MIA01FA162

NTSB accident investigation · Beech C90 · Fort Lauderdale, FL · June 14, 2001

Accident · FatalField investigationFinal report
Date
June 13, 2001, 21:22 local (Jun 14, 2001, 01:22 UTC)
Place
Fort Lauderdale, FL
Injuries
1 fatal, 2 serious
Damage
Destroyed
Phase of flight
Approach
Aircraft
YV2466PBeech C90
Weather
Visual (VMC) · Night
Status
Completed · report August 28, 2002
Report
Approved by Office Director
Parties
Pratt and Whitney Engines
Case key
52495

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 pilot's failure to properly plan fuel consumption and to perform an en route refueling, resulting in a total loss of engine power due to fuel exhaustion while on downwind leg for landing at eventual destination, causing an emergency descent and collision with a highway embankment.

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(total) - nonmechanicalApproach - vfr pattern - final approach
Planning/decision - improperPilot in commandCause
Refueling - not performedPilot in commandCause
Fluid,fuel - exhaustion
In flight collision with terrain/waterEmergency descent/landing
Terrain condition - dirt bank/rising embankment

Analysis

The Venezuelan registered Beech King Air C90 departed Caracas, Venezuela's Oscar Machado Zuloaga International Airport at 1516 eastern daylight time with a pilot and two passengers aboard, and flew to Fort Lauderdale-Hollywood International Airport, Florida. The route of flight filed with air traffic control was: after departure, direct to Maiquetia, thence Amber Route-315 to Bimini, thence Bahama Route 57V to Fort Lauderdale. The {planned} flight level was 220, and the pilot stated that 7 hours 15 minutes of fuel was aboard. Immigration/customs general declaration papers found aboard the wreckage stated the flight's intended destination was Nassau, and the pilot's daughter stated he always stopped at Nassau for fuel on many previous trips. After 6 hours 6 minutes, the aircraft crashed into a highway abutment about 1,700 feet short of his intended landing runway at Fort Lauderdale with total accountable onboard fuel of 3 to 4 gallons. One passenger received fatal injuries, one passenger received serious injuries, and the pilot received serious injuries. Engine factory service center disassembly examination revealed that the engines and their components exhibited no evidence of any condition that would have precluded normal operation, precrash. No precrash abnormalities with the propellers, their respective components, or any other aircraft system component were noted. Type certification data sheets for the C90 state that the unusable fuel aboard is 24 lbs., (3.6 gallons of Jet-A fuel).

Factual narrative

History of flight

On June 13, 2001, about 2122 eastern daylight time, a Beech C90, YV2466P, Venezuelan registered to a private individual, operating as a Title 14 CFR Part 91 personal flight, crashed while on final approach to Fort Lauderdale-Hollywood International Airport, (FLL) Florida. Night visual meteorological conditions prevailed and an international instrument flight plan had been filed. The aircraft was destroyed, a Venezuelan single engine private pilot-rated passenger in the right pilot's seat was fatally injured, and the left seated Venezuelan BE-90 rated captain was seriously injured, as was a passenger in the cabin. The flight originated from Caracas, Venezuela's Oscar Machado Zuloaga International Airport, (SVCS) at 1516 eastern daylight time.

According to the FLL tower controller who was directing the aircraft for landing, the flight was routinely handed off to his position from Miami Approach Control radar for a visual landing. When YV2466P made his initial radio call to FLL tower at 2117, he was given the following instructions, " YV2466P, you are number one for [runway] 9R, winds are 140 at 7, cross the shoreline at one thousand", [feet-altitude, msl]. At 2120, the tower controller transmitted, "2466P cleared to land." At 2121, the pilot of YV2366P transmitted, "I need the field, I have difficulties here...small problem with engine." The controller transmitted, "wind check, 140 at 8, no need to acknowledge", and estimated YV2466P was 500 feet agl, and 3/4 mile from the threshold to runway 9R with landing lights illuminated, when he momentarily directed his attention to an air carrier jet rolling out on the north runway. When he redirected his attention to runway 9R, he could no longer see YV2466P's lights.

Personnel information

The pilot held a private pilot certificate issued by the Republic of Venezuela on April 10, 1979. Endorsements on the license include the Beechcraft Bonanza 33A, Baron 55 and 58 with instrument, and BE-90 Captain. The pilot stated he owned VY2466P exclusively for 6 years, and that he was in the process of selling 6/7 ownership to a friend in Venezuela. Personal log books were not produced, but the pilot stated that he had accrued 3,203 flight hours total, with about 1,800 of those hours in the King Air aircraft. He stated his most recent proficiency check ride was on March 1, 1994. The pilot possesses a valid medical, (No. 7837) for private pilot that expires on November 30, 2001.

The pilot stated he was a principal and attorney for a business in Barcelona, Venezuela, known as Soltuca, a steel pipe factory. The flight was for the purpose of continuing on to Charleston, South Carolina, the following day for business meetings. The two passengers aboard were connected to the business, as well. The right seat occupant was the pilot's nephew and held a Venezuelan private pilot's license, with single engine rating.

Aircraft information

According to the type certification data sheets, the 1973 Beech King Air C90, Serial No. LJ-591, was manufactured with Pratt and Whitney PT6A-20 turbo-propeller engines developing 550 shp. YV-2466P's engine data plates revealed installation of PT6A-20A engines. The factory confirmed that the original PT6A-20's had been fitted with PT6A-27 propeller reversing and exhaust cases which effectively converts the -20 to a -20A engine. Both engines, Serial Nos. 24022 and 24032, had been overhauled by Pratt and Whitney Engine Services, West Virginia, on February 21, 1996. The aircraft underwent Beechcraft model 90 series phase inspections one through four on June 26, 2000, by Raytheon Aircraft Services, Inc., of Fort Lauderdale, Florida at an aircraft total time of 8052.3 hours. The latest entry in the log pages, dated December 13, 2000, showed accomplishment of phase one inspection at 1,258.5 hours since overhaul for both engines, 116.4 hours since overhaul for both propellers, and 8,168.7 hours on the airframe. The pilot reported the aircraft had flown 207 hours since last inspection. The hour-meter read 1904.35 at the accident site.

The aircraft was modified in accordance with STC SA00257AT; replacement of the original air-cooled nickel-cadmium battery with a Concorde RG-380E sealed lead-acid battery on June 26, 2000, by a Raytheon service dealer in Fort Lauderdale, Florida.

Prior to departure from Caracas, on the day of the accident, the aircraft underwent removal and replacement of the two left engine igniter plugs because of engine start problems. This information was not entered in the maintenance log pages, but was reported by the pilot.

Reference to the aircraft trip log sheets reveal that aircraft onboard fuel is adequate for non-stop flight between Caracas and Fort Lauderdale. Between November, 1998 and August, 1999, the aircraft flew the trip 15 times. Of those 15 trips, eight were flown with a fuel stop, (Port-Au-Prince or Nassau) and seven made the trip non-stop.

Meteorological information

The 2053 terminal weather observation for the FLL airport was, scattered clouds at 3,200 feet agl, scattered clouds at 14,000 feet agl, broken cloud layers at 25,000 feet agl, winds from 140 degrees at 5 knots, visibility 10 statute miles, a temperature of 84 degrees F, and an altimeter setting of 30.00 inches Hg.

According to radiosonde data for eastern North America and the Caribbean, a plot of contoured winds aloft at flight level 220, along the route of flight at about 2000 eastern daylight time, shows light cross winds from the east northeast during the first half of the flight, and light crosswinds from the southwest during the latter half of the flight. Analysis of the aloft wind's direction and speed with respect to the magnetic course of Amber 315 appeared to have contributed very little to the aircraft's ground speed.

