
Airplane
Serial number
CD-858
Built
1965
Airframe hours
6,782
Engine
Continental IO-520-BA, 285 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 5, 2021
Departed
DYL · Doylestown, PA
Equipment
Unknown

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
55
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
April 13, 2019
Seat
Left
Toxicology
Performed
Flight hours
733 total · 385 in this make and model
Role
Flight instructor
Age
74
Injuries
Fatal
Certificates
Airline transport, Commercial, Flight instructor, Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Right
Toxicology
Performed
Flight hours
11,500 total

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
3,900 ft overcast
Temperature
34 °F, dew point 16 °F
Altimeter
30.39 inHg
Observed at
KDYL, 7 nm away
METAR
KDYL 242154Z AUTO 00000KT 10SM OVC039 01/M09 A3039

Docket · 15

The files NTSB released with the investigation on September 20, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 13.3 MB in all.

FAA reports on this event · 1

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

Other investigations on N6129V · 1

Matched to the same aircraft by N-number and date.