N241JL

Substantial
Fatal

Raytheon Aircraft Company G36S/N: E3644

Accident Details

Date
Sunday, July 23, 2006
NTSB Number
LAX06FA243
Location
Bullhead City, AZ
Event ID
20060727X01040
Coordinates
34.890834, -114.626945
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
2
Serious Injuries
1
Minor Injuries
0
Uninjured
0
Total Aboard
3

Probable Cause and Findings

The pilot's misjudged distance and speed that led to a long landing, and his inadequate recovery from a bounced landing, all due to the effects of impairment from alcohol consumption, which resulted in an in-flight collision with terrain during an aborted landing attempt. A contributing factor was the Federal Aviation Administration's failure to identify existing evidence of substance (alcohol) dependence in the pilot due to an inadequate and incomplete process of screening medical applications.

Aircraft Information

Registration
N241JL
Make
RAYTHEON AIRCRAFT COMPANY
Serial Number
E3644
Engine Type
Reciprocating
Model / ICAO
G36M360
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
APARTMENTS O C INC
Address
517 SOUTH BROADWAY
Status
Deregistered
City
SANTA ANA
State / Zip Code
CA 92701
Country
United States

Analysis

HISTORY OF FLIGHT

On July 23, 2006, about 1600 mountain standard time, a Raytheon Aircraft Company G36, N241JL, collided with a dirt berm during an aborted landing at Eagle Airpark, Bullhead City, Arizona. The pilot was operating the airplane under the provisions of 14 CFR Part 91. The private pilot and one passenger (seated in the aft rear seat) sustained fatal injuries. The remaining passenger (who was seated in the right front seat) sustained serious injuries. The airplane sustained substantial damage and was consumed by fire. The local personal flight originated from Eagle Airpark about 1530. Visual meteorological conditions prevailed, and a flight plan had not been filed.

The National Transportation Safety Board investigator-in-charge (IIC) interviewed a witness, who was a pilot. He stated that on the afternoon of the accident, he heard an airplane engine start and stepped outside of his hangar to identify which airplane it was. He observed the accident airplane near the end of the taxiway, on the south end of the Airpark. He kept his eyes affixed to the airplane as it began to taxi in his direction to the departure end of runway 17. He noted that the pilot appeared to be preoccupied, as the airplane made erratic s-turns up the taxiway. The airplane veered from side to side varying in power settings, as it would increase and then decrease in speed. From observing the airplane taxi, he assumed that the pilot was a student.

The airplane began the takeoff roll and remained relatively straight on the runway centerline. When reaching about 5/8 of the way down the runway the airplane became airborne. It made a step-like climb out, where it would momentarily gain altitude and then level out. The pilot made a left crosswind departure and it appeared as if the flight was headed toward the Needles very high frequency omni-directional range (VOR) navigation system.

The witness further stated that after a short time passed he was inside his hangar when he heard the airplane at a high power setting maneuvering over the runway, as if they were buzzing the field or performing a flyby. He subsequently heard the engine noise stop and he ran outside the hangar. He observed a big plume of dust just south of the irrigation ditch at the end of runway 17.

The Safety Board IIC interviewed a bartender who was employed at an establishment (saloon) recently purchased by the pilot. She stated that pilot and rear-seat passenger (who was a double amputee) had celebrated their birthdays together the day prior to the accident, by having a party at the pilot's saloon. The night of the party it was decided that as a birthday present to the rear-seat passenger, the pilot would take him for a flight to see the Colorado River the following day.

The bartender further reported that on the day of the accident, the pilot arrived at the saloon about 1030. He appeared to be in a good mood and refreshed; there was no evidence that he was hung-over. While he was at the bar, she served the pilot four alcoholic beverages (two shots and two mixed drinks) and he never appeared to be intoxicated; the rear-seat passenger had about five alcoholic drinks and was showing the affects of alcohol consumption. The front-seat passenger arrived at the saloon about 30 minutes before the three of them left for the flight; she served him one drink and one shot. They all left the bar together about 1400 to 1500 and were picked up by a designated driver. The pilot indicated that the flight would be about an hour long.

During a telephone conversation with the Safety Board IIC, the designated driver who transported the pilot and passengers to the Airpark from the saloon, stated that the pilot did not appear to be intoxicated. After arriving at the hangar, the pilot started the engine and maneuvered the airplane onto the taxiway. He told the driver that he would call him after they landed to get a ride back to the saloon.

