Aircraft Accident/Incident Report

Chapel Hill, North Carolina 27515
Friday, August 11, 1989 21:18 EDT

NTSB Narrative Summary Released at Completion of Accident

AT 2028, AFTER A MISSED APCH AT DESTINATION, THE PLT REPORTED HE COULDN'T GET THE AUTOPILOT OFF & WAS FIGHTING HARD TO CONTROL THE AIRPLANE. ATC OFFERED SUGGESTIONS TO DISENGAGE AUTOPILOT, INCLUDING TURNING OFF MASTER SWITCH; PLT REPORTED NO CHANGE. DURING THE NEXT 45 MINUTES THE PILOT WAS PROVIDED VECTORS AND ASSISTANCE; PLT FREQUENTLY DID NOT RESPOND TO INSTRUCTIONS. FINAL VECTORS WERE TO CHAPEL HILL AIRPORT; RADAR DATA LOST. WRECKAGE ORIENTED OVER AN AREA OF A NORMAL BASE TO RWY 8. ELEVATOR TRIM WAS FOUND IN A FULL TAB-UP (NOSE-DOWN) POSITION. APRX 45 LBS OF STICK FORCE WOULD BE NECESSARY TO HOLD THE AIRPLANE LEVEL. THE APPROVED FLIGHT MANUAL SUPPLEMENT FOR THE KING KFC 200 AUTOPILOT SYSTEM CONTAINED EMERGENCY PROCEDURES FOR AUTOPILOT/ELECTRIC TRIM MALFUNCTIONS. THESE PROCEDURES REQUIRE THAT THE AIRCRAFT BE RETRIMMED MANUALLY.

NTSB Probable Cause Narrative

THE PILOT'S FAILURE TO MAINTAIN CONTROL OF THE AIRPLANE WHILE MANEUVERING FOR A LANDING. CONTRIBUTING FACTORS WERE: THE PILOT'S FAILURE TO FOLLOW THE EMERGENCY PROCEDURES FOR AN AUTOPILOT MALFUNCTION, AND PILOT FATIGUE.

Event Information

Type of Event Accident
Event Date 8/11/1989
Event Day of the Week Friday
Time of Event 2118
Event Time Zone Eastern Daylight Time
Event City CHAPEL HILL
Event State NORTH CAROLINA
Event Country --
Zipcode of the event site 27515
Event Date Year 1989
Event Date Month 8
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 0
Degrees magnetic from airport 0
Airport Elevation 0
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 2050 Eastern Standard Time
Direction of event from weather observation facility (degrees) 220
Weather Observation Facility ID RDU
Elevation of weather observation facility 437
Distance of event from weather observation facility (units?) 20
Time Zone of the weather observation EST
Lighting Conditions Night/Dark
Lowest Ceiling Height 900
Lowest Non-Ceiling Height 900
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 3
Air Temperature at event time (in degrees celsius) 19
Dew Point at event time (in degress fahrenheit) 17
Wind Direction (degrees magnetic) 20
Variable Wind Indicator Unknown
Wind Speed (knots) 7
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
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) 2066
NTSB Notification Source --
NTSB Notification Date Aug 11 1989 12:00AM
NTSB Notification Time 2330
Fiche Number and/or location -used to find docket information 41467
Date of most recent change to record Dec 13 2000 12:57PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N25805
NTSB Number ATL89FA196
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name BEECH
Aircraft Model A-36
Aircraft Series Identifier A-36
Aircraft Serial Number E2310
Certified Max Gross Weight 3650
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 6
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Jan 18 1989 12:00AM
Airframe hours since last inspection 10
Airframe Hours 314
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name JOHN AIRE INC.
Aircraft Owner Street Address 510 SOUTH 7TH STREET
Aircraft Owner City SMITHFIELD
Aircraft Owner State NC
Aircraft Owner Country
Aircraft Owner Zipcode 27577
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code
Owner has at least one certificate None
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code ISO
Departure City KINSTON
Departure State NC
Departure Country
Departure Time 1956
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code W27
Destination City SMITHFIELD
Destination State NC
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:35AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length 0
Runway Width 0
Sight Seeing flight No
Air Medical Flight No
Medical Flight --