Pilot Debrief

BEECH A36 near Broken Bow, OK — 2023-09-29

Final reportCEN23LA423
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Date
2023-09-29
Location
Broken Bow, OK, USA
Airport
90F
Aircraft
BEECH A36
Registration
N9379Q
Category
Airplane
Highest injury
Fatal
Fatalities
0
Phase of flight
Landing

Probable cause

The pilot’s failure to maintain the runway centerline during landing and subsequent failure to maintain clearance from the airport grounds worker during the landing roll. Contributing to the accident was the absence of a NOTAM for mowing operations at the time of the accident.

Contributing factors

Contributing to the accident was the absence of a NOTAM for mowing operations at the time of the accident.

NTSB narrative

While on approach to land, the pilot watched for tractors that were bailing hay. During the landing flare, the pilot saw an airport grounds worker mowing the grass next to the right side of the runway. He attempted to avoid the worker by pulling back on the control yoke. The airplane drifted to the right, touched down, and the right wing struck the worker, who was fatally injured. The airplane sustained substantial damage to the right wing. The worker was mowing along the edge of runway, which was 50 ft. wide. The wingspan of the airplane was 33 ft 6 inches; therefore, the centerline of the airplane would have to have been at least 8 ft 3 inches to the right of the runway centerline to place the right wingtip directly over the runway edge. The pilot did not adequately compensate for the crosswind during landing, and the airplane was not aligned with the runway centerline during landing and landing roll, which resulted in the airplane striking the grounds worker. According to the airport manager, the worker was not scheduled to be mowing at the airport on the day of the accident, and he was unaware that she elected to begin mowing at the airport. He was also unaware that Notices to Airmen (NOTAM) should be issued, and no NOTAM had been issued for the mowing or hay bailing operations being conducted at the airport.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot could have aborted landing upon seeing the mower on the runway.

NTSB coding

Evidence available

  • 3 docket documents
View NTSB final reportView NTSB docket

Docket documents3

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