Loss of control Accident Beechcraft G36 Bonanza N618MW,
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ASN Wikibase Occurrence # 66421
 
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Date:Wednesday 15 July 2009
Time:16:20
Type:Silhouette image of generic BE36 model; specific model in this crash may look slightly different    
Beechcraft G36 Bonanza
Owner/operator:Carpet Pros, Inc.
Registration: N618MW
MSN: E-3643
Year of manufacture:2005
Total airframe hrs:470 hours
Engine model:Continental IO-550 B
Fatalities:Fatalities: 3 / Occupants: 3
Aircraft damage: Substantial
Category:Accident
Location:Hawthorne Municipal Airport (KHHR), California -   United States of America
Phase: Initial climb
Nature:Private
Departure airport:Hawthorne, CA (HHR)
Destination airport:Hawthorne, CA (HHR)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
While on final approach during the accident landing, the pilot informed air traffic control tower personnel that he was going to perform a go-around but gave no explanation for the maneuver. Witnesses observed the airplane climbing westbound ”belching” black smoke, then the engine stopped. When the airplane was about midfield, they saw it turn left and then back to the right and descend out of sight. The airplane impacted the roof and a vertical wall of a five-story building before coming to rest in an adjacent parking lot.

Postaccident examination of the engine’s spark plugs and cylinders indicated that the engine was running with an overly rich fuel/air mixture, which was also evident from the witness statements of the black exhaust emanating from the airplane. The electric fuel boost pump switch is located next to the landing gear selection handle. According to the G36 Pilot Operating Handbook, the engine’s electric boost pump provides pressure for starting and emergency operation only. The handbook cautions that use of the electric boost pump during normal operations can result in an overly rich fuel/air mixture, possibly flooding the engine. If either pilot inadvertently activated the fuel boost pump while attempting to retract the landing gear during the go-around, it could have resulted in a temporarily rich fuel/air mixture, reducing the available engine power and possibly distracting the pilots during the go-around. Although, the examination revealed that the electric fuel boost pump system switch was in the “OFF” position and that the pump was not operating at the time of impact, it is possible that the pilots recognized that the electric fuel boost pump system was on during the go-around and switched it off before the crash. The position of the switch and the reduced engine power likely distracted the pilot, who did not maintain adequate airspeed during the go-around, which resulted in a loss of control.
Probable Cause: The pilot’s failure to maintain an adequate airspeed during a go-around, which resulted in a loss of airplane control. Contributing to the accident was the inadvertent activation of the fuel boost pump during the attempted go-around.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: WPR09FA347
Status: Investigation completed
Duration: 3 years
Download report: Final report

Sources:

NTSB

Location

Revision history:

Date/timeContributorUpdates
15-Jul-2009 22:10 slowkid Added
15-Jul-2009 22:18 slowkid Updated
16-Jul-2009 10:36 harro Updated
21-Dec-2016 19:25 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
02-Dec-2017 15:49 ASN Update Bot Updated [Operator, Other fatalities, Nature, Departure airport, Destination airport, Source, Narrative]

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