- Date
- April 2, 1992, 19:54 local (Apr 3, 1992, 03:54 UTC)
- Place
- Paradise, CA
- Injuries
- 1 fatal, 1 serious
- Damage
- Destroyed
- Phase of flight
- Approach
- Aircraft
- N9367YBeech A33
- Weather
- Visual (VMC) · Night/dark
- Status
- Completed · report June 30, 1993
- Report
- Approved by Office Director
- FAA report
- 19920402008289A
- Case key
- 27417
From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.
On this page
Probable cause
The student pilot's inadvertent use of the mixture control instead of the cowl flaps at a critical phase of flight, his misuse of the flight controls after the engine failure and the instructor's inadequate supervision of the student. Contributing factors in the accident were: the non standard location of the cowl flap push pull control, due to an improper aircraft modification, the dark night light conditions which impaired the flight instructors ability to monitor the student cockpit control manipulations.
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.
Analysis
The 60 hour student pilot had a total of 25 hours in type, all of which were dual. With his current flight instructor the student returned to their home base airport to perform a prearranged go-around to finalize their dual period for the evening. After the approach to the runway, the instructor called for the go-around. After the climb was established at about 500 feet AGL he called for the cowl flaps to be opened, and moments later the engine suddenly and without warning quit. The instructor said that after the engine quit the student pulled the control yoke all the way back and the aircraft entered a deep stall. The airplane had been modified to accommodate an engine with more horse power which required the installation of cowl flaps. The FAA approved STC modification drawings required the push-pull control for the cowl flaps to be located to the left of the throttle console on a separate switch panel. The actual location of that control in the accident airplane was found to the right of the throttle below the propeller control and next to
Aircraft
- Registration
- N9367Y
- Reported as
- Beech A33
- Category
- Airplane
- Serial number
- CD-262
- Airframe hours
- 4,686
- Engine
- Continental IO-520-BA, 285 horsepower, reciprocating
- Damage
- Destroyed
- Fire
- On-Ground
- Flight
- Instructional · Part 91
- Operator
- Desmet, Jeffrey G.
- Registered owner
- Desmet, Jeffrey G.
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · August 23, 1991 · 61 hours before
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
- 31
- Certificates
- Airline transport, Flight instructor, Commercial
- Airplane ratings
- Multi-engine land, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 1
- Seat
- Right
- Flight hours
- 2,500 total · 10 in this make and model · 1,700 as pilot in command · 90 in the last 90 days · 30 in the last 30 days · 2 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Night/dark
- Wind
- Calm
- Visibility
- 7 statute miles
- Lowest ceiling
- None
- Temperature
- 64 °F, dew point -0 °F
- Altimeter
- 29.00 inHg
FAA reports on this event · 1
The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.
Other investigations on N9367Y · 3
Matched to the same aircraft by N-number and date.