Aircraft Accident/Incident Report

Roosevelt Roads
Wednesday, December 11, 1996 12:24 AST

NTSB Narrative Summary Released at Completion of Accident

At 1136 AST, the twin engine airplane departed San Juan, PR, on a flight to St Vincent. About 1208 AST, the pilot contacted ATC and indicated that he would like to divert to St Thomas. He informed the controller that he had 'feathered' the left engine due to loss of the left engine cowling, but he did not declare an emergency. He requested wind information for St Thomas, then at about 1613 AST, he changed his destination to Roosevelt Roads, PR. At 1120 AST, the pilot reported that the airplane was losing about 300'/min, then about 1 minute later, he said he was going to attempt an engine restart, and that the airplane was getting close to the water. A short time later, he informed ATC that he was not going to make it to shore. The pilot acknowledged info that search and rescue personnel were responding, then there was not further contact with the airplane. The airplane was located about 6 miles east of Roosevelt Roads NAS, but the pilot was not found. Review of weight and balance info revealed the pilot did not follow written procedures, and that the airplane exceeded the maximum authorized gross weight for take off. Flight crews had been informed of a communique from the manufacturer that there was no need to shut down an engine and feather the propeller unless engine performance or a major vibration problem confirmed the need.

NTSB Probable Cause Narrative

The pilot's improper planning/decision concerning separation of the left engine cowling. Factors relating to the accident were: the pilot's failure to perform weight and balance calculations, and/or to ensure the airplane was loaded in accordance with company procedures and the airplane flight manual; loss of the left engine cowling for undetermined reasons; and the pilot's decision not to follow written procedures by intentionally shutting down the left engine and feathering the propeller.

Event Information

Type of Event Accident
Event Date 12/11/1996
Event Day of the Week Wednesday
Time of Event 1224
Event Time Zone Atlantic Standard Time
Event City ROOSEVELT ROADS
Event State PUERTO RICO
Event Country --
Zipcode of the event site 00735
Event Date Year 1996
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1200 Atlantic Standard Time
Direction of event from weather observation facility (degrees) 90
Weather Observation Facility ID STT
Elevation of weather observation facility 24
Distance of event from weather observation facility (units?) 20
Time Zone of the weather observation AST
Lighting Conditions Day
Lowest Ceiling Height 5000
Lowest Non-Ceiling Height 2000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 15
Air Temperature at event time (in degrees celsius) 27
Dew Point at event time (in degress fahrenheit) 22
Wind Direction (degrees magnetic) 30
Variable Wind Indicator Unknown
Wind Speed (knots) 18
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 15
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 1444
NTSB Notification Source --
NTSB Notification Date Dec 11 1996 12:00AM
NTSB Notification Time 1215
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 8 2000 10:30AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N353T
NTSB Number MIA97LA036
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Beech
Aircraft Model 18G
Aircraft Series Identifier 18G
Aircraft Serial Number BA-485
Certified Max Gross Weight 9800
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Dec 10 1996 12:00AM
Airframe hours since last inspection 6
Airframe Hours 8203
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name TOL-AIR SERVICES INC.
Aircraft Owner Street Address P.O. BOX 37670
Aircraft Owner City SAN JUAN
Aircraft Owner State PR
Aircraft Owner Country
Aircraft Owner Zipcode 00937
Operator is an individual? --
Operator Name MBD CORPORATION
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address P.O. BOX 37840
Operator City SAN JUAN
Operator State PR
Operator Country
Operator Zip code 00937
Operator Code FIUA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight International
Operator carrying Pax/Cargo/Mail Cargo
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code SJU
Departure City SAN JUAN
Departure State PR
Departure Country
Departure Time 1136
Departure Time Zone AST
Destination Same as Local Flt crash at destination city
Destination Airport Code NRR
Destination City
Destination State
Destination Country
Specific Phase of Flight Emergency landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --