- Date
- June 10, 1996, 06:00 local (10:00 UTC)
- Place
- Woolwich, ME
- Injuries
- 2 fatal
- Damage
- Destroyed
- Phase of flight
- Enroute
- Aircraft
- N916PABeech E90
- Weather
- Instrument (IMC) · Dawn
- Status
- Completed · report April 29, 1997
- Report
- Approved by Office Director
- FAA report
- 19960610013039A
- Case key
- 39089
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
failure of the pilot to maintain control of the airplane while climbing after takeoff, due to spatial disorientation, which resulted in an uncontrolled descent and subsequent collision with terrain. Factors relating to the accident were: the improper refueling (servicing of the aircraft) by FBO personnel, and failure of the pilot to note the excessive lateral imbalance of the airplane during preflight.
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.
Analysis
The pilot took off on runway 7 and was cleared direct to the Wiscasset NDB, east of the airport. Shortly after takeoff, the airplane began turning to the left. The pilot then asked the controller, '. . . can you tell if I'm in a turn? I have a problem here.' Soon thereafter, the airplane collided with terrain in an uncontrolled descent, about 1.6 miles north of the airport. Investigation revealed that three days before the accident, a refueler had fueled the airplane's left wing with 840 pounds of fuel, then the fuel farm ran out of fuel. No further fueling was accomplished, and the pilot was not advised of the uneven fuel load. Procedures in the Beech E90 Pilot's Operating Manual (POM) included a check of the fuel tanks during preflight. The Beech C90 POM specified a maximum fuel imbalance of 200 pounds, but the E90 POM did not specify a maximum fuel imbalance. During examination of the wreckage, no preimpact malfunction or failure was found.
Factual narrative
History of flight
On June 10, 1996, about 0600 eastern daylight time, a Beech E90, N916PA, was destroyed after takeoff from the Wiscasset Airport, Woolwich, Maine, during an uncontrolled descent and collision with terrain. The certificated commercial pilot and passenger/owner were fatally injured. Instrument meteorological conditions prevailed, and an instrument flight rules flight plan had been filed. The flight departed Wiscasset, Maine, about 0556, destined for Philadelphia, Pennsylvania. The corporate flight was conducted under 14 CFR Part 91.
The airplane departed runway 07 at the Wiscasset Airport, and was cleared direct to the Wiscasset NDB, located about 3 miles east of the airport. The pilot made initial contact with the air traffic controller, about 0556. At 0557, the pilot acknowledged an assigned altitude and asked, ". . .can you tell if I'm in a turn? I have a problem here." The controller advised the pilot that he was heading westbound, then southbound, followed by eastbound. No further transmissions were received from the pilot. A low altitude alert was issued by the controller, when the airplane was observed on radar below the minimum vectoring altitude.
A residence of the area stated that she heard the airplane circling overhead, followed by a loud whining noise just prior to impact.
The accident occurred during the hours of daylight about 43 degrees, 59 minutes north latitude, and 69 degrees, 43 minutes west longitude, at an approximate elevation of 168 feet.
Meteorological information
The weather at the Wiscasset Airport, at 0553, was as follows: ceiling measured 100 feet overcast; visibility 3 1/2 miles with fog; temperature 53 degrees Fahrenheit; dewpoint 52 degrees Fahrenheit; winds calm; and altimeter 30.24 inches Hg.
A pilot who departed just prior to the accident flight stated, during a telephone interview, that 3/4 of the sky was obscured with fog through 2,000 feet. At 2,000 feet, there was an overcast layer of clouds that continued through about 3,000 feet.
Wreckage and impact information
The airplane accident site was examined on June 10th and 11th, 1996. The wreckage was located about 1.6 miles north of the Wiscasset Airport, and was damaged by a post crash fire. All major components were located within the confines of the main wreckage. The airplane came to rest inverted on a magnetic heading of 340 degrees. Debris was strewn about 100 feet to the north of the main wreckage. Trees on the northeast side of the wreckage, 100 feet in front of the left wing, exhibited fire damage. The landing gear was found extended. The airplane was equipped with one aileron trim tab on the left aileron that was set at 5 degrees tab up. There was no evidence of preimpact anomalies with the airplane. The engines, two flight instruments, and annunciator panel were retained for further examination.
Personnel information
The pilot held a Commercial Pilot Certificate with ratings for airplane single and multiengine land, and instrument airplane.
His most recent Federal Aviation Administration (FAA) Second Class Medical Certificate was issued on June 9, 1995, with a limitation to wear corrective lenses for near and distant vision.
A review of the pilot's log book revealed that he had accumulated a total flight experience of 10,516 hours, of which 1,138 were in make and model. The pilot had a total instrument flight experience of 712 hours, of which 584 were actual, and 132 were simulated. The pilot had logged 109 flight hours, of which 7 were actual instrument, in the previous 90 days, all in the accident airplane.
