LAX01FA279

NTSB accident investigation · Beech F-33A · Mobile, AZ · August 15, 2001

Accident · FatalField investigationFinal report
Date
August 15, 2001, 07:00 local (14:00 UTC)
Place
Mobile, AZ
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N3172PBeech F-33A
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 2003
Report
Approved by Office Director
Parties
Raytheon Beech, Teledyne Continental Motors, Federal Aviation Administration
FAA report
20010815020559A
Case key
53040

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 flying pilot's initiation of an intentional maneuver at an altitude inadequate to maintain terrain clearance. Low altitude flight was a contributing factor.

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
Low altitude flight/maneuver - performedPilot in command(cfi)Factor
Maneuver - intentionalPilot in command(cfi)Cause
Altitude - inadequatePilot in command(cfi)Cause
Terrain condition - ground

Analysis

The airplane collided with terrain while on a low level navigation exercise and was almost totally consumed in a postcrash fire. The pilots were members of the German Air Force (GAF) and the flight was a low level navigation mission as part of an initial air force pilot training course. The flight syllabus called for the flight to complete the route at 500 feet agl. Another airplane with two GAF instructors aboard departed immediately after the accident airplane. The two instructors in the second airplane initially flew north of the standard route and then turned south to intercept it. They were about 1,500 agl. As they turned south, they observed the accident airplane proceeding on a southeasterly course. Both instructors said that they were looking down at the other airplane, and both estimated its altitude was 500 to 700 agl. Both instructors said the accident airplane was in straight and level flight on a southeasterly heading. As the airplane crossed the ridge, the airplane went from straight and level to a 30- to 40-degree angle of bank. The bank angle seemed to increase to 60 degrees and continued to 135 degrees as the nose went down. It appeared to the pilot in the left seat that the maneuver was abrupt, but he saw nothing to account for it. He didn't observe any obstacles to avoid, any smoke or flames coming from the airplane prior to impact, and he did not see anything falling from the airplane. The weather was clear and there was no turbulence. The airplane came to rest in an upright position. Vegetation ranging between 3 and 20 feet in height, and within 5 to 30 feet both behind and in front of the wreckage, was scorched but undamaged. Examination of the wreckage and ground scars disclosed that the airplane impacted the hillside in an attitude level with the slope and with a large vertical energy vector. Pieces of airframe and debris that came to rest outside of the charred areas were not sooty or discolored. Control continuity existed from the control surfaces to the thermally destroyed cabin area. There was no evidence of a catastrophic engine malfunction.

Factual narrative

History of flight

On August 15, 2001, about 0700 mountain standard time, a Beech F-33A, N3172P, collided with terrain near Mobile, Arizona. Airline Training Center Arizona, Inc., was operating the airplane as an instructional flight under the provisions of 14 CFR Part 91. The certified flight instructor (CFI) and a student pilot sustained fatal injuries; the collision sequence and a post crash fire destroyed the airplane. The cross-country flight departed Goodyear, Arizona, about 0645 on a round robin low level navigation training flight. Visual meteorological conditions prevailed and no flight plan had been filed. The primary wreckage was at coordinates 32 degrees 58.84 minutes north latitude and 112 degrees 14.39 minutes west longitude, at an estimated altitude of 1,635 feet.

The operator reported that the pilots were members of the German Air Force and the flight was a low level navigation mission. The flight syllabus called for the flight to complete the route at 500 feet above ground level (agl). The flight plan called for a southwesterly departure, two segments in a southeasterly direction, three segments in an easterly direction, and four segments to a westerly direction as the airplane returned to Goodyear.

Another airplane with two instructors aboard departed immediately after the accident airplane. This aircrew planned to complete the last southeasterly and first easterly segments of the same route as the accident airplane. They did not observe the accident airplane during preflight, but did observe that its takeoff and initial climb seemed normal. They lost sight of the airplane about 2 minutes after departure, when they altered their course.

The two instructors in the second airplane initially flew north of the standard route and then turned south to intercept it. They were about 1,500 agl. As they turned south, they observed the accident airplane proceeding on a southeasterly course. Both instructors said that they were looking down at the other airplane, and both estimated its altitude was 500 to 700 agl. Both instructors said the accident airplane was in straight and level flight on a southeasterly heading. One instructor thought the airplane was slightly north of a ridgeline rather than slightly south of the ridgeline as he normally flew the route.

The pilot in the left seat observed the accident airplane, which was about 20 degrees right of the nose of his airplane and 3 miles from him.

As the airplane crossed the ridge, the airplane went from straight and level to a 30- to 40-degree angle of bank. The bank angle seemed to increase and the nose went down. The accident airplane was definitely nose-low, and he lost sight of it behind the mountain.

It appeared to the pilot in the left seat that the maneuver was abrupt, but he saw nothing to account for it. He didn't observe any obstacles, any smoke or flames prior to impact, and did not see anything falling from the airplane. The weather was clear and there was no turbulence. He said the other airplane was heading east and the sun was low and that could have been a factor.

