# NTSB LAX02FA210: Beech C35, N5856C, Chambers, AZ, June 30, 2002 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: June 29, 2002, 21:24 local (Jun 30, 2002, 04:24 UTC) - Place: Chambers, AZ - Coordinates: 34.873332, -109.327499 - Nearby events: https://openairdocs.org/map.md?lat=34.8733&lon=-109.3275&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report September 13, 2005 - Report: Approved by Office Director - Parties: Federal Aviation Administration, Raytheon Aircraft Company - NTSB case key (mKey): 55081 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX02FA210 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/55081/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=55081 - Page: https://openairdocs.org/ntsb/LAX02FA210 ## Probable cause The pilot's loss of airplane control after falling asleep due to fatigue, which resulted in a structural failure of the airframe during a high speed descent after the design stress limits of the aircraft were exceeded. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of control - in flight, cruise - fatigue, pilot in command (cause) - aircraft control - not maintained, pilot in command (cause) - light condition - night - Airframe/component/system failure/malfunction, descent - uncontrolled - design stress limits of aircraft - exceeded, pilot in command - miscellaneous,airframe - separation - In flight collision with terrain/water, descent - uncontrolled - terrain condition - ground ## Analysis During a nighttime cross-country flight in clear visual meteorological conditions, the airplane departed from controlled flight and broke up during a steep high speed descent. Wreckage was located over a 1,650-foot-long southerly path about 0.4 miles from the last recorded radar position, with the right wing and right stabalator found early in the debris field. The pilot had awakened at 0600 and reported for work at 0750, and he had flown five contract flights dispersing fire retardant chemical on wildfires for a total of 7.4 flight hours on the day of the accident. Upon completing his last flight about 1900, the pilot was overheard stating "we had a tough one today." He then laid his head down on the airplane's wing and said, "dang I'm tired." A second associate reported that the pilot had experienced difficulty completing the required end of day paperwork, making arithmetic errors during simple addition calculations. This associate thought the pilot was tired and "mentally exhausted." The pilot told this associate that he was going to spend the night in a local hotel, but instead he departed about 2022. The pilot requested and received VFR radar flight following service, and at no time did the pilot indicate he was experiencing any difficulties or request assistance. Following about an hour of cruise flight at 10,500 feet, during the last 19 seconds of radar-recorded flight, the airplane's average ground track changed from 241 degrees to 170 degrees, while its altitude increased from 10,900 to 11,000 feet. There were no further altitude readouts. The airplane broke apart in flight and impacted flat, desert terrain at an altitude of about 6,200 feet mean sea level. The right wing spar fractures were positive overload failures and evidence shows that it separated and impacted the right stabilizer, which also then separated. ## Factual narrative HISTORY OF FLIGHT On June 29, 2002, about 2124 mountain standard time, a Beech C35, N5856C, experienced an uncontrolled descent and in-flight breakup following a departure from cruise flight. The accident occurred about 20 nautical miles (nm) south-southeast (153 degrees, magnetic) of Chambers, Arizona. The airplane impacted desert terrain and was destroyed. The commercial pilot, the sole occupant, was fatally injured. Visual meteorological conditions prevailed in the vicinity, and no flight plan had been filed. The nighttime personal flight was performed under the provisions of 14 CFR Part 91. The flight originated from near Albuquerque, New Mexico, approximately 1 hour earlier, at an estimated time of 2022. According to the Federal Aviation Administration's (FAA) quality assurance staff at the Albuquerque Air Route Traffic Control Center (ARTCC), the pilot had requested, and was receiving, visual flight rules (VFR) radar flight following service for his flight to Buckeye, Arizona. The airplane was initially radar identified about 9 nm southwest of the Double Eagle II (uncontrolled) Airport, near Albuquerque. At the time, the airplane was climbing through 8,400 feet. The pilot informed the radar controller that he intended to climb to 10,500 feet. The radar track indicated that the airplane proceeded in a westerly direction while climbing between 10,900 and 11,000 feet, as indicated by the airplane's altitude reporting (Mode C) transponder. At no time during the flight did the pilot indicate he was experiencing any difficulties or request assistance. The last communication with the