- Date
- August 1, 2016, 00:45 local (07:45 UTC)
- Place
- Blythe, CA
- Injuries
- 3 uninjured
- Damage
- Substantial damage
- Phase of flight
- Initial climb
- Aircraft
- N6728XBeech F33
- Defining event
- Initial climb: Loss of control in flight
- Weather
- Visual (VMC) · Night
- Status
- Completed · report January 18, 2017
- Report
- Approved by Office Director
- NTSB office
- General Aviation Accidents
- Parties
- FAA
- FAA report
- 20160801014669A
- Case key
- 93750
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's failure to attain adequate airspeed to climb and her exceedance of the airplane's critical angle-of-attack during takeoff initial climb at night, which resulted in an aerodynamic stall at low altitude.
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.
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 was conducting a night, visual meteorological conditions flight from a rural desert airport, and reported that prior to the flight, she did a weight and balance, checked the temperature, and did performance calculations. The pilot reported that after rotation, the airplane was not producing "sufficient power and not climbing as anticipated" and the stall warning horn was audible. She lowered the airplane's nose, and the stall warning horn silenced. The pilot further reported that she heard "scraping" [ground impact] against the airplane, but she could not see the terrain due to the night conditions. Subsequently, the airplane impacted the ground off of the airport, which resulted in substantial damage to the fuselage. In a follow up email conversation with the pilot's attorney, the attorney said that the pilot reported that the engine was producing power at the time that the aerodynamic stall warning horn was audible and just before impact, but noted that the power was not sufficient. A photograph of the accident airplane provided by the FAA inspector that responded to the accident, showed all three blades exhibited tip curl, torsional twisting and S-bending, consistent with the engine producing power at the time of impact. The airplane performance and weight and balance calculations that the pilot performed prior to the accident flight were requested by the National Transportation Safety Board investigator-in-charge (IIC), but were not provided. The pilot stated she was unaware of any preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation. It is likely that the pilot exceeded the critical angle of attack during takeoff at night resulting in an aerodynamic stall. The Federal Aviation Administration has published the Airplane Flying Handbook FAA-H-8083-3A (2004). This handbook discusses aerodynamic stalls and states in part: The key to stall awareness is the pilot's ability to visualize the wing's angle of attack in any particular circumstance, and thereby be able to estimate his/her margin of safety above stall. This is a learned skill that must be acquired early in flight training and carried through the pilot's entire flying career. The pilot must understand and appreciate factors such as airspeed, pitch attitude, load factor, relative wind, power setting, and aircraft configuration in order to develop a reasonably accurate mental picture of the wing's angle of attack at any particular time. It is essential to flight safety that a pilot takes into consideration this visualization of the wing's angle of attack prior to entering any flight maneuver. Stall accidents usually result from an inadvertent stall at a low altitude in which a recovery was not accomplished prior to contact with the surface.
Factual narrative
"***This report was modified on December 22, 2016. Please see the docket for this accident to view the original report.*** The pilot was conducting a night, visual meteorological conditions flight from a rural desert airport, and reported that prior to the flight, she did a weight and balance, checked the temperature, and did performance calculations. The pilot reported that after rotation, the airplane was not producing "sufficient power and not climbing as anticipated" and the stall warning horn was audible. She lowered the airplane's nose, and the stall warning horn silenced. The pilot further reported that she heard "scraping" [ground impact] against the airplane, but she could not see the terrain due to the night conditions. Subsequently, the airplane impacted the ground off of the airport, which resulted in substantial damage to the fuselage. In a follow up email conversation with the pilot's attorney, the attorney said that the pilot reported that the engine was producing power at the time that the aerodynamic stall warning horn was audible and just before impact, but noted that the power was not sufficient. A photograph of the accident airplane provided by the FAA inspector that responded to the accident, showed all three blades exhibited tip curl, torsional twisting and S-bending, consistent with the engine producing power at the time of impact. The airplane performance and weight and balance calculations that the pilot performed prior to the accident flight were requested by the National Transportation Safety Board investigator-in-charge (IIC), but were not provided. The pilot stated she was unaware of any preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation. The Federal Aviation Administration has published the Airplane Flying Handbook FAA-H-8083-3A (2004). This handbook discusses aerodynamic stalls and states in part: The key to stall awareness is the pilot's ability to visualize the wing's angle of attack in any particular circumstance, and thereby be able to estimate his/her margin of safety above stall. This is a learned skill that must be acquired early in flight training and carried through the pilot's entire flying career. The pilot must understand and appreciate factors such as airspeed, pitch attitude, load factor, relative wind, power setting, and aircraft configuration in order to develop a reasonably accurate mental picture of the wing's angle of attack at any particular time. It is essential to flight safety that a pilot takes into consideration this visualization of the wing's angle of attack prior to entering any flight maneuver. Stall accidents usually result from an inadvertent stall at a low altitude in which a recovery was not accomplished prior to contact with the surface.
Aircraft
- Registration
- N6728X
- Reported as
- Beech F33 (A)
- Category
- Airplane
- Serial number
- CE-1023
- Built
- 1983
- Airframe hours
- 1,951.39
- Engine
- Continental IO-520BB, 285 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · December 12, 2015
- Departed
- BLH · Blythe, CA
- Destination
- HND · Las Vegas, NV
- Airport
- BLH · Blythe, runway 17, 5,800 × 100 ft, asphalt
- Equipment
- Stall warning system, Auto-pilot
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
- 60
- Injuries
- None
- Certificates
- Commercial, Flight instructor
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 2, With waivers/limitations
- Last flight review
- December 9, 2015
- Seat
- Left
- Restraint
- 3-point
- Flight hours
- 2,329.5 total · 513 in this make and model · 2,132.6 as pilot in command · 105.6 in the last 90 days · 33.2 in the last 30 days · 1.3 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Night
- Wind
- 200° at 7 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 90 °F, dew point 72 °F
- Altimeter
- 29.80 inHg
- Observed at
- KBLH, 1 nm away
Docket · 4
The files NTSB released with the investigation on November 8, 2016, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.6 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.
Other investigations on N6728X · 1
Matched to the same aircraft by N-number and date.