# NTSB LAX06FA099: Beechcraft F33A, N1563A, Buckeye, AZ, February 1, 2006 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: February 1, 2006, 15:04 local (22:04 UTC) - Place: Buckeye, AZ - Coordinates: 33.268333, -112.590835 - Nearby events: https://openairdocs.org/map.md?lat=33.2683&lon=-112.5908&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report August 30, 2007 - Report: Approved by Office Director - Parties: TCM, Raytheon Aircraft Co, ATCA, Lufthansa, Ryan International Corporation, Avidyne, Federal Aviation Administration, USAF - NTSB case key (mKey): 63186 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=LAX06FA099 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/63186/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=63186 - Page: https://openairdocs.org/ntsb/LAX06FA099 ## Probable cause The student pilot's failure to maintain aircraft control for undetermined reasons. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Near collision between aircraft, descent - normal - Loss of control - in flight, descent - normal - reason for occurrence undetermined (cause) - In flight collision with terrain/water, descent - uncontrolled - terrain condition - ground ## Analysis After crossing flight paths with a military fighter jet, the single engine airplane entered an increasingly steep descent and subsequently impacted terrain. The solo student pilot departed the airport and proceeded to climb towards a designated practice area. Upon reaching 4,500 feet the pilot reduced power and entered a 500-foot-per-minute descent. At this point the pilot may have been alerted by the on-board TCAS (traffic/collision alerting device) that there was traffic approaching from her right side, close to her altitude. The sun was also off her right side at an elevation of 31 degrees above the horizon. Within seconds an F-16 fighter jet crossed in front of her from right to left. The closest point of approach between the two aircraft, as determined by a radar data study, was 1,850 feet laterally and 400 feet vertically. A study of the wake and vortex turbulence that would have been produced by the F-16 determined that the generated vortices could not have dropped low enough to affect the path of the student's airplane. After the F-16 passed, the student's airplane continued an increasingly steep linear descent, eventually exceeding 2,500 feet per minute before impacting the terrain at a 50-degree nose down, right wing down attitude, 29 seconds after the encounter. Multiple close examinations of the aircraft wreckage failed to reveal any evidence of mechanical failure or malfunction. A review of the student's available medical records, autopsy, and toxicology analysis did not reveal any physiological inconsistencies. It is certainly possible (and consistent with the circumstances of the accident) that the student pilot lost consciousness following her presumed near collision; however, there is not enough information available to fully support this hypothesis. ## Factual narrative 1.1 HISTORY OF FLIGHT On February 1, 2006, at 1504 mountain standard time, a Beechcraft F33A, N1563A, entered an increasingly steep descent and impacted terrain near Buckeye, Arizona. Airline Training Center Arizona (ATCA), Goodyear, Arizona, operated the airplane under the provisions of 14 CFR Part 91. The student pilot, the sole occupant, was fatally injured, and the airplane was destroyed. Visual meteorological conditions prevailed, and a company flight plan had been filed. The solo instructional flight originated at Phoenix Goodyear Airport, Goodyear, about 1420. The student pilot was flying her third solo flight of the flight-training syllabus. The ATCA solo flight order authorized the student to depart from Phoenix Goodyear airport, fly to Buckeye Airport, perform at least one landing, taxi back, takeoff, then proceed to a practice area south of the Phoenix Goodyear Airport, perform steep turns, slow flight, and stalls, and finally return to Phoenix Goodyear Airport. The student was reported as overdue at 1615. Five aircraft were launched to search for the overdue airplane at 1640. The Maricopa County Sheriff Department helicopter located the wreckage on February 2 at 0040 in flat desert