LAX01FA178

NTSB accident investigation · Beech D45 · Julian, CA · May 18, 2001

Accident · FatalField investigationFinal report
Date
May 18, 2001, 10:32 local (17:32 UTC)
Place
Julian, CA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N8NVBeech D45
Weather
Visual (VMC) · Day
Status
Completed · report March 2, 2004
Report
Approved by Office Director
Parties
FAA WP-FSDO, Raytheon Aircraft Company (Beech)
FAA report
20010518014199A
Case key
52304

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 pilot's selection of an insufficient altitude over rising mountainous terrain and his failure to maintain adequate terrain clearance.

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 terrain/waterManeuvering
In-flight planning/decision - improperPilot in commandCause
Terrain condition - risingFactor
Altitude - inadequatePilot in commandCause
Clearance - not maintainedPilot in commandCause

Analysis

The pilot attempted to fly a military flying club airplane up a valley at a low altitude. The airplane was unable to outclimb the rising terrain, and it impacted the rocky hillside at an elevation of 3,400 feet mean sea level (msl). About 8 minutes after initiating the cross-country flight, and while en route to the planned destination airport, the pilot flew over a residence less than 400 feet above the ground, as evidence by the airplane's Mode C transponder. A witness, who was at the residence and who recognized the airplane, estimated its altitude as 500 feet above ground level. Thereafter, the pilot continued flying at a low altitude above ground level. The airplane's radar track disappeared as the pilot headed toward higher elevation terrain. The lowest altitude at which targets are observed on radar 1 mile south of the accident site area is between 3,600 and 3,700 feet msl. The accident airplane's track as it approached the accident site was not detected. The terrain leading to the accident site varies from 490 to 3,400 feet msl. The pilot was familiar with the accident site terrain, having flown over the terrain in military helicopters. No evidence of preimpact mechanical malfunction was found during the wreckage examination.

Factual narrative

History of flight

On May 18, 2001, at an undetermined time between 1032 and 1109 Pacific daylight time, a Beech D45, N8NV, impacted rising terrain while maneuvering at a low altitude up a valley about 5.8 nautical miles (nm) south (197 degrees, magnetic) of Julian, California. The airplane was owned by the United States Navy and operated by the North Island Navy Flying Club, San Diego, California. Visual meteorological conditions prevailed at the time of the personal flight, and a visual flight rules flight plan was filed. The flight was performed under 14 CFR Part 91. The airplane was destroyed by impact forces and a post impact fire. The front seated private pilot and the rear seated pilot-rated passenger were fatally injured. The operator reported that the front seated pilot was the pilot-in-command during the accident flight, which originated from the NAS North Island Airport at 1011.

In accordance with Navy directives, prior to the pilot's departure for the cross-country flight, a person at the airport who had flight clearance authority with the military flying club reviewed his qualifications, planning procedures, and documents. Thereafter, the pilot was released for the flight.

The last recorded radio communication with the pilot was at 1015:38, at which time the pilot informed the NAS North Island tower controller that he was proceeding outbound (from the airport). The controller responded and informed the pilot to change radio frequencies.

A North Island flying club member reported that his brother, who was in the city of Chula Vista, observed a T34 flying over his location on the morning of the accident. The Safety Board investigator interviewed the brother.

The brother reported that between 1000 and 1030 he had been at a house in a residential area of the city. The brother stated that he had observed an airplane passing nearly overhead. He recognized the airplane as being a T34 that he had flown in. The airplane was flying below a marine layer of clouds. The cloud layer was starting to breakup. The brother further stated that he also heard the airplane's engine, and nothing unusual was noted. The brother stated that, at the time of the overflight, he estimated that the airplane was approximately 500 feet above ground level. Thereafter, the airplane proceeded flying in an easterly and then a northeasterly direction until he lost sight of it.

The Safety Board investigator subsequently determined that the brother/eyewitness was about 12 nm and 093 degrees, magnetic, from the NAS North Island Airport. This location is about 32 degrees 38.72 minutes north latitude by 116 degrees 59.34 minutes west longitude. At this location, the elevation is about 490 feet mean sea level (msl).

The route of flight that the accident pilot flew between the eyewitness's location and the accident site was not determined. No persons were identified as having witnessed the accident.

The accident pilot's flight planned destination was the airport at Agua Caliente, California. This airport is located about 18.6 nm east (084 degrees, magnetic) of the accident site.

