MIA92GA107

NTSB accident investigation · Beech C90 · St. Augustine, FL · April 9, 1992

Accident · FatalFinal report
Date
April 9, 1992, 07:10 local (11:10 UTC)
Place
St. Augustine, FL
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N105FLBeech C90
Weather
Instrument (IMC) · Dawn
Status
Completed · report January 31, 1994
Report
Approved by Office Director
Case key
32999

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 adhere to the published instrument approach procedure which resulted in descent below the minimum descent altitude. Factors which contributed to the accident were the low ceiling and fog.

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 objectApproach - faf/outer marker to threshold (ifr)
Weather condition - low ceilingFactor
Weather condition - fogFactor
Ifr procedure - improperPilot in commandCause
Object - tree(s)

Analysis

The airplane disappeared from radar about 1-1/2 mi short of the airport during a VOR runway 13 approach. Radar data shows that the altitudes, descent rates, and ground speeds were consistent with the approach profile. The last radar position of the airplane was at 100 ft on the runway extended centerline. The debris path was aligned on a 130 deg mag heading. Witnesses stated that the visibility was near zero in fog.

Aircraft

Registration
N105FL
Reported as
Beech C90
Category
Airplane
Serial number
LJ-1215
Airframe hours
1,338
Engine
P&W PT6A-21, 550 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Public aircraft · Part 91
Operator
State Of Florida
Registered owner
State Of Florida
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · January 28, 1992 · 133 hours before
Departed
THL · Tallahassee, FL
Flight plan
IFR

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
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
7,350 total · 1,600 in this make and model

Weather

Conditions
Instrument (IMC) · Dawn
Wind
Calm
Lowest ceiling
300 ft overcast
Temperature
52 °F, dew point 52 °F
Altimeter
30.00 inHg
Observed at
SGJ, 1 nm away