MIA07FA137

NTSB accident investigation · Beech A36 · Elizabethton, TN · September 1, 2007

Accident · FatalField investigationFinal report
Date
September 1, 2007, 10:33 local (14:33 UTC)
Place
Elizabethton, TN
Injuries
5 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N326DKBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report November 25, 2008
Report
Approved by Office Director
Parties
Hawker Beechcraft, FAA/FSDO, Teledyne Continental Motors, Hartzell Propeller, Inc.
FAA report
20070901023349A
Case key
66564

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 poor in-flight planning by the pilot-in-command for flying towards rising terrain with inadequate clearance.

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.

In flight collision with terrain/waterClimb
In-flight planning/decision - poorPilot in commandCause
Clearance - inadequatePilot in commandCause
Terrain condition - mountainous/hilly

Analysis

The Beech A36 airplane was approximately 0.95 inch aft of the aft center of gravity (CG) limit at the start of the flight, which was destined for an airport approximately 20 nautical miles north-northeast of the departure airport. Mountainous terrain at an elevation of 4,321 feet mean sea level (msl) was noted between the departure and destination airports. The flight departed from runway 06, and by witness accounts the airplane became airborne 2/3 down the 4,529 foot-long runway, and was noted to be only 75 to 100 feet above ground level (agl) at a point approximately 1,500 feet past the departure end of the runway. Witnesses also reported the airplane was flying slow in a steep climb attitude with the landing gear retracted, and there was no unusual engine sounds heard. The flight continued on a northeasterly heading, where another witness located in mountainous terrain about 1 mile southwest of the crash site location noted the airplane flying only 2-3 times the height of the tree tops, or an estimated 200 to 250 feet agl. That witness reported the engine sounded like it was a larger engine, and he did not hear any missing or sputtering from it. The airplane impacted up sloping terrain during daylight hours at an elevation of 3,400 feet msl, approximately 5.38 miles northeast from the departure end of runway 06. There were no known witnesses to the crash. Impact and a postcrash fire destroyed the airplane. Examination of the airframe and flight controls revealed no evidence of preimpact failure or malfunction. Examination of the engine, engine systems, and propeller also revealed no evidence of preimpact failure or malfunction.

Factual narrative

History of flight

On September 1, 2007, about 1033 eastern daylight time, a Beech A36, N326DK, registered to and operated by a private individual, impacted up sloping terrain of Holston Mountain, Elizabethton, Tennessee. Visual meteorological conditions prevailed at the time and no flight plan was filed for the 14 Code of Federal Regulations (CFR) Part 91 personal flight from Elizabethton Municipal Airport (0A9), Elizabethton, Tennessee, to Virginia Highlands Airport (VJ1), Abingdon, Virginia. The airplane was destroyed and the commercial-certificated pilot and four passengers were killed. The flight originated about 1029, from 0A9.

Witnesses reported that the airplane landed at 0A9 on runway 06 at approximately 1001, taxied to the south side of the airport, and without securing the engine, boarded 2 waiting passengers. The airplane was then observed taxiing towards the approach end of runway 24, but turned around and taxied to the approach end of runway 06, due to an airplane that was being towed on the taxiway at that time. No engine run-up was heard before takeoff.

The destination airport is located approximately 20 nautical miles north-northeast from the departure airport, with mountainous terrain at an elevation of 4,321 feet mean sea level (msl) located between the two airports. In addition, two towers with heights of 4,424 and 4,632 feet msl were noted at points nearly aligned between the airports.

The pilot began the takeoff roll from runway 06 with all available runway, and a pilot-rated witness located on the north side of the airport reported the airplane became airborne when it was 2/3 down the runway. The witness reported the airplane did not appear to be climbing very well and continued on the runway heading for approximately 1 mile.

Another pilot-rated witness who was located approximately 1,500 feet east-northeast from the departure end of runway 06 reported that the airplane flew 200 yards behind his house between 75 and 100 feet above ground level (agl), or "exceptionally low." The airplane was in a steep climb attitude, flying slow with what he thought was the landing gear retracted; there was nothing unusual from the engine.

