GAA16CA191

NTSB accident investigation · Beech C23 · Frenchville, ME · March 30, 2016

Accident · No injuriesData collectionFinal report
Date
March 30, 2016, 11:00 local (15:00 UTC)
Place
Frenchville, ME
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N2397EBeech C23
Defining event
Takeoff: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report June 1, 2016
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA Portland FSDO
FAA report
20160330002169A
Case key
93005

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 maintain directional control during the takeoff roll on a runway contaminated with ice and snow, which resulted in a runway excursion and an impact with a snowbank.

Findings · 3

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotBeech C23: 23 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech C23: 10 casesAll aircraft: 3,958 casesProbable cause
Runway/land/takeoff/taxi surface: snow/slush/ice covered surfaceEnvironmental issues › Physical environment · Effect on operationBeech C23: 1 caseAll aircraft: 219 casesProbable cause

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 he landed the airplane on the runway with visible ice and snow, and noted no issues with the braking and steering capabilities of the airplane. He reported that during the subsequent takeoff roll with full power applied, the airplane started sliding to the left. He attempted to control the sliding with right rudder. During the acceleration, he reported the left main landing gear got trapped in area with ice and the airplane departed the runway to the left and impacted a snowbank. The airplane sustained substantial damage to an engine mount and to the fuselage. The pilot verified that there were no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. The Federal Aviation Administration has published the Aeronautical Information Manual (2014). This manual provides the definition of a contaminated runway and states in part: A runway is considered contaminated whenever standing water, ice, snow, slush, frost in any form, heavy rubber, or other substances are present.

Factual narrative

The pilot reported that he landed the airplane on the runway with visible ice and snow, and noted no issues with the braking and steering capabilities of the airplane. He reported that during the subsequent takeoff roll with full power applied, the airplane started sliding to the left. He attempted to control the sliding with right rudder. During the acceleration, he reported the left main landing gear got trapped in area with ice and the airplane departed the runway to the left and impacted a snowbank. The airplane sustained substantial damage to an engine mount and to the fuselage. The pilot verified that there were no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation. The Federal Aviation Administration has published the Aeronautical Information Manual (2014). This manual provides the definition of a contaminated runway and states in part: A runway is considered contaminated whenever standing water, ice, snow, slush, frost in any form, heavy rubber, or other substances are present.

Aircraft

Registration
N2397E
Reported as
Beech C23 (NO SERIES)
Category
Airplane
Serial number
M-1949
Built
1977
Airframe hours
2,437.2
Engine
Lycoming O-360-A4K, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Maine Instrument Flight
Registered owner
Maine Instrument Flight
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 20, 2015
Departed
FVE · Frenchville, ME
Destination
SFM · Sanford, ME
Airport
FVE · Northern Aroostook Rgnl, runway 14, 4,600 × 75 ft, asphalt
Equipment
None

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
57
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, With waivers/limitations
Seat
Left
Restraint
3-point
Flight hours
125 total · 41 in this make and model · 58 as pilot in command · 25 in the last 90 days · 8 in the last 30 days · 1.7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
220° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
30 °F, dew point 18 °F
Altimeter
30.03 inHg
Observed at
KFVE

Docket · 4

The files NTSB released with the investigation on May 25, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.5 MB 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.