terrain 12.5 miles south-southeast of the Buckeye Airport. Radar data depicted the accident airplane departing Buckeye airport to the south in a steady climb; about 120 knots ground speed. Approximately 5 miles south of Buckeye airport the airplane track turns to the east-southeast and continues to climb to 4,500 feet, then immediately starts a descent from 4,500 feet. Radar recorded the start of the descent at 1503:54. Between 1504:14 and 1504:24, a United States Air Force F-16C crosses in front of the accident airplane traveling from south-to-north, at 358 knots ground speed, and between 4,600 and 4,500 feet. The minimum lateral separation between the airplanes was about 0.3 miles, and vertical separation was about 400 feet. Radar continued to track the accident airplane in an increasingly rapid and steep descent in the east-southeast direction. The last radar return was at 1504:44, and was in the vicinity of the accident site. The F-16 continued its track northbound on a gradual descent into Luke Air Force Base. 1.5 PERSONNEL INFORMATION A review of Federal Aviation Administration (FAA) airman records revealed that the pilot held a student pilot certificate. The certificate was endorsed on January 12, 2006, by a CFI for solo flight in a F33A. The pilot held a third-class medical certificate dated March 1, 2005, with no limitations or restrictions. An examination of the student pilot's logbook revealed that she had flown 32 times in the last 54 days, accumulating 48.4 hours of flight time; 42.6 hours of that time was documented as dual instruction. She had logged 5.8 solo hours. She had flown each of the previous 2 days prior to the accident. The ATCA training records document that she flew 16 days out of the available 21 flying days for the month of January. Statements from colleagues of the student pilot indicate that she went to bed around 2130 on January 31 and rose at 0700 the morning of February 1. She had eaten a light breakfast of juice, toast, and jam. She had been scheduled for a cross-country flight, but at 1000 was informed that her instructor had cancelled the flight, and that she would fly a solo flight at 1400 instead. It could not be determined if she had eaten anything between breakfast and her solo flight. 1.6 AIRCRAFT INFORMATION The Beechcraft F33A is a single engine, 4-passenger, low-wing airplane with retractable landing gear. The airplane was powered by a Teledyne Continental IO-520-BB(65), 6-cylinder, reciprocating engine. A review of the airplane's maintenance logbook revealed that the plane had 18,602.6 hours of total time, the engine had approximately 1,601 hours of total time, and the airplane had completed a progressive-six inspection on January 31, 2006. The progressive-six inspection checklist, included in the maintenance records, documents routine engine maintenance, and a detailed inspection of the landing gear. The airplane had a Ryan TCAD 9900BX (traffic/collision alerting device) system installed. The system computes relative altitude, range, and bearing of nearby transponder-equipped aircraft. Aircraft with non-mode C transponders can provide range and bearing information. The Model 9900BX does not detect aircraft without operating transponders. 1.7 METEOROLOGICAL INFORMATION Weather METAR data recorded at the Goodyear airport (KGYR) on February 1, 2006, at 1457, documented winds were variable at 5 knots; 20 statute mile surface visibility; and few clouds at 25,000 feet. The position of the sun was calculated using a computer Sun & Moon Information program based on the following position, date, and time information; 33 degrees 16 minutes north latitude by 112 degrees 35 minutes west longitude, February 1, 2006, 1500, and altitude of 4,500 feet msl. The calculated magnetic bearing to the sun was 204.2 degrees, and its altitude was 31.3 degrees above the horizon. A sun line was plotted against the radar track of the airplane. The plot illustrates that the sun would have been directly off the right wing of the F33A; 31 degrees above the horizon at the time the F-16C crossed in front of the student's airplane. The sun line plot is included in the official docket of this investigation. 