LAX02LA033

NTSB accident investigation · Beech B95 · Henderson, NV · November 29, 2001

Accident · No injuriesLimited investigationFinal report
Date
November 29, 2001, 09:19 local (17:19 UTC)
Place
Henderson, NV
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N2012CBeech B95
Weather
Visual (VMC) · Day
Status
Completed · report September 29, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20011129034309A
Case key
53851

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 loss of engine power in the left engine for undetermined reasons. A contributing factor was the check pilot's failure to completely configure the airplane for a single engine go-around in a timely way.

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.

Loss of engine powerGo-around (vfr)
Reason for occurrence undeterminedFactor
1 engine
In flight collision with terrain/waterGo-around (vfr)
Aircraft performance,engine out capability - deteriorated
Remedial action - delayedCheck pilotFactor
Terrain condition - ground

Analysis

The airplane impacted terrain following a loss of engine power during a go-around on final approach. The check airman, who was giving a multiengine check ride to a private pilot, asked the pilot to conduct a short field landing. The check airman believed that they were too low while on final approach, with the landing gear and flaps extended. He asked the pilot if he thought everything was O.K. The pilot did not respond, so the check airman initiated a go-around by applying full power and retracting the landing gear. During the application of power for the go-around, the left engine failed to produce full power. The airplane veered to the left and its left wing impacted the ground. Pertinent sections of the pilot's operating handbook for the Beech B95 were reviewed. The recommended approach speed for a short field landing is 82 mph indicated airspeed, while best single engine rate of climb airspeed (Vyse) is 100 mph indicated. The procedure specified for a single engine go-around is as follows: 1) Apply full power to operating engine; 2) retract landing gear and close cowl flaps on dead engine; 3) retract flaps to half extension initially, then fully retract the flaps as soon as practical thereafter. The single engine rate of climb chart predicts a 160-foot-per-minute positive climb at the pressure altitude and temperature existing at the accident site; however, this performance is predicated on the airplane being in the following configuration: 1) at Vyse; 2) gear and flaps retracted; 3) inoperative engine's propeller feathered; 4) 5-degree bank into the operating engine. Any deviation from the listed single engine climb configuration would result in a degradation of the climb performance. Given that the airplane was likely in an energy deficient state some 15 to 18 mph below best single engine climb airspeed and not in the proper configuration for a single engine go-around when the loss of power in the left engine became apparent, a successful outcome for the maneuver was in doubt. The aircraft and left engine were examined by FAA inspectors with assistance by certificated mechanics; however, the reason for the left engine's failure to respond could not be determined.

Factual narrative

On November 29, 2001, at 0919 Pacific standard time, a Beech B95, N2012C, collided with terrain following a loss of engine power during a go-around at Henderson Executive Airport, Henderson, Nevada. Neither the check airman/examiner nor the pilot-rated student were injured; the airplane was substantially damaged. The flight was being operated by Sheble Aviation, Henderson, under the provisions of 14 CFR Part 91 as a multiengine check ride flight. Visual meteorological conditions prevailed, and a company flight plan had been filed. The flight originated at Henderson about 0745 as a local area check ride.

According to the check airman, he was giving a multiengine check ride to the pilot and asked him to conduct a short field landing. The check airman believed that the pilot was too low on the approach with full flaps extended. He asked the pilot if he thought everything was O.K. He did not receive a response, so he "intervened" and told the control tower that they were executing a go-around. The check pilot applied full power and retracted the landing gear, but delayed flap retraction until they had a climb established. Upon application of the power, the left engine "failed to produce full power" and they were unable to reach the runway or conduct the go-around. The airplane's left wing impacted the ground and the airplane spun around. The airplane came to rest upright facing the northeast approximately 100 yards to the left of the runway threshold.

Pertinent sections of the pilot's operating handbook for the Beech B95 were reviewed. The recommended approach speed for a short field landing is 82 mph indicated airspeed, while best single engine rate of climb airspeed (Vyse) is 100 mph indicated. The procedure specified for a single engine go-around is as follows: 1) Apply full power to operating engine; 2) retract landing gear and close cowl flaps on dead engine; 3) retract flaps to half extension initially, then fully retract the flaps as soon as practical thereafter. The single engine rate of climb chart predicts a 160-foot-per-minute positive climb at the pressure altitude and temperature existing at the accident site; however, this performance is predicated on the airplane being in the following configuration: 1) at Vyse; 2) gear and flaps retracted; 3) inoperative engine's propeller feathered; 4) 5-degree bank into the operating engine. Any deviation from the listed single engine climb configuration would result in a degradation of the climb performance.

The Federal Aviation Administration (FAA) inspectors (airworthiness and operations) who responded to the accident site reported finding the engine controls (mixtures, propellers, and throttles) in the full forward position. The magneto switches were found in the OFF position, but the pilots reported turning them off prior to exiting the airplane. The landing gear handle was in the retracted position and the landing gear appeared to be retracted. The flap handle was in the retracted position and the flaps appeared to be retracted. Both fuel selector valves were selected to the main fuel tanks and both tanks contained a large quantity of fuel.

The FAA airworthiness inspector reviewed the airplane's maintenance records. The left engine had the left magneto replaced the day before the accident. The airworthiness inspector asked a mechanic to check the left engine's magneto-to-engine timing, which revealed no anomalies.

Aircraft

Registration
N2012C
Reported as
Beech B95
Category
Airplane
Serial number
TD-430
Airframe hours
9,429.9
Engines
Lycoming O-320-A1A, 180 horsepower, reciprocatingLycoming O-360-A1A, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Sheble Aviation
Registered owner
Wolfe Leasing Company, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 28, 2001
Departed
HND · Henderson, NV
Flight plan
Company VFR
Airport
HND · Henderson Executive, runway 17L, 5,000 × 75 ft, asphalt

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
32
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
November 18, 2001
Seat
Left
Flight hours
298 total · 3 in this make and model · 170 as pilot in command
Role
Check pilot
Age
44
Injuries
None
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Last flight review
April 1, 2000
Seat
Right
Flight hours
4,000 total · 1,500 in this make and model · 3,900 as pilot in command · 180 in the last 90 days · 60 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 20 knots
Visibility
10 statute miles
Lowest ceiling
5,500 ft broken
Temperature
46 °F
Altimeter
29.88 inHg
Observed at
HND

FAA reports on this event · 1

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