- Date
- April 21, 2012, 17:17 local (Apr 22, 2012, 00:17 UTC)
- Place
- Pendleton, OR
- Injuries
- 1 serious, 2 uninjured
- Damage
- Substantial damage
- Phase of flight
- Prior to flight
- Aircraft
- N3862CBeechcraft A36TC
- Defining event
- Prior to flight: Aircraft servicing event
- Weather
- Visual (VMC) · Day
- Status
- Completed · report June 11, 2014
- Report
- Approved by Office Director
- NTSB office
- Western Pacific Region
- Parties
- Federal Aviation Administration
- FAA report
- 20120421006329A
- Case key
- 83451
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
The pilot's failure to maintain an adequate glidepath for landing, which resulted in a collision with terrain short of the runway. Contributing to the accident was the pilot's failure to secure the left-side fuel cap before departure. Contributing to the pilot's injuries was the broken shoulder harness.
Findings · 6
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.
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 airplane had been refueled before the flight and that the fuel had expanded during the day due to heat, which resulted in fuel draining from the vent. The pilot loosened the fuel caps to facilitate draining excess fuel from the tank; however, he forgot to resecure the left-side cap after he finished draining the fuel. Shortly after takeoff, the pilot reported to an air traffic controller that one of the airplane's fuel caps was not secure and requested permission to return to the airport for landing. However, the pilot did not maintain an adequate glidepath during the approach, and the airplane impacted terrain short of the runway. The pilot reported no preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operation. During the impact sequence, the pilot's shoulder harness webbing separated, resulting in a serious injury. Examination showed that the webbing met the original load requirements as specified by the manufacturer, and no photodegradation was evident.
Factual narrative
The NTSB's safety alert "Check Your Restraints" notes the importance of restraint systems in preventing injuries and provides resources for inspecting restraint systems for wear and damage. The safety alert can be found at http://www.ntsb.gov/doclib/safetyalerts/SA_027.pdf. On April 21, 2012, at 1717 Pacific daylight time, N3862C, a Beechcraft Corporation A36TC, registered to Hermiston Aviation Inc. and operated by the pilot collided with terrain short of the runway at Eastern Oregon Regional Airport, Pendleton, Oregon. The commercial pilot sustained serious injuries and the two passengers were not injured. The airplane was substantially damaged. The pilot was operating the airplane under the provisions of Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed and no flight plan was filed. According to emergency response personnel, the pilot had departed Pendleton and radioed to the air traffic control tower controller that one of the airplane's fuel caps was not secured. The pilot was returning to the airport when the airplane impacted terrain short of runway 16. The pilot stated that the airplane had been refueled prior to the flight. It was a warm day with the tank full of fuel and the heat resulted in fuel draining from the vent. The pilot loosened the fuel cap to aid in ridding the tank of the excess fuel. Upon departure, the left wing fuel cap departed from the fuel tank. As the pilot returned to land, he did not maintain an appropriate glide path during final approach and the airplane collided with terrain on the approach end of runway 16. The pilot indicated there were no mechanical malfunctions or failures during the flight, and the engine continued to operate until impact with the terrain. Post accident examination of the airplane revealed that the pilot's shoulder harness separated during the accident sequence resulting in serious injuries. The shoulder harness was dated September of 1980 and was installed when the airplane was manufactured. The pilot's shoulder harness and lap belt were examined by a metallurgist from the NTSB Materials Laboratory. The separation point on the shoulder harness belt showed that some filaments contained mushroomed ends, consistent with a relatively high loading rate. Under such conditions, the loading of the filament produces heat which softens the filament and causes it to fracture. The shoulder harness was also examined using a Fourier Transform Infrared (FTIR) spectrometer. The test was indicative of negligible photodegradation of the webbing. Additionally, the restraint system was examined at Beechcraft with a representative from the Federal Aviation Administration. Sections of the shoulder harness were tensile tested and exceeded the proof load strength of 1,666 pounds, with an ultimate static load strength of 2,500 pounds.
Aircraft
- Registration
- N3862C
- Reported as
- Beechcraft A36TC
- Category
- Airplane
- Serial number
- EA-227
- Airframe hours
- 3,699
- Engine
- Continental TSIO-520, 300 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · March 14, 2012 · 10 hours before
- Departed
- PDT · Pendleton, OR
- Destination
- HRI · Hermiston, OR
- Airport
- PDT · Pendleton, runway 16, 4,341 × 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
- 63
- Injuries
- Serious
- Certificates
- Commercial, Flight instructor
- Airplane ratings
- Single-engine land, Multi-engine land
- Instrument ratings
- Airplane
- Medical
- Class 2, With waivers/limitations
- Last flight review
- January 30, 2012
- Seat
- Left
- Flight hours
- 13,000 total · 7,500 in this make and model · 12,600 as pilot in command · 67 in the last 90 days · 15 in the last 30 days · 1 in the last 24 hours
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 50° at 7 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 70 °F, dew point 54 °F
- Altimeter
- 30.00 inHg
- Observed at
- PDT
Docket · 10
The files NTSB released with the investigation on April 19, 2013, on NTSB’s docket system: statements, records, photos and specialists’ reports. 16.7 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.