NYC91FA212

NTSB accident investigation · Beech 58 · Brookhaven, NY · August 16, 1991

Accident · FatalField investigationFinal report
Date
August 16, 1991, 15:21 local (19:21 UTC)
Place
Brookhaven, NY
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N104SBBeech 58
Weather
Visual (VMC) · Day
Status
Completed · report May 5, 1993
Report
Approved by Office Director
FAA report
19910816034609A
Case key
36807

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

Pilot physiological incapacitation which resulted in a loss of control in flight, and an uncontrolled descent into water.

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 control - in flightGo-around (vfr)
Incapacitation(organic problem)Pilot in commandCause
Airspeed - not maintainedPilot in commandCause
Directional control - not maintainedPilot in commandCause
Stall/spin - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Remedial action - not possiblePilot in command
Terrain condition - water

Analysis

While on a heading of approx 270, the pilot was instructed to follow another airplane into the airport. He did not turn in on final and continued for almost 3 miles. When the ATCT told him to turn to 180 for resequencing, he turned to 330, toward the airport and started a descent from 2000 feet. The airplane descended to 1600 feet, and then started a climb back to 2000 feet, with a shallow left turn, contacted approach control and continued the turn to 150. The radar data showed the aircraft speed started to decrease when the airplane climbed. There was a continued decrease of speed to 44 knots, at which point, the airplane started a descent, followed by a left spin, and impacted water. The radar data showed no rapid course changes prior to the low point of speed. The air/ground tapes showed the pilot sometimes took almost a minute between frequency changes, and his voice was indecisive and hesitant. The pilot had been treated for seizures since 1974. Anti-seizure medication was found in his toxicological samples.

Aircraft

Registration
N104SB
Reported as
Beech 58
Category
Airplane
Serial number
TH-1071
Airframe hours
1,394
Engine
Continental I0-520-CB, 285 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
John G. Lauchner
Registered owner
C & L Direct Corporation
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 4, 1990 · 67 hours before
Departed
GON · Groton, CT
Destination
ISP · Islip, NY
Airport
ISP · Mac Arthur

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
87
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Invalid Medical for flight
Seat
Left
Toxicology
Performed
Flight hours
7,800 total · 7,600 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
310° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
88 °F, dew point 63 °F
Altimeter
29.00 inHg
Observed at
ISP, 6 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.