# NTSB GAA19CA109: Beech B19, N24682, Los Angeles, CA, January 26, 2019 - Type: NTSB accident investigation - Classification: Accident · No injuries · Data collection · Final report - Date: January 26, 2019, 11:10 local (19:10 UTC) - Place: Los Angeles, CA - Coordinates: 34.259445, -118.41333 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=34.2594&lon=-118.4133&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-landing roll: Loss of control on ground](https://openairdocs.org/ntsb-events/230) - Highest injury: No injuries - Injuries: 2 uninjured - Status: Completed, report September 26, 2019 - Report: Approved by Office Director - NTSB office: General Aviation Accidents - Parties: FAA - NTSB case key (mKey): 98854 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=GAA19CA109 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/98854/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=98854 - Page: https://openairdocs.org/ntsb/GAA19CA109 ## Probable cause The pilot's failure to maintain directional control during the landing roll, which resulted in a runway excursion and impact with a fence. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Performance/control parameters: directional control](https://openairdocs.org/ntsb-findings/01062020): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Beech B19, 5 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=1151215), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md) - [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Beech B19, 7 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=1151215), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md) - [Object/animal/substance: fence/fence post](https://openairdocs.org/ntsb-findings/03022047): Environmental issues › Physical environment · Effect on operation; cases with it: [Beech B19, 2 cases](https://openairdocs.org/ntsb-findings/03022047/cases.md?model=1151215), [All aircraft, 313 cases](https://openairdocs.org/ntsb-findings/03022047/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Approach-VFR pattern final: Other weather encounter](https://openairdocs.org/ntsb-events/400); cases with it: [Beech B19, 2 cases](https://openairdocs.org/ntsb-events/400/sequence.md?model=1151215), [All aircraft, 1,127 cases](https://openairdocs.org/ntsb-events/400/sequence.md) - [Landing-landing roll: Loss of control on ground](https://openairdocs.org/ntsb-events/230) (defining event); cases with it: [Beech B19, 6 cases](https://openairdocs.org/ntsb-events/230/sequence.md?model=1151215), [All aircraft, 4,585 cases](https://openairdocs.org/ntsb-events/230/sequence.md) - [Landing-landing roll: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Beech B19, 11 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=1151215), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis The pilot reported that, while on final approach, the airplane encountered wind shear. He considered performing a go-around but decided not to due to buildings, traffic, and pedestrians and to avoid casualties. Upon landing, the airplane veered off the runway and impacted a fence. The airplane sustained substantial damage to the fuselage and wings. The pilot reported that there were no preimpact mechanical failures or malfunctions with the airplane that would have precluded normal operation. About the time of the accident, the wind was from 100° at 10 knots, and the pilot was landing the airplane on runway 12. ## Factual narrative The pilot reported that, while on final approach, the airplane encountered wind shear. He considered performing a go around but decided not to due to buildings, traffic, and pedestrians to avoid casualties. Upon landing, the airplane veered off the runway and impacted a fence. The airplane sustained substantial damage to the fuselage and wings. The pilot reported that there were no preimpact mechanical failures or malfunctions with the airplane that would have precluded normal operation. About the time of the accident the wind was from 100 degrees true at 10 knots, and the airplane was landing runway 12. ## Aircraft - Registration: [N24682](https://openairdocs.org/deregistered/N24682-2020-03-27), registration cancelled 2020-03-27, S/N MB-572, built 1973 (OpenAirDocs) - Reported make and model: Beech B19 - Registry model: [Beech B19](https://openairdocs.org/model/beech-b19) (registry code 1151215) (OpenAirDocs) - Registry engine: [Lycoming 0-320 series](https://openairdocs.org/engine/lycoming-0-320-series) (registry code 41508, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: MB-572 - Year built: 1973 - Engines: Lycoming O-320 150 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Airworthiness certificate: Standard, Normal - Last inspection: 100 hour, June 15, 2018 - Destination: WHP, Los Angeles, CA - Flight plan: Unknown - Airport: WHP, Whiteman, runway 12, 4,120 × 75 ft, asphalt - Equipment: Unknown ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 52; injuries: none; private; airplane ratings: single-engine land; medical: class 3, with waivers/limitations; last flight review August 24, 2017; seat: left; flight hours: 542 total, 542 in this make and model, 453 as pilot in command, 41 in the last 90 days, 15 in the last 30 days, 2 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 100° at 10 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 72 °F, dew point 25 °F - Altimeter: 30.22 inHg - Observed at: KWHP ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20190126000399A](https://openairdocs.org/incident/20190126000399A), Jan 26, 2019: Beech B19, Pacoima, CA, Substantial damage. On 01/26/2019 N24682 was landing at whp airport with gusty cross winds from the north. A go around was performed. On the second attempt, N24682 was blown right… ## Docket (3 files) The files NTSB released with the investigation on March 12, 2019, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=98854. 3.8 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 3.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40470998&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF - Record of Phone Conversation (Pilot) (item 2, .PDF, 97 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40470999&FileExtension=.PDF&FileName=Record%20of%20Phone%20Conversation%20(Pilot)-Master.PDF - Accident Photos (item 3, .PDF, 2 photos, 412 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40471000&FileExtension=.PDF&FileName=Accident%20Photos-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.