SEA07LA163

NTSB accident investigation · Beech B24R · Tonopah, NV · June 17, 2007

Accident · Serious injuriesLimited investigationFinal report
Date
June 17, 2007, 13:54 local (20:54 UTC)
Place
Tonopah, NV
Injuries
1 serious, 1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N6511RBeech B24R
Weather
Visual (VMC) · Day
Status
Completed · report November 29, 2007
Report
Approved by Office Director
Parties
Las Vegas Flight Standards District Office
FAA report
20070617010959A
Case key
65992

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 airspeed, which resulted in an inadvertent stall during the takeoff initial climb. The pilot's diverted attention to an open door, high density altitude, and wind gusts were contributing factors.

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 flightTakeoff - initial climb
Airspeed - not maintainedPilot in commandCause
Stall - inadvertentPilot in command
Diverted attentionPilot in commandFactor
Door - open
Weather condition - high density altitudeFactor
Weather condition - gustsFactor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

During the takeoff initial climb, at approximately 30 feet above ground level and halfway down the runway, the pilot initiated the landing gear retraction. The landing gear legs retracted at different rates, inducing "momentary, but noticeable yaw." Simultaneously with the induced yaw, the pilot side cabin door opened approximately 3 to 4 inches and the pilot felt "a loss of lift" in the aircraft. The aircraft rolled to a right bank of 30 degrees and a nose down attitude of 20 degrees. The pilot attempted to correct for the roll and pitch, but did not have sufficient altitude. The aircraft impacted the ground in a nose-down attitude approximately 300 feet to the right of the runway. Winds reported at the airport at the time of the accident were from 290 degrees at 13 knots, gusting to 25 knots. The density altitude at the time of the accident was 8,400 feet. Post accident inspections by a Federal Aviation Administration inspector revealed nothing remarkable with the aircraft. Both sets of the left and right door latches were found to operate freely and retracted fully when using the internal and external door handles. In 1990, Beechcraft Aircraft Corporation issued a Safety Communique concerning cabin door operation/openings. The Communique states that an open cabin door does not change an airplane's flight characteristics. However, it does state that an aircraft's climb performance can be decreased up to 130 feet per minute from handbook values, and that the decrease in climb performance can be more significant at high density altitudes.

Factual narrative

On June 17, 2007, at 1354 Pacific daylight time, a Beech B24R, N6511R, impacted terrain following a loss of control during the takeoff initial climb from runway 33 at the Tonopah Airport, Tonopah, Nevada. The airplane sustained substantial damage, the pilot received minor injuries, and the passenger received serious injuries. The airline transport pilot, who held private pilot privileges in single engine land airplanes, was operating the airplane under Title 14 CFR Part 91. Visual meteorological conditions prevailed for the personal cross country flight that was originating when the accident occurred, and a Visual Flight Rules flight plan was filed. The intended destination was Cedar City, Utah.

The pilot reported that during the takeoff initial climb, at approximately 30 feet above ground level (AGL) and halfway down the runway, he initiated the landing gear retraction. The landing gear legs retracted at different rates, inducing "momentary, but noticeable yaw." Simultaneously with the induced yaw, the pilot side cabin door opened approximately 3 to 4 inches and the pilot felt "a loss of lift" in the aircraft. The aircraft rolled to a right bank of 30 degrees and a nose down attitude of 20 degrees. The pilot attempted to correct for the roll and pitch, but did not have sufficient altitude. The aircraft impacted the ground in a nose-down attitude approximately 300 feet to the right of the runway.

Weather reported at Tonopah Airport, elevation 5,426 feet Mean Sea Level (MSL), at 1356 local time, was wind from 290 degrees at 13 knots, gusting to 25 knots, 10 miles visibility, clear skies, temperature of 86 degrees Fahrenheit, dew point of 9 degrees Fahrenheit, and a barometric pressure setting of 30.11 inches of Mercury. The calculated density altitude was 8,400 feet.

Post accident inspections by a Federal Aviation Administration inspector revealed nothing remarkable with the aircraft. Both sets of the left and right door latches were found to operate freely and retracted fully when using the internal and external door handles.

In weight and balance calculations computed by the pilot, the airplane, at departure, was estimated to be 4 pounds under its maximum gross weight of 2,750 pounds.

In 1990, Beechcraft Aircraft Corporation issued a Safety Communique concerning cabin door operation/openings. The Communique states that an open cabin door does not change an airplane's flight characteristics. However, it does state that an aircraft's climb performance can be decreased up to 130 feet per minute from handbook values, and that the decrease in climb performance can be more significant at high density altitudes.

Aircraft

Registration
N6511R
Reported as
Beech B24R
Category
Airplane
Serial number
MC-280
Airframe hours
3,335
Engine
Lycoming IO-360-A1B6, 200 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Blaine S Nay
Registered owner
Blaine S Nay and Annette Nay
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2007
Departed
TPH · Tonopah, NV
Destination
CDC · Cedar City, UT
Flight plan
VFR
Airport
TPH · Tonopah, runway 33, 7,057 × 80 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
58
Injuries
Minor
Certificates
Private, Flight engineer, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
January 1, 2007
Seat
Left
Flight hours
20,125 total · 75 in this make and model · 1,510 as pilot in command · 84 in the last 90 days · 67 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
290° at 13 knots, gusting 25
Visibility
10 statute miles
Lowest ceiling
None
Temperature
86 °F, dew point 9 °F
Altimeter
30.01 inHg
Observed at
TPH, 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.