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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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NTSB Report

September 21, 1992 · Beech A36 · N144PT

Blakely Island, WA

Overview

Report Status
Probable Cause
Event Type
Accident
Date
September 21, 1992
Injury Outcomes
1 injury (1 minor injury)
Location
Blakely Island, WA
Aircraft
Beech A36
Tail Number
N144PT
Operator
P J Taggares
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
SEA92LA211

At the beginning of the flight, during the takeoff ground run, the pilot realized that he had not removed the airplane's control gust lock. The pilot was unable to stop the airplane before it travelled off the end of the runway, collided with a fence and came to rest partially submerged in the bay north of the airstrip. The pilot reported that the airplane was normally kept in a hangar and that the gust lock was not used. The day before the accident, another pilot had flown the airplane and left it outside the hangar, and had installed the gust lock. The lock that was used was just the pin, as the red caution flag had previously broken off. The pilot did not see that the pin was installed during the preflight inspection. The pilot also reported that he did not use a checklist and at no time during the preflight inspection did he check for freedom of movement of the flight controls.

NTSB Probable Cause

THE REMOVAL OF THE CONTROL GUST LOCK WAS NOT PERFORMED. FACTORS TO THE ACCIDENT WERE: INADEQUATE PREFLIGHT, THE CHECKLIST WAS NOT USED, AND THE CONTROL GUST LOCK MARKING FLAG WAS GONE DUE TO PREVIOUS DAMAGE.

Full Narrative

AT THE BEGINNING OF THE FLIGHT, DURING THE TAKEOFF GROUND RUN, THE PILOT REALIZED THAT HE HAD NOT REMOVED THE AIRPLANE'S CONTROL GUST LOCK. THE PILOT WAS UNABLE TO STOP THE AIRPLANE BEFORE IT TRAVELLED OFF THE END OF THE RUNWAY, COLLIDED WITH A FENCE AND CAME TO REST PARTIALLY SUBMERGED IN THE BAY NORTH OF THE AIRSTRIP. THE PILOT REPORTED THAT THE AIRPLANE WAS NORMALLY KEPT IN A HANGAR AND THAT THE GUST LOCK WAS NOT USED. THE DAY BEFORE THE ACCIDENT, ANOTHER PILOT HAD FLOWN THE AIRPLANE AND LEFT IT OUTSIDE THE HANGAR, AND HAD INSTALLED THE GUST LOCK. THE LOCK THAT WAS USED WAS JUST THE PIN, AS THE RED CAUTION FLAG HAD PREVIOUSLY BROKEN OFF. THE PILOT DID NOT SEE THAT THE PIN WAS INSTALLED DURING THE PREFLIGHT INSPECTION. THE PILOT ALSO REPORTED THAT HE DID NOT USE A CHECKLIST AND AT NO TIME DURING THE PREFLIGHT INSPECTION DID HE CHECK FOR FREEDOM OF MOVEMENT OF THE FLIGHT CONTROLS.

Flight

Event TypeAccident
Event Time11:06 PDT
Nearest AirportBlakely Island (0nm N)
Runway1
Runway Length2000 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBeech A36
Tail NumberN144PT
Aircraft CategoryAir
DamageSubstantial
OperatorP J Taggares
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · IO-520-BA6 · Reciprocating · 285
Seats4

People & Injuries

Injury Summary1 injury (1 minor injury)
Fatal0
Serious0
Minor1
Uninjured0
Total1
Crew 1Age 43 · Second Class

Conditions

ConditionsVMC
LightDaylight
Wind90° @ 3 kt
Visibility15 sm
CeilingNone
Temperature / Dew Point57 / 0 C
Altimeter30.00 inHg
Observation Time17:58
Weather SourceWFAC

Appendix: Source Data