IAD96LA117

NTSB accident investigation · Beech A100 · Manchester, NH · July 15, 1996

Accident · No injuriesLimited investigationFinal report
Date
July 15, 1996, 05:45 local (09:45 UTC)
Place
Manchester, NH
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N4391WBeech A100
Weather
Instrument (IMC) · Dawn
Status
Completed · report March 31, 1998
Report
Approved by Office Director
FAA report
19960715047049A
Case key
28084

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 pilots failure to maintain control of the aircraft during a coupled approach. A related factor was the unmonitored inoperative glide slope.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

In flight collision with objectApproach
Object - utility poleFactor
Aircraft control - not maintainedPilot in commandCause
ComplacencyPilot in commandCause
Approach aids,ils glide slope - inoperativeFactor

Analysis

While executing a coupled ILS approach to runway 35, at about 100 feet above decision height the localizer bar went hard right, the glide slope flag came out and the aircraft turned hard right. The pilot turned the yoke left to counter-act just as the localizer bar went hard left. The aircraft immediately tried to follow and was still in a descent. The pilot countered with opposite yoke and felt for the autopilot disconnect button on the yoke. While attempting to climb the aircraft struck a light pole approximately 1.5 miles off the departure end of runway 35, causing substantial damage to the nose landing gear wheel assembly and left wing spar. Examination of the ILS by the FAA found that the glideslope equipment was out of service, but that the localizer, outer marker, and middle marker equipment was operational.

Factual narrative

History of flight

On July 15, 1996, at about 0545 eastern daylight time, N4391W, a Beech A100, owned and operated by Causey Aviation Service Inc., was substantially damaged when it collided with a light pole about 2 miles beyond the departure end of the runway, while attempting an instrument approach to the Manchester Airport (MHT), Manchester, New Hampshire. The certificated airline transport pilot was not injured. Instrument meteorological conditions existed, and an Instrument Flight Rules (IFR) flight plan was filed. The positioning flight originated from Liberty, North Carolina, about 0315, and was operated under 14 CFR Part 91.

In a written statement, the pilot stated that he had departed Liberty for Manchester to pick up a NASCAR Race Team, and was to then return to Liberty. He said that he received his IFR clearance from Greensboro Approach, and had been cleared as filed.

The pilot noted on his instrument panel that while flying over Philadelphia, Pennsylvania, the airplane's outer marker and middle marker lights began flashing, and he noted the same occurrence when he passed over New York City, New York. He said that approximately 120 miles from Manchester, he received the ATIS which stated the weather conditions, which included an RVR of 5,000 feet with fog, a ceiling of 10,000 feet, a barometric pressure of 29.94, and that the ILS to runway 35 was unmonitored. About 45 miles from Manchester he received a special weather report over the ATIS that the RVR had decreased to 3,000 feet.

Manchester approach gave the pilot radar vectors and a descent for the ILS approach to runway 35. The pilot stated that his last instruction from approach control was to turn left to 030 degrees to intercept the localizer inbound, descend to 2,600 feet, and upon interception of the localizer was cleared for the ILS approach to runway 35. He was also instructed to contact the tower at that time. He said that he had previously set in the ILS frequency on both VOR's and received a strong ID signal. He said the localizer bar started moving from the right toward center, and the glide slope bar was showing up. He said he engaged the auto pilot for a coupled ILS approach and the airplane captured the ILS and started turning inbound.

The pilot stated that when the airplane was within 100 feet of decision height the localizer bar went hard right, the glide slope flag came out, and the airplane turned hard right. He turned the yoke left to counter-act just as the localizer bar went hard left. The airplane immediately tried to follow and was still in a descent. He countered with opposite yoke and felt for the autopilot disconnect button on the yoke. He said he never heard or saw the middle marker and he never saw runway lights or the ground. He said that he had no idea how low or where he was because he was struggling to gain control of the aircraft as he disconnected the autopilot.

The pilot further stated:

"I knew I was in serious extremus [trouble] as I pushed the props and throttles forward, pulled the nose up and hit the flap handle up. I was reaching for the gear handle when I looked out and saw a tree line coming toward me out of the fog. At the same time I glimpsed two light poles (similar to street lights) out my left window. There was a loud and solid thump on the nose of the aircraft just as I brought the gear handle up."

The pilot stated that following the collision with the light pole, he proceeded to the Burlington Airport, Burlington, Vermont. He said that although the weather was VFR, he elected to fly the ILS approach to runway 15 in order to "..check my equipment." The pilot stated, that he did not perform a auto pilot approach but just monitored localizer, glide slope, and marker beacon indications. The pilot said the ILS performed just as it should during his practice approach. The pilot landed at Burlington on the main landing gear and allowed the nose section of the fuselage to settle to the runway as the speed decreased. There was no post-landing fire.

The airplane struck a light pole approximately 1.5 miles beyond the departure end of runway 35.

Examination of the ILS

The FAA Airways Facilities Office in Manchester, New Hampshire, revealed that the Manchester area had experienced thunderstorm activity the evening of July 14, 1996, and electrical activity from the storms had disabled the ILS monitoring equipment. An Airways Facilities technician dispatched to investigate the problem found the ILS monitoring equipment out of service, but the localizer and glideslope equipment operational. The technician departed the site around midnight. The ILS monitoring equipment was notamed out-of-service.

Following the accident, an Airways Facilities technician arrived back on site approximately 0730, July 15, 1996. The technician found the glideslope equipment out of service. The localizer, outer marker, and middle marker equipment were found operational. The ILS monitoring equipment remained out of service. The technician was unable to ascertain the time of failure of the glideslope equipment.

A Saab 340 commuter airplane on a positioning flight following N4391W, reported they did not receive a glideslope signal. Following a repair of the glideslope equipment, an operational flight check was performed on the runway 35 ILS by a FAA Flight Inspection airplane, which showed the ILS to be operating normally.

Aircraft

Registration
N4391W
Reported as
Beech A100
Category
Airplane
Serial number
B191
Airframe hours
8,985
Engine
P&W PT6A-28, 680 horsepower, turbo prop
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Leon Stephens Venters, Jr.
Registered owner
Causey Aviation Service Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · June 14, 1996 · 51 hours before
Departed
2A5 · Liberty, NC
Destination
MHT
Flight plan
IFR
Airport
MHT · Manchester, runway 35, 7,001 × 150 ft, macadam

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
60
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
7,991 total · 249 in this make and model · 5,830 as pilot in command · 40 in the last 90 days · 10 in the last 30 days

Weather

Conditions
Instrument (IMC) · Dawn
Wind
180° at 4 knots
Visibility
0.25 statute miles
Lowest ceiling
600 ft overcast
Temperature
70 °F, dew point 66 °F
Altimeter
30.00 inHg

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.