Personnel information

The pilot was on active duty in the United States military service. According to his supervisor, the pilot had acquired all his flight training through civil aviation sources. By the accident date, the pilot's total flight time was approximately 220 hours. He had 19 hours of flight time in the accident make and model of airplane, of which 14 hours were acquired as its pilot-in-command. During the preceding 90-day period, the pilot had flown the accident model airplane for 8.4 hours. The pilot possessed airplane single engine land and multiengine land ratings.

The supervisor additionally reported that the pilot had acquired 868.5 hours of flight time as a crew chief in the UH-1N "Huey" helicopter and maintenance in-flight tester on the AH-1W "Super Cobra" helicopter. The pilot was familiar with the accident site area, and he had traveled over the scene of the mishap extensively while performing duties as a UH-1N helicopter crew chief.

Aircraft information

The airplane was maintained by contract mechanics certificated by the Federal Aviation Administration (FAA). The airplane was classified as a civil aircraft, and it was maintained on a program of annual and 100-hour inspections.

Meteorological information

A San Diego County deputy sheriff, who responded to the accident site at 1220, reported that upon his arrival there were no clouds in the area. There was a light wind.

Wreckage and impact information

The global positioning satellite coordinates for the estimated 3,400-foot msl accident site are about 32 degrees 59.730 minutes north latitude by 116 degrees 39.553 minutes west longitude. The airplane was found in an upright attitude. It was on a 345-degree magnetic heading on the rocky, mountainous terrain. The terrain's upslope angle on the hillside was estimated at 15 degrees. Both pilots were found in the cockpit. No evidence of parachutes was found.

The terrain's elevation to the north, east, and west sides of the accident airplane was higher than the elevation of the terrain where the airplane had crashed. The terrain elevation was lower south of the airplane down the valley. The estimated height of the hill north of the airplane was 3,700 feet msl.

The engine, with one attached propeller blade, was found separated from the fuselage. It was located about 115 feet west-southwest (246 degrees, magnetic) from the airplane's left wing. The other propeller blade was located about 70 feet east-southeast (145 degrees, magnetic) behind the airplane.

The right magneto was found about 100 feet southwest (232 degrees, magnetic) of the engine. Engine accessories and related items were located in a debris field between the main wreckage and the engine.

Medical and pathological information

On May 21, 2001, an autopsy was performed by the Naval Medical Center Laboratory Department, San Diego, California 92134. The Department of Defense, Armed Forces Institute of Pathology, Washington, DC 20306, performed toxicology tests on specimens from the pilot. No evidence was found of screened drugs including ethanol and cyanide. The carboxyhemoglobin saturation in the blood was 1 percent.

Tests and research

Airframe and Propeller Examination.

The structural examination of the airframe, which was equipped with dual flight controls, revealed that the fuselage was disintegrated from the floor level to the roof. The fuselage and empennage had burned predominantly to ashes. All flight control surfaces were found with the main wreckage.

The left and right wings were found attached to the fuselage. The left wingtip was found about 25 feet north of the main wreckage. The right wingtip remained attached to the wing. The leading edges of the wings did not display evidence of deformation in an aft direction.

The wings appeared positioned at right angles to the airplane's longitudinal axis. The wing flaps and the landing gear was found in the retracted position. The fuel tank selector was found positioned to the BOTH tank position.

Both propeller blades were observed deformed into an "S" shape. The leading edge of each blade was observed gouged and the blade tips were broken off.

Engine Examination.

The engine sustained impact damage and the case was cracked in several locations. No evidence of preimpact oil or fuel leakage was noted from the engine or accessories. All upper spark plugs were removed and examined. According to an FAA airworthiness inspector, they exhibited normal wear indications. Also, the electrode gap in all plugs appeared normal. The crankshaft was rotated and the continuity of the valve and gear train was confirmed. The FAA also indicated that compression was noted in all cylinders except number six, which was impact damag

Aircraft

Registration
N8NV
Reported as
Beech D45
Category
Airplane
Serial number
BG-358
Airframe hours
9,360
Engine
Continental O-470-4, 225 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
North Island Navy Flying Club
Registered owner
Groton Navy Navy Flying Club
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 19, 2001 · 25 hours before
Departed
NZY · NAS NorthIsland, CA
Destination
L54 · Agua Caliente, CA
Flight plan
VFR

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
22
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
April 26, 2001
Seat
Front
Toxicology
Performed
Flight hours
220 total · 19 in this make and model · 140 as pilot in command · 8 in the last 90 days · 8 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
30° at 4 knots
Visibility
9 statute miles
Lowest ceiling
None
Temperature
70 °F, dew point 55 °F
Altimeter
29.94 inHg
Observed at
RNM, 13 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.