Pilot Debrief

RAYTHEON AIRCRAFT COMPANY A36 near Pottsville, AR — 2015-10-29

Final reportCEN16FA024
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Date
2015-10-29
Location
Pottsville, AR, USA
Airport
RUE
Aircraft
RAYTHEON AIRCRAFT COMPANY A36
Registration
N3BE
Category
Airplane
Highest injury
Fatal
Fatalities
4
Phase of flight
Takeoff roll

Probable cause

The pilot's failure to maintain a sufficient climb rate during departure in instrument meteorological conditions, which resulted in controlled flight into terrain.

NTSB narrative

The commercial pilot and three passengers departed on an instrument flight rules (IFR) flight in instrument meteorological conditions that included a ceiling of 200 ft agl. About 1 mile from the departure end of the runway, the airplane impacted a ridge that was 216 ft above the airport's elevation. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. Damage to the airplane and to the trees at the accident site was consistent with controlled flight into terrain with the engine operating at a high power setting. Performance calculations indicated that the airplane had the capability to attain and maintain the minimum required IFR departure climb rate to safely clear terrain on takeoff from the departure runway. Toxicology tests identified terazosin in the pilot's blood, as well as pravastatin, ranitidine, terazosin, and salicylate in urine; however, these medications do not cause drowsiness or affect judgment or executive function and are not considered impairing. Although the pilot had history of arrhythmia and his autopsy found one area of severe coronary artery disease, it is unlikely these medical conditions contributed to the accident sequence.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot could have aborted takeoff due to poor weather conditions.

NTSB coding

Evidence available

  • Photos
  • 9 docket documents
View NTSB final reportView NTSB docket

Docket documents9

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