# NTSB LAX02FA247: Beech 58TC, N2102L, Avalon, CA, August 2, 2002 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: August 2, 2002, 14:15 local (21:15 UTC) - Place: Avalon, CA - Coordinates: 33.415279, -118.415557 - Nearby events: https://openairdocs.org/map.md?lat=33.4153&lon=-118.4156&mi=10 - Phase of flight: [Landing](https://openairdocs.org/ntsb-phases/550) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 2 fatal - Status: Completed, report February 28, 2006 - Report: Approved by Office Director - Parties: Teledyne Continental Motors, Rayethon Aircraft, Federal Aviation Administration - NTSB case key (mKey): 55340 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX02FA247 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/55340/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=55340 - Page: https://openairdocs.org/ntsb/LAX02FA247 ## Probable cause the pilot's misjudged distance and speed during the landing approach, which resulted in an overrun of the runway. Also causal was the pilot's failure to conduct a go-around during the approach, or abort the landing when an overrun became obvious. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Overrun, landing - roll - distance/speed - misjudged, pilot in command (cause) - terrain condition - short runway/landing area - go-around - not performed, pilot in command (cause) - On ground/water encounter with terrain/water, landing - roll - terrain condition - berm ## Analysis The pilot landed the airplane long and fast, and overran the departure end of the 3,000-foot runway, where it hit a berm and descended 600 feet down a cliff and erupted into flames. The runway is situated on a mesa with a 3-foot berm at the airport boundary about 50 feet from the departure end of the runway. Reported weather at the time was 100-feet indefinite ceiling, with 3/4 statute mile visibility with haze. The airport operations supervisor described the weather as clear over the airport, but with a "donut style" overcast layer that circled the circumference of the airport. He also reported that one minute it was clear for pilot's to land, then the next minute the sky would become overcast again. Witnesses observed the airplane touchdown about 1,800 feet down the runway, and then saw blue smoke emanating from the brake area for an additional 300 feet before going out of view. One witness indicated that after the airplane struck the berm he heard the engines power up. Airport personnel and a relative radioed the pilot in the air to tell him to go around. When the airplane touched down, the witnesses again radioed the pilot to go around. The airplane and its engines sustained significant impact and fire damage. However, flight control continuity was established from the cockpit to the flight control surfaces. Examination of both propellers revealed signatures consistent with powered rotation. Teardowns of both engines were conducted with no mechanical anomalies that would have precluded their normal operation. ## Factual narrative HISTORY OF FLIGHT On August 2, 2002, at 1415 Pacific daylight time, a Beech 58TC, N2102L, impacted a berm and fell down a cliff during a landing overrun on runway 4 at Catalina Airport (AVX), Avalon, California. The pilot/owner operated the airplane under the provisions of 14 CFR Part 91. The airplane was destroyed in the post impact fire. The multiengine-instrumented rated private pilot and one passenger were fatally injured. Instrument meteorological conditions prevailed for the cross-country flight, and no flight plan had been filed. The flight departed Phoenix Deer Valley Airport (DVT), Phoenix, Arizona, at 1100 the morning of the accident, with an intended destination of AVX. The wreckage was located at global positioning system (GPS) of 33 degrees 24.55 minutes north latitude and 118 degrees 24.56 minutes west latitude. According to the AVX airport operations supervisor, the conditions at the airport were clearing enough for the pilots to see the airport, and then the next moment the sky would become overcast again. He described it as a "donut style" overcast layer where it was clear over the airport, but the overcast layer circled the circumference of the airport. Two airplanes that landed prior to the accident airplane used runway 22. The airport operations supervisor reported that the airplanes circled over the airport for 20 minutes before landing. The airport operations supervisor stated that sky conditions became obscured again for runway 22, and the accident airplane circled to land on runway 4. Reported winds at the time were variable at 4 to 6 knots. Prior to landing, he advised the pilot to go around due to the airplane's speed and altitude. The airport operations supervisor also heard another pilot contact the accident pilot and tell him to go around. Airport personnel observed the airplane touchdown midfield abeam the tower, which equated to 1,800 feet down the 3,000-foot runway. They observed smoke from the brakes for an additional 300 feet down the runway. They saw the airplane skid down the runway, and hit a berm just beyond the departure end of the runway. Airport personnel then saw a cloud of black smoke. A