FTW91FA029

NTSB accident investigation · Beech F-90 · Nacogdoches, TX · January 11, 1991

Accident · Serious injuriesField investigationFinal report
Date
January 11, 1991, 10:40 local (16:40 UTC)
Place
Nacogdoches, TX
Injuries
1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N311DSBeech F-90
Weather
Visual (VMC) · Day
Status
Completed · report March 9, 1993
Report
Approved by Office Director
FAA report
19910111000389A
Case key
23242

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 loss of thrust due to the propeller's feathering on liftoff as a result of improper adjustments made during an engine change. A factor was the lack of suitable terrain to which the pilot could execute a forced landing.

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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Propeller governor control,linkage - improperCause
Propeller feathering - inadvertent activationCause
Maintenance,adjustment - improperOther maintenance personnelCause
Forced landingDescent - emergency
In flight collision with objectDescent - emergency
Object - tree(s)
Terrain condition - none suitableFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The pilot reported that shortly after lifting off, the airplane began decelerating slowly. He thought the throttles had retarded; however, all of the engine instruments indicated takeoff power. Realizing that he could not return to the airport, the pilot selected a forced landing area and aimed the airplane between two trees. Investigation revealed that both props were at or near feather pitch angles at impact and being driven under power. Both engines had been changed immediately prior to the flight and both ground idle stops had been adjusted after the engine change with the left engine being slaved to the right. The system operated off of a squat switch on the right gear. Misrigging of the right engine would be reflected in the left and allow oil pressure to be vented from the domes, which in turn would allow the propeller cylinder springs to drive the props toward feather as the right strut extended during takeoff.

Aircraft

Registration
N311DS
Reported as
Beech F-90
Category
Airplane
Serial number
LA-41
Airframe hours
3,262
Engine
P&W PT6A-135, 750 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Ferry · Part 91
Operator
Ridgeaire, Inc.
Registered owner
Ridgeaire, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · January 9, 1991 · 1 hours before
Destination
ADS · Addison, TX
Flight plan
IFR
Airport
OCH · East Tex Reg., runway 36, 5,001 × 75 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
58
Certificates
Commercial, Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
6,689 total · 56 in this make and model · 6,689 as pilot in command · 130 in the last 90 days · 70 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
41 °F, dew point 36 °F
Altimeter
30.00 inHg

FAA reports on this event · 1

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