ERA22FA386

NTSB accident investigation · Beech B35 · French Lick, IN · August 28, 2022

Accident · FatalClass 3 · FieldFinal report
Date
August 27, 2022, 20:58 local (Aug 28, 2022, 00:58 UTC)
Place
French Lick, IN · On Airport
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Landing
Aircraft
N8741ABeech B35
Defining event
Landing-landing roll: Loss of control on ground
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
FAA-FSDO, Textron Aviation Inc
FAA report
20220827015609A
Case key
105806

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 pilot’s failure to make a stabilized approach, which resulted in a loss of directional control during landing.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBeech B35: 3 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: descent/approach/glide pathAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech B35: 1 caseAll aircraft: 809 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech B35: 1 caseAll aircraft: 3,958 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 pilot was returning to his home airport at the conclusion of a cross-country flight and was attempting to make a visual approach to land at night. A review of radar data revealed the airplane overflew the airport about 500 ft above the ground before making a sweeping, descending left turn onto final approach before the data ended 0.2 miles from the end of the runway. At that time, the airplane was traveling at a groundspeed of about 86 knots at an altitude of about 33 ft above ground level (agl). Airport surveillance video captured the airplane on landing rollout. The airplane was observed departing the left side of the runway before it started a climb and impacted trees. Postaccident examination of the airplane and the engine revealed no evidence of any pre-impact mechanical deficiencies or malfunctions that precluded normal operation. The pilot’s autopsy examination and postaccident toxicological findings did not reveal any medical factors that would have resulted in the pilot becoming suddenly impaired or incapacitated. Based on the available radar data, the pilot had not stabilized the airplane during the approach to the runway and was at a critically low altitude when the airplane was .2 miles from the end of the runway. Surveillance video also suggested the airplane was not stabilized after it touched down. Visible tire marks on the runway confirmed that it departed the left side of the runway during the landing rollout. The pilot may have attempted to regain control of the airplane after the unstabilized approach, touchdown, and runway excursion by attempting to abort the landing; however, the airplane subsequently collided with trees. Based on this information it is likely that the pilot performed an un stabilized approach that resulted in a loss of directional control during landing, ultimately resulting in a runway excursion and collision with trees.

Factual narrative

HISTORY OF FLIGHT On August 27, 2022, about 2058 eastern daylight time, a Beech B35, N8741A, was destroyed when it was involved in an accident near French Lick, Indiana. The airline transport pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot departed Fischer's Airport (6LL6), New Memphis, Illinois, about 1950, and flew to French Lick Municipal Airport (FRH), French Lick, Indiana, his home airport. A review of radar data revealed that as the airplane approached FRH, it made a right turn flying south toward the departure end of runway 26 about 500 ft above the ground (agl), then turned right flying on the south side of runway 08/26 before crossing at midfield. The airplane then made a sweeping, descending left turn onto the final approach for runway 08. The radar data stopped when the airplane was about .2 miles from the end of the runway. At that time, the airplane was traveling about 86 knots at an altitude of about 33 ft agl. Airport surveillance captured the airplane touch down on runway 08 then depart the runway surface to the left before becoming airborne and impacting trees just outside of the perimeter fence. A large explosion was also observed. PILOT INFORMATION The pilot held an airline transport pilot rating for airplane multiengine land and a commercial pilot certificate for airplane single-engine land. His last Federal Aviation Administration (FAA) first-class medical examination was conducted on January 8, 2004. At that time, he reported a total of 14,000 flight hours. AIRPLANE INFORMATION A review of the airframe maintenance logbooks revealed the last annual inspection was conducted on January 10, 2020, at a total airframe time of 5,202 hours. The engine received a 100-hour inspection on this same date. At that time, the engine had accrued a total of 3,325 hours and 1,774 hours since overhaul. WRECKAGE INFORMATION Witness marks on the runway were visible consistent with the left main wheel touching down 1,036 ft past the runway threshold. About 29 ft beyond those witness marks were additional witness marks consistent with the nose gear and right main gear touching down. Those marks remained on the runway for 165 ft until they exited the runway onto the grass, consistent with the airplane departing the runway at that point. Once in the grass the witness marks extended another 109 ft on a heading of 055° before ending, consistent with the airplane becoming airborne and impacting trees north of the perimeter fence. The airplane was located in a wooded area on a magnetic heading of 180° at an elevation of 768 ft. mean sea level (msl). The right wing impacted a tree about midspan, then impacted terrain and came to rest upright. All components of the airplane were accounted for at the accident site. A postimpact fire consumed the cabin, instrument panel, most of the fuselage, and the inboard portion of both wings by the fuel tanks. The engine also sustainedextensive fire/heat damage and was partially separated from the firewall. Control cable continuity was established for all flight controls from the control surface to the cockpit. The aileron balance cable and elevator trim tab nose up cable exhibited thermal damage. The nose landing gear separated during the impact sequence. The left main landing gear was in the down and locked position. The right main landing gear was extended but not locked. The engine was removed from the airframe but the crankshaft could not be rotated due to thermal damage. The pressure carburetor, accessory housing, oil sump, fuel pump and vacuum pump were consumed by fire. The top spark plugs were removed from each cylinder for examination and were dark gray or black in color. Neither magneto could be operationally tested due to thermal damage. Both propeller blades were found at the accident site; one blade was curled aft at the tip and remained secure in the hub. The second propeller blade was separated from the hub and exhibited S-bending of the outer 1/3 of the blade. Postaccident examination of the airplane and the engine revealed no evidence of any pre-impact mechanical deficiencies or malfunctions that precluded normal operation. MEDICAL AND PATHOLOGICAL INFORMATION According to the autopsy performed for the Orange County Coroner, Paoli, Indiana, the pilot’s final diagnoses included aircraft crash with flash fire eruption and smoke inhalation and severe incineration. The forensic pathologist reported that the pilot had soot in his trachea, bronchus, and lung and had 50% occlusion of his left anterior descending coronary artery. Toxicology testing performed by the Federal Aviation Administration (FAA) Forensic Sciences Laboratory reported the pilot’s carboxyhemoglobin saturation in heart blood was 20%. Cyanide was also detected at 2.97 micrograms per milliliter in his heart blood and timolol was detected in his urine. Timolol is non-impairing high blood pressure medication. ADDITIONAL INFORMATION The FAA Safety Team issued a safety briefing titled Stabilized Approach and Landing in 2022. The safety briefing stated, “Focusing on establishing and maintaining a stabilized approach and landing is a great way to avoid experiencing a loss of control. A stabilized approach is one in which the pilot establishes and maintains a constant angle glidepath towards a predetermined point on the landing runway. It is based on the pilot’s judgment of certain visual clues, and depends on the maintenance of a constant final descent airspeed and configuration.”

Aircraft

Registration
N8741A
Reported as
Beech B35
Category
Airplane
Serial number
D-2254
Built
1950
Airframe hours
5,202
Engine
Continental E-185, 205 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 10, 2020
Departed
6LL6 · New Memphis, IL
Destination
Same as departure
Airport
FRH · French Lick Muni, runway 08, 5,500 × 100 ft, asphalt
Equipment
ADS-B

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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
76
Injuries
Fatal
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Toxicology
Performed
Flight hours
14,000 total

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
77 °F, dew point 72 °F
Altimeter
29.96 inHg
Observed at
HNB, 21 nm away
METAR
KHNB 280156Z AUTO 00000KT 10SM CLR 25/22 A2996 RMK AO2 SLP141 T02500222

Docket · 10

The files NTSB released with the investigation on March 20, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 101 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.