WPR23LA150

NTSB accident investigation · Compagnie Daher TBM 700 · Ashland, OR · April 7, 2023

Accident · No injuriesClass 3 · LimitedFinal report
Date
April 7, 2023, 16:55 local (23:55 UTC)
Place
Ashland, OR · S03
Injuries
2 uninjured
Damage
Destroyed
Phase of flight
Approach
Aircraft
N6924GCompagnie Daher TBM 700
Defining event
Approach-VFR go-around: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
FAA report
20230407006199A
Case key
107033

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 adequate airspeed during an attempted go around, which resulted in a runway excursion and impact 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.

Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedCompagnie Daher TBM 700: 1 caseAll aircraft: 1,681 cases

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 he was 2.5 hours into a flight review when the accident occurred. On the last leg of the trip the flight the instructor simulated a runway closure and a diversion to a nearby airport. The pilot verified the favored runway and entered an extended downwind to set up a stable approach. The pilot configured the airplane per the airplane checklist and set his power setting for a torque greater than 10 percent to maintain an airspeed of 80-95 knots indicated airspeed (KIAS). When crossing the runway threshold, the instructor stated there was a simulated obstruction on the runway and instructed the pilot to go around. As the pilot advanced the power, the airplane yawed to the left of the runway centerline. The pilot remembers adding right rudder pressure with no effect. The airplane touched down on the left side of the runway and then departed the runway. The airplane traveled through bushes and scrub trees before coming to rest at the edge of a creek. The pilot and instructor secured the airplane and exited before a small fire engulfed much of the airplane. Although the pilot and instructor did not recall any indication of impending loss of control or an aural stall warning before touchdown, audio recorded from onboard the airplane revealed that during the accident approach an electronic voice called out “Stall. Stall.” three times when the airplane was below 500 ft above ground level (agl), followed by “Airspeed” just before touchdown. During and after touchdown, “Stall. Stall.” sounded four additional times as the airplane decelerated. Recordings from the previous leg also contained stall and airspeed electronic voice call outs before landing. The first-leg landing did not include a go-around. Telemetry data recovered showed airspeeds below the required 80 KIAS during the go around attempt. Airplane data showed that on the last two final approaches the airspeed was below 80 KIAS which is required for a go-around at time stamp 22:55:33 for the previous approach and at 23:51:24 on the accident approach. The airplane’s stall speed when configured to land with full flaps, (Vso) is 65 KIAS. The Pilot’s Operating Handbook (POH) describes a minimum go around speed of 80 KIAS to ensure adequate airflow over the rudder to maintain its effectiveness during a go-around maneuver. It is likely that at the application of go-around power, the airspeed was inadequate to provide the right rudder pressure necessary to overcome the left turning yawing moment that was moving the airplane to the left.

Factual narrative

On April 7, 2023, about 1655 Pacific daylight time, a Compagnie Daher TBM 700 airplane (marketed as a TBM 940), N6924G, was substantially damaged when it was involved in an accident near Ashland Municipal Airport-Sumner Parker Field (S03), Ashland, Oregon. The pilot and pilot-rated passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 Instructional flight. The pilot had contracted with the flight instructor to perform his biennial flight review.. The flight was planned as an instrument flight rules trip from Rogue Valley International - Medford Airport (MFR) to Crater Lake/Klamath Regional Airport (LMT), with a return leg back to MFR. On the return flight the instructor simulated a runway closure at MFR and a diversion to Ashland Municipal Airport-Sumner Parker Field (S03). As the airplane approached S03 , the pilot established that the winds favored runway 30. The pilot successfully lowered the landing gear after a simulated gear malfunction and extended the downwind leg to assure a stabilized approach. He confirmed that the landing gear was down, full flaps were extended, and the approach speed was between 80 to 95 KIAS, with an engine torque greater than 10%. The pilot reported that the final approach leg was uneventful. After he crossed the pavement of runway 30, the instructor announced to the pilot that there was a simulated obstruction on the runway and that he should perform a go-around. The pilot advanced engine power to 70% torque and established the airplane in a level flight attitude. He expected to see an increase in airspeed; however, almost immediately the airplane yawed to the left of the runway centerline. He applied right rudder but was unable to correct the movement. The airplane continued to lose altitude and impacted the left side of the runway in a level attitude. The pilot applied full power to abort the landing and perform a go-around, but the airplane continued off the left side of the runway. The airplane traveled through vegetation before it proceeded down a slope, where it contacted bushes and small trees near the edge of a creek. The pilot-side door was obstructed by tree branches and the two pilots exited the passenger door. A small fire ensued, eventually engulfing much of the airplane. From the moment the pilot increased power to terrain impact was approximately 3 to 5 seconds. The pilot reported he had performed a go-around many times in the accident airplane with and without instructors. The pilot and instructor reported they did not recall hearing a stall warning indicator or any indication of impending loss of control. The fuel control cable was observed fractured when the FAA examined the engine. A NTSB materials lab analysis showed that the fracture features were consistent with overstress fracture, with no evidence of progressive fracture, and concluded the cable was damaged during the accident. The airplane was equipped with an L-3 lightweight data recorder(LDR) that was sent to the NTSB recorders lab, where data and audio files from the event were successfully downloaded. During the accident approach, the electronic voice callout “Stall. Stall.” sounded 3 times below 500 ft above ground level (agl), followed by “Airspeed” just before touchdown. During and after touchdown, “Stall. Stall.” sounded 4 additional times as the airplane decelerated. FAA personnel oversaw a download of data from the Pratt and Whitney Flight-Data Acquisition, Storage and Transmission (FAST) box. From time stamp 23:51:29, at an elevation of 1,952 above mean sea level (msl), to time stamp 23:51:34, at an elevation of 1,913 msl, the airspeed was as low as 38 kts. The Vso stall speed for this airplane is 65 KIAS. Weight on wheels data was not available on the accident leg due to the breaker being pulled for the manual gear extension demonstration. On the first leg of the flight, between MFR and LMT, the recorder captured the aural cues “Airspeed and Stall. Stall” at an altitude of 500 ft agl during the landing, when the airspeed was below 70 KIAS. Approach airspeed for the airplane is 85 KIAS. The POH for the airplane, in the section “Go-around with AP [autopilot] OFF,” contained a note that states, “The airplane will tend to yaw to the left when power is applied. Right rudder pressure will be required to maintain coordinated straight flight until the rudder trim can be adjusted.”

Aircraft

Registration
N6924G
Reported as
Compagnie Daher TBM 700
Category
Airplane
Serial number
1377
Built
2021
Airframe hours
225
Engine
Pratt & Whitney PT6A-66D/1354, 850 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Instructional · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 14, 2022 · 9 hours before
Departed
KLMT · Crater Lake/Klamath Regional Airport, OR
Destination
KMFR · Rogue Valley International - Medford Airport, OR
Flight plan
IFR
Airport
S03 · Ashland Muni/Sumner Parker Fld, runway 30, 3,603 × 75 ft, asphalt
Equipment
Auto-pilot, Data recorder, Electronic flight bag or handheld device, Electronic multifunction display, Electronic primary flight display, Onboard weather, Stall warning system, ADS-B, Angle of attack indicator

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
67
Injuries
None
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
June 18, 2021
Seat
Left
Restraint
4-point
Flight hours
2,655 total · 206 in this make and model · 2,655 as pilot in command · 19 in the last 90 days · 9 in the last 30 days · 1 in the last 24 hours
Role
Flight instructor
Age
59
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2
Seat
Right
Restraint
4-point
Flight hours
9,347 total · 5.3 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
250° at 9 knots
Visibility
10 statute miles
Lowest ceiling
5,500 ft broken
Temperature
55 °F, dew point 39 °F
Altimeter
29.91 inHg
Observed at
KMFR, 15 nm away
METAR
KMFR 072353Z 25009KT 10SM BKN055 OVC070 13/04 A2991 RMK AO2 RAE2256 SLP129 P0000 60001 T01330039 10144 20094 53003

Docket · 13

The files NTSB released with the investigation on February 20, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.9 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.