WPR19LA223

NTSB accident investigation · Beech 35 · Ruidoso, NM · August 17, 2019

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
August 17, 2019, 12:55 local (18:55 UTC)
Place
Ruidoso, NM
Injuries
2 serious
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N5410DBeech 35
Defining event
Takeoff: Collision during takeoff/land
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
FAA
FAA report
20190817015659A
Case key
100076

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 airplane’s inability to maintain altitude during the initial climb due to a degradation in the airplane’s performance as a result of high-density altitude conditions at the time of takeoff. Contributing to the accident were the pilot’s inadequate preflight performance planning calculations.

Findings · 4

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.

Aircraft capability: climb capabilityAircraft › Aircraft oper/perf/capability · Attain/maintain not possibleBeech H35: 1 caseAll aircraft: 183 casesProbable cause
Temp/humidity/pressure: high density altitudeEnvironmental issues › Conditions/weather/phenomena · Effect on operationBeech H35: 1 caseAll aircraft: 278 casesProbable cause
Planning/preparation: performance calculationsPersonnel issues › Task performance · PilotBeech H35: 1 caseAll aircraft: 114 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 and one passenger were departing from an airport located at an elevation of 6,813 ft mean sea level (msl). The pilot determined that, based on the temperature and gross weight of the airplane, the takeoff ground roll distance was about 2,900 ft total distance required to clear a 50-ft obstacle. The runway was 6,300 ft long. The pilot reported that the airplane became airborne about halfway down the runway and climbed to about 150 to 200 ft above ground level when he noticed a loss of engine power and the airplane began to descend. The pilot maneuvered the airplane for a forced landing and the airplane impacted terrain, resulting in substantial damage. A postaccident examination of the airplane revealed no mechanical malfunctions that would have precluded normal operation, and onboard video revealed that the engine continued to produce sufficient power throughout the flight. Before the accident flight, the pilot determined that, based on his calculation, the density altitude was 8,500 ft mean sea level (msl). Based on the weather conditions reported by the airport’s automated weather observation at the time of the accident, the density altitude was about 9,700 ft msl, which required a takeoff distance of about 3,300 ft. It is likely that the takeoff and climb performance, due to the density altitude, was degraded to an extent beyond that anticipated by the pilot, and the airplane was unable to maintain altitude.

Factual narrative

On August 17, 2019, about 1255 mountain daylight time, a Beechcraft H35 airplane, N5410D, was destroyed when it was involved in an accident near Ruidoso, New Mexico. The pilot and pilot-rated passenger were seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that, the day before the accident, he flew the airplane from Texas to the accident airport with no issues. He also added that he had flown in and out of the accident airport several times before and was familiar with high density altitude operations. Before the accident flight, the pilot determined that, based on his calculation, he reported that the density altitude was 8,500 ft mean sea level (msl), and the airplane’s weight was 2,803 pounds which was about 100 pounds under gross weight and within the center of gravity envelope. The takeoff ground roll distance required about 2,900 ft to clear a 50-ft obstacle. The runway was 6,300 ft long. The pilot leaned the engine for maximum performance and determined that if the airplane did not reach takeoff speed by the 3,000-foot runway marker, he would abort the takeoff. The airplane reached rotation speed about midfield and climbed to about 150 to 200 ft above ground level (agl) when the pilot noticed a loss of engine power. The airplane began to descend, and the pilot maneuvered the airplane for a forced landing. A witness located on the west side of the airport saw the accident airplane flying unusually low (no higher than 100 ft agl) in a northerly direction over runway 30. When it reached the intersection of runway 06/24, it started to descend out of view. The witness could hear the engine, and at no time did he see any smoke or vapors. He then ran to the terminal and prepared the fire truck and drove it to the accident site. Once there, he observed that about 5 gallons of fuel had leaked out of one of the wings, which had struck a tree. The airframe was severely damaged, and the engine was detached from the airframe. The left magneto was attached, and the right magneto mount was partially damaged. The starter was detached. The carburetor was severely damaged. All cylinders remained attached to the crankcase. The top spark plugs, and cylinder rocker box covers were removed. The top spark plugs were intact and exhibited normal operational signatures. The electrode gaps were consistent with service specifications. The crankshaft was rotated by hand and rotational continuity was established throughout the engine and valve train to the accessory section. Equal movement was observed on all the intake and exhaust valve rocker arms. Thumb compression and suction was obtained on all six cylinders. The magnetos were actuated by rotating the crankshaft, and spark was observed. The intake system was severely damaged, although it remained intact at the cylinder’s heads. The air filter and filter housing were severely damaged. The exhaust system was severely damaged, althoughit remained intact at the cylinder heads. The engine cylinders were examined internally using a lighted borescope. The piston tops and cylinder sidewalls appeared normal. No evidence of foreign object ingestion was observed. The examination revealed no mechanical malfunction that would have precluded normal operation. An onboard GoPro camera captured the accident takeoff in two video files; the first contained audio and video of the airplane taxiing to the runway and the second contained audio and video of the takeoff and subsequent impact with terrain. Both videos showed the instrument panel. The first video showed that the tachometer gauge read 1,300 rpm and an engine total time of 1,781.74 hours. The fuel pressure indicator read 3 psi, the manifold pressure indicator read 13 inHg, and the suction gauge read 4.75 inHg. The altimeter indicated an altitude of about 6,750 ft msl, and the fuel quantity gauge indicated 51.6 gallons of fuel remaining. The second video showed that the pilot applied power and the airplane began to accelerate down the runway. The tachometer indicated 2,600 rpm, the fuel pressure indicator read 6.5 psi, the manifold pressure indicator read 22.5 inHg, and the suction gauge read 6 inHg. About 40 seconds after the airplane started to accelerate, it lifted off the runway. The pilot retracted the landing gear, and about 25 seconds after takeoff, the intersecting runway, 6/24, was visible as it passed below. About 38 seconds after liftoff, the tachometer indicated 2,400 rpm, the manifold pressure indicator read 23 inHg, and the suction gauge indicated 5.8 inHg. The landing gear indicator showed that the gear was retracted, and the propeller control lever was in the full-forward position. About a half-second later, the camera revealed that the throttle lever was in the full forward position, the mixture control lever appeared to be in line with the throttle lever and in the full forward (rich) position, and the yoke was being pulled aft. The airplane impacted terrain 40 seconds after takeoff. Based on the weather conditions reported by the airport’s automated weather observation system at 1255, the density altitude at the time of the accident was about 9,700 ft msl, which required a takeoff distance of about 3,300 ft.

Aircraft

Registration
N5410D
Reported as
Beech 35 (H35)
Category
Airplane
Serial number
D-4882
Built
1956
Airframe hours
3,285
Engine
Continental IO-470-G, 240 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Michael Bletsch & Andrew Spiwak
Registered owner
Michael Bletsch & Andrew Spiwak
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 14, 2019
Destination
BPG · Big Springs, TX
Flight plan
IFR
Airport
SRR · Sierra Blanca Rgnl, runway 030, 6,309 × 75 ft, concrete
Equipment
Satellite tracking device, Stall warning system, ADS-B, Electronic flight bag or handheld device, Handheld GPS, Onboard weather

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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
37
Injuries
Serious
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Without waivers/limitations
Last flight review
January 22, 2019
Seat
Left
Restraint
4-point
Flight hours
1,052 total · 10 in this make and model · 980 as pilot in command · 80 in the last 90 days · 24 in the last 30 days · 4 in the last 24 hours
Role
Pilot-rated passenger
Certificate
Private
Seat
Left

Weather

Conditions
Visual (VMC) · Day
Wind
340° at 12 knots, gusting 17
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point 39 °F
Altimeter
30.20 inHg
Observed at
KSRR, 1 nm away

Docket · 8

The files NTSB released with the investigation on February 15, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 16.3 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.