FTW03LA154

NTSB accident investigation · Beech BE-300 · Houston, TX · May 18, 2003

Accident · Minor injuriesLimited investigationFinal report
Date
May 18, 2003, 09:35 local (14:35 UTC)
Place
Houston, TX
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N2SMBeech BE-300
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 2004
Report
Approved by Office Director
Parties
Flight Standards District Office (SW09)
FAA report
20030518012449A
Case key
57004

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 severed hydraulic brake hoses induced a loss of braking action, which resulted in the pilot's failure to control the aircraft.

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.

OverrunLanding - roll
Hydraulic system,line - cut/severedCause
Aircraft control - not possiblePilot in commandCause
Landing gear,normal brake system - loss,totalCause
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - soft

Analysis

The aircraft overran the departure end of the runway while landing on Runway 33. The 5,200-hour pilot reported that while on the base leg, the annunciator light for the "low pitch stop" propeller system on the right side illuminated. The pilot pulled the circuit breaker and left it out, as per the pilot operating handbook (POH). During the landing-roll, the pilot encountered a severe yaw to the right. The pilot added power to the right engine and realigned the airplane down the centerline. He then applied brakes and reverse thrust. The pilot stated that " it felt like I had no braking action and then felt the right side grab and brake, but not the left." The combination of right side braking and the right low pitch system malfunction caused considerable adverse yaw, jerking the plane to the right. The pilot applied power again and straightened the nose of the airplane. He then made the decision to go around, but at this point did not have adequate airspeed or runway length to safely accomplish a go around. He applied the brakes again, and the airplane immediately yawed to the right again, at which time the pilot was unable to compensate before the airplane caught the edge of the runway. The airplane went into the grass, where the pilot attempted to control the direction of the airplane and bring it to a complete stop. Examination of the hydraulic brake hoses from the left and right main landing gears revealed that both hoses appeared to have been damaged with a hand tool.

Factual narrative

On May 18, 2003, at approximately 0935 central daylight time, a Beech BE-300 twin-engine airplane, N2SM, registered to and operated by OSO-RIO LLC of Houston, Texas, was substantially damaged during a runway overrun while landing on Runway 33 at the West Houston Airport (IWS), near Houston, Texas. The airline transport pilot, who was the sole occupant of the airplane, received minor injuries. Visual meteorological conditions prevailed for the Title 14 Code of Federal Regulations Part 91 personal flight, and a flight plan was not filed. The flight departed William P. Hobby Airport (HOU) at approximately 0915.

The 5,200-hour pilot stated in the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1/2) that while on the base leg for IWS, the annunciator light for the "low-pitch stop" propeller system on the right side illuminated. The pilot pulled the circuit breaker and left it out, as per the pilot operating handbook (POH). During the landing-roll, the pilot encountered a severe yaw to the right. The pilot added power to the right engine and realigned the airplane down the centerline. He then applied brakes and reverse thrust. The pilot stated that " it felt like I had no braking action and then felt the right side grab and brake, but not the left." The combination of right side braking and the "right low-pitch stop" system malfunction caused considerable adverse yaw, jerking the plane to the right. The pilot applied power again and straightened the nose of the airplane. He then made the decision to initiate a go-around, but at this point did not have adequate airspeed or runway length to safely accomplish a go around. He applied the brakes again, and the airplane immediately yawed to the right again, at which time the pilot was unable to compensate before the airplane caught the edge of the 3,953 feet long by 75 feet wide asphalt runway.

The airplane went into the grass, where the pilot attempted to control the direction of the airplane and bring it to a complete stop. The airplane continued pulling to the right until it was moving in a sideway direction in relation to the runway. The airplane came to rest in a bayou located approximately 20 feet beyond the departure end of Runway 33. The pilot exited the aircraft unharmed.

An inspection of the airplane by the operator revealed the "right low-pitchstop" system was not completely assembled, and the left brake line was leaking fluid and appeared to have been ruptured. Examination of the hydraulic brake hoses from the left and right main landing gears was conducted by Materials Analysis, Inc., and revealed that both hoses appeared to have been damaged with a hand tool. There was no evidence to suggest that the damage was caused by foreign objects striking the hoses, such as runway debris picked up the tires. No evidence of progressive failure was found on any of the fracture faces.

Aircraft

Registration
N2SM
Reported as
Beech BE-300
Category
Airplane
Serial number
FL-24
Engine
Pratt & Whitney PT6A-60A, 1,050 horsepower, turbo prop
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Christopher Neil Ortiz
Registered owner
Oso-Rio LLC
Airworthiness certificate
Standard, Transport
Departed
HOU · William P Hobby, TX
Destination
IWS · Houston, TX
Airport
IWS · West Houston Airport, runway 33, 3,953 × 75 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
35
Injuries
Minor
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
April 18, 2003
Seat
Left
Flight hours
5,200 total · 3,400 as pilot in command · 100 in the last 90 days · 75 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
0° at 0 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 63 °F
Altimeter
29.94 inHg

FAA reports on this event · 1

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