Beech 65-A90 near Mokuleia, HI — 2019-06-22
- Date
- 2019-06-22
- Location
- Mokuleia, HI, USA
- Airport
- HDH
- Aircraft
- Beech 65-A90
- Registration
- N256TA
- Category
- Airplane
- Highest injury
- Fatal
- Fatalities
- 11
Probable cause
The pilot’s aggressive takeoff maneuver, which resulted in an accelerated stall and subsequent loss of control at an altitude that was too low for recovery. Contributing to the accident were (1) the operation of the airplane near its aft center of gravity limit and the pilot’s lack of training and experience with the handling qualities of the airplane in this flight regime; (2) the failure of Oahu Parachute Center and its contract mechanic to maintain the airplane in an airworthy condition and to detect and repair the airplane’s twisted left wing, which reduced the airplane’s stall margin; and (3) the Federal Aviation Administration’s (FAA) insufficient regulatory framework for overseeing parachute jump operations. Contributing to the pilot’s training deficiencies was the FAA’s lack of awareness that the pilot’s flight instructor was providing substandard training.
NTSB narrative
Analysis pending
NTSB coding
Evidence available
- Video
- 43 docket documents
Docket documents43
- AIRPLANE PERFORMANCE STUDYform
- OPERATIONS ATTACHMENT 12 - DILLINGHAM AIRFIELD FAA INFORMATIONform
- OPERATIONS ATTACHMENT 21 - EVIDENCE CONTROL FORMSform
- OPERATIONS ATTACHMENT 3 - PILOT INFORMATIONform
- OPERATIONS ATTACHMENT 1 - INTERVIEW SUMMARIESinterview
- OPERATIONS ATTACHMENT 13 - PREVIOUS FLIGHT WITNESS STATEMENTSinterview
- OPERATIONS ADDENDUM 1 - INSTRUCTOR RECORDSother
- OPERATIONS ADDENDUM 2 - FAA CFI PASS_FAIL STATISTICSother
- OPERATIONS ATTACHMENT 10 - BEECH A90 DOOR-REMOVED PROCEDURESother
- OPERATIONS ATTACHMENT 11 - WEIGHT AND BALANCEother
- OPERATIONS ATTACHMENT 14 - HAWAII DOT DOCUMENTSother
- OPERATIONS ATTACHMENT 15 - FSAW BULLETIN 93-09other
- OPERATIONS ATTACHMENT 16 - BEECH A90 NORMAL PROCEDURESother
- OPERATIONS ATTACHMENT 17 - BEECH A90 EMERGENCY PROCEDURESother
- OPERATIONS ATTACHMENT 18 - BEECH A90 ENGINE LIMITATIONSother
- OPERATIONS ATTACHMENT 19 - BEECH A90 STALL SPEEDSother
- OPERATIONS ATTACHMENT 2 - RECORDS OF CONVERSATIONother
- OPERATIONS ATTACHMENT 22 - OPC HAWAII RECORDSother
- OPERATIONS ATTACHMENT 23 - FLYING FOR SKYDIVE OPERATIONS - P- 8740-62other
- OPERATIONS ATTACHMENT 24 - FAA LEGAL INTERPRETATIONSother
- OPERATIONS ATTACHMENT 4 - PILOT'S OPC TRAINING RECORDother
- OPERATIONS ATTACHMENT 5 - NTSB LETTER AND SUBPOENA TO PILOTA��S INSTRUCTORother
- OPERATIONS ATTACHMENT 6 - PILOT LOGBOOKother
- OPERATIONS ATTACHMENT 7 - ADVISORY CIRCULAR 105-2Eother
- OPERATIONS ATTACHMENT 8 - N256TA FAA RECORDSother
- OPERATIONS ATTACHMENT 9 - N256TA LEASE AND INSURANCEother
- ELECTRONIC DEVICES - ATTACHMENT 1 (SUNY SD CARD ANALYSIS)report
- ELECTRONIC DEVICES - SPECIALIST'S FACTUAL REPORTreport
- MAINTENANCE RECORDS FACTUAL REPORTreport
- MEDICAL FACTUAL REPORTreport
- MEDICAL FACTUAL REPORT ADDENDUM 1report
- NTSB - ADOPTED BOARD REPORT - SAFETY RECOMMENDATION REPORT ASR-20-06report
- OPERATIONS GROUP CHAIRMAN'S FACTUAL REPORTreport
- POWERPLANTS GROUP CHAIRMAN'S FACTUAL REPORTreport
- RESTRAINT SYSTEM FACTUAL REPORTreport
- RESTRAINT SYSTEM FACTUAL REPORT - ATTACHEMENT 1report
- RESTRAINT SYSTEM FACTUAL REPORT - ATTACHEMENT 2report
- SYSTEMS AND STRUCTURES GROUP CHAIRMAN'S FACTUAL REPORTreport
- SYSTEMS AND STRUCTURES GROUP CHAIRMAN'S FACTUAL REPORT - ADDENDUM 1report
- SYSTEMS AND STRUCTURES GROUP CHAIRMAN'S FACTUAL REPORT - ERRATA 1report
- TOXICOLOGICAL REPORT - PILOTreport
- OPERATIONS ATTACHMENT 20 - FAA SURVEILLANCE OF SPORT PARACHUTE ACTIVITIESvideo
- VIDEO STUDYvideo
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