Runway excursion Accident Beechcraft A36 Bonanza N41VK,
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ASN Wikibase Occurrence # 232518
 
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Date:Saturday 25 January 2020
Time:15:35 LT
Type:Silhouette image of generic BE36 model; specific model in this crash may look slightly different    
Beechcraft A36 Bonanza
Owner/operator:CT Air LLC
Registration: N41VK
MSN: E-1885
Year of manufacture:1981
Total airframe hrs:5656 hours
Engine model:Continental IO-550-R5B
Fatalities:Fatalities: 0 / Occupants: 1
Aircraft damage: Substantial
Category:Accident
Location:Summerland Key Cove Arprt (FD51), FL -   United States of America
Phase: Take off
Nature:Private
Departure airport:Summerland Key Cove Airport, FL (FD51)
Destination airport:Pompano Beach Airport, FL (PPM/KPMP)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The pilot reported that he performed preflight inspection and run-up checks before takeoff, which included a check of the elevator flight control system with no discrepancies noted. During the takeoff roll, the pilot reported the airplane was "nosing down to the front." He twice adjusted the elevator trim toward the airplane nose-up direction then applied aft input on the control yoke to rotate at 85 knots but felt resistance and aborted the takeoff. The airplane exited the runway, and the right wing impacted trees. The airplane's right wing was substantially damaged during the runway excursion.
Shortly after the accident, the pilot reported to the airport manager that he could not get airborne because of "'¦the control lock or something." The airport manager reported seeing the flight control gust lock on the right wing (and that it was not stored in a container behind the airplane's rear seats as reported by the pilot). Postaccident examination of the elevator primary flight control system revealed no evidence of preimpact failure or malfunction that would have precluded normal operation. Additionally, comparison of a postaccident photograph of the elevator position with the gust lock installed with the elevator position observed in a video of the accident takeoff roll indicated similar elevator positions: trailing edge down (airplane nose down), which was consistent with the pilot reported nose-down condition during the takeoff roll. Given this information, it is likely that the pilot had not removed the gust lock prior to initiating the takeoff, which resulted in his inability to rotate the airplane.

A postaccident photograph of the gust lock also showed that it was missing a portion designed to cover the engine controls and prevent engine start with the lock installed. Although the airframe manufacturer had previously published a service bulletin pertaining to the gust lock, it was for a different reason and did not require an inspection to make sure a proper and complete device was available. Had the gust control lock been complete, it would have blocked the engine controls and provided the intended warning.

Probable Cause: The pilot's failure to remove the flight control gust lock before takeoff, which resulted in an inability to rotate, aborted takeoff, and subsequent runway overrun. Contributing to the accident was a missing piece of the flight control gust lock, which did not give the pilot the intended warning that the gust lock was engaged.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: ERA20LA089
Status: Investigation completed
Duration: 2 years and 2 months
Download report: Final report

Sources:

NTSB ERA20LA089
https://flightaware.com/resources/registration/N41VK

History of this aircraft

Other occurrences involving this aircraft
23 November 2018 N41VK 0 Summerland Key, Florida sub
Gear collapse

Location

Revision history:

Date/timeContributorUpdates
27-Jan-2020 23:45 Captain Adam Added
13-Jun-2021 18:41 aaronwk Updated [Time, Destination airport, Source, Narrative]
01-Jul-2022 14:37 ASN Update Bot Updated [Time, Other fatalities, Departure airport, Destination airport, Source, Narrative, Category, Accident report]
01-Jul-2022 14:46 harro Updated [Departure airport, Destination airport, Source, Narrative]

Corrections or additions? ... Edit this accident description

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