Wreckage and impact information

The aircraft's first impact with the terrain was onto road pavement near the centerline of an off-ramp two lane road that runs parallel to north-south oriented Interstate 95 (I-95), on its west side, or about 1,700 feet from the threshold of runway 9R, and about 700 feet south of centerline of the runway. The wreckage path was perpendicular to I-95 , was 33 feet in length, and terminated at a 15-foot vertical concrete wall that elevates I-95. Scars on the road and wreckage examination revealed first impact was the landing gear on the road hard enough to collapse all three gear struts, as well as bending the empennage and both wing outer panels downward before impacting the wall. The aircraft was in a slight left bank and very near longitudinally level when the three landing gear struck the road top. The concrete wall bore distinct imprints of the nose and both propeller spinners, as well as a tire mark from the separated left main wheel. The nose structure had been uniformly accordioned and the crushing extended to the base of the windscreen. The radome was missing, and pieces lay scattered at the base of the wall. The weather radar's antenna had been flattened and its mounting assembly was fractured. Both engines had broken loose from their respective engine mounts, and the extent of the under cowl crushing was difficult to determine because the cowlings, themselves, were so heavily accordioned and unmovable. Neither propeller was feathered. Both propeller spinners exhibited heavy crushing and were uniformly accordioned, front to rear. Behind the propeller spinners, both propeller domes had impacted the concrete wall and were cracked. No evidence of spinner rotation at wall impact was evident. Both propellers exhibited rearward bending of all three blades. Two blades of the left propeller exhibited rearward curled tips. Chord wise scarring at the tips from road surface impact revealed the propellers were turning in a low energy condition when the tips collided with the road pavement. Additionally, some propeller span wise burnishing was revealed due to the slide throug

Aircraft

Registration
YV2466P
Reported as
Beech C90
Category
Airplane
Serial number
LJ-591
Airframe hours
8,279
Engines
Pratt & Whitney Canada PT6A-20A, 550 horsepower, turbo propPratt & Whitney Canada PT6A-20A, 550 horsepower, turbo prop
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Jose Santiago Nunez
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · December 13, 2000 · 110 hours before
Departed
SVCS · Caracus
Destination
KFLL · Ft. Lauderdale, FL
Flight plan
IFR
Airport
FLL · Ft. Lauderdale-Hollywood In'tl, runway 09R, 5,276 × 100 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
53
Injuries
Serious
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Unknown, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
3,205 total · 1,800 in this make and model

Weather

Conditions
Visual (VMC) · Night
Wind
150° at 6 knots
Visibility
10 statute miles
Lowest ceiling
25,000 ft broken
Temperature
82 °F, dew point 75 °F
Altimeter
30.00 inHg
Observed at
FLL, 1 nm away

Docket · 24

The files NTSB released with the investigation on August 27, 2002, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.4 MB in all.

Reports from Federal Agencies-ATC dataItem 1 · .PDF · 366 KBReports from Federal Agencies-ATC Flight Plan StripItem 2 · .PDF · 71 KBOther Pertinent Forms and Reports-Type Certificate Data Sheets-Beech C-90Item 3 · .PDF · 55 KBReports from Federal Agencies-Filed Flight Plan w/ATCItem 4 · .PDF · 73 KBOther Pertinent Forms and Reports-C-90 Fuel System-Pilot/Owner's ManualItem 5 · .PDF · 811 KBPilot/Operator Aircraft Accident Report, Republica de VenezuelaItem 6 · .PDF · 356 KBOther Pertinent Forms and Reports-Fueling receiptItem 7 · .PDF · 114 KBOther Pertinent Forms and Reports-Customs/INS General Declarations FormsItem 8 · .PDF · 166 KBSupplement CItem 9 · .PDF · 283 KBSupplement DItem 10 · .PDF · 379 KBOther Pertinent Forms and Reports-NTSB Medical Officer's StatementItem 11 · .PDF · 17 KBReports from Parties to the Investigation-Pratt and Whitney Aircraft EnginesItem 12 · .PDF · 381 KBStatement of Party Representatives to NTSB InvestigationItem 13 · .PDF · 68 KBWitness Statement-PassengerItem 14 · .PDF · 26 KBSupplement SItem 15 · .PDF · 50 KBReports from Parties to the Investigation-PT6A-20A Fuel SpecificsItem 16 · .PDF · 100 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 17 · .PDF · 162 KBOther Pertinent Forms and Reports-Fueling Contamination ReportItem 18 · .PDF · 64 KBToxicological ReportItem 19 · .PDF · 67 KBWeather Reports and Records-Winds AloftItem 20 · .PDF · 64 KBPhoto 1, Wall ImpactItem 21 · .PDF · 171 KBPhoto 2, Empennage fractureItem 22 · .PDF · 159 KBPhoto 3, Nose crushingItem 23 · .PDF · 201 KBPhoto 4, Left spinner crushingItem 24 · .PDF · 168 KB