GAA18CA407

NTSB accident investigation · Beech 58 · Mackinac Island, MI · July 1, 2018

Accident · No injuriesData collectionFinal report
Date
July 1, 2018, 12:00 local (16:00 UTC)
Place
Mackinac Island, MI
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N66568Beech 58
Defining event
Takeoff-rejected takeoff: Runway excursion
Weather
Visual (VMC) · Day
Status
Completed · report March 18, 2019
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20180701008969A
Case key
97723

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 remove the pitot tube cover during the preflight inspection, which resulted in his delayed decision to reject the takeoff with insufficient runway remaining to safely stop the airplane.

Findings · 7

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.

Inspection: preflight inspectionPersonnel issues › Task performance · PilotBeech 58TC: 1 caseAll aircraft: 551 casesProbable cause
Action: lack of actionPersonnel issues › Action/decision · PilotBeech 58TC: 1 caseAll aircraft: 792 casesProbable cause
Aircraft capability: landing distanceAircraft › Aircraft oper/perf/capability · Capability exceededBeech 58TC: 1 caseAll aircraft: 68 casesProbable cause
Pneumatic system: pneumatic indicating systemAircraft › Aircraft systems · Inadequate inspectionBeech 58TC: 1 caseAll aircraft: 1 caseProbable cause
Object/animal/substance: fence/fence postEnvironmental issues › Physical environment · Contributed to outcomeBeech 58TC: 1 caseAll aircraft: 313 cases
Terrain: sloped/uneven terrainEnvironmental issues › Physical environment · Contributed to outcomeBeech 58TC: 1 caseAll aircraft: 270 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 of the twin-engine airplane reported that, during the takeoff roll on the 3,500-ft-long runway, the airspeed indicator did not indicate an airspeed, so he rejected the takeoff. He added that he attempted to brake, but "full braking [was] not initially possible due to lift." Subsequently, the airplane overran the runway onto a downhill grassy area and struck a fence. During postaccident examination of the airplane, the pilot found that the pitot tube cover had not been removed before the flight. According to the manufacturer, the typical takeoff roll is about 1,336 ft, and the approximate landing roll is 1,440 ft. If the pilot had rejected the takeoff sooner, he likely could have stopped the airplane on the runway. The airplane sustained substantial damage to both wings. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The pilot added that his preflight memory list was: fuel, oil, tires, props, and surfaces and that he will now add "chocks, cowl plugs, pitot tube covers."

Factual narrative

The pilot of the twin-engine airplane reported that during the takeoff roll on the 3,500-foot runway the airplane's airspeed indicator did not indicate an airspeed, so he rejected the takeoff. He added that, he attempted to brake, but "full braking [was] not initially possible due to lift". Subsequently, the airplane overran the runway onto a downhill grass area and struck a wood fence. During a post-accident inspection the pilot discovered that the pitot tube cover had not been removed before the flight. According to the manufacturer, the typical takeoff roll is approximately 1,336 feet and the approximate landing roll is 1,440 feet. The airplane sustained substantial damage to both wings. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The pilot added that his preflight memory list was: fuel, oil, tires, props, and surfaces. He will now add, "chocks, cowl plugs, pitot tube covers".

Aircraft

Registration
N66568
Reported as
Beech 58 (TC)
Category
Airplane
Serial number
TK-105
Built
1979
Airframe hours
4,401.4
Engines
Continental TSIO-520-WB, 325 horsepower, reciprocatingContinental TSIO-520-WB, 325 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 26, 2018
Departed
MCD · Mackinac Island, MI
Destination
DPA · Chicago/West Chicago, IL
Flight plan
IFR
Airport
MCD · Mackinac Island, runway 26, 3,501 × 75 ft, asphalt
Equipment
Onboard weather, Electronic flight bag or handheld device, Auto-pilot, ADS-B, Stall warning system

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
68
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
June 6, 2018
Seat
Left
Restraint
3-point
Flight hours
2,917 total · 2,131 in this make and model · 2,302 as pilot in command · 53 in the last 90 days · 19 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 64 °F
Altimeter
29.85 inHg
Observed at
KMCD

Docket · 4

The files NTSB released with the investigation on October 10, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.2 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.