NYC91FA080

NTSB accident investigation · Beech F-33A · West Brookfield, MA · March 4, 1991

Accident · Serious injuriesField investigationFinal report
Date
March 3, 1991, 19:30 local (Mar 4, 1991, 00:30 UTC)
Place
West Brookfield, MA
Injuries
2 serious, 2 minor
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N77YBeech F-33A
Weather
Night/dark
Status
Completed · report May 5, 1993
Report
Approved by Office Director
FAA report
19910303003709A
Case key
36782

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The decision of the pilot to fly the airplane in conditions that prevented him from seeing and avoiding higher terrain. Factors related to the accident were the pilot's decision to not follow the instrument approach into palmer, and the reduced visibility due to rain, fog and night.

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 objectManeuvering - turn to reverse direction
Light condition - dark nightFactor
Weather condition - fogFactor
Weather condition - rainFactor
In-flight planning/decision - improperPilot in commandCause
Overconfidence in personal abilityPilot in commandCause
Ifr procedure - not followedPilot in commandCause
Visual lookout - not possiblePilot in commandCause
Object - tree(s)

Analysis

The airplane struck trees on unlighted, rising terrain after flying an instrument approach to tone airport and attempting to proceed to another airport. The accident occurred 700 feet below approach minimums and 6 miles away from the instrument approach airport at night with rain and low clouds present. Radar data showed the airplane operating below the minimum altitudes for the instrument approach and not following the published approach procedure. The pilot said he decided to turn back to the first airport and in the progress the airplane struck rising terrain. The pilot said there were no problems with the engine or airframe.

Aircraft

Registration
N77Y
Reported as
Beech F-33A
Category
Airplane
Serial number
CE-920
Airframe hours
1,820
Engine
Continental IO-520, 285 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Stephen Grady
Registered owner
Walbach Properties Inc.
Airworthiness certificate
Standard, Utility; Standard, Normal
Last inspection
Annual · August 10, 1990 · 69 hours before
Departed
ACK · Nantucket, MA
Destination
PMX · Palmer, MA
Flight plan
IFR
Airport
PMX · Palmer Metropolitan

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
42
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
15,365 total · 1,284 in this make and model · 5,399 as pilot in command · 80 in the last 90 days · 37 in the last 30 days

Weather

Conditions
Night/dark

FAA reports on this event · 1

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