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Aviation safety reports, made easier to study

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NTSB Report

October 5, 2018 · Beech 55 E55 · N6674Y

San Antonio, TX

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
October 5, 2018
Injury Outcomes
1 injury (1 minor injury)
Location
San Antonio, TX
Aircraft
Beech 55 E55 (1979)
Tail Number
N6674Y
Injuries
Minor
Aircraft Damage
Substantial
NTSB Number
GAA19CA011

The pilot reported that, the day before the accident flight, he had flown the airplane and wanted to become more comfortable with new instruments that had been installed. So, after the flight, while in a hangar, he and a friend turned the airplane's electrical power on to familiarize the pilot with the autopilot system and specifically with how it would follow heading bug settings. During the familiarization, they "ran the [pitch] trim all the way up." The pilot added that, before takeoff for the accident flight, he did not check the pitch trim setting because he believed it would be the same as his previous flight, instead of the pitch trim setting after his autopilot ground familiarization. He added that, during takeoff, the nose pitched up severely. He lowered the nose, and the airplane entered a negative G condition. He realized that he "did not latch the seat belt very good" and saw that his seatbelt had disconnected and that he was no longer in his seat and could not regain airplane control. The airplane struck the runway, porpoised, and the nose landing gear collapsed. The airplane skidded and struck a taxiway light. Postaccident examination of the airplane revealed that the vertical trim tab was in the full-down position, indicating that full nose-up trim was applied. The airplane sustained substantial damage to both engines and the fuselage. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The Pilot's Operating Handbook checklist titled, "Before Takeoff," stated: Seat Belts and Shoulder Harnesses – CHECK… 15. Trim – AS REQUIRED FOR TAKE-OFF

NTSB Probable Cause

The pilot's improper takeoff trim setting and failure to properly secure his seatbelt, which resulted in a loss of airplane control. Contributing to the accident was the pilot's failure to follow the Before Takeoff checklist.

Full Narrative

The pilot reported that, the day before the accident flight, he had flown the airplane, and wanted to become more comfortable with the new instruments which had been installed. So, after the flight, while in a hangar, he and a friend turned the airplane's electrical power on to familiarize the pilot with the autopilot system, and specifically how it would follow heading bug settings. During the familiarization, they "ran the [pitch] trim all the way up". The pilot added that, during the accident flight, before takeoff, he did not check the pitch trim setting because he believed it would be the same as his previous flight, instead of the pitch trim setting after his autopilot ground familiarization. He added that, during takeoff, the nose pitched up severely. He lowered the nose, entered a negative G condition, discovered that he "did not latch the seat belt very good" and observed his seat belt had disconnected, and he was no longer in his seat and could not regain airplane control. The airplane struck the runway, porpoised, and on the third cycle, the nose landing gear collapsed. The airplane skidded and struck a taxiway light. Postaccident examination of the airplane revealed that the vertical trim tab was in the "full down position," indicating that full nose-up trim was applied. The airplane sustained substantial damage to the both engines and fuselage. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The pilot operating handbook checklist titled "Before Takeoff" stated: 1. Seat Belts and Shoulder Harnesses – CHECK It continued: 15. Trim – AS REQUIRED FOR TAKE-OFF

Flight

Event TypeAccident
Event Time11:30 CDT
Nearest AirportSan Antonio Intl (1nm WNW)
Runway13R
Runway Length8502 ft
Runway Width150 ft
Flight Plan FiledNone
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftBeech 55 E55
Tail NumberN6674Y
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines2
Engine TypeReciprocating
Engine DetailsContinental · IO-520-CB8B · Reciprocating · 285 | Continental · IO-520-CB · Reciprocating · 285
Seats6

People & Injuries

Injury Summary1 injury (1 minor injury)
Fatal0
Serious0
Minor1
Uninjured0
Total1
Crew 1Age 79 · Third Class · Minor

Conditions

ConditionsVMC
LightDaylight
Wind140° @ 9 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point70 F
Altimeter30.00 inHg
Observation Time16:51
Weather SourceWFAC

Appendix: Source Data