A witness located in mountainous terrain about 1 mile southwest from the accident site reported hearing the airplane for 10-15 seconds, and observed it for 2 seconds when it flew past a clearing in trees. He estimated the airplane was flying in a north-northeasterly direction, and was flying 2-3 times the height of the tree tops, or an estimated altitude of 200-250 feet agl. He associated the sound from the engine to be from a larger engine. He did not see any smoke trailing the airplane, did not hear any missing or sputtering sounds from the engine, and did not hear the impact.

There were no known witnesses to the crash; the pilot did not establish contact with any FAA air traffic control facility during the accident flight.

A search for the airplane began at approximately 1520; the wreckage was visually spotted from the air at approximately 1846. Ground personnel arrived on scene at approximately 0009, on September 2, 2007.

Personnel information

The pilot, age 50, held a commercial pilot certificate with airplane single engine land, and instrument airplane ratings,,last issued November 28, 2005, and a second-class medical certificate issued on July 24, 2006, with no limitations. NTSB review of copies of excerpts of his pilot logbook revealed he logged total flight hours of approximately 1,924 hours, and during the last 90 days he logged approximately 47 hours, which were in the accident airplane.

Aircraft information

The airplane was manufactured by Beech Aircraft Company in 1987, as model A36, and designated serial number E-2377. It was powered by a Teledyne Continental IO-550-B 300-horsepower engine and equipped with a Hartzell model PHC-C3YF-1RF constant speed propeller that was installed in accordance with supplemental type certificate (STC) SA450CH. A total of five seats including the pilot's seat were installed; the sixth seat had been removed. With respect to the fuel system, the airplane was equipped with one 40-gallon fuel tank located in each wing, and a 15-gallon fuel tank installed at each wingtip in accordance with Supplemental Type Certificate (STC) SA153EA. The total usable fuel capacity was 104 gallons.

The STC (SA153EA) allows operation of the airplane for takeoff and landing up to a maximum weight of 3,833 pounds.

The airplane was last inspected in accordance with an annual inspection on October 9, 2006. At the time of the annual inspection, the airframe total time and engine time since major overhaul were 2,736.4 and 911.3 hours, respectively. The hour meter was not identified at the crash site; however, the hour meter reading/airframe total time the day before the accident was 2,877.2 hours. The latest entry concerning weight and balance was dated February 9, 2007, which indicated the empty weight was listed as 2598.89 pounds, and the empty weight moment was 80.54.

The airplane type certificate data sheet and the Airplane Flight Manual Supplement (AFMS) associated with STC SA153EA indicates the aft center of gravity (CG) limit is +87.7 inches aft of datum.

Meteorological information

An automated weather observation station (AWOS) report taken at 0A9 at 0956, or approximately 37 minutes before the accident, indicated the wind was from 090 degrees at 3 knots, the visibility was 9 miles, and clear skies existed. The temperature and dew point were 23 and 18 degrees Celsius, respectively, and the altimeter setting was 30.13 inHg. A AWOS report taken at 0A9 at 1056, or approximately 23 minutes after the accident, indicated the wind was from 070 degrees at 8 knots, the visibility was 9 miles, and clear skies existed. The temperature and dew point were 24 and 18 degrees Celsius, respectively, and the altimeter setting was 30.15 inHg.

Communications

The airport common traffic advisory frequency (CTAF) at 0A9 was not recorded; there was no report by the pilot of any discrepancy after takeoff.

Airport information

The Elizabethton Municipal Airport (0A9) has one asphalt runway designated 6/24, which is 4,529 feet long and 70 feet wide. The elevation is 1,593 feet above mean sea level (msl). A note on FAA Form 5010-1 titled "Airport Master Record" for 0A9 indicates "[runway] 24 preferred unless wind requires otherwise."

Wreckage and impact information

The airplane crashed in a wooded and mountainous area; the main wreckage was located approximately 5.38 miles northeast from the departure end of runway 06. The crash site elevation was 3,400 feet msl. The initial impact point occurred on 27-degree up sloping terrain of a natural drainage ravine of Holston Mountain. The energy path thru the trees was oriented on a magnetic heading of 020 degrees. Damage to trees along the energy path was noted; the descent angle thru the trees was noted to be 4 degrees. The left and right fuel tip tanks were located along the energy path. The fuselage came to rest upright heading 320 degrees down slope of the initial impact point. Fire damage was noted to trees near the main wreckage impact point and where the wreckage came to rest. A 2 to 3 inch diameter tree limb near the resting point of the main wreckage exhibited a 45-degree cut consistent with propeller contact.