relative of the accident pilot witnessed the accident. The relative had landed prior to the accident on runway 22. He was watching the accident pilot on the approach and advised him to go around. He saw the airplane land in the first quarter of the runway and then saw smoke emanating from the brakes. The relative observed the airplane veer to the right of centerline, correct back to centerline, and then hit a berm at the departure end of the runway. He reported that the airplane "catapulted" off the berm, in a "wings-level" attitude. He then heard the engines "power up," and saw the airplane's nose drop. The relative stated that the airplane went over the edge and then he heard and saw an explosion. PERSONNEL INFORMATION A review of Federal Aviation Administration (FAA) airman records revealed the pilot held a private pilot certificate with ratings for single and multiengine land and instrument airplanes. The pilot held a third-class medical certificate issued on July 3, 2001, with limitations to wear corrective lenses. No personal flight records were located for the pilot. The aeronautical experience listed in this report was obtained from a review of the FAA airman medical records on file in the Airman and Medical Records Center located in Oklahoma City, Oklahoma. These records indicated a total time of 1,290 hours with 50 hours logged in the last 6 months. The pilot indicated on his medical application that he had a current prescription for Niacin. AIRCRAFT INFORMATION The airplane was a Beech 58TC, serial number TK-22. A review of the airplane's logbooks revealed a total airframe time of 3,638.0 hours at the last annual inspection. An annual inspection was completed on March 1, 2002. The Hobbs hour meter read 2,120.0 at the last inspection. A Teledyne Continental Motors (TCM) TSIO-520-L engine, serial number 508215, was installed on the left side. Total time on the engine at the last annual inspection was 3,638.0 hours. Firewall Forward, Inc., Loveland, Colorado, completed an engine overhaul on July 27, 1994; time since overhaul recorded at the last annual inspection was 827.8 hours. A Teledyne Continental Motors TSIO-520-L engine, serial number 508221, was installed on the right side. Total time on the engine at the last annual inspection was 3,638.0 hours. Ly-Con Rebuilding Company, Visalia, California, completed an engine overhaul on July 11, 1996; time since overhaul recorded at the last annual inspection was 654.0 hours. A Hartzell propeller assembly model PHC-J3YF-2UF, serial number ED3670A, was installed on the left engine. Warner Propeller and Governor Company, Tucson, Arizona, completed a major overhaul of the propeller on January 22, 2000. An annual inspection was completed on March 1, 2002; time since overhaul was 163.9 hours. A Hartzell propeller assembly model PHC-J3YF-2UF, serial number ED-25H1, was installed on the right engine. A major overhaul of the propeller was completed on February 9, 1996. An annual inspection was completed on March 1, 2002; time since overhaul was 654.0 hours. METEOROLOGICAL INFORMATION A routine aviation weather report (METAR) issued for AVX at 1404, reported few clouds at 100 feet; visibility 2.5 statute miles, with haze; winds from 240 degrees at 8 knots; temperature 64 degrees Fahrenheit; dew point 59 degrees Fahrenheit; altimeter setting 29.97 inHg. The AVX METAR issued at 1412, reported a vertical visibility (indefinite ceiling) as 100 feet; visibility 3/4 statute miles, with haze; winds from 240 degrees at 8 knots; temperature 64 degrees Fahrenheit; dew point 59 degrees Fahrenheit; altimeter setting 29.96 inHg. AIRPORT INFORMATION The Airport/ Facility Directory, Southwest U. S., indicated Catalina Airport runway 4 was 3,000 feet long and 75 feet wide. The runway surface was composed of asphalt. Runway 4 has a hump about 1,000 feet from the approach end, and has a downward 1.7 percent slope from the hump to the departure end. Skid marks from the accident airplane were observed midfield, abeam the tower. The skid mark length, from the first observed mark to the departure end of the runway, measured approximately 1,200 feet in length. The wheel marks then continued another 50 feet beyond the pavement end to a berm. The 3-foot berm was located at the airport boundary. WRECKAGE AND IMPACT INFORMATION Investigators from the National Transportation Safety Board, the FAA, and Raytheon Aircraft Company examined the wreckage at the accident scene. The accident area was located on the northeast side of the airport, and was part of the Catalina Island Conservancy. The airport was situated on a mesa, at an elevation of 1,602 feet mean sea level (msl). The accident site was 600 feet below the airport in flat terrain, in an area covered with small trees and brush, at an elevation of 1,002 feet. The majority of the airplane had been thermally consumed in the post-impact fire. The debris path was along a magnetic bearing of 070 degrees. The airplane came to rest on a magnetic bearing of 200 degrees, facing back towards the airport. The control surfaces remained connected to the fuselage. Flight control cables were continuous and routed in their approximate normal geometry to allow for establishing flight control continuity on scene. The representative from the airplane manufacture measured the trim actuators for the elevator, rudder, flaps, and aileron (left side) and established the following measurements. Elevator: 1-1/16 inches - indicated 5-degrees nose down Rudder: 3-9/16 inches - indicated 10-degrees nose right Flaps: 6.22 inches - indicated 30-degrees of flaps down Aileron: 1-1/2 inches - indicated 0-degrees, neutral position The first identi ## Aircraft - Registration: [N2102L](https://openairdocs.org/deregistered/N2102L-2017-07-18), registration cancelled 2017-07-18, S/N TK-22, built 1976 (OpenAirDocs) - Reported make and model: Beech 58TC - Registry model: [Beech 58TC](https://openairdocs.org/model/beech-58tc) (registry code 1152746) (OpenAirDocs) - Category: Airplane - Serial number: TK-22 - Airframe hours: 2120 - Engines: Continental TSIO-520-L 310 horsepower reciprocating - Damage: Destroyed - Fire: On-Ground - Flight: Personal, Part 91 - Registered owner: James Konesky - Airworthiness certificate: Standard, Normal - Last inspection: Annual, March 1, 2002 - Departed: DVT, DEER VALLEY, AZ - Destination: AVX, Avalon, CA - Airport: AVX, Catalina, runway 04, 3,000 × 75 ft, asphalt ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 55; injuries: fatal; private; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 3; toxicology performed; flight hours: 1,290 total, 25 in the last 90 days ## Weather - Conditions: Instrument (IMC) - Wind: 240° at 8 knots - Visibility: 0.75 statute miles - Lowest ceiling: 100 ft indefinitevv - Temperature: 64 °F, dew point 59 °F - Altimeter: 29.95 inHg - Observed at: AVX ## 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 20020802024389A](https://openairdocs.org/incident/20020802024389A), Aug 2, 2002: Beech 58TC, Avalon, CA, Destroyed, 2 fatal. (-23) [privacy data omitted] wind was reported to have been 240 degrees at eight knots. The automated surface observing system (a.s.o.s.) reported the… ## Docket (16 files) The files NTSB released with the investigation on December 8, 2005, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=55340. 7.9 MB in all. - Wreckage Diagrams (item 1, .PDF, 34 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242109&FileExtension=.PDF&FileName=Wreckage%20Diagrams-Master.PDF - Weather Reports and Records (item 2, .PDF, 38 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242110&FileExtension=.PDF&FileName=Weather%20Reports%20and%20Records-Master.PDF - Photo 1 - Overview of Accident Site (LASD) (item 3, .PDF, 1.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242111&FileExtension=.PDF&FileName=Photo%201%20-%20Overview%20of%20Accident%20Site%20(LASD)-Master.PDF - Photo 2 - Accident Site (LASD) (item 4, .PDF, 1.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242112&FileExtension=.PDF&FileName=Photo%202%20-%20Accident%20Site%20(LASD)-Master.PDF - TCM Report Right Engine (item 5, .PDF, 313 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40467929&FileExtension=.PDF&FileName=TCM%20Report%20Right%20Engine-Master.PDF - TCM Report Left Engine 508215 (item 6, .PDF, 1.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40467930&FileExtension=.PDF&FileName=TCM%20Report%20Left%20Engine%20508215-Master.PDF - Airframe Logbooks (item 7, .PDF, 574 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242115&FileExtension=.PDF&FileName=Airframe%20Logbooks-Redacted.PDF - Excerpt Right Engine Logbook (item 8, .PDF, 575 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242120&FileExtension=.PDF&FileName=Excerpt%20Right%20Engine%20Logbook-Redacted.PDF - Left Engine Logbook (item 9, .PDF, 434 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242121&FileExtension=.PDF&FileName=Left%20Engine%20Logbook-Redacted.PDF - Left Engine Prop Logbook (item 10, .PDF, 137 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242122&FileExtension=.PDF&FileName=Left%20Engine%20Prop%20Logbook-Redacted.PDF - Right Engine Prop Logbook (item 11, .PDF, 137 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242123&FileExtension=.PDF&FileName=Right%20Engine%20Prop%20Logbook-Redacted.PDF - Weight and Balance Information (item 12, .PDF, 34 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40467931&FileExtension=.PDF&FileName=Weight%20and%20Balance%20Information-Master.PDF - Record of Conversation - Witness (item 13, .PDF, 12 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242128&FileExtension=.PDF&FileName=Record%20of%20Conversation%20-%20Witness-Redacted.PDF - Record of Conversation - Airport Operations Supervisor (item 14, .PDF, 20 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242129&FileExtension=.PDF&FileName=Record%20of%20Conversation%20-%20Airport%20Operations%20Supervisor-Master.PDF - Toxicological Report (item 15, .PDF, 49 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40467932&FileExtension=.PDF&FileName=Toxicological%20Report-Master.PDF - Statement of Party Representatives to NTSB Investigation (item 16, .PDF, 319 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40242127&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.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.