N54BT

Destroyed
Fatal

Beech E-18S S/N: BA-56

Accident Details

Date
Thursday, March 6, 1997
NTSB Number
NYC97FA057
Location
MABIE, WV
Event ID
20001208X07612
Aircraft Damage
Destroyed
Highest Injury
Fatal
Fatalities
2
Serious Injuries
0
Minor Injuries
0
Uninjured
0
Total Aboard
2

Probable Cause and Findings

The pilot's disregard of the preflight weather briefing for severe weather along his route of flight, and his departure into the known and forecasted severe weather. A factor in the accident was the inadequate FAA oversight of the operator, which fostered an attitude of rule bending.

Aircraft Information

Registration
N54BT
Make
BEECH
Serial Number
BA-56
Engine Type
Reciprocating
Model / ICAO
E-18S BE18
Aircraft Type
Fixed Wing Multi Engine
No. of Engines
2

Registered Owner (Historical)

Name
BLU SKYY ENTERPRISES LC
Address
12500 W 130TH TER
Status
Deregistered
City
OVERLAND PARK
State / Zip Code
KS 66213-5028
Country
United States

Analysis

HISTORY OF FLIGHT

On March 6, 1997, at 0021 eastern standard time, a Beech E-18S, N54BT, owned and operated by Polaris Aviation, Sanford, North Carolina, was destroyed when it descended from cruise flight and impacted the ground near Mabie, West Virginia. The certificated airline transport pilot-in-command (PIC) and pilot rated passenger were fatality injured. Instrument meteorological conditions prevailed for the cargo flight that originated at the Sanford-Lee County Brick Field (W77), about 2217, destined for Detroit, Michigan. An instrument flight rules flight plan had been filed for the flight conducted under 14 CFR Part 135.

During an interview with the Sanford Airport Manager, also the Director of Maintenance for Polaris Aviation, he stated that the PIC was the Chief Pilot and Director of Operations for Polaris Aviation, and the passenger was the General Manager (GM) for Polaris. The flight was scheduled to depart Sanford, about 2100, with 550 pounds of automobile parts. During the day, the PIC had used a direct satellite link and a computer program at W77, to obtain weather information. About 2100, when the Airport Manager was about to leave, the passenger/GM approached him and stated that the weather was "really really bad," and that they would have to "do some deviating to get around it."

During the day, another pilot/witness not employed by Polaris, had spent the day at the airport with the PIC of the flight. The witness stated that the flight had been scheduled to depart about 2100, destined for Michigan, and was to return directly to Raleigh, North Carolina, for another cargo pick-up at 0600, the next morning. The witness stated that about 1900, he and the PIC had looked at a computer radar depiction of weather, which depicted a "squall line" just north of the Sanford area, with solid red areas. The witness stated that he had commented to the PIC, "you're not going to fly through that, are you?" The witness also commented to the PIC that the GM "wouldn't do that." The witness reported that the PIC responded that the GM would probably like the challenge.

Prior to the flight, severe weather had passed north of the Sanford area, and the GM had sent three FAX messages to the cargo receiving facility in Michigan. The first indicated a departure time of 2140 from W77. The second FAX indicated a departure time of 2215 from W77, and had a written message which stated, "Severe WX delay for all aircraft. No clearances issued until 2200 EST per Raleigh clearance delivery." A third FAX indicated a departure time of 2220 from W77, with a printed text of "Taxiing out Now."

According to Air Traffic Control (ATC) records, the PIC contacted the Raleigh Automated Flight Service Station (AFSS) by telephone at 2050, and filed an IFR flight plan from W77 to Detroit, Michigan, but did not request a preflight briefing. At 2112, the PIC contacted Raleigh AFSS by telephone and obtained a preflight pilot briefing for the flight, and at 2131, called back to Raleigh AFSS and requested the IFR clearance from W77 to Detroit, and was placed on hold. At 2142, the PIC was issued an expect departure clearance time of 15 minutes, and at 2159, was issued an IFR clearance by Fayetteville ATC, through Raleigh AFSS.

After departure from W77, N54BT was instructed to climb to 10,000 feet, and to contact the Washington Air Route Traffic Control Center (ARTCC). According to the ARTCC transcripts and a review of the voice tape, all communications were routine until 0007, when the ARTCC controller advised N54BT that radar contact was lost, and requested that the airplane report over the Elkins VOR. The PIC acknowledged the call, and stated that he would report over the VOR.

No other transmissions were received from N54BT, until 0020, when the controller received a radio transmission, "Mayday, Mayday, N54BT is going down, N54BT is going down." No further transmissions were received, and an emergency locator transmitter (ELT) was heard by other pilots about 55 seconds later. After several seconds, the ELT signal faded out. The last radar target of N54BT was recorded at 6,400 feet.

The airplane was located in a wooded area, about 1/2 mile from the last reported radar target. The accident occurred during the hours of darkness approximately 38 degrees, 52 minutes north latitude, and 80 degrees, 01 minutes west longitude.

PERSONNEL INFORMATION

The pilot held an airline transport pilot certificate with a rating for airplane multiengine land, and a commercial pilot certificate with ratings for single engine land and instrument airplane. He also held a flight instructor certificate with ratings for airplane single and multiengine land and instrument airplane.

His most recent Federal Aviation Administration (FAA) second class medical certificate was issued on December 30, 1996.

Several pilot log books were located and reviewed. According to the log books and FAA records, the pilot obtained his commercial pilot certificate for airplane single engine land and instrument airplane, on January 7, 1994. He obtained his commercial pilot multiengine land rating on July 6, 1994, and he obtained his airline transport pilot certificate on April 1, 1996.

The pilot's log book (Book Two), that covered the period from February 1992, to April 1996, was reviewed. The log book ended on April 30, 1996, with 1667.6 hours of total flight experience logged, of which 244 hours were in multiengine airplanes. It also revealed that of the 244 hours, 170 hours were logged while flying with one of several flight instructors from which the pilot had obtained training.

The log book entries revealed that as of April 22, 1995, the pilot had logged 1,022.7 hours of total flight experience, of which 187.6 hours were in multiengine airplanes.

The most recent pilot log book (Book Three) began on April 22, 1995, and ended on July 21, 1996, which overlapped Book Two by 12 months. This log book began with 1,145.7 hours of total flight experience, 123 hours more than logged in Book Two. It also began with 292.6 hours of multiengine experience, verses the 187.6 hours that had been logged in Book Two. When Book Three reached the end date of the Book Two (April 30, 1996), all additional entries and changes increased the pilot's total flight experience by 162 hours, to 1,839.5 hours, and increased his multi engine experience by 161 hours, to 409 hours.

The pilot's log books, and his personal daily crew log which began July 1996, were used to determine the pilot's total flight experience. It was estimated that at the time of the accident, the pilot had accumulated about 2,000 hours of total flight experience, of which 450 hours were in multiengine airplanes, and 30 hours were in make and model.

The pilot rated passenger, also the General Manager of Polaris, held a commercial pilot certificate with a rating for airplane multiengine land, and a Private Pilot Certificate with a rating for airplane single engine land. He was not instrument rated, and his certificate limitations included the statement, "Carrying passengers in airplanes for hire is prohibited at night and on cross country flight of more than 50 nautical miles."

His most recent FAA second class medical certificate was issued on January 23, 1997.

A review of the pilot's log book revealed that he had obtained his airplane multiengine rating on January 26, 1997. He had accumulated about 328 hours of total flying experience. The log book also revealed that he had accumulated a total of 97 hours of multiengine experience, of which all 97 hours were logged as dual instruction. The log book did not contain any flight experience in Beech 18 airplanes.

AIRCRAFT INFORMATION.

Company documents and airplane records were reviewed, and Polaris personnel were interviewed concerning the airworthiness of N54BT. According to the documents and personnel statements, the airplane was purchased on January 5, 1997, from a company that had operated the airplane in accordance with 14 CFR Part 135. The airplane had received an annual inspection by the previous operator within the past 2 months and was within the last 100 hour inspection. The airplane was ferried to Sanford by the accident pilot, and was inspected for compliance with Airworthiness Directives and component overhaul requirements. During the inspection by the Director of Maintenance (DOM), the records were updated to reflect that some items listed in the airplane's records were not installed in the airplane. Examples of the items not installed included: the autopilot, weather radar, and storm scope.

In order to place the airplane on the Polaris Operations Specifications (OpSpecs), an initial inspection of the airplane was conducted on January 8, 1997, by the FAA Winston-Salem Flight Standards District Office (FSDO), which provided the oversight of the Polaris operation. On January 9, 1997, the FSDO sent a letter to the Polaris DOM, which listed 29 line items of "concerns and action items." The FSDO required a formal response that listed the actions taken, and on March 4, 1997, the DOM sent a letter to the FSDO with the actions taken in response to the discrepancies listed in the FSDO letter. The only discrepancies that remained were a compass check was overdue, and the legality of the cargo net installed could not be established, which would require a new net.

On March 5, 1997, the DOM overheard the Chief Pilot (PIC of the accident flight) and GM discuss a cargo flight to be conducted later that day in N54BT. The DOM reminded both of them that the airplane was not yet on the OpSpecs. The GM showed the DOM a page from the OpSpecs that included the E18S airplane and the signature of the FAA Principal Operations Inspector (POI), dated February 5, 1997. N54BT was the only E18S owned by Polaris. The DOM then discussed the issue of the cargo net, and was told by the GM that, "he wasn't going to l...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# NYC97FA057