# NTSB LAX04FA271: Beech 58, N807Q, Bishop, CA, July 17, 2004 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: July 17, 2004, 08:30 local (15:30 UTC) - Place: Bishop, CA - Coordinates: 37.138332, -118.642776 - Nearby events: https://openairdocs.org/map.md?lat=37.1383&lon=-118.6428&mi=10 - Phase of flight: [Maneuvering](https://openairdocs.org/ntsb-phases/450) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 3 fatal - Status: Completed, report October 27, 2005 - Report: Approved by Office Director - Parties: McCauley Propeller Systems, Teledyne Continental, Raytheon Aircraft Company, Federal Aviation Administration - NTSB case key (mKey): 59696 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX04FA271 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/59696/pdf - Page: https://openairdocs.org/ntsb/LAX04FA271 ## Probable cause the pilot's continued VFR flight into marginal weather conditions with lowering ceilings in a box canyon in mountainous terrain, and his subsequent inability to maintain an adequate airspeed while maneuvering to reverse direction, which led to an accelerated stall and spin. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of control - in flight, maneuvering - turn to reverse direction - weather condition - low ceiling - terrain condition - rising - flight into adverse weather - continued, pilot in command (cause) - terrain condition - blind/box canyon - maneuver - attempted, pilot in command - airspeed - not maintained, pilot in command (cause) - stall - inadvertent, pilot in command (cause) - In flight collision with terrain/water, descent - uncontrolled - terrain condition - ground ## Analysis The airplane impacted a glacier at 12,270 feet mean sea level (msl) after the pilot attempted to reverse course out of a bowl-shaped valley in the Sierra Nevada mountain range. Ground scar analysis and crush angle measurements on the airplane disclosed that it descended in a near vertical nose down attitude to impact on the glacier. The valley was surrounded by higher peaks and ridges, and the accident site was about 1.3 nautical miles southeast of the direct point-to-point course between the departure and destination airports. At the northeast end of the valley, an opening led down slope through lower mountains and valleys to the airplane's departure point. Satellite imagery indicated that a low layer of stratiform clouds was present over the mountains during the time period following the airplane's departure. The accident site was under the northern edge of these low clouds. Based on the cloud radiative temperatures observed on the satellite imagery, the cloud tops were 16,000 feet mean sea level and the cloud bases were between 10,000 and 14,000 feet msl. The bowl-shaped valley was about 2,450 feet in diameter near the tops of the higher peaks and about 1,200 feet at the elevation of the wreckage. The bank angle required for a turn radius of 1,225 feet at an airspeed of 104 knots (best rate of climb) is 40 degrees. At 156 knots (maneuvering airspeed), the airplane's bank angle would have been 65 degrees. Using a radius of 637.5 feet (the accident site elevation diameter) and 104 knots, the bank angle would have had to have been at least 60 degrees to complete the turn. At 156 knots, the required bank angle would have been about 75 degrees. According to stall speed versus angle of bank data for the airplane, the stall speed would be 85 knots at 40 degrees of bank varying to 105 knots indicated air speed at 60 degrees of bank. No evidence of mechanical malfunction or failure was found during a post accident examination of the airplane and engines. Internal signatures in the propeller hubs disclosed that both engines were producing power symmetrically at the time of impact. ## Factual narrative 1.1 HISTORY OF FLIGHT On July 17, 2004, at an undetermined time after 0830 Pacific daylight time, a Beech 58, N807Q, impacted a glacier at an approximate elevation of 12,270 feet mean sea level (msl) about 17 nautical miles southwest of Bishop, California. The pilot was operating the airplane, registered to a private company, under the provisions of 14 CFR Part 91. The commercial pilot and two passengers sustained fatal injuries; the airplane was destroyed. Visual meteorological conditions prevailed along the general route of flight; however, low level clouds were reported in the mountains. The planned route of flight was from Eastern Sierra Regional Airport, Bishop, to Paso Robles Municipal Airport, Paso Robles, California; the flight departed Bishop at 0815. The flight was scheduled to terminate at Sacramento, California. The airplane became a subject of an Alert Notice (ALNOT) when the pilot's family notified authorities that the flight had not reached Paso Robles the evening of July 17. At 2235, local authorities initiated a search of the airports that the pilot intended to land. The Air Force Rescue Coordination Center (AFRCC) received the first emergency locator transmitter (ELT) beacon signal by satellite at 1956. The accident site was located on July 18. A radar plot of the accident airplane's presumed flight track to Bishop, provided by to the Civil Air Patrol (CAP), indicated that the radar track proceeded in a direct line to Bishop and maintained a continuous climb until the last radar return about 11,500 feet msl at 0711, in surrounding terrain that rose to about 12,500 feet msl. At that point, radar contact with the airplane was lost. According to the co-owner of the airplane, the pilot departed Sequoia Field, Visalia, California, about 0630 on July 17, with a passenger. They flew to Bishop where they picked up an additional passenger. The pilot intended to fly to Paso Robles where he would drop off the Bishop passenger, and then continue to Sacramento. A friend of the Bishop passenger reported that they met the airplane at the airport at 0800 on July 17. The airplane departed to the south, approximately 0815. After a couple of minutes, the airplane turned westward toward the Sierra Nevada mountains and the accident site. The airplane's arrival had initially been planned for 1200 on July 17; however, on July 16, the pilot notified the passenger that the arrival time had changed to 0800. The National Transportation Safety Board investigator-in-charge (IIC) plotted a direct route flight from Bishop to Paso Robles using a topographical mapping program. The location of the wreckage site was approximately 1.3 nautical miles southeast of the plotted point-to-point course. 1.2 PERSONNEL INFORMATION A review of Federal Aviation Administration (FAA) airman records revealed that the pilot held a commercial certificate in airplanes, with ratings for single and multiengine land and instrument. The pilot had private pilot privileges for airplane single engine sea. The pilot held a second-class medical certificate issued on April 27, 2004, with no limitations or waivers. No personal flight logs were located for the pilot. The pilot reported the following total pilot time hours on his previous FAA medical applications: April 26, 2004 - 6,500 hours; May 6, 2003 - 5,000 hours; March 27, 2002 - 2,500 hours; March 26, 1999 - 21 hours. According to a co-owner of the airplane, the pilot owned the accident airplane about 3 years and acquired 30 to 40 hours of flight time in the airplane during that period. The pilot attended SimCom, a flight training facility in Scottsdale, Arizona, in June 2003. On the pilot's application dated June 6, 2003, he reported the following flight times: total flight time, 5,280 hours; total multiengine, 3,100 hours; total instrument 315 hours; total hours flown in the past 12 months, 1,474 hours. 1.3 AIRCRAFT INFORMATION The twin-engine airplane was a Beech 58 (Baron), serial number TH-823. A review of maintenance records indicated that the airplane and engine had an annual inspection on May 12, 2004. At that time, the airplane had a total airframe time of 4,093.7 hours. The right engine (SN 244295-R) had accumulated 499.6 hours since major overhaul. The engine underwent a factory rebuild on February 10, 1988. The left engine (SN 827270-R) was factory rebuilt on August 3, 2002, and was removed and reinstalled prior to the annual inspection for a sudden stop inspection. The left engine had accumulated 77.2 hours since major overhaul. The right propeller (Hub SN 972299) and the left propeller (Hub SN 972302) were overhauled. Review of the propeller logbooks indicated that the logbooks were labeled opposite of the propeller serial number indications; however, the contents of the logbooks coincided with the propeller installation location on the airplane. The airplane was last fueled at the Visalia airport on July 16, 2004, with the addition of 104 gallons of fuel. According to the airport manager, the fuel tanks were topped-off. 1.4 METEOROLOGICAL INFORMATION Using geostationary satellite (GOES-10) infrared and visible satellite imagery, a Safety Board meteorologist observed a layer of stratiform clouds covering the mountains west of Bishop during the time period following the airplane's departure from Bishop. The imagery indicated that the accident site was under the northern edge of the low cloud layer. Based on cloud temperature, the cloud tops rose to 16,000 feet msl. Based on pilot reports and upper air soundings, the cloud bases were between 10,000 and 14,000 feet msl. There was no evidence of turbulence or mountain waves, nor did the specialist observe lenticular clouds. 1.5 WRECKAGE AND IMPACT INFORMATION The airplane wreckage was located on the southern side of a glacier-fed mountain lake at an approximate elevation of 12,270 feet msl. The approximate global positioning satellite coordinates were 37 degrees 08 minutes 18 seconds north latitude by 118 degrees 38 minutes 34 seconds west longitude. The entire airplane structure was at the accident site. The glacier was positioned just above a glacier-fed mountain lake. The mountain lake was in a bowl-shaped valley surrounded by higher mountain peaks and ridges. An opening toward downsloping terrain and the greater Owens Valley (location of Bishop) was at the northeastern end of this valley. The valley started about 8 miles west-southwest of Bishop. The glacier sloped approximately 40 degrees downward toward the lake. Except for an area immediately around the wreckage, and just upslope of the airplane, the glacier surface had a hardened, crusty, undisturbed, and uniform appearance. The area of the glacier immediately around and just behind the airplane was noticeably disrupted with a narrow rectangular shaped impression in the ice dimensionally similar to the wing span of the airplane that was roughly parallel to the lateral axis of the wings. In the center of the rectangular shape was an oval impression; the main fuselage mass was just downslope of the oval impression with the empennage still over the impression. There was no evidence of pre- or post-impact fire. The airplane came to rest upright with the nose pointed down slope in a north-northeasterly direction. The entire forward fuselage structure of the airplane from the nose back past the cabin rear bulkhead was crushed rearward and upward, and had collapsed downward. The right wing tip and green navigational light were displaced from the wing and located nearby. The 3-foot outboard portion of the leading edge of the right wing was crushed aft. The leading edge of the left wing was not crushed. The structure of the fuselage was compromised midsection, from the underside, and upward to the location of the passenger window. Due to the compromise of the fuselage midsection, the empennage rested on the right elev ## Aircraft - Registration: [N807Q](https://openairdocs.org/deregistered/N807Q-2013-06-05), registration cancelled 2013-06-05, S/N TH-823, built 1977 (OpenAirDocs) - Reported make and model: Beech 58 - Registry model: [Beech 58](https://openairdocs.org/model/beech-58) (registry code 1152740) (OpenAirDocs) - Registry engine: [Continental IO-520 series](https://openairdocs.org/engine/continental-io-520-series) (registry code 17032, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: TH-823 - Airframe hours: 2174.7 - Engines: Continental IO-520-CB 285 horsepower reciprocating - Damage: Destroyed - Flight: Personal, Part 91 - Operator: Anthony Sario - Registered owner: Darrell Tunnell Company - Airworthiness certificate: Standard, Normal - Last inspection: Annual, May 12, 2004 - Departed: BIH, Bishop, CA - Destination: PRB, Paso Robles, CA ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 44; injuries: fatal; commercial; airplane ratings: single-engine sea, multi-engine land, single-engine land; instrument ratings: airplane; medical: class 2, valid medical--no waivers/lim.; last flight review June 27, 2003; seat: left; toxicology performed; flight hours: 6,500 total ## Weather - Conditions: Visual (VMC), Day - Wind: 330° at 4 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 73 °F, dew point 54 °F - Altimeter: 30.05 inHg - Observed at: BIH, 18 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 20040717018199A](https://openairdocs.org/incident/20040717018199A), Jul 17, 2004: Beech 58, Bishop, CA, Destroyed, 3 fatal. (-23) On July 17, 2004, the pilot and one passenger departed visalia, CA on a flight to Bishop, CA. Upon arrival, an additional passenger boarded and at… 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.