WPR09LA189

NTSB accident investigation · Beech A36TC · Roseburg, OR · April 8, 2009

Accident · No injuriesLimited investigationFinal report
Date
April 8, 2009, 15:13 local (22:13 UTC)
Place
Roseburg, OR
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N333HPBeech A36TC
Defining event
Landing-flare/touchdown: Landing gear not configured
Weather
Visual (VMC) · Day
Status
Completed · report December 29, 2009
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20090408004539A
Case key
73634

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 the landing checklist, which resulted in a gear up landing. Contributing to the accident was the pilot's diverted attention.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Use of equip/info: use of checklistPersonnel issues › Task performance · PilotBeech A56TC: 1 caseAll aircraft: 336 casesProbable cause
Attention/monitoring: attentionPersonnel issues › Psychological · PilotBeech A56TC: 1 caseAll aircraft: 226 casesProbable cause
Landing gear system: gear extension and retract sysAircraft › Aircraft systems · Not used/operatedBeech A56TC: 1 caseAll aircraft: 416 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

According to the pilot, while on the downwind leg for landing he used the airplane's checklist. However, his attention was "focused outside the cockpit," and he apparently "forgot" to lower the landing gear. No mechanical malfunctions or failures occurred with the airplane, and it slid to a stop with retracted landing gear.

Factual narrative

On April 8, 2009, about 1513 Pacific daylight time, a Beech A36TC, N333HP, landed with its landing gear retracted at the Roseburg Regional Airport, Roseburg, Oregon. The commercial certificated pilot owned and operated the airplane, and was not injured. The airplane was substantially damaged. Visual meteorological conditions prevailed, and no flight plan was filed. The personal flight was performed under the provisions of 14 Code of Federal Regulations Part 91, and it originated from the airport about 1508. The pilot reported that as he was approaching the airport for landing on the downwind leg, and completing the airplane's checklist, his attention was "focused outside the cockpit." The pilot stated that he "apparently forgot to lower [the airplane's] landing gear." An examination of the airplane by a Federal Aviation Administration (FAA) airworthiness inspector revealed that at least 5.5 feet of belly skin was damaged and was partially ground off to the rivet lines. Two belly ribs were broken. The damage also was evaluated by Hawker Beechcraft personnel who reported that in several locations "the underlying fuselage structure was abraded to the point where there [was] no remaining structure to attach the skin." The FAA coordinator reported that a major airframe repair would be required to restore airworthiness to the airplane's fuselage. In the pilot's National Transportation Safety Board "Pilot/Operator Aircraft Accident" report form, #6120.1, he indicated that during the flight he had not experienced any mechanical malfunction or failure with his airplane. The pilot did not report the date of his last flight review or the date of the airplane's last annual inspection.

Aircraft

Registration
N333HP
Reported as
Beech A36TC
Category
Airplane
Serial number
TG-89
Airframe hours
3,971
Engines
Lycoming TIO-541-E1B4, 380 horsepower, reciprocatingLycoming TIO-541-E1B4, 380 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Fred J. Brandenfels
Registered owner
Fred J. Brandenfels
Airworthiness certificate
Standard, Normal
Departed
RBG · Roseburg, OR
Destination
RBG · Roseburg, OR
Airport
RBG · Roseburg Regional, runway 34, 4,602 × 100 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
72
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Seat
Left
Flight hours
3,200 total · 1 in the last 90 days · 1 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 7 knots
Visibility
10 statute miles
Lowest ceiling
5,000 ft overcast
Temperature
55 °F, dew point 43 °F
Altimeter
29.92 inHg
Observed at
RBG

Docket · 15

The files NTSB released with the investigation on October 29, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 18.0 MB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.