accident airplane occurred at 2031. At this time, the Albuquerque ARTCC controller issued the pilot the Albuquerque altimeter setting, which was 30.04 inches of mercury (inHg). The pilot acknowledged the information. The airplane's average ground speed from 2045:12 to 2121:12 was about 134 knots. During the last 19 seconds of radar recorded flight (between 2123:08 and 2123:27), the airplane's average ground track changed from a west-southwesterly (241 degrees) to a southerly direction (170 degrees), while its altitude increased from 10,900 to 11,000 feet. There were no further altitude readouts from the airplane's transponder on any of the following four final radar hits, which were at 2123:36, 2123:46, 2123:56, and 2124:05. The main wreckage was found about 0.4 nm south of the airplane's last known position (LKP). No witnesses reported having observed the airplane's descent and/or ground impact. PERSONNEL INFORMATION The pilot held a commercial pilot certificate with an airplane single engine land rating. He was not instrument rated. The pilot also held an airframe and powerplant mechanic certificate. The pilot's total flight time and flying experience in the accident model of airplane was about 12,581 and 192 hours, respectively. When the pilot was not performing agricultural pilot operations for an Arizona-based company, he was employed as a contract pilot and flew for the United States Forest Service (USFS) and the Bureau of Indian Affairs (BIA). USFS personnel reported to the National Transportation Safety Board investigator that on the accident day the pilot had reported for work about 0750, and he performed his first flight about 1100. By the end of the day, the pilot had flown on five contract flights dispersing fire retardant chemicals on wildfires for a total of 7.4 flight hours. At the end of the workday, the pilot informed a BIA associate that he intended to spend the night in a local New Mexico hotel rather than flying home to Arizona. He planned to fly home the following morning. The BIA associate reported to the Safety Board investigator that the pilot had experienced difficulty completing the required end of day paperwork. The pilot was observed making arithmetic errors regarding calculating his flight and duty times for the day's work. The associate subsequently reported to the Safety Board investigator that he thought the pilot was tired and was "mentally exhausted." Upon completing his last firefighting contract flight the pilot was overheard stating to another associate "we had a tough one today." He then laid his head down on the airplane's wing and said something like "dang I'm tired." Thereafter, the pilot departed on the accident flight. AIRCRAFT INFORMATION The airplane's maximum never exceed speed was 177 knots indicated airspeed (KIAS). Its maneuvering speed was 114 KIAS. The airplane was maintained on an annual inspection basis. It was not equipped with an autopilot. METEOROLOGICAL INFORMATION National Oceanic and Atmospheric Administration radar summary and weather depiction charts, along with surface observation data for the accident site vicinity indicated that the sky was generally clear. High pressure prevailed in the region and there were no reported radar echoes. Five aviation weather reporting facilities were located between 22 and 72 nm, circumferentially around the accident site. A review of the reported surface weather at these facilities from approximately 30 minutes before to 30 minutes after the time of the accident revealed a clear sky condition, with surface wind at or less than 10 knots. The barometric pressure varied from 30.08 to 30.24 inches of mercury. The closest aviation weather reporting facility to the accident site was St. Johns, Arizona (SJU). At 2054, SJU reported the following weather: Wind from 260 degrees at 9 knots; visibility 7 miles; sky clear; temperature/dew point 26/00 degrees Celsius, respectively; and altimeter 30.13 inches of mercury. AIDS TO NAVIGATION The FAA reported that all electronic aids to navigation pertinent to, and in the vicinity of, the accident site were operating normally. COMMUNICATION Albuquerque ARTCC's quality assurance staff reported that all services for the airplane had been normal. WRECKAGE AND IMPACT INFORMATION The accident site is located at the following global positioning satellite (GPS) coordinates: 34 degrees 52.4 minutes north latitude by 109 degrees 19.7 minutes west longitude. Wreckage fragments and structural components from the airplane's wings, tail, and all the flight control surfaces were located in the accident site area. The main wreckage was found on flat, desert terrain, at an approximate elevation of 6,200 feet mean sea level (msl). Components from the fragmented right wing and fragmented right ruddervator/stabilizer were located near the northern end of an approximate 1,650-foot-long wreckage distribution path. The main wreckage, consisting of the fuselage and its attached left wing, and the engine, were located near the southern portion of the distribution path. The principal axis of the wreckage distribution path was about 195 degrees, magnetic. The specific locations where 19 components were found were documented using a GPS receiver. (See the wreckage distribution diagram for their locations.) There was no evidence of fire. MEDICAL AND PATHOLOGICAL INFORMATION On July 2, 2002, the Pima County Office of the Medical Examiner, Forensic Science Center, 2825 East District, Tucson, Arizona, performed an autopsy on the pilot. The autopsy was performed at the request of the Apache County Sheriff's Office, in whose jurisdiction the accident occurred. In addition, toxicological specimens of blood and urine were analyzed by the University Medical Center, Tucson. No evidence of ethanol or drugs was found. The FAA's Toxicology and Accident Research Laboratory, Oklahoma City, Oklahoma, also analyzed toxicological specimens of blood and urine. No evidence of ethanol or drugs was found. Family members and acquaintances of the pilot reported that he had been in excellent health. No drug usage history was acknowledged. TESTS AND RESEARCH Duty Time Requirements. According to the USFS's regional safety manager, ## Aircraft - Registration: [N5856C](https://openairdocs.org/deregistered/N5856C-2005-03-18), registration cancelled 2005-03-18, S/N D-2808, built 1951 (OpenAirDocs) - Reported make and model: Beech C35 - Registry model: [Beech C35](https://openairdocs.org/model/beech-c35) (registry code 1151508) (OpenAirDocs) - Registry engine: [Continental E185 series](https://openairdocs.org/engine/continental-e185-series) (registry code 17014, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: D-2808 - Airframe hours: 4429 - Engines: Continental E-185-11 205 horsepower reciprocating - Damage: Destroyed - Flight: Personal, Part 91 - Operator: William C. Wood - Registered owner: David Kerr - Airworthiness certificate: Standard, Normal - Last inspection: Annual, May 20, 2002, 8 hours before - Departed: AEG, Albuquerque, NM - Destination: 10AZ, Buckeye, AZ ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 47; injuries: fatal; commercial; airplane ratings: single-engine land; medical: class 2, valid medical--no waivers/lim.; last flight review March 1, 2002; seat: left; toxicology performed; flight hours: 12,581 total, 192 in this make and model, 8 in the last 24 hours ## Weather - Conditions: Visual (VMC), Night - Wind: 260° at 9 knots - Visibility: 7 statute miles - Lowest ceiling: none - Temperature: 79 °F, dew point 32 °F - Altimeter: 30.12 inHg - Observed at: SJN, 22 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 20020629024459A](https://openairdocs.org/incident/20020629024459A), Jun 29, 2002: Beech C35BEECH, Sanders, AZ, Destroyed, 1 fatal. (-23) On June 29, 2002, about 2124 hours mountain standard time, a Beech C35, N5856C, experienced an in-flight breakup and uncontrolled descent following a… ## Other investigations on N5856C (1) 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. - [NTSB CHI69F0536](https://openairdocs.org/ntsb/CHI69F0536), Mar 16, 1969: Beech C35 (N5856C), Rockford, IL, substantial damage ## Docket (34 files) The files NTSB released with the investigation on July 12, 2005, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=55081. 8.1 MB in all. - Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1 (item 1, .PDF, 307 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233639&FileExtension=.PDF&FileName=Pilot%2FOperator%20Aircraft%20Accident%20Report,%20NTSB%20Form%206120.1-Redacted.PDF - Statements, Witnesses (item 2, .PDF, 37 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233640&FileExtension=.PDF&FileName=Statements,%20Witnesses-Master.PDF - Statements, FAA Personnel (item 3, .PDF, 200 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233660&FileExtension=.PDF&FileName=Statements,%20FAA%20Personnel-Redacted.PDF - Wreckage Diagram (item 4, .PDF, 40 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233641&FileExtension=.PDF&FileName=Wreckage%20Diagram-Master.PDF - Radar Track and Maps (item 5, .PDF, 191 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233642&FileExtension=.PDF&FileName=Radar%20Track%20and%20Maps-Master.PDF - Weather Reports (item 6, .PDF, 980 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233643&FileExtension=.PDF&FileName=Weather%20Reports-Master.PDF - Transcripts (item 7, .PDF, 67 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233644&FileExtension=.PDF&FileName=Transcripts-Master.PDF - Photo 1 - Empennage in Tree (item 8, .PDF, 84 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233645&FileExtension=.PDF&FileName=Photo%201%20-%20Empennage%20in%20Tree%20-Master.PDF - Photo 2 - Main Wreckage (item 9, .PDF, 115 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233646&FileExtension=.PDF&FileName=Photo%202%20-%20%20Main%20Wreckage-Master.PDF - Photo 3 - Leading Edge Right