- Date
- October 5, 2018, 11:30 local (16:30 UTC)
- Place
- San Antonio, TX
- Injuries
- 1 minor
- Damage
- Substantial damage
- Phase of flight
- Takeoff
- Aircraft
- N6674YBeech 55
- Defining event
- Takeoff: Abrupt maneuver
- Weather
- Visual (VMC) · Day
- Status
- Completed · report April 8, 2019
- Report
- Approved by Office Director
- NTSB office
- General Aviation Accidents
- Parties
- FAA
- FAA report
- 20181005016709A
- Case key
- 98435
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 improper takeoff trim setting and failure to properly secure his seatbelt, which resulted in a loss of airplane control. Contributing to the accident was the pilot's failure to follow the Before Takeoff checklist.
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.
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, the day before the accident flight, he had flown the airplane and wanted to become more comfortable with new instruments that had been installed. So, after the flight, while in a hangar, he and a friend turned the airplane's electrical power on to familiarize the pilot with the autopilot system and specifically with how it would follow heading bug settings. During the familiarization, they "ran the [pitch] trim all the way up." The pilot added that, before takeoff for the accident flight, he did not check the pitch trim setting because he believed it would be the same as his previous flight, instead of the pitch trim setting after his autopilot ground familiarization. He added that, during takeoff, the nose pitched up severely. He lowered the nose, and the airplane entered a negative G condition. He realized that he "did not latch the seat belt very good" and saw that his seatbelt had disconnected and that he was no longer in his seat and could not regain airplane control. The airplane struck the runway, porpoised, and the nose landing gear collapsed. The airplane skidded and struck a taxiway light. Postaccident examination of the airplane revealed that the vertical trim tab was in the full-down position, indicating that full nose-up trim was applied. The airplane sustained substantial damage to both engines and the fuselage. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The Pilot's Operating Handbook checklist titled, "Before Takeoff," stated: Seat Belts and Shoulder Harnesses – CHECK… 15. Trim – AS REQUIRED FOR TAKE-OFF
Factual narrative
The pilot reported that, the day before the accident flight, he had flown the airplane, and wanted to become more comfortable with the new instruments which had been installed. So, after the flight, while in a hangar, he and a friend turned the airplane's electrical power on to familiarize the pilot with the autopilot system, and specifically how it would follow heading bug settings. During the familiarization, they "ran the [pitch] trim all the way up". The pilot added that, during the accident flight, before takeoff, he did not check the pitch trim setting because he believed it would be the same as his previous flight, instead of the pitch trim setting after his autopilot ground familiarization. He added that, during takeoff, the nose pitched up severely. He lowered the nose, entered a negative G condition, discovered that he "did not latch the seat belt very good" and observed his seat belt had disconnected, and he was no longer in his seat and could not regain airplane control. The airplane struck the runway, porpoised, and on the third cycle, the nose landing gear collapsed. The airplane skidded and struck a taxiway light. Postaccident examination of the airplane revealed that the vertical trim tab was in the "full down position," indicating that full nose-up trim was applied. The airplane sustained substantial damage to the both engines and fuselage. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The pilot operating handbook checklist titled "Before Takeoff" stated: 1. Seat Belts and Shoulder Harnesses – CHECK It continued: 15. Trim – AS REQUIRED FOR TAKE-OFF
Aircraft
- Registration
- N6674Y
- Reported as
- Beech 55 (E55)
- Category
- Airplane
- Serial number
- TE-1168
- Built
- 1979
- Airframe hours
- 5,414.5
- Engines
- Continental IO-520-CB, 285 horsepower, reciprocatingContinental IO-520-CB8B, 285 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · March 20, 2017
- Departed
- SAT · San Antonio, TX
- Destination
- SAT · San Antonio, TX
- Airport
- SAT · San Antonio Intl, runway 13R, 8,502 × 150 ft, concrete
- Equipment
- Electronic multifunction display, Electronic flight bag or handheld device, Electronic primary flight display, Onboard weather, ADS-B, 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
- 79
- Injuries
- Minor
- Certificate
- Private
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 3, Without waivers/limitations
- Last flight review
- September 20, 2015
- Seat
- Left
- Restraint
- Lap only
- Flight hours
- 3,907 total · 1,322 in this make and model · 3,897 as pilot in command
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 140° at 9 knots
- Visibility
- 10 statute miles
- Temperature
- 84 °F, dew point 70 °F
- Altimeter
- 30.00 inHg
- Observed at
- KSAT
Docket · 4
The files NTSB released with the investigation on December 17, 2018, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 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.