The instructor in the left seat pointed out the accident airplane to the pilot in the right seat; it was low at the 1-o'clock position. The instructor in the right seat said it appeared to be flying straight and level. He watched it for a minute or two before he lost it below the nose of his airplane.

The instructor in the right seat said they continued southwest, and then turned to the southeast to pickup the route past the Serene Airport. He saw the accident airplane at his 12- to 1-o'clock position. He saw the airplane for less than a minute. He thought the airplane entered a bank angle approaching 60 degrees and continued to 135 degrees. His pilot made a correction and he lost the accident airplane under the right wing. Two to 4 seconds later he saw a fireball and smoke.

The instructor in the right seat said they monitor 122.75 while on the route and he did not hear any broadcasts from the other airplane. He thought visibility was good and not a factor. The winds were calm and they did not experience any turbulence.

Personnel information

The operator reported that the pilot held a commercial pilot certificate with ratings for airplane single engine land, as well as instrument airplane. He held a certified flight instructor certificate with ratings for airplane single engine land and instrument airplane. They reported the pilot had a total time of 2,382 hours. He had accumulated 130 hours in the last 90 days, and 31 hours in the last 30 days.

The pilot held a second-class medical certificate dated November 2, 2000, with no limitations or waivers.

The second pilot held a student pilot certificate. A review of his training records revealed he completed his first flight on July 10, 2001, and had accumulated about 32 hours total time. This flight was the last flight in this phase of his training. Upon its successful completion, he would have returned to Germany for advanced training.

The instructor in the left seat of the second airplane said he had known the accident instructor for about 1 year. At the morning briefing, the instructor appeared normal.

The instructor in the right seat of the second airplane said he had known the accident instructor for almost 2 years and knew him pretty well. He talked to the instructor that morning and said he sounded in good spirits.

Aircraft information

The airplane was a Raytheon Beech F-33A, serial number CE-1090. A review of the maintenance records revealed a total time of 14,912 hours as of the daily inspection on the morning of August 15. The operator maintained the airplane on an approved airworthiness inspection plan (AAIP). The last inspection had been a phase-4 inspection, which occurred on August 6, 2001, at a total time of 14,890 hours.

The engine was a Teledyne Continental Motors (TCM) IO-520-BB, serial number 813841-R. The daily inspection on the morning of August 15 recorded the total engine time as 1,452 hours.

The propeller was a Hartzell model PHC-C3YF-1RF, serial number EE2366A.

Meteorological information

The nearest reporting station was Casa Grande (CGZ), Arizona, at 25 miles on a magnetic bearing of 085 degrees from the accident site. A routine aviation weather report (METAR) issued for CGZ at 0655 was: skies clear; visibility 10 statute miles; wind calm; temperature 79 degrees Fahrenheit; dew point 64 degrees Fahrenheit, and altimeter 29.94 InHg.

Wreckage and impact information

Investigators from the Safety Board, Beech, and TCM examined the wreckage on scene on August 15 and 16. An additional examination occurred at Air Transport, Phoenix, Arizona, on August 17.

The accident occurred in desert terrain characteristic of southern Arizona that was scattered with rock outcroppings. Cactus up to 20 feet high, and bushes 3 to 10 feet high, sparsely populated the terrain. The planned flight path took the airplane across the accident site ridgeline along a magnetic course of 110 degrees. The planned route traversed the southern section of the ridgeline, but the accident airplane traversed the northern section of the ridge. The ridge, about 3 miles long and 2 miles wide, generally ran in a north-south direction. It rose to an approximate height of 2,100 feet msl, which was about 600 feet above the surrounding terrain.

The airplane came to rest upright and halfway up the north face of an east-west finger. At this point the crest of the finger was about 200 feet above the desert floor, and investigators estimated the slope at 25 degrees. The fuselage and debris path were aligned on a magnetic bearing of 250 degrees. Vegetation ranging in height between 3 feet and 20 feet, and within 5 feet to 30 feet of the wreckage, was scorched but undamaged.

A ground scar ran parallel to and 2 feet away from the leading edge of the wings. At the left ed

Aircraft

Registration
N3172P
Reported as
Beech F-33A
Category
Airplane
Serial number
CE-1090
Airframe hours
14,912
Engine
Teledyne Continental IO-520-BB, 285 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Instructional · Part 91
Registered owner
Airline Training Center Arizona, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · August 6, 2001 · 22 hours before
Departed
GYR · Goodyear, AZ

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
34
Injuries
Fatal
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
January 17, 2001
Seat
Right
Toxicology
Performed
Flight hours
2,382 total · 710 in this make and model · 2,382 as pilot in command · 130 in the last 90 days · 31 in the last 30 days · 1 in the last 24 hours
Role
Student pilot
Age
21
Injuries
Fatal
Certificate
Student
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
32 total · 32 in this make and model · 1 as pilot in command · 32 in the last 90 days · 29 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Lowest ceiling
None
Temperature
79 °F, dew point 64 °F
Altimeter
29.94 inHg
Observed at
CGZ, 25 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.