Takeoff & Initial Climb · NTSB ERA21FA194

BEECH C23 — Middleburg, FL

3 fatal
DateApril 28, 2021
LocationMiddleburg, FL
AircraftBEECH C23
Purpose of flightPersonal
ConditionsDay · Visual Meteorological Cond
Phase / occurrenceTakeoff Collision with terr/obj (non-CFIT)
Pilot age77
Pilot total time435 hrs · Building experience
Time in typeUnknown
Fatalities3

Probable cause

The pilot's decision to depart from a soft grass runway with a tailwind, which resulted in an increased takeoff distance and subsequent impact with trees during the initial climb.

NTSB findings

  • Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Pilot
  • Environmental issues-Conditions/weather/phenomena-Wind-Tailwind-Decision related to condition
  • Environmental issues-Physical environment-Runway/land/takeoff/taxi surface-Soft surface-Effect on equipment
  • Aircraft-Aircraft oper/perf/capability-Aircraft capability-Takeoff distance-Not attained/maintained

What happened

The pilot and two passengers were departing from a grass runway. The grass was several inches high and the ground was soft. There were no eyewitnesses to the accident; however, examination of wheel impressions left in the soft soil of the runway revealed that the airplane became airborne about 2,300 ft down the 3,700-ft-long runway and impacted 70- to 80-ft-tall trees about 800 ft past the runway end.

Examination of the wreckage revealed no evidence of mechanical malfunctions with the airframe or engine that would have precluded normal operation. A witness who arrived at the accident site about 30 minutes after the accident, and a nearby weather observation around the time of the accident, indicated that the pilot likely departed with a tailwind. Review of the airplane’s takeoff performance chart indicated that, on a grass runway, the airplane’s predicted ground roll would be about 1,285 ft and about 2,151 ft was required to clear a 50-ft obstacle; however, the chart was based on the runway being dry, the grass short, and no wind. Based on the available information, it is likely that the pilot failed to account for the decreased takeoff performance due to the runway condition and the tailwind, which both would have increased required takeoff distance.

Toxicology testing of specimens from the pilot detected the non-impairing local anesthetic medication lidocaine and the high blood pressure medication valsartan in blood and urine. It is unlikely that the pilot’s medical conditions or medications were factors in the accident. Toxicology testing of specimens from the pilot-rated passenger revealed the anti-anxiety medication alprazolam at 8 ng/mL in heart blood and in liver tissue. The antidepressant sertraline and its metabolite desmethylsertraline were detected in heart blood and liver tissue. The over-the-counter motion sickness medication meclizine was detected in liver. While it is unknown how well these conditions were controlled or if the pilot-rated passenger experienced any impairing side effects, the effects from the use of these medications would not have influenced the outcome of the takeoff, and it is unlikely that his anxiety or depression or the effects from his use of medication contributed to the accident.

An editorial "what led to it / how to avoid it" analysis for this accident is generated separately and will appear here.

View the official NTSB docket →