Medical and pathological information
An autopsy was performed on the pilot, on June 11th and 12th, 1996, by Dr. Kristan Sweeney, Office of Chief Medical Examiner, State of Maine.
A toxicological test was performed by the FAA Toxicology Accident Research Laboratory, Oklahoma City, Oklahoma.
Tests and research
On August 21st and 22nd, 1996, the engines were examined at Pratt and Whitney Canada, Quebec, Canada, under the supervision of the NTSB investigator-in-charge.
The following was observed on the left engine; The power turbine disc displayed circumfrential gouges on the forward face of the disc. The compressor turbine shroud displayed circumfrential gouges on the inside. The compressor section, first, second, and third stage disc blade buts were in the slots with a 45 degree lip facing toward the direction of rotation, and the blades broken off opposite the direction of rotation. The centrifugal impeller had blades bent opposite the direction of rotation.
The following was observed on the right engine; The power turbine disc displayed circumfrential gouges on the forward face of the disc. The stators and axial impeller blades were bent opposite the direction of rotation. Both sides of the interstage baffle displayed circumfrential scratches and gouges.
A pneumatic and electric gyroscopic attitude indicator, and annunciator panel were sent to the NTSB Office of Research and Engineering, Materials Laboratory Division, Washington, DC. In the NTSB Material Laboratory Factual Report, it stated:
"The housing of the pneumatic gyro contained impact damage and cracks. Visual examination with the aid of a bench binocular microscope showed circumfrential scratches on the inside surface of the housing, indicating rotational contact between the weight and the housing. The electrical gyro showed circumfrential scratches on the inside of the housing. . . .The annunciator panel as received was heavily deformed with indicator names missing as well as most of the indicator lenses. . . .Information obtained from Raytheon oriented the bottom of the annunciator panel where the part number plate was attached. The annunciator panel consisted of two rows of 15 indicators. . .the indicators were arbitrarily numbered [starting from top left to right, then bottom left to right]. . . ."
The report further stated that the number 18 bulbs, corresponding to be the left autofeather, had both envelopes broken and both filaments missing. The number 28 bulbs, corresponding to be the right autofeather, had both envelopes intact and both filaments broken and stretched.
Additional information
Refueling
A refueler from a fixed base operator (FBO), at the Wiscasset Airport, stated that the airplane arrived on June 6, and the pilot requested that the main fuel tanks be topped off. The left main fuel tank was fueled first. During the refueling of the left tank, the fuel farm ran out of fuel, after 125.6 gallons were pumped. No further fueling was accomplished. The refueler advised the FBO owner of the incomplete fueling. Neither the refueler nor the FBO owner indicated that they advised the pilot that only one fuel tank received fuel.
During a telephone interview with the widow of the passenger/owner, she stated that when the flight arrived at Wiscasset that Thursday, June 6, she recalled hearing the pilot saying "we're on fumes" or "we're on empty." That Friday the pilot went to the FBO to return a rental car, and Saturday again to clean out the airplane. She further stated that the pilot would normally preflight the airplane the day before a planned flight; however, he did not for the accident flight.
In the Pilot's Operating Manual (POM), under FAA Normal Procedures, it stated to check the right and left auxiliary and main fuel tanks during the preflight. The Beech C90 POM specified a maximum fuel imbalance of 200 pounds. The Beech E90 POM did not specify a maximum fuel imbalance.
It was calculated that the left wing was refueled with 840 pounds of fuel, and the right wing received none.
Radar Data
A review of the radar data provided by the FAA Air Traffic Manager, Boston Air Route Traffic Control Center, Nashua, New Hampshire, revealed the following:
0557:13 ; The airplane was at 800 feet heading north. 05
Aircraft
- Registration
- N916PA
- Reported as
- Beech E90
- Category
- Airplane
- Serial number
- LW-313
- Airframe hours
- 6,230
- Engine
- P&W PT6A-28, 550 horsepower, turbo prop
- Damage
- Destroyed
- Fire
- On-Ground
- Flight
- Executive/Corporate · Part 91
- Registered owner
- Ruma Advisory Co Inc
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Continuous airworthiness · April 24, 1996 · 63 hours before
- Departed
- IWI · Wiscasset, ME
- Destination
- PHL · Philadelphia, PA
- Flight plan
- IFR
- Airport
- IWI · Wiscasset, runway 7, 3,400 × 75 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
- 63
- Certificates
- Commercial, Flight instructor
- 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
- 10,516 total · 1,138 in this make and model · 10,119 as pilot in command · 109 in the last 90 days · 33 in the last 30 days
Weather
- Conditions
- Instrument (IMC) · Dawn
- Wind
- Calm
- Visibility
- 3.5 statute miles
- Lowest ceiling
- 100 ft overcast
- Temperature
- 54 °F, dew point 52 °F
- Altimeter
- 30.00 inHg
- Observed at
- IWI, 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.