MIA89FA178

NTSB accident investigation · Beech A36 · Shelby, MS · June 26, 1989

Accident · FatalField investigationFinal report
Date
June 26, 1989, 09:35 local (14:35 UTC)
Place
Shelby, MS
Injuries
1 fatal, 2 serious, 1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N1837NBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report July 9, 1990
Report
Approved by Office Director
FAA report
19890626017559A
Case key
32299

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

Failure of the pilot to maintain adequate airspeed while maneuvering back to the runway which resulted in an inadvertentstall. Contributing factors were: failure of the pilot to insure the cabin door (on the passenger's side) was properlyclosed and secured before taking off, the pilot's improper in-flight planning and decision by making steep turns to maneuver and land, and the pilot's attention being diverted by noise from the open door (aural perception).

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.

Miscellaneous/otherTakeoff - initial climb
Procedures/directives - not followedPilot in commandFactor
Door,passenger - not securedFactor
Door,passenger - openFactor
Loss of control - in flightManeuvering - turn to landing area (emergency)
Precautionary landing - initiated
In-flight planning/decision - improperPilot in commandFactor
Maneuver - initiatedPilot in command
Airspeed - inadequatePilot in commandCause
Stall - inadvertentPilot in commandCause
Diverted attentionPilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The rgt front pax rprtd that just after rotation for takeoff, the cabin door (on the rgt side of the acft) came open, creating a noise. He stated that he & the plt were unable to close the door, so the plt elected to land. Rprtdly, the plt made a steep rgt turn which was followed by a steep left turn to maneuver back to the rwy. However, the acft entereda steep descent & crashed in a nose down, left wing low attitude. No preimpact part failure or malfunction of the acft was found. The pax rprtd that before the flt, he had shut the door, but the plt did not check to see if it was locked. According to the acft flt manual, the plt was responsible for assuring the door was closed & locked, and should the door come open in flt, he should land in a normal manner.

Aircraft

Registration
N1837N
Reported as
Beech A36
Category
Airplane
Serial number
E1913
Airframe hours
1,456
Engine
Continental IO-520-BB, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Nesbitt, Reeves
Registered owner
Rives Neblett
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 28, 1988 · 170 hours before
Destination
M95 · Fayette, AL
Airport
Shelby, runway 21, 3,800 × 100 ft, grass/turf

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
23
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
545 total

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 6 knots
Visibility
6 statute miles
Lowest ceiling
25,000 ft broken
Temperature
84 °F, dew point 75 °F
Altimeter
29.00 inHg
Observed at
GLH, 31 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.