# NTSB GAA19CA465: Beech 36, N343AB, Richmond, VA, July 28, 2019 - Type: NTSB accident investigation - Classification: Accident · No injuries · Data collection · Final report - Date: July 28, 2019, 13:10 local (17:10 UTC) - Place: Richmond, VA - Coordinates: 37.406387, -77.524719 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=37.4064&lon=-77.5247&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Defining event: [Landing-aborted after touchdown: Collision during takeoff/land](https://openairdocs.org/ntsb-events/490) - Highest injury: No injuries - Injuries: 1 uninjured - Status: Completed, report May 21, 2020 - Report: Approved by Office Director - NTSB office: General Aviation Accidents - Parties: FAA - NTSB case key (mKey): 99962 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=GAA19CA465 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/99962/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=99962 - Page: https://openairdocs.org/ntsb/GAA19CA465 ## Probable cause The pilot's failure to maintain lateral control and attain sufficient altitude to clear rising terrain during an attempted go-around. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Raytheon A36, 8 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=7150001), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md) - [Performance/control parameters: lateral/bank control](https://openairdocs.org/ntsb-findings/01062023): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Raytheon A36, 1 case](https://openairdocs.org/ntsb-findings/01062023/cases.md?model=7150001), [All aircraft, 390 cases](https://openairdocs.org/ntsb-findings/01062023/cases.md) - [Performance/control parameters: altitude](https://openairdocs.org/ntsb-findings/01062012): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Raytheon A36, 1 case](https://openairdocs.org/ntsb-findings/01062012/cases.md?model=7150001), [All aircraft, 1,310 cases](https://openairdocs.org/ntsb-findings/01062012/cases.md) - [Terrain: sloped/uneven terrain](https://openairdocs.org/ntsb-findings/03021017): Environmental issues › Physical environment · Effect on operation (probable cause); cases with it: [Raytheon A36, 1 case](https://openairdocs.org/ntsb-findings/03021017/cases.md?model=7150001), [All aircraft, 270 cases](https://openairdocs.org/ntsb-findings/03021017/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Landing-aborted after touchdown: Miscellaneous/other](https://openairdocs.org/ntsb-events/900); cases with it: [Raytheon A36, 2 cases](https://openairdocs.org/ntsb-events/900/sequence.md?model=7150001), [All aircraft, 1,556 cases](https://openairdocs.org/ntsb-events/900/sequence.md) - [Landing-aborted after touchdown: Collision during takeoff/land](https://openairdocs.org/ntsb-events/490) (defining event); cases with it: [Raytheon A36, 2 cases](https://openairdocs.org/ntsb-events/490/sequence.md?model=7150001), [All aircraft, 1,309 cases](https://openairdocs.org/ntsb-events/490/sequence.md) ## Analysis The pilot reported that, during landing and just before touchdown, the stall warning horn sounded but that he briefly thought it was the "gear warning annunciator." Thinking he had not lowered the landing gear, he rapidly increased the throttle to produce full engine power in an attempt to go-around. However, he did not apply sufficient right rudder inputs, and the airplane deviated to the left and drifted over grass past the edge of the asphalt runway. Further, the airplane had not attained sufficient altitude to clear rising terrain, and the propeller tips hit the terrain, the engines stopped, and the airplane slid on the grass. The airplane sustained substantial damage to the lower fuselage. Additionally, the pilot reported that he should have relied on the "three in the green" before attempting a go-around. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. ## Factual narrative The pilot in the retractable landing gear-equipped airplane reported that during landing and just before touchdown, the stall warning horn sounded. He heard a "scraping-sounding," and, "I thought the stall horn was the gear warning annunciator." The pilot aborted the landing and rapidly increased the throttle to produce full engine power. He recalled that, "I did not put in enough right rudder," to counter the torque and p-factor. The airplane drifted over the left edge of the asphalt runway and began to climb. However, the airplane impacted the rising terrain and skidded to a stop. The airplane sustained substantial damage to the lower fuselage. Additionally, the pilot reported that he should have relied upon the "three in the green" before aborting the landing. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. ## Aircraft - Registration: [N343AB](https://openairdocs.org/aircraft/N343AB), registered now, S/N E-3343, built 2000 (OpenAirDocs) - Reported make and model: Beech 36 (A36) - Registry model: [Raytheon A36](https://openairdocs.org/model/raytheon-a36) (registry code 7150001) (OpenAirDocs) - Registry engine: [Continental IO-550 series](https://openairdocs.org/engine/continental-io-550-series) (registry code 17042, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: E-3343 - Year built: 2000 - Airframe hours: 545.2 - Engines: Continental IO-550-B 300 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Operator: Ponderosa 343 Llc - Registered owner: Ponderosa 343 Llc - Airworthiness certificate: Standard, Normal - Last inspection: Annual, April 15, 2019 - Departed: JZI, CHARLESTON, SC - Destination: FCI, Richmond, VA - Flight plan: VFR - Airport: FCI, Richmond Executive-Chesterfiel, runway 33, 5,500 × 100 ft, asphalt - Equipment: Electronic flight bag or handheld device, Auto-pilot, ADS-B, Stall warning system, Electronic multifunction display, Onboard weather ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 56; injuries: none; private; airplane ratings: single-engine land; medical: class 3, with waivers/limitations; last flight review May 17, 2018; seat: left; restraint: 3-point; flight hours: 273.1 total, 57 in this make and model, 14.3 in the last 90 days, 9.6 in the last 30 days, 6.4 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 90 °F, dew point 66 °F - Altimeter: 30.17 inHg - Observed at: KFCI, 1 nm away ## 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 20190728016039A](https://openairdocs.org/incident/20190728016039A), Jul 28, 2019: Raytheon Aircraft Company A36, Chesterfield, VA, Substantial damage. As the pilot was in the flare to land he heard a horn go off and panicked thinking it was the gear horn. He initiated a go around and did not compensate for… ## Docket (2 files) The files NTSB released with the investigation on December 10, 2019, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=99962. 4.2 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 4.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40478888&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Master.PDF - Photo (item 2, .PDF, 129 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40478889&FileExtension=.PDF&FileName=Photo-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.