LAX92FA065

NTSB accident investigation · Beech 58P · Flagstaff, AZ · December 20, 1991

Accident · FatalField investigationFinal report
Date
December 20, 1991, 09:12 local (16:12 UTC)
Place
Flagstaff, AZ
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N766BABeech 58P
Weather
Instrument (IMC) · Day
Status
Completed · report August 3, 2006
Report
Approved by Office Director
FAA report
19911220057019A
Case key
27395

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

**This report was modified on 4/21/2016. Please see the public docket for this accident for additional information.**

the pilot's failure to maintain airspeed at low altitude, which resulted in a stall and loss of airplane control during a circling approach to landing in instrument meteorological conditions.

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 control - in flightCircling (ifr)
Airspeed - not maintainedPilot in commandCause
Stall/spin - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - roadway/highway

Analysis

**This report was modified on 4/21/2016. Please see the public docket for this accident for additional information.**

The instrument-rated commercial pilot was executing a circling VOR/DME instrument approach in IFR conditions. The pilot reported the runway in sight and was circling to land west of the airport just before the accident. Witnesses reported that the airplane descended in a near vertical attitude from the overcast, striking a highway curb lane about .75 miles from the airport. No evidence of preimpact failures or malfunctions with the primary flight controls or engines was found. The pitch trim position could not be determined conclusively because the trim control cables were broken and disrupted by impact. However, evidence was not sufficient to conclude that full nose-down trim was present at the time of upset. An examination of the autopilot annunciator module indicated that the HDG, NAV, AUTOTRIM and FAIL warning lights may have been illuminated. When the autopilot detects a trim system failure, the trim servo is deactivated and the AUTOTRIM and FAIL warning lights will flash. The AUTOTRIM light will also flash if the trim master switch is turned off, making the autopilot system evidence inconclusive.

Because the autopilot system evidence was inconclusive, the role of the autopilot in the accident could not be determined. However, airplane descent information provided by witnesses and impact evidence were consistent with an aerodynamic stall at low altitude and were not consistent with an uncorrected autopilot induced pitch-down excursion.

Aircraft

Registration
N766BA
Reported as
Beech 58P
Category
Airplane
Serial number
TJ-338
Airframe hours
2,431
Engine
Continental TSIO-520-WB, 325 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Business · Part 91
Operator
D. Kaufman
Registered owner
Ian Herzog & D. Kaufman
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 25, 1991
Departed
PRC · Prescott, AZ
Flight plan
IFR
Airport
FLG · Flagstaff, runway 3, 6,999 × 150 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
52
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
2,867 total · 605 in this make and model · 29 in the last 90 days

Weather

Conditions
Instrument (IMC) · Day
Wind
50° at 15 knots, gusting 20
Visibility
1 statute miles
Lowest ceiling
600 ft overcast
Temperature
30 °F, dew point 28 °F
Altimeter
30.00 inHg
Observed at
FLG, 1 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.