Aircraft Accident/Incident Report

Flat Rock, North Carolina 28731
Thursday, September 10, 2009 14:15 EDT

NTSB Narrative Summary Released at Completion of Accident

Although the pilot was instrument rated, the investigation found no record that his rating was current. The pilot advised the air traffic controller before departure that he did not want to execute any instrument landing system (ILS) approaches even though they were in use at the time, and neither transceiver was configured to the localizer frequency. Due to the mountainous terrain surrounding the airport, local air traffic control (ATC) had designated certain mode 3 transponder codes that inhibit minimum safe altitude warning (MSAW) processing for a controller. This was accomplished to prevent repeated nuisance alarms for aircraft operating under visual flight rules (VFR) and not requesting MSAW processing. The pilot did not request MSAW monitoring before departure or at any time during the flight; therefore, the assigned VFR transponder code (0210) inhibited the MSAW. The pilot departed the flight with a reported ceiling of 1,500 feet and 10 miles visibility before proceeding south of the departure airport and electing to return, remaining in constant contact with ATC. While operating only several hundred feet above mountainous terrain, in instrument flight rules conditions due to fog, the pilot did not advise the controller of the weather encountered. While being vectored towards the airport, the airplane impacted trees then terrain at an elevation of approximately 2,809 feet mean sea level. The pilot made no distress call and the controller did not provide a MSAW warning to the pilot. Postaccident examination of the airplane, engine, and engine systems revealed no evidence of preimpact failure or malfunction. While testing of avionics revealed that the “Trim” light bulbs of the autopilot remote mode annunciator and the autopilot and flight director computer were illuminated at the moment of impact, the left pitch trim actuator was found in the neutral position and the circumstances of the accident do not support a pitch trim malfunction. Additionally, the autopilot was not activated at the moment of impact.

NTSB Probable Cause Narrative

The pilot’s attempt to maintain visual flight during instrument meteorological conditions, resulting in controlled flight into mountainous terrain. Contributing to the accident was the pilot’s failure to advise the controller of the weather conditions encountered, and his failure to request minimum safe altitude warning (MSAW) monitoring before departure.

Event Information

Type of Event Accident
Event Date 9/10/2009
Event Day of the Week Thursday
Time of Event 1415
Event Time Zone Eastern Daylight Time
Event City Flat Rock
Event State NORTH CAROLINA
Event Country --
Zipcode of the event site 28731
Event Date Year 2009
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 351516N
Event Location Longitude 0822746W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1354 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 346
Weather Observation Facility ID AVL
Elevation of weather observation facility 2165
Distance of event from weather observation facility (units?) 11
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height 1500
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 18
Dew Point at event time (in degress fahrenheit) 15
Wind Direction (degrees magnetic) 170
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 10
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.25
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
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) 28244
NTSB Notification Source Henderson County Sheriff's Off
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jun 8 2011 10:56AM
User who most recently changed record rows
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N888WD
NTSB Number ERA09FA514
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BEECH
Aircraft Model A36
Aircraft Series Identifier --
Aircraft Serial Number E-3004
Certified Max Gross Weight 3650
Aircraft Category Airplane
Aircraft Registration Class --
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 Annual
Date of Last Inspection Jul 13 2009 12:00AM
Airframe hours since last inspection 2
Airframe Hours 1239
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type C91-A
Aircraft Owner Name YOUNGBLOOD LARRY J
Aircraft Owner Street Address --
Aircraft Owner City FLETCHER
Aircraft Owner State NC
Aircraft Owner Country USA
Aircraft Owner Zipcode 28732
Operator is an individual? No
Operator Name YOUNGBLOOD LARRY J
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City FLETCHER
Operator State NC
Operator Country USA
Operator Zip code 28732
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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 AVL
Departure City Asheville
Departure State NC
Departure Country USA
Departure Time 1405
Departure Time Zone EDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code AVL
Destination City Asheville
Destination State NC
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 19 2011 1:34PM
User who most recently changed record kenj
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --