FTW96FA267

NTSB accident investigation · Beech 58 · Castle Rock, CO · June 21, 1996

Accident · FatalField investigationFinal report
Date
June 21, 1996, 14:48 local (20:48 UTC)
Place
Castle Rock, CO
Injuries
4 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N94ZRBeech 58
Weather
Instrument (IMC) · Day
Status
Completed · report June 30, 1997
Report
Approved by Office Director
FAA report
19960621014849A
Case key
19650

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

failure of the pilot to maintain sufficient altitude and/or clearance from terrain, while reversing course to exit adverse weather conditions. Factors relating to the accident were: the adverse weather conditions (thunderstorm, low ceiling and reduced visibility), the pilot's inaccurate weather evaluation, and his inadvertent flight into known adverse weather conditions.

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 weatherCruise
Weather condition - thunderstormFactor
Weather condition - low ceilingFactor
Weather evaluation - inaccuratePilot in commandFactor
Flight into known adverse weather - inadvertentPilot in commandFactor
In flight collision with terrain/waterManeuvering - turn to reverse direction
Terrain condition - mountainous/hilly
Altitude/clearance - not maintainedPilot in commandCause

Analysis

While on a VFR crosscountry flight, the pilot flew into IFR conditions and an area of severe weather after Air Traffic Control had advised him of adverse weather. The airplane was equipped with digital color weather radar, and at one point, the pilot stated to the controller that he saw the weather on his radar. After entering the weather, the pilot attempted to reverse course. The airplane impacted the ground shortly after the pilot reversed course. The pilot was IFR qualified, but had only recorded 11 hours of actual instrument time.

Factual narrative

History of flight

On June 21, 1996, at 1448 mountain daylight time (all times are mountain daylight time unless otherwise noted), a Beech 58, N94ZR, impacted the ground while maneuvering approximately 5 miles southeast of Castle Rock, Colorado. The private pilot and his three passengers received fatal injuries and the aircraft was destroyed. The flight was operating under Title 14 CFR Part 91 and a visual flight rules flight plan was on file. Instrument meteorological conditions prevailed in the accident area for this personal flight which originated at 1302 from Albuquerque, New Mexico.

At 1250, the pilot of 94ZR called Albuquerque Clearance Delivery and requested a VFR (visual flight rules) departure with flight following to Denver, Colorado, Centennial Airport, with a cruise altitude of 11,500 feet msl (above mean sea level). He was issued a departure radio communications frequency and VFR transponder code.

The aircraft taxied to runway 17 at Albuquerque International Airport and departed for Centennial Airport at 1302. At 1359 Albuquerque Center (ARTCC) issued the pilot of N94ZR a frequency change to Denver ARTCC who gave the pilot the Trinidad, Colorado, altimeter and issued a hazardous weather bulletin for Utah, Colorado, and New Mexico.

At 1418, Denver ARTCC passed N94ZR to Pueblo, Colorado, Approach Control for transit through their area. Approach Control issued the Pueblo altimeter to N94ZR and advised them of a weather area northeast of Pueblo moving northeast. N94ZR advised that he saw the weather on his radar. Approach Control asked N94ZR if he was going west of the weather and the pilot responded that he was going to Centennial Airport.

At 1428, N94ZR was passed to Colorado Springs Approach Control (radar south) and was issued the Colorado Springs altimeter. At 1432 the pilot was advised of a weather area north of Colorado Springs Airport. He answered that he observed the weather area and would deviate as necessary. A frequency change to Colorado Springs Approach Control (north radar) was given at 1439 and at 1442, N94ZR requested a descent to 9,500 feet msl to stay below the weather. The controller advised N94ZR to maintain VFR.

Radar service with Colorado Springs Approach Control was terminated at 1444 and the pilot was issued the appropriate Denver Approach Control frequency.

While the departure radar controller was coordinating with Denver ARTCC via land line, N94ZR attempted to contact Denver. A second call was made by the aircraft about 25 seconds later; however, the controller was again engaged in land line coordination.

At 1447, N94ZR called Colorado Springs Approach Control (north radar) and said he was turning south to avoid the weather. The actual transmissions concerning the event are as follows: "BARON NINE FOUR ZULU ROMEO I NEED TO DEVIATE AROUND THIS THING I'M GONNA HAVE TO TURN BACK TO THE SOUTH." The controller responded: "NINE FOUR ZULU ROMEO ROGER YOU'RE RADAR CONTACT AND UNDERSTAND YOU'RE GONNA BE MAKING WHAT A LEFT HAND TURN BACK TO THE SOUTH." The response from the aircraft was: "MAKING A RIGHT TURN BACK TO THE SOUTH." The controller responded "FOUR ZULU ROMEO ARE YOU ABLE TO MAINTAIN VFR CONDITIONS." The response from the aircraft to this inquiry was: "I JUST LOST (UNINTELLIGIBLE)." At 1448, the controller attempted to contact N94ZR but the pilot did not respond.

The approach controller then contacted Denver ARTCC to have them look for the transponder code of N94ZR and an air taxi transiting the area was asked to attempt contact and listen for an ELT signal. Neither were successful.

At 1452, missing aircraft procedures were initiated and the aircraft was located approximately 5 miles southeast of Castle Rock, Colorado, by the Douglas County Sheriff's Department at 1720.

Personnel information

According to Federal Aviation Administration (FAA) records, the pilot held a private pilot certificate with ratings in single engine and multiengine land and an airplane instrument certificate. His log indicated that his original certificate was issued September 10, 1994, and he added a multiengine rating on July 15, 1995. His instrument certificate was issued January 15, 1996. His log reflected that he had 11 hours of actual instrument flight time.

The pilot held a second class medical certificate with the limitation that he was required to wear corrective lenses for distant vision. His medical certificate was issued December 20, 1995.

The investigation provided no information whether or not corrective lenses were being worn at the time of the accident.

Flight experience documentation was based on extraction of information from the pilot's log and is detailed in this document on page 3. The last entry in the log was June 18, 1996. Flights which took place between that date and the date of the accident are unknown.

Between January 23,1995, and February 3, 1995, the pilot attended a Baron 55/58 pilot initial training course at Flight Safety International, Wichita, Kansas. The training was for VFR only and the record of training is attached.

Aircraft information

This aircraft, N94ZR, serial number TH-1709, was issued a Standard Airworthiness Certificate in the normal category on January 26, 1994. The aircraft was purchased from Cutter Flying Service, Albuquerque, New Mexico, who supplied the attached equipment list.

An item of equipment on board the aircraft of special interest due to the nature and circumstances of the accident, was the weather radar. The aircraft was equipped with a Bendix/King RDS 81, color display, digital weather radar. The specifications of this radar are as follows:

Peak Output 1kw nominal Antenna Size/Type 10 inch flat plate Antenna Scan Angle 90 degrees Pulse Width 7.5 to 15.4 usec, range dependent Altitude 55,000 feet unpressurized Temperature Range -55 to +70 degrees C Stabilization + or - 25 degrees combined pitch and roll Tilt 15 degrees up and 15 degrees down Display Ranges 10,20,40,80 NM

As noted in the communications transcript, the radar was being used by the pilot when he over flew Pueblo, Colorado, approximately 80 miles south of the accident site. It is not known if the unit was in use at the time of the accident.

Meteorological information

Albuquerque, New Mexico, weather at the time of departure was:

Clear skies with 10 miles visibility. The temperature/dew point was 92/43 and the wind was 270 degrees at 7 knots with an altimeter setting of 30.01.

Colorado Springs weather when the aircraft passed overhead was:

Measured 900 feet broken clouds, 10 miles visibility, temperature 67 degrees, dew point 47 degrees, wind from 320 degrees at 21 knots with gusts to 30 knots, and an altimeter setting of 30.19. Remarks were that the peak wind was 44 knots with a thunderstorm in progress.

Weather at Centennial Airport, which was the intended destination of the flight, located approximately 19 nautical miles northwest of the accident site was:

Broken clouds at 6,000 feet, overcast skies at 12,000 feet, wind from 260 degrees at 8 knots and an altimeter setting of 30.17. Remarks were that there were rain showers in progress and lighting was sighted to the southwest.

The weather recording facility nearest the accident site was the United States Air Force Academy located approximately 15 miles southwest. Their observation during the time when the accident occurred was:

Two hundred feet sky obscured with one mile visibility in thunderstorm activity. The temperature/dew point was 59/55 degrees, the wind was from 240 degrees at 24 knots with gusts to 27 knots and the altimeter setting was 30.21.

At 1402, Denver ARTCC issued a hazardous weather bulletin covering Utah, Colorado, and New Mexico. It is unknown if the pilot of N94ZR tuned to the appropriate frequency and listened to that information. At the time, N94ZR was in contact with Denver ARTCC in the v

Aircraft

Registration
N94ZR
Reported as
Beech 58
Category
Airplane
Serial number
TH-1709
Airframe hours
259
Engine
Continental IO-550-C, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Jerry B. Losey
Registered owner
Zuni Rental
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 7, 1996
Departed
ABQ · Albuquerque, NM
Destination
APA · Englewood, CO
Flight plan
VFR

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
52
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
490 total · 270 in this make and model · 286 as pilot in command · 27 in the last 90 days · 9 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
240° at 24 knots, gusting 27
Lowest ceiling
200 ft
Temperature
59 °F, dew point 55 °F
Altimeter
30.00 inHg
Observed at
USA, 15 nm away

FAA reports on this event · 1

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