FTW95LA128

NTSB accident investigation · Beech 58P · Montrose, CO · March 1, 1995

Accident · Serious injuriesLimited investigationFinal report
Date
March 1, 1995, 10:40 local (17:40 UTC)
Place
Montrose, CO
Injuries
2 serious
Damage
Destroyed
Phase of flight
Approach
Aircraft
N208DKBeech 58P
Weather
Instrument (IMC) · Day
Status
Completed · report June 22, 1996
Report
Approved by Office Director
FAA report
19950301002889A
Case key
19362

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 refuel the airplane resulting in a forced landing. The adverse weather conditions were factors.

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.

In flight encounter with weatherApproach - faf/outer marker to threshold (ifr)
Weather condition - below approach/landing minimumsFactor
Weather condition - obscurationFactor
Forced landingApproach
Refueling - not performedPilot in commandCause
Nose overLanding - flare/touchdown
Terrain condition - soft

Analysis

According to the pilot, visual meteorological conditions (VMC) were forecast for both his destination, gunnison, CO and his alternate, Montrose, CO. During flight he determined that the head winds were stronger than forecast resulting in increased fuel usage. He decided to continue to gunnison based on inflight information given to him that VMC prevailed. Arriving in gunnison, instrument meteorological conditions (IMC) existed, and the pilot made an ILS approach. The approach was missed and he diverted to his alternate, Montrose. En route the pilot advised ATC he was low on fuel. He crossfed the left engine from the right fuel tank because the left tank was empty. The pilot made an ILS approach to Montrose. At decision height, the runway environment was not in sight. Because of the critical fuel state, poor weather conditions, and surrounding high terrain, the pilot elected to land in a field he had sighted. The airplane touched down in mud and nosed over. Occasional IFR conditions and mountain obscuration for the accident vicinity were forecast in pertinent airmets prior to and during the flight.

Factual narrative

On March 1, 1995, at approximately 1040 mountain standard time (all times are mountain standard time unless otherwise noted), a Beech 58P, N208DK, was destroyed when it impacted terrain during a landing approach at Montrose, Colorado. The private pilot-in- command and commercial rated pilot/passenger were seriously injured. Instrument meteorological conditions prevailed and an instrument flight rules (IFR) flight plan had been filed. The business flight, conducted under Title 14, Code of Federal Regulations, Part 91, originated at Fort Worth, Texas, at 0600.

The following is based on written pilot statements submitted along with the pilot/operator report. The pilot and his passenger obtained several independent weather briefings and filed an IFR plan and departed Fort Worth, Texas. Visual meteorological conditions were forecasted for both Gunnison and Montrose, Colorado, their destination and alternate, respectively.

The pilot stated that while en route, it was determined that head winds had become stronger than forecasted; resulting in increased fuel consumption. The pilot made the decision to continue to Gunnison. He based this decision on inflight information given to him "in general terms"of the prevailing visual meteorological conditions that reportedly existed at his destination.

Upon arriving in the Gunnison area, the sky was obscured and it was snowing. The pilot executed an instrument landing system approach to runway 6. At decision height, the pilot made a missed approach because he was unable to visually acquire the runway environment. It was determined that sufficient fuel remained to divert to his alternate airport, 45 miles to the west. En route, to Montrose, however, the pilot advised Denver Air Route Traffic Control Center (ARTCC) that he was low on fuel.

He was forced to crossfeed the left engine from the right fuel tank because the left tank was empty.

An ILS approach was executed to runway 17 at Montrose and at decision height, the runway environment was not in sight. Aware of his fuel state, the poor weather conditions, and surrounding high terrain, the pilot elected to land the airplane in a field. The airplane touched down in mud and nosed over And came to rerst 1/4 mile east-northeast of runway 17.

As of the writing of this report, the air traffic report requested has not been recieved.

Aircraft

Registration
N208DK
Reported as
Beech 58P
Category
Airplane
Serial number
TJ-201
Airframe hours
2,100
Engine
Continental TSIO-520-WB, 325 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Registered owner
Bhem, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 15, 1995 · 50 hours before
Departed
FTW · Fort Worth, TX
Flight plan
IFR
Airport
MTJ · Montrose County Municipal, runway 17, 10,000 × 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
47
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
4,360 total · 450 in this make and model · 4,150 as pilot in command · 61 in the last 90 days · 35 in the last 30 days

Weather

Conditions
Instrument (IMC) · Day
Wind
330° at 10 knots
Visibility
1.75 statute miles
Lowest ceiling
400 ft overcast
Temperature
34 °F, dew point 34 °F
Altimeter
29.00 inHg
Observed at
MTJ

FAA reports on this event · 1

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