GAA17CA114

NTSB accident investigation · Beech B200 · Coalinga, CA · January 14, 2017

Accident · No injuriesData collectionFinal report
Date
January 13, 2017, 16:00 local (Jan 14, 2017, 00:00 UTC)
Place
Coalinga, CA
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N795DEBeech B200
Defining event
Takeoff: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report April 4, 2017
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20170113000359A
Case key
94617

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 takeoff.

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 · PilotAll aircraft: 9,295 casesProbable cause
Performance/control parameters: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedAll aircraft: 3,958 casesProbable cause
Terrain: wet/muddy terrainEnvironmental issues › Physical environment · Contributed to outcomeAll aircraft: 110 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, during the takeoff roll on a narrow runway about 70 to 80 knots, he noticed that the engines were not at full power. He advanced the throttles "a little further," but when he did so, the left main landing gear dropped off the left side of the runway into soft mud. Subsequently, the airplane veered off the runway to the left, the nose gear collapsed, and the airplane stopped in the mud. The fuselage and engine firewalls sustained substantial damage. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Factual narrative

The pilot reported that during the takeoff roll on a narrow runway about 70 to 80 knots, he noticed that the engines were not at full power. The pilot further reported that he advanced the throttles "a little further," but when he did so, the left main landing gear dropped off the left side of the runway into soft mud. Subsequently, the airplane veered off the runway to the left, the nose gear collapsed, and the airplane stopped in the mud. The fuselage and engine firewalls sustained substantial damage. The pilot did not report any preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft

Registration
N795DE
Reported as
Beech B200 (UNDESIGNAT)
Category
Airplane
Serial number
BB-1510
Engines
P&W PT6A, turbo propP&W PT6A, turbo prop
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Optimal Aviation Services
Registered owner
Devine Organics LLC.
Airworthiness certificate
Standard, Normal
Departed
5CA7 · Five Points, CA
Destination
VIS · Visalia, CA
Airport
5CA7 · Agro-West, runway 16, 3,000 × 40 ft, asphalt
Equipment
Stall warning system, Auto-pilot, Electronic primary flight display

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
66
Injuries
None
Certificates
Airline transport, Commercial, Flight engineer
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
September 5, 2015
Seat
Left
Restraint
5-point
Flight hours
16,700 total · 120 in this make and model · 9,300 as pilot in command · 70 in the last 90 days · 15 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 5 knots
Visibility
10 statute miles
Temperature
46 °F, dew point 43 °F
Altimeter
30.17 inHg
Observed at
KNLC, 14 nm away

Docket · 2

The files NTSB released with the investigation on March 13, 2017, on NTSB’s docket system: statements, records, photos and specialists’ reports. 384 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.