NYC94FA029

NTSB accident investigation · Aerospatiale TB-21 · Lebanon, NH · December 2, 1993

Accident · FatalField investigationFinal report
Date
December 2, 1993, 17:28 local (22:28 UTC)
Place
Lebanon, NH
Injuries
2 fatal, 1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N28163Aerospatiale TB-21
Weather
Visual (VMC) · Night/dark
Status
Completed · report December 2, 1994
Report
Approved by Office Director
FAA report
19931202045719A
Case key
38663

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 maintain adequate terrain clearance which resulted in an inflight collision with the terrain. A factor was a dark night condition.

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 terrain/waterTakeoff - initial climb
Light condition - dark nightFactor
Terrain condition - mountainous/hillyFactor
Clearance - not maintainedPilot in commandCause

Analysis

The airplane collided with trees on a hill, about 1/2 mile from the airport (leb). The accident site was about 250 feet above the airport elevation. The pilot was on a clearance, in part, to climb to 6000 feet; he was in radio contact with the leb tower controller. The controller reported he noticed the airplane had turned too FAR left after takeoff and it was headed toward a hill. He asked the pilot if had had the hill in sight, and the pilot responded 'say again.' The surviving passenger reported he overheard the controller calling the pilot to alert him of the hill and thereafter the collision occurred. A second pilot was aboard, as a safety pilot; he was an instrument rated flight instructor. Although both pilots had previously departed the airport several times, according to their logbooks, the accident flight was their first night departure from the airport. The departure procedure for the airport, in part states, '...climb visually over airport, to cross the airport at or above 1500 feet, then proceed on course.'

Factual narrative

History of flight

On December 2, 1993, at 1728, an Aerospatiale TB-21, N28163, owned and operated by Mr. Klaus O. Eberius, of Chagrin Falls, Ohio, struck rising terrain after takeoff from Lebanon Municipal Airport, Lebanon, New Hampshire. The airplane was destroyed by the impact. The two pilots in the front were fatally injured. The passenger in the rear seat received serious injuries. Visual meteorological conditions prevailed and the flight was operating on an instrument flight plan under 14 CFR Part 91.

According to the FAA supplied transcript of air/ground communications between the Lebanon Air Traffic Control Tower, and N28163, at 1720:25, the pilot of N28163 contacted the Control Tower, and requested to taxi and receive his IFR clearance. The following clearance was issued:

Trinidad two eight one six three is cleared to the ah charlie golf foxtrot airport as filed, maintain six thousand, expect one zero thousand five minutes after departure, departure frequency Boston Center will be one three four point seven, squawk three four two six.

The clearance was acknowledged by the pilot.

At 1726:30, the pilot of N28163, said he was ready for takeoff. At 1726:40, the pilot was cleared for takeoff.

At 1728:30, the local controller said, "163, you have that hill in sight there?"

At 1728:33, the pilot replied, "163, say again", and the local controller replied, "could you see that hill there."

At 1728:36, the local controller again said, "163, how do you hear?" No further communications were heard from the pilot of N28163.

In a written statement, the local controller said:

The aircraft appeared to depart normally, and started a left turn. When I observed that the aircraft was turning too far left toward a hill that is adjacent to the airport, I asked the pilot if he could see the hill. The pilot responded, "say again?", and I repeated my question. As I unkeyed my microphone, I observed the aircraft's landing light shinning on the tops of the trees near the peak of the hill, and the aircraft appeared to pass behind the hill. I attempted to contact N28163, but there was no reply....

The passenger was interviewed on December 4, 1993, in the hospital. He said he had made this trip several times with both pilots. He said that normally, the pilots would depart straight out and then turn on course. He said the left seat pilot was the flying pilot, and he did not hear any conversation between the pilots after the takeoff clearance was issued. He said he did not observe any warning lights in the cockpit, and did not know anything was wrong until he heard the local controller call the pilot's attention to the hill. He said at this time he looked out and saw they were in the trees.

The accident occurred during the hours of darkness at location, 43 degrees, 36 minutes, 54 seconds North, 72 degrees, 17 minutes, 48 seconds West.

Personnel information

The left seat pilot held a private pilot certificate with airplane single engine land and instrument airplane ratings. He held an FAA third class airman medical certificate with a limitation to wear corrective lenses, issued on October 1, 1993. His pilot's log book, which was current through November 21, 1993, showed his total night time was 17.2 hours, with 6.5 hours logged on two flights within the preceding 3 weeks. He had logged two night landings within the preceding 90 days.

