Accident Beechcraft 35-B33 Debonair N9556Y,
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ASN Wikibase Occurrence # 43824
 
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Date:Sunday 15 April 2007
Time:12:10
Type:Silhouette image of generic BE33 model; specific model in this crash may look slightly different    
Beechcraft 35-B33 Debonair
Owner/operator:Private
Registration: N9556Y
MSN: CD-561
Total airframe hrs:3938 hours
Fatalities:Fatalities: 3 / Occupants: 3
Aircraft damage: Destroyed
Category:Accident
Location:Sedona, AZ -   United States of America
Phase: Approach
Nature:Private
Departure airport:Tucson, AZ (K57A)
Destination airport:Sedona, AZ (KSEZ)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The single engine airplane impacted the slope of a bluff 200 feet short of, and below, the runway and was destroyed during the ensuing post impact fire. The airport is located on a plateau, with terrain that drops off steeply at both ends of the single runway. Wind gusts at the runway surface were recorded at 38 knots. According to FAA publication AC 00-57 - "Hazardous Mountain Winds and Their Visual Indicators," strong winds that are at the crest of a ridge or level with a mountain peak can create moderate or greater turbulence, strong up and down drafts, and very strong rotor and shear zones. Wind shear is defined as "A sudden, drastic shift in wind speed, direction, or both that may occur in the horizontal or vertical plane." A pilot, who had landed at the airport just before the accident airplane, reported severe turbulence and a 30-knot windshear at the approach end of the runway, and transmitted that information to the accident pilot. According to witnesses, the accident airplane appeared to get low and slow while on final, likely encountered an abrupt wind shear zone, and descended below the elevation of the approach end of the runway. To maintain the airplane flying, and to avoid the terrain, the pilot would have had to raise the nose, which increased the wings angle of attack, and therefore, decreased the stall margin. As it dropped below the level of the runway, a witness reported that the airplane assumed a nose high attitude, and the engine sounded as if it were operating at high rpm and "straining against the wind." The wing tips wobbled up and down, indicative of a stall, before the airplane rolled to the right and impacted rising terrain short of the runway. According to another pilot who routinely flew with the accident pilot, the accident pilot routinely flew approaches that were shallower than the 3.5-degree glide slope approach path that is recommended at this airport, which is equipped with a precision approach path indicator (PAPI) lighting system set to 3.5 degrees. In this instance, the pilot let the airplane drop well below the recommended glide slope during the approach to this runway. Medications that were identified in the pilot's toxicological report had been prescribed to treat his ongoing medical conditions and relieve pain.
While the medications can cause impairment or spatial disorientation, the clear weather on this day, the low levels of medication found in the pilot's system (suggesting no recent use), and the circumstances of the accident make it unlikely that the medications had an effect on the pilot's ability to control the aircraft.

Probable Cause: The pilot's inadequate compensation for the high wind conditions and wind shear encounter on final approach, that led to a failure to maintain an adequate airspeed and a stall.


Accident investigation:
cover
  
Investigating agency: NTSB
Report number: LAX07LA130
Status: Investigation completed
Duration:
Download report: Final report

Sources:

NTSB: https://www.ntsb.gov/_layouts/ntsb.aviation/brief.aspx?ev_id=20070418X00434&key=1

Location

Revision history:

Date/timeContributorUpdates
28-Oct-2008 00:45 ASN archive Added
21-Dec-2016 19:24 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
04-Dec-2017 18:37 ASN Update Bot Updated [Operator, Other fatalities, Source, Narrative]

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