Wing in Field (item 10, .PDF, 78 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233647&FileExtension=.PDF&FileName=Photo%203%20-%20Leading%20Edge%20Right%20Wing%20in%20Field-Master.PDF - Photo 4 - Engine in Field (item 11, .PDF, 79 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233648&FileExtension=.PDF&FileName=Photo%204%20-%20Engine%20in%20Field-Master.PDF - Photo 5 - Engine and Propeller Blade (item 12, .PDF, 72 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233649&FileExtension=.PDF&FileName=Photo%205%20-%20Engine%20and%20Propeller%20Blade-Master.PDF - Photo 6 - Airplane (Front View) (item 13, .PDF, 105 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233650&FileExtension=.PDF&FileName=Photo%206%20-%20Airplane%20(Front%20View)-Master.PDF - Photo 7 - Empennage Left Side (item 14, .PDF, 673 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233651&FileExtension=.PDF&FileName=Photo%207%20-%20Empennage%20Left%20Side-Master.PDF - Photo 8 - Right Wing (Reconstuction) (item 15, .PDF, 843 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233652&FileExtension=.PDF&FileName=Photo%208%20-%20Right%20Wing%20(Reconstuction)-Master.PDF - Photo 9 - Left Wing (item 16, .PDF, 673 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233653&FileExtension=.PDF&FileName=Photo%209%20-%20Left%20Wing-Master.PDF - Photo 10 - Left Wing Rear View (item 17, .PDF, 646 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233655&FileExtension=.PDF&FileName=Photo%2010%20-%20Left%20Wing%20Rear%20View%20-Master.PDF - Photo 11 - Top of Right Wing with contact rivet marks A2 & B2 (item 18, .PDF, 261 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233657&FileExtension=.PDF&FileName=Photo%2011%20-%20Top%20of%20Right%20Wing%20with%20contact%20rivet%20marks%20A2%20%26%20B2-Master.PDF - Photo 12 - Bottom of Right Stabilizer showing contact marks A1 & B1 (item 19, .PDF, 233 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233658&FileExtension=.PDF&FileName=Photo%2012%20-%20Bottom%20of%20Right%20Stabilizer%20showing%20contact%20marks%20A1%20%26%20B1-Master.PDF - Report of Aircraft Accident (item 20, .PDF, 61 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233663&FileExtension=.PDF&FileName=Report%20of%20Aircraft%20Accident-Redacted.PDF - Party Report - Beech (item 21, .PDF, 141 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233664&FileExtension=.PDF&FileName=Party%20Report%20-%20Beech-Redacted.PDF - Aircraft and Engine Logs (item 22, .PDF, 401 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233665&FileExtension=.PDF&FileName=Aircraft%20and%20Engine%20Logs-Redacted.PDF - Radar Data, N56CNT2.TXT NTAP (item 23, .PDF, 203 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40456017&FileExtension=.PDF&FileName=Radar%20Data,%20N56CNT2.TXT%20NTAP-Master.PDF - Radar Data, N56CNTP7.TXT NTAP (item 24, .PDF, 121 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233667&FileExtension=.PDF&FileName=Radar%20Data,%20N56CNTP7.TXT%20NTAP-Master.PDF - Radar Data, N56CNTP6.TXT NTAP (item 25, .PDF, 165 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233668&FileExtension=.PDF&FileName=Radar%20Data,%20N56CNTP6.TXT%20NTAP-Master.PDF - Radar Data, N56CNTP5.TXT NTAP (item 26, .PDF, 164 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233669&FileExtension=.PDF&FileName=Radar%20Data,%20N56CNTP5.TXT%20NTAP-Master.PDF - Radar Data, N56CNTP4.TXT NTAP (item 27, .PDF, 191 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233670&FileExtension=.PDF&FileName=Radar%20Data,%20N56CNTP4.TXT%20NTAP-Master.PDF - Radar Data, N56CNTP3.TXT NTAP (item 28, .PDF, 178 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233671&FileExtension=.PDF&FileName=Radar%20Data,%20N56CNTP3.TXT%20NTAP-Master.PDF - Radar Data, N56CNTP2.TXT NTAP (item 29, .PDF, 146 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233672&FileExtension=.PDF&FileName=Radar%20Data,%20N56CNTP2.TXT%20NTAP-Master.PDF - Radar Data, N56CNTP.TXT NTAP (item 30, .PDF, 118 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233673&FileExtension=.PDF&FileName=Radar%20Data,%20N56CNTP.TXT%20NTAP-Master.PDF - Toxicological Report - FAA (item 31, .PDF, 48 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40456018&FileExtension=.PDF&FileName=Toxicological%20Report%20-%20FAA-Master.PDF - Toxicological Report - University Medical Center (item 32, .PDF, 152 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233675&FileExtension=.PDF&FileName=Toxicological%20Report%20-%20University%20Medical%20Center-Master.PDF - Statement of Party Representatives to NTSB Investigation (item 33, .PDF, 240 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40233676&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF - Release of Aircraft Wreckage, NTSB Form 6120.15 (item 34, .PDF, 49 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40456019&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-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.