The right seat pilot held a commercial pilot certificate with airplane single engine land and instrument airplane ratings.

Additionally, he held a flight instructor certificate for airplane single engine land and instrument airplane. He held an FAA second class airman medical certificate with a limitation to wear corrective lenses, issued on July 19, 1993. His log book, which was current through November 23, 1993, showed the last logged night time was on June 1, 1992. His total logged night time was 166.4 hours. He had no logged night landings within the preceding 90 days.

No logged flights were found for either pilot to indicate a night departure from Lebanon. The left seat had made 10 departures from Lebanon in the preceding 90 days. The right seat flight instructor had made 8 departures from Lebanon in the preceding 90 days.

Aircraft information

The airplane was a 1990 Aerospatiale TB-21. The airplane received an annual inspection December 11, 1992. The airplane had a total time of 461 hours and had accumulated 311 hours since the last annual inspection.

Meteorological information

The 1740 observation at Lebanon recorded a ceiling of 14,000 feet broken, visibility 15 miles, and winds calm. The sun was 12.7 degrees below the horizon, and the moon was 18.7 degrees below the horizon, at the time of the accident.

Wreckage and impact information

The wreckage was examined at the accident site on December 3, and 4, 1993. The debris path was spread along a heading of 110 degrees for about 500 feet. The first items noticed on the ground were small pieces of paint and plexiglass. This continued for approximately 150 feet after which portions of the left and right wing were found. Pieces of airplane structure were found both on the ground and in trees.

The first 400 feet of broken tree limbs were on an upward fight path. The final 100 feet was on a downward flight path. Trees in the area were estimated to be 75 to 100 feet high.

In a daylight helicopter flight over the trees, the broken branches appeared to be in a straight line and not curved. In addition, the width of the broken tree branches was similar to the wing span of the airplane. The branches appear to be broken at the same height across the width of the area of broken branches.

The airplane was on its left side with the flaps up and the landing gear retracted. Both wings had impact damage, with the left wing separated from the airplane and in multiple pieces. Impact damage to the wings was oriented up/down across the leading edge.

Flight control continuity was verified between the cockpit, and rudder and elevator. Flight control continuity to the ailerons was not determined due to impact damage.

Both blades of the propeller were bent rearward and exhibited chord wise twisting near the tips.

The engine was separated from the firewall and located about 2 feet in front of the fuselage. Valve train continuity was verified through the accessory drive, with compression found in all cylinders.

Fuel was found in lines leading to the engine and in the engine accessories. The engine controls were found in the full forward position, and the fuel valve was selected to the right tank.

The airplane was equipped with two vacuum pumps. The engine driven pump was located on the rear of the engine. The electric auxiliary pump was mounted on the engine side of the firewall. The shear shaft on the engine driven vacuum source was intact and the vanes were not broken. The vacuum source selector was in the AUX SOURCE (auxiliary source) OFF position. The lines from these 2 pumps are joined by "T" connector. The "T" connector was pulled out of the line that leads through the firewall, to the attitude indicator.

Filament stretch was found in the GYRO (vacuum) light. The green status light AUX SUCT (auxiliary suction) did not have filament stretch. These lights are mounted on the top center of the left instrument panel. The pressure sensing switch for low vacuum pressure is located next to the attitude indicator.

Compression wrinkles were found on the fuselage skin between the instrument panel and the engine firewall. The rubber line between the firewall and attitude indicator was bent 90 degrees and twisted. There were 2 breaks where the line was bent.

Aircraft

Registration
N28163
Reported as
Aerospatiale TB-21
Category
Airplane
Serial number
1123
Airframe hours
461
Engine
Lycoming TIO-540-AB1A0, 250 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Operator
Klaus Eberius, doing business as Pittler Incorporated
Registered owner
Pittler Incorporated
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 11, 1992 · 311 hours before
Destination
CGF · Cleveland, OH
Flight plan
IFR
Airport
LEB · Lebanon, runway 18, 5,200 × 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
53
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
434 total · 85 in this make and model · 331 as pilot in command · 54 in the last 90 days · 14 in the last 30 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
Calm
Visibility
15 statute miles
Lowest ceiling
15,000 ft broken
Temperature
34 °F, dew point 27 °F
Altimeter
30.00 inHg
Observed at
LEB, 1 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.