FTW01LA187

NTSB accident investigation · Beech F33C · Sugarland, TX · August 21, 2001

Accident · Serious injuriesLimited investigationFinal report
Date
August 20, 2001, 19:38 local (Aug 21, 2001, 00:38 UTC)
Place
Sugarland, TX
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N133DABeech F33C
Weather
Visual (VMC) · Day
Status
Completed · report July 25, 2002
Report
Approved by Office Director
Parties
FAA Flight Standards District Office, Raytheon Aircraft Company
FAA report
20010820030039A
Case key
53068

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 inadvertent stall of the airplane during the base/final approach for landing which resulted in a collision with terrain. A contributing factor was the pilot's diverted attention to an open cockpit door.

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 control - in flightApproach - vfr pattern - base leg/base to final
Door - openFactor
Diverted attentionPilot in commandFactor
Stall - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

During the takeoff/initial climb in the single-engine airplane, the door popped open. The pilot requested and was cleared for landing. The airplane entered a left downwind approximately 600 feet agl. The tower controller observed that during the turn from base to final approach, the airplane overshot the runway centerline, and subsequently, the airplane "appeared to lose forward speed" during a left turn back toward the runway. The airplane impacted the ground in the runway safety area to the west of the runway. The door, door mechanism, and airframe structure were examined and no anomalies were found that would have contributed to an in-flight opening of the door.

Factual narrative

On August 20, 2001, at 1938 central daylight time, a Beech F33C, single-engine airplane, N133DA, impacted the ground while maneuvering during the final approach for landing at the Sugarland Municipal Hull/Field, Sugarland, Texas. The airplane was owned and operated by the West Houston Aero Club, Inc., dba Sugarland Flying Club of Houston, Texas, under Code of Federal Regulations Part 91. The private pilot and the passenger received serious injuries, and the airplane sustained substantial damage. Visual meteorological conditions prevailed for the planned cross-country flight to Galveston, Texas, and a flight plan was not filed. The personal flight originated at 1935.

According to air traffic control transcripts, at 1936:15, during the takeoff/initial climb from runway 17, the pilot reported that the cockpit door had popped open and that he wanted to return for landing. The controller cleared the pilot to land the airplane on runway 17. The controller advised the pilot that another airplane about a mile northeast would extend on the downwind. At 1936:43, the pilot told the controller that "we'll get it in there tight, get the door sealed, turn around and come back." At 1937:11, the pilot reported "turnin[g] in now."

The air traffic controller observed the airplane enter a left downwind for runway 17 approximately 600 feet agl. The controller observed that during the turn from base to final approach, the airplane overshot the runway centerline, and subsequently, he observed the airplane west of the runway edge and south of the approach end. The airplane "appeared to lose forward speed" during a left turn back toward the runway. The airplane impacted the ground in the runway safety area to the west of runway 17.

Local authorities and the FAA inspector, who responded to the site, located the airplane approximately 150 feet west of runway 17 in the runway safety area. The engine was found dislodged from the engine mounts and the firewall was damaged. The propeller spinner was found crushed, one of the propeller blades was found separated from the propeller hub, and all the propeller blades exhibited "S" bending and twisting. The main landing gear were crushed upward into the wing area. Flight control continuity was confirmed.

On August 23, 2001, at Lancaster, Texas, the NTSB Investigator-In-Charge and the airplane representative examined the door. Continuity for the operating mechanism within the door was confirmed. The door mechanism operated using the inner and outer handles, and the emergency release latches. The door had two pieces of metal riveted to the lower forward corner of the door. Deformation at the door hinges and to the door were consistent with impact damage.

The Beechcraft Mandatory Service Bulletin, No. 2190, placard: WARNING VERIFY DOOR IS PROPERLY LATCHED BEFORE TAKEOFF, was found installed in the aircraft. Airworthiness Directive (AD) 97-14-15 requires a check of the cabin side door handle and the utility door handle from the interior of the airplane for proper locking (rotating the handle clockwise without depressing the lock release button). A review of the maintenance records revealed that Airworthiness Directive (AD) 97-14-15 per Service Bulletin 2693 was performed on December 1, 2000, during the last annual inspection.

Aircraft

Registration
N133DA
Reported as
Beech F33C
Category
Airplane
Serial number
CJ-145
Airframe hours
6,521.85
Engine
Continental IO-520-BB, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
West Houston Aero Club, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 1, 2000 · 134 hours before
Departed
SGR · Sugarland, TX
Destination
Sugarland, TX
Airport
SGR · Sugarland Municipal/Hull Field, runway 17, 8,000 × 100 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
51
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Last flight review
November 15, 2000
Seat
Left
Flight hours
751 total · 28 in this make and model · 497 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
150° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 72 °F
Altimeter
29.97 inHg
Observed at
SGR

FAA reports on this event · 1

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