GAA19CA587

NTSB accident investigation · Beech 36 · Lubbock, TX · September 25, 2019

Accident · No injuriesData collectionFinal report
Date
September 25, 2019, 07:15 local (12:15 UTC)
Place
Lubbock, TX
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N5836BBeech 36
Defining event
Takeoff: Loss of control in flight
Weather
Day
Status
Completed · report March 17, 2020
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
FAA
FAA report
20190925013709A
Case key
100411

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 pitch trim setting during takeoff in a left quartering tailwind, which resulted in the airplane abruptly pitching up and subsequently experiencing an aerodynamic stall. Contributing to the accident was the pilot's failure to follow a preflight checklist and verify that the elevator trim tab was in the takeoff position.

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.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotAll aircraft: 9,295 casesProbable cause
Performance/control parameters: pitch controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedAll aircraft: 526 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotAll aircraft: 1,391 casesProbable cause
Performance/control parameters: angle of attackAircraft › Aircraft oper/perf/capability · Not attained/maintainedAll aircraft: 990 casesProbable cause
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Effect on operationAll aircraft: 594 casesProbable cause
Action: forgotten action/omissionPersonnel issues › Action/decision · PilotAll aircraft: 440 casesProbable cause
Use of equip/info: use of checklistPersonnel issues › Task performance · PilotAll aircraft: 336 casesProbable cause

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 and while the airplane was about 60 knots, it lifted off in a nose-high attitude, and the stall warning horn actuated. He added that, about 20 ft above ground level, the airplane rotated to the right, but he overcorrected, and the left wingtip struck the runway. Shortly after, he landed the airplane without further incident. The airplane sustained substantial damage to the left wing. 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 postaccident examination of the airplane revealed that the elevator trim was set to nose high and that he should have used a pretakeoff checklist to verify that the elevator trim was set to the takeoff position.

Factual narrative

The pilot reported that, during the takeoff roll, about 60 knots, the airplane lifted off in nose high attitude and the stall warning horn actuated. About 20 feet above the ground, the airplane rotated to the right, but he overcorrected, and the left-wing tip struck the runway. Shortly after, he landed the airplane without further incident. The airplane sustained substantial damage to the left wing. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The automated weather observation station located on the airport reported that, about 15 minutes before the accident, the wind was 230° at 9 knots. The pilot reported the wind was calm. The airplane departed from runway 35L. The pilot added that post-accident the elevator trim was found set to nose high, and that he should have used a pre-takeoff checklist to verify the elevator trim was set to the takeoff position.

Aircraft

Registration
N5836B
Reported as
Beech 36 (B36TC)
Category
Airplane
Serial number
EA558
Built
1994
Airframe hours
2,083
Engine
Continental IO-520, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
We Gone Llc
Registered owner
We Gone Llc
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · February 11, 2019
Departed
LBB · Lubbock, TX
Destination
LBB · Lubbock, TX
Airport
LBB · Lubbock Preston Smith Intl, runway 35L, 11,500 × 150 ft, concrete
Equipment
Onboard weather, Electronic multifunction display, Auto-pilot, ADS-B, Stall warning system

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
44
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
May 25, 2019
Seat
Left
Restraint
3-point
Flight hours
178 total · 178 as pilot in command · 33 in the last 90 days · 5 in the last 30 days
Role
Check pilot
Age
21
Injuries
None
Certificates
Private, Flight instructor
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
July 20, 2019
Seat
Right
Restraint
3-point
Flight hours
340 total · 340 as pilot in command · 85 in the last 90 days · 43 in the last 30 days · 10 in the last 24 hours

Weather

Conditions
Day
Wind
230° at 9 knots
Visibility
10 statute miles
Temperature
72 °F, dew point 63 °F
Altimeter
29.92 inHg
Observed at
KLBB

Docket · 2

The files NTSB released with the investigation on January 16, 2020, on NTSB’s docket system: statements, records, photos and specialists’ reports. 735 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.