Examination of the wreckage revealed the cockpit, cabin, and inboard sections of both wings were consumed by the post crash fire. Remnants of a laptop computer, tape measure, and folder material were found in the wreckage. The engine separated from the airframe but found in close proximity to the resting point of the main wreckage, while the propeller remained secured to the engine. The resting position of one propeller blade was adjacent to the ground where molten aluminum was noted. No evidence of preimpact failure or malfunction was noted to the airframe or flight control systems f

Aircraft

Registration
N326DK
Reported as
Beech A36
Category
Airplane
Serial number
E-2377
Airframe hours
2,736.4
Engine
Teledyne Continental Motors IO-550-B, 300 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Victor J. Osborne, Jr.
Registered owner
Victor J. Osborne, Jr.
Airworthiness certificate
Standard, Utility
Last inspection
Annual · October 1, 2006 · 141 hours before
Departed
0A9 · Elizabethton, TN
Destination
VJ1 · Abingdon, VA
Airport
0A9 · Elizabethton Municipal Airport, runway 06, 4,529 × 70 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
50
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
1,924 total · 47 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 8 knots
Visibility
9 statute miles
Lowest ceiling
None
Temperature
75 °F, dew point 64 °F
Altimeter
30.14 inHg
Observed at
0A9, 5 nm away

Docket · 28

The files NTSB released with the investigation on March 22, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 30.0 MB in all.

Materials laboratory 15-factual reportItem 1 · PDF · 3 pages · 193 KBSupplement sItem 2 · PDF · 1 page · 37 KBWitness statementsItem 3 · PDF · 5 pages · 88 KBMaps or charts of accident area wreckage diagramsItem 4 · PDF · 3 pages · 8.7 MBGoogle earth plot depicting the departure airport crash site and destination airportsItem 5 · PDF · 1 page · 2.7 MBReports from parties to the investigation-hawker BeechcraftItem 6 · PDF · 1 page · 51 KBReports from parties to the investigation-teledyne Continental motorsItem 7 · PDF · 23 pages · 3.4 MBReports from parties to the investigation-hartzell propeller incItem 8 · PDF · 10 pages · 164 KBFAA conversationsItem 9 · PDF · 3 pages · 133 KBRecord of NTSB conversationsItem 10 · PDF · 15 pages · 432 KBFuel receiptItem 11 · PDF · 1 page · 33 KBSearch and rescue time lineItem 12 · PDF · 2 pages · 60 KBLogbook entry providing weight and balance informationItem 13 · PDF · 1 page · 4.8 MBLatest maintenance informationItem 14 · PDF · 3 pages · 111 KBType certificate data sheetItem 15 · PDF · 5 pages · 3.5 MBFAA form 5010-1Item 16 · PDF · 2 pages · 23 KBDocuments from beegles aircraft service incItem 17 · PDF · 7 pages · 292 KBSTC SA153EAItem 18 · PDF · 12 pages · 327 KBPassenger weight informationItem 19 · PDF · 4 pages · 70 KBExcerpts from pilot's operating handbook and FAA approved airplane flight manualItem 20 · PDF · 6 pages · 104 KBToxicological report-pilotItem 21 · PDF · 1 page · 58 KBToxicological report-passengersItem 22 · PDF · 3 pages · 140 KBStatement of party representatives to NTSB investigationItem 23 · PDF · 2 pages · 56 KBRelease of aircraft wreckage NTSB form 612015Item 24 · PDF · 2 pages · 65 KBPhoto 1_view of the wreckage at the accident siteItem 25 · PDF · 1 page · 2.5 MBPhoto 2_view of the empennageItem 26 · PDF · 1 page · 685 KBPhoto 3_view showing damage to treesItem 27 · PDF · 1 page · 627 KBPhoto 4_view of the engine-propellerItem 28 · PDF · 1 page · 618 KB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.