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NTSB AVIATION ACCIDENT/INCIDENT DATABASE REPORT


General Information

Data Source:                          NTSB AVIATION ACCIDENT/INCIDENT DATABASE
   Report Number:                        DEN85LA071 
   Local Date:                           01/27/1985
   Local Time:                           08:49 MST
   State:                                ND    
   City:                                 GRAND FORKS                        
   Airport Name:                         GRAND FORKS INTL         
   Airport Id:                           GFK   
   Event Type:                           ACCIDENT
   Injury Severity:                      SERIOUS
   Report Status:                        FINAL      
   Mid Air Collision:                    NO 

Operations Information

Category of Operation:                GENERAL AVIATION       
   Aircraft Type:                        AIRPLANE       
   Aircraft Damage:                      SUBSTANTIAL      
   Phase of Flight:                      550 DESCENT                                           
   Aircraft Make/Model:                  BEECH BE-76-XXX                 
   Operator Doing Business As:                                         
   Operator Name:                        UNIVERSITY OF NORTH DAKOTA    
   Operator Code:                            
   Operator:                                                                       
   Owner Name:                           BEECH ACCEPTANCE CORP         

Narrative

ON SUNDAY 1/27/85 AT APPROXIMATELY 0849 MST, A BEECH DUCHESS N1850S, ON 
   LEASE TO THE UNIVERSITY OF NORTH DAKOTA CRASHED AFTER TAKEOFF FROM THE 
   GRAND FORKS AIRPORT, GRAND FORKS, ND. THE STUDENT PILOT AND CERTIFIED 
   FLIGHT INSTRUCTORE WERE NOT INJURED. TWO PASSENGERS IN THE BACK SEATS 
   RECEIVED SERIOUS I NJURIES. THERE WAS NO FLIGHT PLAN FILED AND VMC 
   PREVAILED. THE PRELIMINARY INVESTIGATION REVEALED THAT THIS FLIGHT WAS 
   A TRAINING FLIGHT IN A MULTI-ENGINE AIRCRAFT. THE STUDENT PILOT 
   INITIATED THE FLIGHT ON RUNWAY 34R. AT AN ALTITUDE OF APPROXIMATELY 150 
   FT. ABOVE GROUND LEVEL (AGL) THE FLIGHT INSTRUCTOR SIMULATED AN ENGINE 
   FAILURE RETARDING THE LEFT THROTTLE. THE STUDENT PILOT WAS SLOW TO 
   REACT TO THE FAILURE AND THE AIRSPEED DROPPED BELOW VMC. THE FLIGHT 
   INSTR UCTOR TOOK CONTROL OF THE AIRCRAFT AND ATTEMPTED TO REGAIN FLYING 
   SPEED BY INCREASING BOTH ENGINES TO FUEL POWER. THE I NSTRUCTOR WAS 
   UNABLE TO REGAIN AIRSPEED BEFORE GROUND IMPACT.

Sequence of Events

Occurrence #: 1  354 LOSS OF ENGINE POWER (PARTIAL) - NON-MECHANICAL
   Phase of Operation: 522 TAKEOFF - INITIAL CLIMB

           Findings
           Subject - Modifier - Personnel Cause/Factor

   1b.   24545(S) - 3141(M) - 4103(P)  Cause
         EMERGENCY PROCEDURE - SIMULATED - PILOT IN COMMAND (CFI)

   Occurrence #: 2  250 LOSS OF CONTROL - IN FLIGHT
   Phase of Operation: 522 TAKEOFF - INITIAL CLIMB

           Findings
           Subject - Modifier - Personnel Cause/Factor

   1b.   24500(S) - 3109(M) - 4101(P)  Cause
         AIRCRAFT HANDLING - IMPROPER - DUAL STUDENT
   2b.   24542(S) - 3104(M) - 4103(P)  Cause
         REMEDIAL ACTION - DELAYED - PILOT IN COMMAND (CFI)
   3b.   24551(S) - 3123(M) - 4103(P)  Cause
         STALL - NOT CORRECTED - PILOT IN COMMAND (CFI)

   Occurrence #: 3  230 IN FLIGHT COLLISION WITH TERRAIN/WATER
   Phase of Operation: 553 DESCENT - UNCONTROLLED

           Findings
           Subject - Modifier - Personnel Cause/Factor


Probable Cause


Aircraft Information

Number of Seats:                      4  
   Aircraft Use:                         INSTRUCTIONAL      
   Type of Operation:                    14 CFR 91 
   Domestic/International:                            
   Passenger/Cargo:                                        
   Registration Number:                  1850S 
   Air Carrier Operating Certificates:   
   Aircraft Fire:                        NONE

