Accident Details
Probable Cause and Findings
The pilot’s failure to ensure a proper fuel selector position before takeoff, which resulted in a loss of left engine power due to fuel starvation. Contributing to the accident was the pilot’s failure to maintain airplane control after the loss of left engine power.
Aircraft Information
Registered Owner (Current)
Analysis
HISTORY OF FLIGHTOn March 17, 2023, about 1140 central daylight time, a Beech Baron 58P, N2061K, was destroyed when it was involved in an accident near Lubbock, Texas. The pilot sustained fatal injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight.
A fixed-base operator (FBO) surveillance video showed that the airplane arrived at the FBO ramp at Lubbock Executive Airpark (F82), Lubbock, Texas, about 1111. After the airplane came to a stop on the ramp, the engines were simultaneously shut down. The pilot exited the airplane, along with two adults and two children. The pilot left the ramp and later returned to the airplane about 1116 to remove baggage. A fuel truck then pulled up in front of the airplane to refuel the airplane, and the pilot again left the ramp. About 1123, fueling of the airplane was completed.
The surveillance video showed the pilot walked out of the FBO building and onto the ramp toward the airplane about 1127 while holding a cell phone to his ear. He walked clockwise around the airplane while holding the cell phone, stopped behind the right wing root, then began walking in a counterclockwise direction. He stopped near the left engine while holding the cell phone and looking away from the airplane. Then he walked to the right front airplane door, which he entered about 1130. About 1131, he exited the airplane, stepped down behind the right wing, then reentered the airplane. About 1132, the left propeller began to rotate, stopped, then began to rotate again. About 1133, the right propeller began to rotate. About 1135, the airplane taxied on the ramp, and about 1136, the airplane held short of runway 35. About 1137, the airplane began its takeoff on runway 35.
A witness saw the pilot of the accident airplane walk around the airplane while talking on a cell phone before the airplane’s engines started. The witness stated that he did not see or hear a run-up of the airplane’s engines before takeoff. The witness stated that the takeoff seemed like a normal takeoff. The witness stated that the airplane lifted off about 2,200 ft down the runway. Shortly after liftoff, and while the airplane was about 20-50 ft above the runway, he looked away to fill fuel from the fuel truck and then heard an audible change in engine sound. The witness then looked up at the airplane and saw it in a left bank.
Another surveillance video recorded the airplane in a nose-down, left bank attitude before entering a left roll into an inverted attitude and impacting the ground. The airplane was destroyed by impact forces and a post-crash fire. PERSONNEL INFORMATIONNo pilot logbooks were recovered from the airplane. There was no record of the pilot’s flight experience or any record that the pilot met federal regulations for recency of experience.
A twin-engine initial/recurrent training syllabus, dated March 14, 2023, and signed by a flight instructor, stated that the syllabus was completed using a Precision 6DOF MFD Advanced Aviation Training Device. There was no reference to federal regulations for a flight review or instrument proficiency check in this document. WRECKAGE AND IMPACT INFORMATIONThe accident site was about 0.5 nm west-northwest from the departure end of runway 35. The airplane wreckage was in a fallow and relatively flat cotton field, which was surrounded by similar fields. The major components of the airplane were accounted for at the accident site. Flight control continuity from the airplane control surfaces to the cockpit controls was confirmed. The landing gear was in the retracted position.
Postaccident examination of the left and right engines revealed no preimpact mechanical anomalies that would have precluded normal engine operation.
Impact forces damaged both propellers. The left propeller exhibited damage consistent with the propeller at or nearing the feathered position with low/no power. The right propeller exhibited damage consistent with rotation at higher power and at a blade angle consistent with takeoff/climb power.
The left cockpit fuel selector handle sustained impact damage and was bent aft, pointing to a position between OFF and CROSSFEED. According to the aircraft manufacturer, this position is outside the normal operating range of the handle assembly. Disassembly of the left fuel selector valve assembly revealed the valve gear was in the OFF position. Continuity of the control cable was observed from the cockpit fuel selector assembly to the wing selector valve with no evidence of the cable having been pulled from impact forces.
The right cockpit fuel selector handle sustained impact damage and was bent aft between the ON and CROSSFEED positions. Disassembly of the right fuel selector valve assembly revealed the valve gear was pulled beyond the OFF position by the control cable running from the assembly to the wing fuel selector valve. FLIGHT RECORDERSData download of the pilot’s personal electronics device showed that there was an incoming call at 11:28:14, before the accident. The phone call lasted 12 minutes and 34 seconds and ended at 11:40:48. The data also showed that the pilot’s phone was connected to an aviation headset via Bluetooth at 11:40:07. MEDICAL AND PATHOLOGICAL INFORMATIONAn autopsy of the pilot was conducted by the Tarrant County Medical Examiner’s Office, Fort Worth, Texas, on March 21, 2023. The autopsy report stated that the cause of death was blunt force injuries, and the manner of death was accident.
The Federal Aviation Administration Civil Aerospace Medical Institute Forensic Toxicology Report for the pilot was negative for drugs of abuse.
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN23FA139