LAX94LA021

NTSB accident investigation · Beech 76 · Scottsdale, AZ · October 22, 1993

Accident · No injuriesLimited investigationFinal report
Date
October 21, 1993, 18:40 local (Oct 22, 1993, 01:40 UTC)
Place
Scottsdale, AZ
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N5148MBeech 76
Weather
Visual (VMC) · Day
Status
Completed · report August 1, 1994
Report
Approved by Office Director
FAA report
19931021040389A
Case key
28575

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

the flight instructor's failure to adequately supervise the flight, follow proper procedures/directives regarding leaning and clearing the idling engine, and his delay in applying power to the idling engine. The fouled spark plugs were a factor in this accident.

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 engine power(partial) - nonmechanicalGo-around (vfr)
1 engine
Ignition system,spark plug - fouledFactor
Supervision - inadequatePilot in command(cfi)Cause
Procedures/directives - not followedPilot in command(cfi)Cause
Remedial action - delayedPilot in command(cfi)Cause
Forced landingDescent - emergency
On ground/water encounter with terrain/waterLanding - flare/touchdown
Gear retraction - intentionalPilot in command(cfi)

Analysis

The CFI retarted the throttle on the left engine to a zero thrust setting. The dual student contacted the airport and was cleared for a straight-in approach. During the approach, the CFI failed to instruct the student to momentarily clear the left engine. During the ensuing go-around, the dual student applied full power on the right engine, but the airplane would not climb. The CFI delayed instructing the student to apply full power on the left engine. When he did instruct the student to apply full power on the left engine, the engine did not respond and the airplane was unable to maintain sufficient altitude. The CFI elected to land the airplane in an open field. The operator reported both engines operated normally during the examination and the left engine spark plugs contained high carbon and soot deposits.

Factual narrative

On October 21, 1993, at 1840 hours mountain standard time, a Beech BE-76, N5148M, collided with terrain while attempting to go-around at Scottsdale Airport (SDL), Scottsdale, Arizona. The pilot was conducting a local visual flight rules instructional flight. The airplane, operated by Aero/Mech Inc., Scottsdale, sustained substantial damage. Neither the certificated commercial pilot/flight instructor (CFI), the certificated commercial pilot/dual student, nor the nonrevenue passenger was injured. Visual meteorological conditions prevailed. The flight originated at Scottsdale Airport at 1710 hours.

The CFI reported that the dual student was practicing a simulated single-engine landing with the left engine throttle retarded to a zero thrust setting. When the flight was on final approach at 300 feet above ground, the local controller instructed the flight to go-around. The dual student applied full power on the operating engine and began a singe-engine go-around.

The operating engine did not produce sufficient power and the dual student then applied full power on the idling engine. The engine did not respond to the power application. When the CFI realized that the airplane was unable to maintain sufficient altitude to return to the airport, he elected to land, gear-up, in an open field.

The CFI also said that during the initial descent the student did not "clear the engine", nor did he instruct him to do so.

Mr. Michael Brown, Aviation Safety Inspector, Federal Aviation Administration (FAA), Scottsdale Flight Standards District Office, told Safety Board investigators that he spoke with the operator's maintenance manager. The manager told him that both engines operated normally when tested after the accident. He said that the left engine spark plugs contained extensive carbon and soot deposits. These signatures are indicative that the engine was idling for a prolonged period at a rich mixture setting.

Aircraft

Registration
N5148M
Reported as
Beech 76
Category
Airplane
Serial number
ME-43
Airframe hours
6,491
Engine
Lycoming O-360-A1G6D, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Aero/Mech Inc.
Registered owner
Belgian Aviation School, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 8, 1993 · 33 hours before
Airport
SDL · Scottsdale Municipal, runway 3, 8,251 × 75 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
35
Certificates
Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
1,880 total · 129 in this make and model · 1,668 as pilot in command · 73 in the last 90 days · 47 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 5 knots
Visibility
40 statute miles
Lowest ceiling
25,000 ft broken
Temperature
79 °F, dew point 36 °F
Altimeter
30.00 inHg
Observed at
SDL, 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.