                  Injuries
          Fatal  Serious  Minor  None
   Crew      0       0       2      0
   Pass      0       2       0      0
   Other     0       0       0      0
   Invlvd    0       2       2      0

   Landing Gear:                         TRICYCLE-RETRACTABLE
   Certificated Maximum Gross Weight:    3900
   Engine Make:                          LYCOMING     
   Engine Model:                         0-360-A1GGD  
   Number of Engines:                    2 
   Engine Type:                          RECIPROCATING-CARBURETOR    

Environment/Operations Information

Basic Weather Conditions:             VISUAL METEOROLOGICAL CONDITIONS (VMC)  
   Wind Direction (deg):                 330
   Wind Speed (knots):                   15
   Visibility (sm):                      15
   Visibility RVR (ft):                  0
   Visibility RVV (sm):                  0
   Cloud Height Above Ground Level (ft): 3500
   Visibility Restrictions:              NONE
   Precipitation Type:                   NONE
   Light Condition:                      DAYLIGHT
   Departure Airport Id:                     
   Departure City:                       
   Departure State:                        
   Destination Airport Id:                   
   Destination City:                     
   Destination State:                      
   Flight Plan Filed:                    NONE
   ATC Clearance:                        VFR
   VFR Approach/Landing:                 NONE
   Event Location:                       ON AIRPORT

Pilot-in-Command

Certificates:                         COMMERCIAL, FLIGHT INSTRUCTOR
   Ratings:
     Plane:                              SINGLE ENGINE LAND, MULTIENGINE LAND
     Non-Plane:                          NONE
     Instrument:                         AIRPLANE
   Had Current BFR:                      YES
   Months Since Last BFR:                16 
   Medical Certificate:                  CLASS 2
   Medical Certificate Validity:         VALID MEDICAL-NO WAIVERS/LIMITATIONS

              Flight Time (Hours)
   Total       :   6430  Last 24 Hrs :    6
   Make/Model  :    200  Last 30 Days:   25
   Instrument  :    472  Last 90 Days:  100
   Multi-Engine:   2600  Rotorcraft  :    0

NTSB Identification: DEN85LA071 For details, refer to NTSB microfiche number 28960A

Accident occurred JAN-27-85 at GRAND FORKS, ND
Aircraft: BEECH 76, registration: N1850S
Injuries: 2 Serious, 2 Minor.

ON SUNDAY 1/27/85 AT APPROXIMATELY 0849 MST, A BEECH DUCHESSN1850S, ON LEASE TO THE UNIVERSITY OF NORTH DAKOTA CRASHED AFTER TAKEOFF FROM THE GRAND FORKS AIRPORT, GRAND FORKS, ND.THE STUDENT PILOT AND CERTIFIED FLIGHT INSTRUCTORE WERE NOT INJURED. TWO PASSENGERS IN THE BACK SEATS RECEIVED SERIOUS INJURIES. THERE WAS NO FLIGHT PLAN FILED AND VMC PREVAILED. THE PRELIMINARY INVESTIGATION REVEALED THAT THIS FLIGHT WAS A TRAINING FLIGHT IN A MULTI-ENGINE AIRCRAFT. THE STUDENT PILOT INITIATED THE FLIGHT ON RUNWAY 34R. AT AN ALTITUDE OF APPROXIMATELY 150 FT. ABOVE GROUND LEVEL (AGL) THE FLIGHT INSTRUCTOR SIMULATED AN ENGINE FAILURE RETARDING THE LEFT THROTTLE. THE STUDENT PILOT WAS SLOW TO REACT TO THE FAILURE AND THE AIRSPEED DROPPED BELOW VMC. THE FLIGHT INSTRUCTOR TOOK CONTROL OF THE AIRCRAFT AND ATTEMPTED TO REGAIN FLYING SPEED BY INCREASING BOTH ENGINES TO FUEL POWER. THE INSTRUCTOR WAS UNABLE TO REGAIN AIRSPEED BEFORE GROUND IMPACT.

Probable Cause

Emergency procedure..Simulated..Pilot in command (CFI)
Airplane handling..Improper..Dual student
Remedial action..Delayed..Pilot in command (CFI)
Stall..Not corrected..Pilot in command (CFI)

 

Source: National Transportation Safety Board