FTW00FA070

NTSB accident investigation · Mitsubishi MU-2B-26A · San Antonio, TX · January 22, 2000

Accident · FatalField investigationFinal report
Date
January 22, 2000, 14:32 local (20:32 UTC)
Place
San Antonio, TX
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N386TMMitsubishi MU-2B-26A
Weather
Visual (VMC) · Day
Status
Completed · report June 4, 2002
Report
Approved by Office Director
Parties
National Transportation Safety Board, Mitsubishi Heavy Industries America, Inc., Hartzell Propeller Inc., Honeywell (Engines & Systems), Federal Aviation Administration
FAA report
20000122009049A
Case key
48528

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

the pilot's failure to maintain the minimum controllable airspeed following a loss of engine power during the initial takeoff climb. Contributing factors to the accident were both pilot's lack of total experience in the make and model of the accident airplane and the loss of right engine power for an undetermined reason.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine powerTakeoff
1 engine
Reason for occurrence undeterminedFactor
Loss of control - in flightTakeoff - initial climb
Lack of total experience in kind of aircraftFlightcrewFactor
Airspeed(vmc) - not maintainedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - residential area

Analysis

Witnesses reported that during the airplane's takeoff roll they heard a heard a series of repeated sounds, which they described as similar to a "backfire" or "compressor stall." Several witnesses reported seeing the airplane's right propeller "stopped." One witness reported that as the airplane lifted off the ground, he heard "a loud cracking sound followed by an immediate prop wind down into feather." He continued to watch the airplane, as the gear was retracted and the airplane entered a climb and right turn. Subsequently, the airplane pitched up, entered a "Vmc roll-over," followed by a 360-degree turn, and then impacted the ground. Radar data indicated the airplane took off and climbed on runway heading to a maximum altitude of about 200 feet agl. The airplane than entered a right turn and began to lose altitude. A radar study revealed that the airplane's calibrated airspeed was 97 knots when the last radar return was recorded. According to the flight manual, minimum controllable airspeed (Vmc) was 93 knots. Examination of the accident site revealed that the airplane impacted the ground in a near vertical attitude. A post-crash fire erupted, which destroyed all cockpit instruments and switches. Examination of the propellers revealed that neither of the propellers were in the feathered position at the time of impact. Examination of the left engine revealed signatures consistent with operation at the time of impact. Examination of the right engine revealed that the second stage impeller shroud exhibited static witness marks indicating that the engine was not operating at the time of impact. However, rotational scoring was also observed through the entire circumference of the impeller shroud. The static witness marks were on top of the rotational marks. Examination of the right engine revealed no anomalies that would have precluded normal operation. The left seat pilot had accumulated a total flight time of about 950 hours of which 16.9 hours were in an MU-2 flight simulator and 4.5 hours were in the accident airplane. Although he had started an MU-2 Pilot-Initial training course, he did not complete the course. The right seat pilot had accumulated a total flight time of about 2,000 hours of which 20.0 hours were in an MU-2 flight simulator and 20.6 hours were in the accident airplane. He had successfully completed an MU-2 Pilot-Initial training course one month prior to the accident.

Factual narrative

History of flight

On January 22, 2000, at 1432 central standard time, a Mitsubishi MU-2B-26A twin-engine airplane, N386TM, was destroyed when it collided with terrain following a loss of control during the initial takeoff climb from the San Antonio International Airport, San Antonio, Texas. The airplane was registered to and operated by BTC Saratoga Inc., of Saratoga, California. The two occupants, a private pilot and a commercial pilot, sustained fatal injuries. Visual meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan was filed for the 14 Code of Federal Regulations Part 91 personal flight. The cross-country flight was originating at the time of the accident and was destined for the San Jose International Airport, San Jose, California, with an intermediate fuel stop at the Tucson International Airport, Tucson, Arizona.

According to the San Angelo Flight Service Station, at 1338, the commercial pilot of N386TM received a standard weather briefing and filed two IFR flight plans. The first flight plan was for a flight from San Antonio to Tucson and the second was for a flight from Tucson to San Jose.

Line service employees reported that the airplane's fuel tanks were topped off before the airplane departed from the San Antonio International Airport. One employee stated that he observed the right engine start first. The right engine operated for 10 minutes, and then the left engine was started. He then observed the airplane taxi toward the departure area of the ramp and stop. With both engines operating, he observed a person exit the airplane, "check [the] nose gear," and re-board. The airplane then taxied to the runway.

According to air traffic control (ATC) transcripts, at 1411, N386TM requested and received an IFR clearance to Tucson. At 1419, N386TM contacted San Antonio ground control and stated that the airplane was ready to taxi, and the controller instructed the flight to taxi to runway 30L (8,502 feet long). At 1420, N386TM advised the ground controller that the flight had a "minor delay," and that they would be stopped on the ramp for a couple of minutes; subsequently, at 1423, N386TM stated they were moving again. At 1430, N386TM contacted the tower controller and advised that the flight was ready for takeoff and, subsequently, the flight was cleared for takeoff. At 1431, the tower controller advised N386TM of an MD-80 on a 3.5 mile final and requested that the airplane depart with no delay. N386TM acknowledged. No further communications, or distress calls, were received from N386TM.

According to witnesses located on airport property, they observed the airplane initiate the takeoff roll and become airborne. Two witnesses reported that during the takeoff roll they heard a series of repeated sounds, which they described as similar to a "backfire" or "compressor stall." One of the two witnesses stated that as the airplane was climbing out and had reached the departure end of the runway, "the right propeller quit." The second witness reported the following events; as the airplane lifted off the ground, he heard "a loud cracking sound followed by an immediate prop wind down into feather." The gear was retracted and the airplane entered a climb and right turn. The airplane then entered a left bank and started a descent. Subsequently, the airplane pitched up, entered a "Vmc roll-over," followed by a 360-degree turn, and impacted the ground.

Two additional witnesses, who were also on airport property, observed the airplane after it became airborne. One witness stated that he observed the right engine's propeller stop turning during the climb. He added that the airplane entered a right bank and he then saw the right propeller turn, "like it wanted to start," and then the propeller stopped again. The other witness stated that "the right engine was slowly shutting down," and added that he saw a "puff of smoke come out of the right engine;" however he did not see any fire.

According to a witness, who was in a vehicle and stopped at a traffic light, he observed "a small plane with two propellers, but only one was working." He stated that the right propeller was not turning and he did not see any smoke.

Radar data provided by the FAA depicted the airplane beginning its takeoff roll between 1431:25 and 1431:30. At 1432:02, the airplane's Mode C altitude changed from 800 to 900 feet msl. At 1432:11, the airplane's Mode C altitude changed from 900 to 1,000 feet msl (approximately 200 feet agl) and remained there until it decreased to 900 feet msl at 1432:30, when the last radar return was recorded. Between 1432:11 and 1432:30, the airplane turned right from runway heading to a north heading. According to a radar study provided by Mitsubishi, the airplane became airborne after a ground roll of approximately 3,000 feet at a calibrated airspeed of 89 knots. The airplane's calibrated airspeed continued to increase until it reached a maximum of 132 knots at 1432:07, and then it began to decrease reaching 97 knots at 1432:30.

Personnel information

On December 14, 1998, the left seat pilot was issued a private pilot certificate. He held single and multi-engine land ratings in addition to an instrument-airplane rating. According to a Client Information Sheet, provided by Flight Safety International Inc., Flushing, New York, on December 13, 1999, he enrolled in the "MU-2 Pilot-Initial" course in Houston, Texas. The sheet indicated that he had accumulated a total of 950 flight hours. Additional documents provided by Flight Safety International revealed that during the MU-2 course, the pilot accumulated a total of 20.0 hours in an MU-2 flight simulator; however, he did not complete the MU-2 Pilot-Initial course. He was issued his most recent FAA third class medical certificate, with no limitations or waivers, on September 11, 1998.

On April 6, 1980, the right seat pilot was issued a commercial pilot certificate. He held single and multi-engine land ratings in addition to an instrument-airplane rating. According to a Client Information Sheet, provided by Flight Safety International Inc., Flushing, New York, on December 13, 1999, the pilot enrolled in the "MU-2 Pilot-Initial" course in Houston, Texas. The sheet indicated that he had accumulated a total of 2,000 flight hours. On December 22, 1999, he successfully completed the MU-2 Pilot-Initial Course. Additional documents from Flight Safety International revealed that during the MU-2 course, the pilot accumulated a total of 20.0 hours in an MU-2 flight simulator and 16.9 hours in the accident airplane. He was issued his most recent FAA second class medical certificate on June 22, 1999. The medical certificate stipulated that the pilot wear lenses that correct for distant vision and possess glasses that correct for near vision.

On January 5th and 6th, 2000, a flight instructor flew 4.5 hours with the private pilot and 3.7 hours with the commercial pilot in the accident airplane. The purpose of the flights was for the pilots to "build time to meet insurance requirements." Both pilots performed flight maneuvers including "high speed and slow flight, turns (high and low speed), and stalls in all configurations with recoveries." The instructor pilot "pulled one engine back to idle," and he reported that the commercial pilot "displayed satisfactory performance in recognizing and simulating shutdown and controlling the aircraft." On January 7, 2000, the airplane was flown by the instructor and the private pilot to Intercontinental Jet Corporation (IJC), a maintenance facility located in Tulsa, Oklahoma, where it underwent maintenance.

Aircraft information

The 1978 model Mitsubishi MU-2B-26A (serial number 386SA) airplane was powered by two 665-horsepower Honeywell TPE331-5-252M turboprop engines (serial numbers P-30003C and P-30012C). The airplane was equipped with two 4-bladed, Hartzel

Aircraft

Registration
N386TM
Reported as
Mitsubishi MU-2B-26A
Category
Airplane
Serial number
386SA
Airframe hours
3,767.3
Engine
Honeywell TPE331-5-525M, 665 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
BTC Saratoga, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 19, 1999 · 46 hours before
Departed
SAT · San Antonio, TX
Destination
TUS · Tucson, AZ
Flight plan
IFR
Airport
SAT · San Antonio International, runway 30L, 8,502 × 150 ft, concrete

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
50
Injuries
Fatal
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
950 total · 5 in this make and model
Role
Pilot
Age
53
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Right
Toxicology
Performed
Flight hours
2,000 total · 21 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 8 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft overcast
Temperature
70 °F, dew point 57 °F
Altimeter
29.82 inHg
Observed at
SAT, 1 nm away

Docket · 123

The files NTSB released with the investigation on May 14, 2002, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.1 MB in all.

Witnesses (Located on Airport Property)Item 1 · .PDF · 238 KBWitnesses (Located off Airport Property)Item 2 · .PDF · 115 KBStatement From Intercontinental Jet Corp. PilotItem 3 · .PDF · 36 KBStatement From MU-2 Instructor/Test PilotItem 4 · .PDF · 94 KBStatements From Service Employees at AVSAT FBO RampItem 5 · .PDF · 214 KBWreckage Distribution DiagramItem 6 · .PDF · 41 KBReport From Federal Agency (FAA Air Traffic Control)Item 7 · .PDF · 502 KBRadar Study (Courtesy of Mitsubishi)Item 8 · .PDF · 206 KBRadar DataItem 9 · .PDF · 87 KBReport From Mitsubishi Heavy Industries America, Inc., Regarding Test For Oil Leakage At Torque Transducer "B" NutsItem 10 · .PDF · 63 KBFactual Report From Party To The Investigation (Hartzell Propeller, Inc.)Item 11 · .PDF · 338 KBWeight & Balance (Courtesy Mitsubishi)Item 12 · .PDF · 164 KBTakeoff Distance CalculationItem 13 · .PDF · 100 KBAirplane Flight Manual (Excerpt)Item 14 · .PDF · 183 KBReports From Party to the Investigation - Honeywell/Woodward Fuel ControlsItem 15 · .PDF · 1.7 MBHoneywell Report, Figure 9Item 16 · .PDF · 49 KBHoneywell Report, Figure 10Item 17 · .PDF · 38 KBHoneywell Report, Figure 11Item 18 · .PDF · 53 KBHoneywell Report, Figure 12Item 19 · .PDF · 53 KBHoneywell Report, Figure 15Item 20 · .PDF · 69 KBHoneywell Report, Figure 16Item 21 · .PDF · 46 KBHoneywell Report, Figure 19Item 22 · .PDF · 60 KBHoneywell Report, Figure 20Item 23 · .PDF · 50 KBHoneywell Report, Figure 21Item 24 · .PDF · 39 KBHoneywell Report, Figure 22Item 25 · .PDF · 36 KBHoneywell Report, Figure 23Item 26 · .PDF · 38 KBHoneywell Report, Figure 24Item 27 · .PDF · 40 KBHoneywell Report, Figure 27Item 28 · .PDF · 47 KBHoneywell Report, Figure 28Item 29 · .PDF · 52 KBHoneywell Report, Figure 29Item 30 · .PDF · 37 KBHoneywell Report, Figure 30Item 31 · .PDF · 42 KBHoneywell Report, Figure 31Item 32 · .PDF · 47 KBHoneywell Report, Figure 32Item 33 · .PDF · 42 KBHoneywell Report, Figure 35Item 34 · .PDF · 44 KBHoneywell Report, Figure 36Item 35 · .PDF · 53 KBHoneywell Report, Figure 37Item 36 · .PDF · 54 KBHoneywell Report, Figure 38Item 37 · .PDF · 55 KBHoneywell Report, Figure 39Item 38 · .PDF · 45 KBHoneywell Report, Figure 40Item 39 · .PDF · 49 KBHoneywell Report, Figure 41Item 40 · .PDF · 60 KBHoneywell Report, Figure 42Item 41 · .PDF · 63 KBHoneywell Report, Figure 43Item 42 · .PDF · 69 KBHoneywell Report, Figure 44Item 43 · .PDF · 42 KBHoneywell Report, Figure 45Item 44 · .PDF · 56 KBHoneywell Report, Figure 46Item 45 · .PDF · 59 KBHoneywell Report, Figure 47Item 46 · .PDF · 48 KBHoneywell Report, Figure 48Item 47 · .PDF · 61 KBHoneywell Report, Figure 49Item 48 · .PDF · 68 KBHoneywell Report, Figure 50Item 49 · .PDF · 51 KBHoneywell Report, Figure 83Item 50 · .PDF · 38 KBHoneywell Report, Figure 84Item 51 · .PDF · 42 KBHoneywell Report, Figure 85Item 52 · .PDF · 52 KBHoneywell Report, Figure 86Item 53 · .PDF · 46 KBHoneywell Report, Figure 95Item 54 · .PDF · 43 KBHoneywell Report, Figure 96Item 55 · .PDF · 44 KBHoneywell Report, Figure 97Item 56 · .PDF · 41 KBHoneywell Report, Figure 98Item 57 · .PDF · 50 KBHoneywell Report, Figure 103Item 58 · .PDF · 39 KBHoneywell Report, Figure 104Item 59 · .PDF · 37 KBHoneywell Report, Figure 105Item 60 · .PDF · 52 KB
All 123 files on NTSB’s docket

FAA reports on this event · 1

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