GAA15CA128

NTSB accident investigation · Beech C23 · Long Beach, CA · June 19, 2015

Accident · No injuriesData collectionFinal report
Date
June 18, 2015, 21:07 local (Jun 19, 2015, 04:07 UTC)
Place
Long Beach, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N24022Beech C23
Weather
Visual (VMC) · Night/dark
Status
Completed · report September 11, 2015
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20150618012079A
Case key
91409

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot failed to maintain clearance from trees while maneuvering to land at night, which resulted in a collision with terrain/objects. A factor contributing to the accident was the lack of oversight by ATC; failing to insure that the fully operational VASI was turned on during the hours of darkness.

Findings · 5

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Attention/monitoring: monitoring environmentPersonnel issues › Psychological · PilotBeech C23: 2 casesAll aircraft: 809 casesProbable cause
Light condition: darkEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeBeech C23: 1 caseAll aircraft: 448 cases
Oversight: oversight of operationOrganizational issues › Support/oversight/monitoring · ATCBeech C23: 1 caseAll aircraft: 61 casesProbable cause
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Contributed to outcomeBeech C23: 4 casesAll aircraft: 313 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that while on final approach for runway 25R during night conditions, the visual approach slope indicator (VASI) was not operational. The pilot stated that he was "too low" during the approach, so he applied full power in an attempt to go-around. The airplane impacted the top of trees about 530 feet east of the runway and then impacted the airport perimeter fence about 380 feet east of the runway. The pilot reported there were no pre-impact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. The airplane sustained substantial damage to the fuselage and both wings.

Factual narrative

The pilot reported that while on final approach for runway 25R during night conditions, the visual approach slope indicator (VASI) was not operational. The pilot stated that he was "too low" during the approach, so he applied full power in an attempt to go-around. The airplane impacted the top of trees about 530 feet east of the runway and then impacted the airport perimeter fence about 380 feet east of the runway. The pilot reported there were no pre-impact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. The airplane sustained substantial damage to the fuselage and both wings. ADDITIONAL INFORMATION According to the Federal Aviation Administration (FAA) Notice to Airman (NOTAM) Search archive, NOTAM 06/010 was issued for runway 25R VASI out of service, effective on 06/04/2015, at 2017 (UTC). The NOTAM 06/010 stated that the expiration date was 06/19/2015, at 2300 (UTC), but was canceled one day early on 06/18/2015 at 2241 (UTC). In a telephone conversation with a representative from the FAA Service Operations Center in the Southern California Terminal Radar Approach Control Facility, he stated that the VASI NOTAM was canceled because the equipment was returned to an operational status and the Long Beach Airport (LGB) air traffic control (ATC) tower was notified over the telephone. During the time of the accident, the LGB ATC tower Automatic Terminal Information Service was still broadcasting that the 25R VASI was out of service.

Aircraft

Registration
N24022
Reported as
Beech C23 (NO SERIES)
Category
Airplane
Serial number
M-1927
Built
1977
Airframe hours
4,641
Engine
Lycoming O-360-A4K, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Ranjiv Priyantha Goonetilleke
Registered owner
Concord Trading Inc
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
100 hour · May 4, 2015
Departed
AJO · Corona, CA
Destination
LGB · Long Beach, CA
Flight plan
VFR/IFR
Airport
LGB · Long Beach /Daugherty Field/, runway 25R, 6,191 × 150 ft, asphalt
Equipment
Handheld GPS

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
67
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
August 24, 2014
Seat
Left
Restraint
3-point
Flight hours
1,427 total · 1,376 in this make and model · 1,291 as pilot in command · 53 in the last 90 days · 8.5 in the last 30 days · 0.6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
320° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 59 °F
Altimeter
29.88 inHg
Observed at
KLGB, 1 nm away

Docket · 1

The files NTSB released with the investigation on September 4, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 242 KB in all.

FAA reports on this event · 1

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