WPR12LA110

NTSB accident investigation · Beech C23 · Rawlins, WY · February 18, 2012

Accident · No injuriesLimited investigationFinal report
Date
February 18, 2012, 08:30 local (15:30 UTC)
Place
Rawlins, WY
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N5205MBeech C23
Defining event
Initial climb: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed · report August 13, 2013
Report
Approved by Office Director
NTSB office
Western Pacific Region
Parties
FAA FSDO
FAA report
20120218002039A
Case key
82927

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 during the initial climb after takeoff, which resulted in an uncontrolled descent and collision with terrain.

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.

Action: incorrect action selectionPersonnel issues › Action/decision · PilotBeech C23: 1 caseAll aircraft: 397 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech C23: 7 casesAll aircraft: 1,681 casesProbable cause
Performance/control parameters: pitch controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedBeech C23: 2 casesAll aircraft: 526 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

The pilot reported that the takeoff roll was uneventful and that the airplane became airborne and accelerated to best-rate-of-climb speed; however, the airplane did not climb as expected. The pilot stated that the Federal Aviation Administration’s Airport/Facility Directory (AFD) warned of rising terrain off the departure end of the runway and instructed an immediate turn to the right. As a result, at the end of the runway and at an altitude of between 75 and 200 feet above the ground, the pilot began a right turn to the crosswind leg of the traffic pattern. However, the airplane stopped climbing, and he pitched up until the stall warning horn sounded. He said that he turned to the downwind leg of the traffic pattern, and the stall warning horn continued to “chirp.” The airplane began to descend and subsequently touched down in a sagebrush-covered field. The landing on rough terrain substantially damaged the airplane’s right wing spar and wrinkled the fuselage. Review of the AFD revealed that it did not warn of rising terrain off the departure end of the runway: however, it did request that “all aircraft departing runway 28 make right turnout as soon as safety permits after takeoff to avoid housing area and for noise abatement.” It is likely that as a result of the increased pitch attitude, the pilot did not maintain sufficient airspeed during the climb, as indicated by the stall warning horn sounding, and the airplane was unable to maintain altitude and descended to ground impact. The pilot indicated that he did not know if there was a preimpact mechanical malfunction.

Factual narrative

On February 18, 2012, approximately 0830 mountain standard time, a Beech C23 Sundowner, N5205M, sustained substantial damage during a forced landing following a loss of aircraft control near Rawlins Municipal Airport (6,817 foot elevation), Rawlins, Wyoming. The pilot and his two passengers were not injured. The owner/pilot was operating the airplane under the provisions of 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed for the personal cross-country flight, which was originating at the time of the accident. A flight plan had been filed with a destination of Goodland, Kansas. The pilot stated that the airplane was fueled the night before the accident flight. During the preflight examination on the day of the accident, the pilot noticed frost on the wings and he proceeded to remove all the frost with his hand. The engine started easily, and idled for about 30 minutes to warm the oil into the yellow on the oil temperature gauge. The pilot reported that the takeoff roll was uneventful, and the airplane became airborne and accelerated to the best rate of climb speed of 75 knots, as expected. He said that he kept the airplane pitched for 75 knots, but it was not climbing as expected. Upon reaching the end of the runway, the airplane was about 75 to 200 feet above ground level. The pilot said that the Federal Aviation Administration’s Airport/Facility Directory (AFD) “warned of rising terrain and instructed an immediate turn to the right.” The pilot began a right cross-wind turn, and the airplane stopped climbing. He responded by adding nose up pitch until the first indication of the stall warning horn. The pilot said he made a very shallow turn to downwind, and the stall warning horn continued to “chirp”. The airplane subsequently descended and touched down in a sagebrush covered field. During the landing roll on the rough terrain, the right wing spar was bent, and the fuselage was bent and wrinkled. The AFD states the following regarding takeoffs on runway 28 at Rawlins Municipal: “Request all aircraft departing runway 28 make right turnout as soon as safety permits after takeoff to avoid housing area and for noise abatement.” Rawlins Municipal Airport is located at an elevation of 6,817 feet. The density altitude at the time of the accident was calculated to have been 5,709 feet.

Aircraft

Registration
N5205M
Reported as
Beech C23
Category
Airplane
Serial number
M-2007
Airframe hours
3,801
Engine
Lycoming O&VO-360 SER, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Jimmie E. Meadows
Registered owner
Jimmie E. Meadows
Airworthiness certificate
Standard, Normal; Standard, Utility
Last inspection
Annual · July 1, 2011
Departed
RWL · Rawlins, WY
Destination
GLD · Goodland, KS
Airport
RWL · Rawlins Municipal Airport, runway 28, 4,322 × 60 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
41
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Last flight review
July 5, 2011
Seat
Left
Flight hours
1,024 total · 11 in this make and model · 713 as pilot in command · 44 in the last 90 days · 15 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
19 °F, dew point 14 °F
Altimeter
30.03 inHg
Observed at
RWL

Docket · 6

The files NTSB released with the investigation on June 14, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.9 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.