LAX03CA286

NTSB accident investigation · Beech 58 · Kneeland, CA · September 13, 2003

Accident · No injuriesData collectionFinal report
Date
September 13, 2003, 13:53 local (20:53 UTC)
Place
Kneeland, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N258SJBeech 58
Weather
Visual (VMC) · Day
Status
Completed · report March 2, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20030913023239A
Case key
57934

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

poor braking action due to the undulating runway surface and crumbling asphalt resulting in an on ground encounter with terrain. Contributing to the accident was the necessity for the pilot to fly an increased approach angle due to the trees at the approach end, a displaced threshold, short runway length, and descending embankment in proximity to the runway surface.

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.

On ground/water encounter with terrain/waterLanding - roll
Object - tree(s)Factor
Terrain condition - displaced thresholdFactor
Terrain condition - drop-off/descending embankmentFactor
Short field landing/procedure - inadequatePilot in commandCause
Airport facilities,runway/landing area condition - foreign substance coveredFactor
Proper glidepath - highCause
Brakes(normal) - diminishedCause
Complete gear collapsedLanding - roll
Maneuver - intentionalPilot in command

Analysis

All of the landing gear collapsed after the pilot experienced poor braking action and intentionally maneuvered the airplane off the left side of the runway. During the landing roll on runway 33, the pilot experienced poor braking action due to a deteriorated runway surface. About 200 feet from the end of the runway he intentionally initiated a left turn in an attempt to keep from going off the end of the runway and down a 500-foot embankment. The airplane departed the left side of the runway surface onto a dirt area adjacent to the displaced threshold. The airplane went down a descending embankment and all three landing gear collapsed as the airplane continued the left turn. The airplane came to rest with the right wing on a berm. There was an undulating surface on the northwest end of runway 15/33. Runway 33 has a steep approach angle due to trees on the approach path to the 40-foot displaced threshold. Runway 33 is 2,270 feet in length and has a 0.05 percent up runway gradient. The runway asphalt surface is oxidized and deteriorating with fractured surface areas and open seams. The wind was 5 knots and variable out of the west. The pilot reported that there were no mechanical malfunctions or failures with any system during the event.

Factual narrative

On September 13, 2003, at 1353 Pacific daylight time, a Beech 58, N258SJ, intentionally departed the left side of runway 33, collapsed the landing gear, and came to rest on a berm while landing at the Kneeland, California, airport. The airplane was owned by Helicopter Express, Inc., and operated for company business transportation under the provisions of 14 CFR Part 91. The airline transport pilot and one passenger were not injured; the airplane was substantially damaged. Visual meteorological conditions prevailed, and no flight plan had been filed. The flight originated from Eureka, California, at 1345.

The pilot reported that during his landing on runway 33, he experienced poor braking action. The airport had a 500-foot drop at the departure end. About 200 feet from the end of the runway, the pilot intentionally initiated a left turn in an attempt to keep from going off the end of the runway and down the embankment. The airplane departed the left side of the runway surface onto a dirt area adjacent to the displace threshold. The airplane went down a descending embankment and all three landing gear collapsed as the airplane continued the left turn. The airplane came to rest with the right wing on a berm.

The northwest end of runway 15/33 had an undulating surface. Trees are in the approach path and runway 33 has an approach ratio of 32:1 to the 40-foot displaced threshold. There is a 40-foot drop-off that is 40 feet from the threshold. Runway 33 is 2,270 feet in length, and has a 0.05 percent up runway gradient. The pilot provided pictures of the runway asphalt surface, which is oxidized and deteriorating with fractured surface areas and open seams.

The pilot reported that the wind was variable out of the west about 5 knots.

In his written statement, the pilot reported that there were no mechanical malfunctions or failures with any system during the event.

Aircraft

Registration
N258SJ
Reported as
Beech 58
Category
Airplane
Serial number
TH-1258
Engine
Continental IO-520-B, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Registered owner
Helicopter Express Inc
Airworthiness certificate
Standard, Normal
Departed
ACV · Eureka-Arcata, CA
Destination
O19 · Kneeland, CA
Airport
O19 · Kneeland Airport, runway 33, 2,270 × 50 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
38
Injuries
None
Certificates
Airline transport, Flight instructor
Airplane ratings
Single-engine land, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 2
Last flight review
June 3, 2003
Seat
Left
Flight hours
8,900 total · 500 in this make and model · 220 in the last 90 days · 65 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Visibility
10 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 54 °F
Altimeter
29.87 inHg
Observed at
ACV

FAA reports on this event · 1

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