1.9 COMMUNICATIONS The Beech F33A was operating in class E airspace and was not in contact with any ATC services. The radar data shows that the F33A was squawking 1200 code. The F-16C, call sign Stalk-1, squawking 4255, was in communications with Luke Radar Approach Control (RAPCON) during its transit from the south to Luke AFB. The 56th OSS provided a transcript of the Luke RAPCON communications recording that involved Stalk-1 on frequency 125.45 MHz (primary) and 263.125 MHz (secondary), from 1500:17 to 1505:43. At 1502:51, RAPCON informed Stalk-1 of two targets: one at 1 o'clock and 5 miles same direction, altitude indicated 3,400 feet; and the other target was at 11 o'clock, 7 miles opposite direction, 3,900 feet (this target was the student pilot's airplane). Stalk-1 replied that he would descend to 4,500 feet. At 1503:52, RAPCON identified traffic for Stalk-1 at 11 o'clock, 2 miles, eastbound, altitude indicated 4,500 feet. At 1503:58, Stalk 1 responded that he had the traffic in sight. The entire transcript is included in the official docket of this investigation. 1.11 FLIGHT RECORDERS F16 Head-Up Display (HUD) Tape The National Transporation Safety Board investigator viewed the HUD tape of the F-16C that crossed the path of the accident airplane. The accident aircraft never comes into view on the recording. All times are UTC in reference to the times recorded on the HUD tape. At 2203:46, the altitude was 4,810 feet, speed was 325 knots, and heading was 008 degrees; the altitude readout showed a shallow descent. At 2204:00, the video displayed 4,750 feet, 317 knots, heading 010; a voice states that Stalk-1 has traffic 11 o'clock, 2 miles, eastbound at 4,500 feet. The pilot reports that he has traffic in sight. At 2204:10, the video displayed 4,680 feet, 312 knots, heading 012; a voice states the Stalk-1 has traffic at 1 o'clock, same direction, 2 miles, 2,800 feet. The pilot reports traffic in sight and rocked his wings twice. At 2204:27, the tape reads a descent in altitude and the pilot is setting up for his approach into Luke AFB. 1.12 WRECKAGE AND IMPACT INFORMATION The wreckage was located in flat desert terrain in a shallow dry streambed 33 degrees 16.106 minutes north latitude and 112 degrees 35.443 minutes west longitude, at an elevation of 1,003 feet mean sea level (msl). The initial point of impact was identified by pieces of green glass lens fragments at the tip of an 8-inch-wide strip of disturbed e ## Aircraft - Registration: [N1563A](https://openairdocs.org/deregistered/N1563A-2008-02-26), registration cancelled 2008-02-26, S/N CE-1320, built 1989 (OpenAirDocs) - Reported make and model: Beechcraft F33A - Registry model: [Beech F33A](https://openairdocs.org/model/beech-f33a) (registry code 1151425) (OpenAirDocs) - Registry engine: [Continental IO-520 series](https://openairdocs.org/engine/continental-io-520-series) (registry code 17032, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: CE-1320 - Airframe hours: 18602 - Engines: Teledyne Continental IO-520 285 horsepower reciprocating - Damage: Destroyed - Flight: Instructional, Part 91 - Registered owner: Airline Training Center Arizona - Airworthiness certificate: Standard, Utility; Standard, Normal - Last inspection: Continuous airworthiness, January 1, 2006, 5 hours before - Departed: KBXK, Buckeye, AZ - Destination: KGYR, PhoenixGoodyear, AZ - Flight plan: Company VFR - Airport: KGYR, Phoenix Goodyear ## Flight crew As NTSB recorded them. NTSB leaves out names. - Student pilot; age 22; injuries: fatal; student; medical: class 3; seat: left; toxicology performed; flight hours: 48 total, 48 in this make and model, 6 as pilot in command, 48 in the last 90 days, 28 in the last 30 days ## Weather - Conditions: Visual (VMC), Day - Wind: variable at 5 knots - Visibility: 10 statute miles - Lowest ceiling: none - Temperature: 70 °F, dew point 37 °F - Altimeter: 29.95 inHg - Observed at: KGYR, 16 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 20060201003999A](https://openairdocs.org/incident/20060201003999A), Feb 1, 2006: Beech F33A, Buckeye, AZ, Destroyed, 1 fatal. (-23) Student pilot was on her 6th solo flight, 45 hours total flight time. At approximately 1450 local time she departed bxk southbound enroute to a practice… ## Docket (43 files) The files NTSB released with the investigation on August 4, 2007, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=63186. 