Aircraft Accident/Incident Report

Warren, Oregon 97056
Tuesady, November 25, 2003 6:53 PST

NTSB Narrative Summary Released at Completion of Accident

At 0347, the pilot received a standard weather briefing, which indicated instrument flight rules would prevail along the entire route of flight. The pilot was advised of an advisory for mountains to be obscured, an Airmet for occasional moderate turbulence below 15,000 feet msl, icing, occasional moderate rime or mixed in clouds and precipitation, with a freezing level to 16,000 feet msl. At 0540, radar contact was established with the flight. At 0635, while at 11,000 feet msl the pilot requested a higher altitude, and at 0639 the pilot reported that he was at 13,000 feet msl and clear of rime ice. At a time which could not be determined the pilot advised air traffic control that he had just lost his suction gage, and shortly thereafter radioed, "Mayday, Mayday, Mayday." At 0650:52, the airplane was on a south-southwesterly heading at 13,100 feet msl, and at 0650:59 it was at 12,900 feet msl on a southeasterly heading. From 0651:04 until 0651:28 the airplane was between 12,800 feet msl and 13,100 feet msl turning left from a south-southeasterly heading to an east-southeasterly heading. Between 0651:28 and 0651:52 the airplane descended on a northeasterly heading to an altitute of 10,700 feet. The airplane then made a right turn of approximately 60 degrees to a south-southeastly heading, and seven seconds later at 0651:59 was observed at 10,500 feet msl, indicating its descent had been arrested. Six seconds later, at 0652:05, the flight had descended to an altitude of 6,800 feet msl on the same heading. The last radar hit was at 0652:17 when the airplane was on a northwest heading at 6,400 feet msl. The engine and fuselage were located 1 mile northwest of Warren, Oregon, while both wings, the tail section and the left stabilizer were located approximately 1 mile northwest of the main wreckage. Separation signatures were consistent with the left stabilizer separating in an upward and aft direction, while both wings had separated in an upward and positive direction. Examination of the vacuum pump and its history indicates that it is probable that the pump failed due to vane failure as a result of highly worn vanes being subjected to impact bending loads from the uneven interior surface of the housing, with a possible contribution from contaminating material between the vanes and the housing.

NTSB Probable Cause Narrative

The vacuum pump failure and the pilot's failure to maintain control of the airplane. Factors contributing to the accident included the instrument meteorological weather conditions and the pilot's improper recovery from the descent.

Event Information

Type of Event Accident
Event Date 11/25/2003
Event Day of the Week Tuesday
Time of Event 653
Event Time Zone Pacific Standard Time
Event City Warren
Event State OREGON
Event Country --
Zipcode of the event site 97056
Event Date Year 2003
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 454908N
Event Location Longitude 1225020W
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 Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 653 Pacific Standard Time
Direction of event from weather observation facility (degrees) 200
Weather Observation Facility ID SPB
Elevation of weather observation facility 58
Distance of event from weather observation facility (units?) 4
Time Zone of the weather observation PST
Lighting Conditions Day
Lowest Ceiling Height 3200
Lowest Non-Ceiling Height 1600
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 6
Air Temperature at event time (in degrees celsius) 4
Dew Point at event time (in degress fahrenheit) -2
Wind Direction (degrees magnetic) 130
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.68
Density Altitude (feet) -931
Intensity of Precipitation Light
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 4
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 18345
NTSB Notification Source Seattle Regional Operations Ce
NTSB Notification Date Nov 25 2003 12:00AM
NTSB Notification Time 830
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Sep 13 2005 12:54PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Hillsboro, Oregon

Aircraft Involved

Aircraft #1

Aircraft Registration Number N10BX
NTSB Number SEA04FA022
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Beech
Aircraft Model S35
Aircraft Series Identifier --
Aircraft Serial Number D-7876
Certified Max Gross Weight 3300
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 4
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jun 12 2003 12:00AM
Airframe hours since last inspection 43
Airframe Hours 3381
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Philip T. Brewer
Aircraft Owner Street Address --
Aircraft Owner City Snohomish
Aircraft Owner State WA
Aircraft Owner Country USA
Aircraft Owner Zipcode 98208
Operator is an individual? No
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? --
Certified for Part 133 or 137 Operation --
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 AWO
Departure City Arlington
Departure State WA
Departure Country USA
Departure Time 535
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code MFR
Destination City Medford
Destination State OR
Destination Country USA
Specific Phase of Flight Descent - uncontrolled
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Jun 15 2005 6:03PM
User who most recently changed record STAM
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --