SEA92LA211

NTSB accident investigation · Beech A36 · Blakely Island, WA · September 21, 1992

Accident · Minor injuriesLimited investigationFinal report
Date
September 21, 1992, 11:06 local (18:06 UTC)
Place
Blakely Island, WA
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N144PTBeech A36
Weather
Visual (VMC) · Day
Status
Completed · report August 31, 1993
Report
Approved by Office Director
FAA report
19920921037879A
Case key
42906

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 removal of the control gust lock was not performed. Factors to the accident were: inadequate preflight, the checklist was not used, and the control gust lock marking flag was gone due to previous damage.

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.

OverrunTakeoff - roll/run
Object - fence
Aircraft preflight - inadequatePilot in commandFactor
Checklist - not usedPilot in commandFactor
Flight control,gust lock - previous damageFactor
Flight control,gust lock - unmarkedFactor
Removal of control/gust lock(s) - not performedPilot in commandCause

Analysis

At the beginning of the flight, during the takeoff ground run, the pilot realized that he had not removed the airplane's control gust lock. The pilot was unable to stop the airplane before it travelled off the end of the runway, collided with a fence and came to rest partially submerged in the bay north of the airstrip. The pilot reported that the airplane was normally kept in a hangar and that the gust lock was not used. The day before the accident, another pilot had flown the airplane and left it outside the hangar, and had installed the gust lock. The lock that was used was just the pin, as the red caution flag had previously broken off. The pilot did not see that the pin was installed during the preflight inspection. The pilot also reported that he did not use a checklist and at no time during the preflight inspection did he check for freedom of movement of the flight controls.

Aircraft

Registration
N144PT
Reported as
Beech A36
Category
Airplane
Serial number
E-200
Airframe hours
3,777
Engine
Continental IO-520-BA6, 285 horsepower, reciprocating
Damage
Substantial damage
Flight
Ferry · Part 91
Operator
P.J. Taggares Company
Registered owner
P.J. Taggares Company
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 20, 1992 · 75 hours before
Departed
S08
Destination
6WA4 · Othello, WA
Airport
S08 · Blakely Island, runway 1, 2,000 × 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
43
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
11,420 total · 150 in this make and model · 11,162 as pilot in command · 250 in the last 90 days · 75 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
90° at 3 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
57 °F
Altimeter
30.00 inHg
Observed at
FHR, 7 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.