NYC93LA161

NTSB accident investigation · Beech A23 · Morgantown, WV · August 18, 1993

Accident · Serious injuriesLimited investigationFinal report
Date
August 18, 1993, 05:57 local (09:57 UTC)
Place
Morgantown, WV
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N3552RBeech A23
Weather
Instrument (IMC) · Dawn
Status
Completed · report September 13, 1994
Report
Approved by Office Director
FAA report
19930818029719A
Case key
38636

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 follow IFR procedures in which he descended below the decision height without visual detection of the runway. Factors are the fog conditions, trees and the pilot's inattention to altitude.

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 - fogFactor
Ifr procedure - not followedPilot in commandCause
Decision height - not maintainedPilot in commandCause
InattentivePilot in commandFactor
Object - tree(s)Factor

Analysis

The pilot was executing the ILS rwy 18 approach and struck trees 3 miles from the approach end of the runway at approximately airport elevation height. When interviewed, he said that due to the fog he was looking outside for the airport and when he looked back inside he realized he was low. He said that when he added power, the airplane was already in the trees.

Factual narrative

On Wednesday, August 18, 1993, at 0557 eastern daylight time, a Beech A23, N3552R, owned and operated by Benjamin F. Roush, of Point Pleasant, West Virginia, struck rising terrain while executing an ILS approach to Morgantown, West Virginia, airport for a landing. The pilot received serious injuries and the airplane received substantial damage. Instrument meteorological conditions prevailed and the pilot was operating on an instrument flight rules flight plan in accordance with 14 CFR 91.

In the NTSB Accident Report, the pilot stated that while on final approach:

...looked at the approach plate to redetermine DH [Decision Height] 1440' [feet] and the next few seconds I heard slap, slap, --- smack, smack, and I was on the ground. Everything seemed to be functioning properly....

According to the map supplied by the FAA, the airplane flew into rising terrain, at an altitude of 1200 feet, 3 miles from the approach end of runway 18. The published airport elevation is 1248 feet. The minimum descent altitude on the ILS approach is 1440 feet. The glide slope at Morgantown is set at 3 degrees.

In a telephone interview, Mr. Kenneth Leighton, of the Charleston, West Virginia, Flight Standards District Office said he traveled to the accident site. He said the onsite evidence indicated the engine was developing power while the airplane traveled through the trees. In addition, he said when he interviewed the pilot in the hospital, the pilot said he was looking outside the airplane for the airport and when he looked inside, he realized he was too low and added power, however, he was too late and was already in the trees.

Although there is no record of the pilot checking weather prior to departure, according to the FAA Supplied transcript, he did receive, and acknowledged, the current Morgantown weather of an indefinite ceiling of 200 feet, sky obscured, visibility 2 miles with fog.

Aircraft

Registration
N3552R
Reported as
Beech A23
Category
Airplane
Serial number
M-726
Airframe hours
2,558
Engine
Continental IO-346-A, 165 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Benjamin F. Roush
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 23, 1992 · 56 hours before
Departed
3I2 · Point Pleasant, WV
Destination
MGW · Point Marion, PA
Flight plan
IFR
Airport
MGW · Morgantown Muni, runway 36, 5,199 × 150 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
57
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
4,050 total · 43 in this make and model · 3,874 as pilot in command · 25 in the last 90 days · 10 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Dawn
Wind
Calm
Visibility
2 statute miles
Lowest ceiling
200 ft
Temperature
68 °F, dew point 68 °F
Altimeter
30.00 inHg
Observed at
MGW, 3 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.

Other investigations on N3552R · 1

Matched to the same aircraft by N-number and date.