A paramedic for the Mohave Valley Fire Department recalled responding to the accident about 10 to 15 minutes after it occurred. He stated that when he arrived the front-seat passenger was outside of the airplane and appeared to have suffered second-degree burns. Before being given Morphine, the patient was asked if he had consumed any alcohol that day. He replied that he had consumed "a couple of beers and a couple of shots." The paramedic stated that he could smell alcohol on the breath of the patient.

The Safety Board IIC interviewed the sole surviving (front-seat) passenger about 20 days after the accident occurred. He stated that the day of the accident he arrived at the pilot's saloon to discuss business with the pilot. Over a period of 20 minutes, both of the men consumed an alcohol beverage. The pilot stated that he was intending to take the rear-seat passenger on a plane ride before leaving back to his home in Orange County, California, which he planned to do later that evening. The pilot asked the surviving passenger if he would like to accompany them, to which he accepted the invitation. All three men received a ride to the airport by the bar's designated driver.

Upon arriving at the airplane, the pilot performed a preflight inspection and they all boarded the airplane. He sat in the right front seat, and the other passenger was positioned in the rear-left seat. He added that his headset did not work correctly and he could not hear the pilot in the headsets, rather they had to yell at one another to communicate. All men put on their respective seat belts and shoulder harnesses; no safety briefing was given. The conditions at the airport were very hot and there was a crosswind.

The surviving passenger recalled that flight departed normally and the pilot maneuvered the airplane over the river and town for about 20 to 25 minutes. The pilot then asked if the passengers wanted to continue to Orange County with him, to which he replied that he had to get back to the airport. The airplane made an approach to the airport and touched down on the runway over halfway down the surface. The airplane touched down and bounced back airborne. The airplane then encountered a gust of wind that pushed it to the right of the runway centerline. The airplane continued down the runway about 2 to 3 feet above ground level (agl) until reaching near the end of the runway surface where it touched back down. Although the pilot did not communicate with him, the surviving passenger thought that the pilot decided to abort the landing and attempt to go-around again.

The surviving passenger further stated that the airplane continued into the brush and impacted a dirt berm. The next memory he had of the accident sequence was after the airplane had come to rest in the mud. The right side of the airplane had become engulfed in flames and he looked over to the pilot who was hunched over in his seat and appeared to be unconscious. The rear-seated passenger then yelled at the surviving passenger to help him egress the airplane. After he exited, the surviving passenger attempted to open the back door that was on the right side of the airplane. He tried to open the door to no avail; he attributed his inability to open the door to it being locked from the inside. There was a subsequent explosion and the surviving passenger was thrown back (lifted airborne) aft of the tail. The airplane was consumed by fire.

PERSONNEL INFORMATION

Flight Experience

According to the Federal Aviation Administration (FAA) Airman and Medical records, the pilot held a private pilot certificate with airplane ratings for single engine land and instrument flight. The pilot's only medical examination performed by an Aviation Medical Examiner was conducted on November 11, 2003, when the pilot applied for and was issued a third-class airmen medical and student pilot certificate. No personal flight records were recovered for the pilot.

As part of an application for insurance on the accident airplane, the pilot completed a "Pilot Experience Form," that was dated February 01, 2006. On the form he indicated that he had amassed 420 hours of total flight experience, of which 270 hours was conducted in the pervious 12 months. The form revealed that he had acquired 94.6 hours of flight time in Bonanza G36 series airplanes. The pilot made a notation on the form that he had previously been convicted of a traffic violation consisting of a Driving Under the Influence (DUI) offense in May 01, 2001; he did not note any other convictions or violations.

Alcohol History

A review of the pilot's medical application revealed that the pilot checked the box "yes" in response to question 18.v. "History of (1) any conviction(s) involving driving while intoxicated by, while impaired by, or while under the influence of alcohol or a drug; or (2) history of any conviction(s) or administrative action(s) involving an offense(s) which resulted in the denial, suspension, cancellation, or revocation of driving privileges or which resulted in attendance at an educational or rehabilitation program." In the "explanations" area following that box, the pilot wrote "May, 2001 DUI". The pilot checked the box "no" in response to question 18.n., which queried if the applicant had, or currently has substance dependence. The FAA Aerospace Medical Certification Division records contained no indications of either a request for or receipt of additional documentation of the pilot's arrest or prior alcohol history.

The Safety Board IIC obtained the arrest report for the DUI conviction the pilot listed on his medical application. The Santa Ana Police Department arrested the pilot for driving while intoxicated at 2355 on May 05, 2001. A review of the report indicated that the pilot refused a field sobriety test, opting to take a blood test instead (the sample was obtained about an hour after the initial arrest). The Forensic Alcohol Examination Report associated wit...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# LAX06FA243