20.0 MB in all. - Aircraft Performance 13 - Factual Report of Group Chairman (item 1, .PDF, 354 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272551&FileExtension=.PDF&FileName=Aircraft%20Performance%2013%20-%20Factual%20Report%20of%20Group%20Chairman-Master.PDF - Aircraft Performance 13 - Attachment 1 - Interpolated track (item 2, .PDF, 84 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272552&FileExtension=.PDF&FileName=Aircraft%20Performance%2013%20-%20Attachment%201%20-%20Interpolated%20track-Redacted.PDF - Witness Statements (item 3, .PDF, 29 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272498&FileExtension=.PDF&FileName=Witness%20Statements-Redacted.PDF - Statement of Military Personnel (item 4, .PDF, 297 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40381649&FileExtension=.PDF&FileName=Statement%20of%20Military%20Personnel-Redacted.PDF - Map of Accident Area (item 5, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272500&FileExtension=.PDF&FileName=Map%20of%20Accident%20Area-Master.PDF - Wreckage Diagram (item 6, .PDF, 12 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272501&FileExtension=.PDF&FileName=Wreckage%20Diagram-Master.PDF - Photos of Wreckage Overview (item 7, .PDF, 454 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272502&FileExtension=.PDF&FileName=Photos%20of%20Wreckage%20Overview-Master.PDF - Transcript of Radio Communications (item 8, .PDF, 113 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40381650&FileExtension=.PDF&FileName=Transcript%20of%20Radio%20Communications-Redacted.PDF - Wreckage Diagram (Aerial Photo) (item 9, .PDF, 73 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272504&FileExtension=.PDF&FileName=Wreckage%20Diagram%20(Aerial%20Photo)-Master.PDF - Photo 1- Initial Point of Impact (item 10, .PDF, 682 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272505&FileExtension=.PDF&FileName=Photo%201-%20Initial%20Point%20of%20Impact-Master.PDF - Photo 2 - View Along Flight Path (item 11, .PDF, 715 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272506&FileExtension=.PDF&FileName=Photo%202%20-%20View%20Along%20Flight%20Path-Master.PDF - Photo 3- Crater Diagram (item 12, .PDF, 103 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272507&FileExtension=.PDF&FileName=Photo%203-%20Crater%20Diagram-Master.PDF - Photo 4- Wreckage Layout (center) (item 13, .PDF, 1.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272509&FileExtension=.PDF&FileName=Photo%204-%20Wreckage%20Layout%20(center)-Master.PDF - Photo 5- Wreckage Layout (left side) (item 14, .PDF, 1.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272510&FileExtension=.PDF&FileName=Photo%205-%20Wreckage%20Layout%20(left%20side)-Master.PDF - Photo 6- Wreckage Layout (left wing) (item 15, .PDF, 630 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272511&FileExtension=.PDF&FileName=Photo%206-%20Wreckage%20Layout%20(left%20wing)-Master.PDF - Photo 7- Wreckage Layout (right side) (item 16, .PDF, 1.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272512&FileExtension=.PDF&FileName=Photo%207-%20Wreckage%20Layout%20(right%20side)-Master.PDF - Photo 8- Wreckage Layout (right wing) (item 17, .PDF, 657 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272513&FileExtension=.PDF&FileName=Photo%208-%20Wreckage%20Layout%20(right%20wing)-Master.PDF - Photo 9- Wreckage Layout (aft view) (item 18, .PDF, 649 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272515&FileExtension=.PDF&FileName=Photo%209-%20Wreckage%20Layout%20(aft%20view)-Master.PDF - Photo 10- Wreckage Layout (tail) (item 19, .PDF, 655 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272516&FileExtension=.PDF&FileName=Photo%2010-%20Wreckage%20Layout%20(tail)-Master.PDF - Photo 11- Wreckage Layout (engine) (item 20, .PDF, 661 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272518&FileExtension=.PDF&FileName=Photo%2011-%20Wreckage%20Layout%20(engine)-Master.PDF - Photo 12- Gauge Face (Fuel Flow & MP) (item 21, .PDF, 91 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272519&FileExtension=.PDF&FileName=Photo%2012-%20Gauge%20Face%20(Fuel%20Flow%20%26%20MP)-Master.PDF - Photo 13 - Throttle Quadrant (item 22, .PDF, 601 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272520&FileExtension=.PDF&FileName=Photo%2013%20-%20Throttle%20Quadrant-Master.PDF - Photo 14- Wreckage Layout (propeller) (item 23, .PDF, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272522&FileExtension=.PDF&FileName=Photo%2014-%20Wreckage%20Layout%20(propeller)-Master.PDF - Phoenix ASR Radar (item 24, .PDF, 9 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40280884&FileExtension=.PDF&FileName=Phoenix%20ASR%20Radar%20-Master.PDF - Stalk-1 (F-16C) HUD Video (item 25, .PDF, 9 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40280883&FileExtension=.PDF&FileName=Stalk-1%20(F-16C)%20HUD%20Video-Master.PDF - Ryan TCAD Performance Estimate (item 26, .PDF, 43 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272542&FileExtension=.PDF&FileName=Ryan%20TCAD%20Performance%20Estimate-Master.PDF - Lockheed Martin Vortex Study (item 27, .PDF, 29 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40381652&FileExtension=.PDF&FileName=Lockheed%20Martin%20Vortex%20Study-Redacted.PDF - Teledyne Continental Motors Report (item 28, .PDF, 2.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272534&FileExtension=.PDF&FileName=Teledyne%20Continental%20Motors%20Report-Redacted.PDF - TCM Comments Concerning Engine Instrument Face (item 29, .PDF, 12 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40276773&FileExtension=.PDF&FileName=TCM%20Comments%20Concerning%20Engine%20Instrument%20Face-Redacted.PDF - Toxicological Report (item 30, .PDF, 53 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272535&FileExtension=.PDF&FileName=Toxicological%20Report-Master.PDF - Pilot's Family Medical Info Response (e-mail) (item 31, .PDF, 11 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40276937&FileExtension=.PDF&FileName=Pilot%27s%20Family%20Medical%20Info%20Response%20(e-mail)-Redacted.PDF - Statement of Party Representatives to NTSB Investigation (item 32, .PDF, 72 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272539&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF - Release of Aircraft Wreckage, NTSB Form 6120.15 (item 33, .PDF, 67 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272540&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-Redacted.PDF - Aircraft Barograph Plot Recovered from Wreckage (item 34, .PDF, 460 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272543&FileExtension=.PDF&FileName=Aircraft%20Barograph%20Plot%20Recovered%20from%20Wreckage-Master.PDF - Radar Plots (item 35, .PDF, 284 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272544&FileExtension=.PDF&FileName=Radar%20Plots-Master.PDF - Sun Position Calculations (item 36, .PDF, 8 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272545&FileExtension=.PDF&FileName=Sun%20Position%20Calculations-Master.PDF - Sun Angle Plot & Aircraft Radar Tracks (item 37, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272546&FileExtension=.PDF&FileName=Sun%20Angle%20Plot%20%26%20Aircraft%20Radar%20Tracks-Master.PDF - Aircraft Daily Record (item 38, .PDF, 26 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272547&FileExtension=.PDF&FileName=Aircraft%20Daily%20Record-Master.PDF - Maintenance Records (Extractions) (item 39, .PDF, 310 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40381653&FileExtension=.PDF&FileName=Maintenance%20Records%20(Extractions)-Redacted.PDF - Pilot Logbook (item 40, .PDF, 196 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40381657&FileExtension=.PDF&FileName=Pilot%20Logbook-Redacted.PDF - Solo Flight Order (item 41, .PDF, 102 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272550&FileExtension=.PDF&FileName=Solo%20Flight%20Order-Redacted.PDF - Safety Improvements (item 42, .PDF, 10 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40272553&FileExtension=.PDF&FileName=Safety%20Improvements-Redacted.PDF - ATCA Safety Officers Flight Demo e-mail (item 43, .PDF, 120 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40381659&FileExtension=.PDF&FileName=ATCA%20Safety%20Officers%20Flight%20Demo%20e-mail-Redacted.PDF From the NTSB's public API. 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