Long Beach Airport
Aircraft Accident/Incident Report

Long Beach, California 90808
Wednesday, March 16, 2011 10:29 PDT

NTSB Narrative Summary Released at Completion of Accident

Witnesses reported that the airplane’s takeoff ground roll appeared to be normal. Shortly after the airplane lifted off, it stopped climbing and yawed to the left. Several witnesses heard abnormal sounds, which they attributed to propeller blade angle changes. The airplane’s flight path deteriorated to a left skid and its airspeed began to slow. The airplane’s left bank angle increased to between 45 and 90 degrees, and its nose dropped to a nearly vertical attitude. Just before impact, the airplane’s bank angle and pitch began to flatten out. The airplane had turned left about 100 degrees when it impacted the ground about 1,500 feet from the midpoint of the 10,000-foot runway. A fire then erupted, which consumed the fuselage. Review of a security camera video of the takeoff revealed that the airplane was near the midpoint of the runway, about 140 feet above the ground, and at a groundspeed of about 130 knots when it began to yaw left. The left yaw coincided with the appearance, behind the airplane, of a dark grayish area that appeared to be smoke. A witness, who was an aviation mechanic with extensive experience working on airplanes of the same make and model as the accident airplane, reported hearing two loud “pops” about the time the smoke appeared, which he believed were generated by one of the engines intermittently relighting and extinguishing. Postaccident examination of the airframe, the engines, and the propellers did not identify any anomalies that would have precluded normal operation. Both engines and propellers sustained nearly symmetrical damage, indicating that the two engines were operating at similar low- to mid-range power settings at impact. The airplane’s fuel system was comprised of two separate fuel systems (one for each engine) that consisted of multiple wing fuel tanks feeding into a nacelle tank and then to the engine. The left and right nacelle tanks were breached during the impact sequence and no fuel was found in either tank. Samples taken from the fuel truck, which supplied the airplane's fuel, tested negative for contamination. However, a fuels research engineer with the United States Air Force Fuels Engineering Research Laboratory stated that water contamination can result from condensation in the air cavity above a partially full fuel tank. Both diurnal temperature variations and the atmospheric pressure variations experienced with normal flight cycles can contribute to this type of condensation. He stated that the simplest preventive action is to drain the airplane’s fuel tank sumps before every flight. There were six fuel drains on each wing that the Pilot’s Operating Handbook (POH) for the airplane dictated should be drained before every flight. The investigation revealed that the pilot’s previous employer, where he had acquired most of his King Air 200 flight experience, did not have its pilots drain the fuel tank sumps before every flight. Instead, maintenance personnel drained the sumps at some unknown interval. No witnesses were identified who observed the pilot conduct the preflight inspection of the airplane before the accident flight, and it could not be determined whether the pilot had drained the airplane’s fuel tank sumps. He had been the only pilot of the airplane for its previous 40 flights. Because the airplane was not on a Part 135 certificate or a continuous maintenance program, it is unlikely that a mechanic was routinely draining the airplane's fuel sumps. The witness observations, video evidence, and the postaccident examination indicated that the left engine experienced a momentary power interruption during the takeoff initial climb, which was consistent with a power interruption resulting from water contamination of the left engine's fuel supply. It is likely that, during the takeoff rotation and initial climb, water present in the bottom of the left nacelle tank was drawn into the left engine. When the water flowed through the engine's fuel nozzles into the burner can, it momentarily extinguished the engine’s fire. The engine then stopped producing power, and its propeller changed pitch, resulting in the propeller noises heard by witnesses. Subsequently, a mixture of water and fuel reached the nozzles and the engine intermittently relighted and extinguished, which produced the grayish smoke observed in the video and the “pop” noises heard by the mechanic witness. Finally, uncontaminated fuel flow was reestablished, and the engine resumed normal operation. About 5 months before the accident, the pilot successfully completed a 14 Code of Federal Regulations Part 135 pilot-in-command check flight in a King Air 90. However, no documentation was found indicating that he had ever received training in a full-motion King Air simulator. Although simulator training was not required, if the pilot had received this type of training, it is likely that he would have been better prepared to maintain directional control in response to the left yaw from asymmetrical power. Given that the airplane’s airspeed was more than 40 knots above the minimum control speed of 86 knots when the left yaw began, the pilot should have been able to maintain directional control during the momentary power interruption. Although the airplane’s estimated weight at the time of the accident was about 650 pounds over the maximum allowable gross takeoff weight of 12,500 pounds, the investigation determined that the additional weight would not have precluded the pilot from maintaining directional control of the airplane.

NTSB Probable Cause Narrative

The pilot’s failure to maintain directional control of the airplane during a momentary interruption of power from the left engine during the initial takeoff climb. Contributing to the accident was the power interruption due to water contamination of the fuel, which was likely not drained from the fuel tanks by the pilot during preflight inspection as required in the POH.

Event Information

Type of Event Accident
Event Date 3/16/2011
Event Day of the Week Wednesday
Time of Event 1029
Event Time Zone Pacific Daylight Time
Event City Long Beach
Event State CALIFORNIA
Event Country --
Zipcode of the event site 90808
Event Date Year 2011
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 334902N
Event Location Longitude 1180923W
Event Location Airport Long Beach Airport
Event Location Nearest Airport ID LGB
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 44
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1040 Pacific Daylight Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID LGB
Elevation of weather observation facility 44
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 800
Lowest Non-Ceiling Height 800
Sky/Lowest/Cloud Conditions Thin Overcast
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) 16
Dew Point at event time (in degress fahrenheit) 12
Wind Direction (degrees magnetic) 200
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.13
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 5
Injury Total Minor --
Injury Total None --
Injury Total Serious 1
Injury Total All 6
Investigating Agency NTSB
NTSB Docket Number (internal use) 30053
NTSB Notification Source AWP FAA Reg Comm Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jul 26 2012 4:36PM
User who most recently changed record snyg
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N849BM
NTSB Number WPR11FA166
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name BEECH
Aircraft Model 200
Aircraft Series Identifier --
Aircraft Serial Number BB-849
Certified Max Gross Weight 12500
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 8
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection --
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name CARDE EQUIPMENT SALES LLC
Aircraft Owner Street Address 9200 W SUNSET BLVD PH 9
Aircraft Owner City LOS ANGELES
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 90069-3607
Operator is an individual? No
Operator Name CARDE EQUIPMENT SALES LLC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 9200 W SUNSET BLVD PH 9
Operator City LOS ANGELES
Operator State CA
Operator Country USA
Operator Zip code 90069-3607
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 Yes
Departure Airport Code LGB
Departure City Long Beach
Departure State CA
Departure Country USA
Departure Time 1029
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code 36U
Destination City Heber City
Destination State UT
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record May 25 2012 2:58PM
User who most recently changed record coos
Since inspection or accident --
Event Location Runway Number and Location 30
Runway Length 10000
Runway Width 200
Sight Seeing flight No
Air Medical Flight No
Medical Flight --