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NTSB Report

February 1, 2003 · Beech A36 · N5677X

Grand Rapids, MI

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
February 1, 2003
Injury Outcomes
No injuries (2 uninjured)
Location
Grand Rapids, MI
Aircraft
Beech A36
Tail Number
N5677X
Operator
Larry L Brown
Injuries
None
Aircraft Damage
Substantial
NTSB Number
CHI03LA063

The airplane received substantial damage during a high speed pull-up while recovering from an unusual attitude after a loss of control during an instrument training flight in actual instrument meteorological conditions. The ceiling was reported to be overcast at 700 feet above ground level. The airplane subsequently returned to the departure airport. The certified flight instructor who was on-board the airplane reported that pre-departure checks of the flight instruments were normal. He said that, during the flight the gyroscopic flight instrument became unusable. A postaccident examination revealed that the turn coordinator circuit breaker was in the open position. Further testing revealed no detectable defects in the gyroscopic flight instruments and instrument pressure system.

NTSB Probable Cause

The pilot's failure to maintain aircraft control which resulted in the overload of the aircraft. Spatial disorientation, an inoperative turn coordinator, and the pilot's misinterpretation of the flight instruments were contributing factors.

Full Narrative

On February 01, 2003, about 0800 eastern standard time, a Beech A36, N5677X, piloted by a certified flight instructor (CFI) and dual student, sustained substantial damage during a recovery from an unusual attitude after a loss of control during instrument flight. The non-instrument rated dual student held a private pilot certificate with a single engine land rating. The 14 CFR Part 91 training flight was operated in instrument meteorological conditions (IMC) with an instrument flight plan. No injuries were reported. The flight originated from the Gerald R. Ford International Airport (GRR), Grand Rapids, Michigan, about 10 minutes prior to the loss of control. The destination has not been determined. The weather reporting station located at the departure airport recorded the ceiling and visibility as overcast ceiling at 700 feet above ground level, and 7 statute miles respectively. The report was taken about 4 minutes prior to the accident. The CFI reported that prior to departure checks of the engine and flight instruments were normal. He stated that the takeoff was uneventful. Shortly after takeoff the airplane entered IMC. The CFI said he noticed that the airplane was in a 30 degree bank and he applied right aileron to correct. He said that a subsequent scan of the turn coordinator showed wings level. He said that another scan of the attitude indicator showed a bank angle in excess of 60 degrees. The CFI stated that he assumed control of the airplane and determined that the gyroscopic instruments were not usable. According to the CFI, the airplane exited IMC in an unusual, high speed, nose down, left bank attitude and the he used right aileron and up elevator to recover. The CFI regained control below the overcast and returned to the departure airport. The airplane was substantially damaged due to the pull up during recovery. A postaccident examination of the airplane was conducted. The wings, horizontal stabilizer skins were wrinkled. Further examination revealed that the wing and horizontal stabilizer spars were damaged. During the examination, the turn coordinator circuit breaker was found in the open position. A run up and taxi test confirmed that the primary and backup instrument pressure systems were operational. The pressure gyroscopic instruments functioned without noticeable defect during the test. Additionally, the turn coordinator circuit breaker was reset and no noticeable defects in operation were found during the test. Subsequent to the taxi testing, the artificial horizon indicator (AHI) was removed for further examination. Bench testing of the AHI was performed by a certified repair station under the supervision of a Federal Aviation Administration official. The testing of the AHI revealed that the unit was in an airworthy condition.

Flight

Event TypeAccident
Event Time08:00 EST
Nearest AirportGerald R. Ford International (0nm)
Flight Plan FiledIFR
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBeech A36
Tail NumberN5677X
Aircraft CategoryAir
DamageSubstantial
OperatorLarry L Brown
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsContinental · IO 550B · Reciprocating · 300
Seats6

People & Injuries

Injury SummaryNo injuries (2 uninjured)
Fatal0
Serious0
Minor0
Uninjured2
Total2
Crew 1Age 37 · First Class · None
Crew 2None

Conditions

ConditionsIMC
LightDaylight
Wind300° @ 9 kt
Visibility7 sm
CeilingOvercast 700 ft
Temperature / Dew Point32 C / 30 C
Altimeter29.88 inHg
Observation Time11:56
Weather SourceWFAC

Appendix: Source Data