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ATL95FA046 · Beech A36

29 Jan 1995 · Chamblee, GA, United States

Beech A36 · Accident: loss of control in flight on approach

From Orlando Executive Airport (ORL) to DeKalb Peachtree Airport (PDK)

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Event

NTSB case
ATL95FA046
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
1 · all aircraft and ground
Ground fatalities
0
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Instrument Meteorological Cond

Beech A36

Aircraft type
Beechcraft 36
Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N3086T
Operator
Ramsey, John E. · private individual
Onboard fatalities
Unknown
Route
From Orlando Executive Airport (ORL), Orlando, FLTo DeKalb Peachtree Airport (PDK)
Aircraft age
Not recorded
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 91: General Aviation
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Approach · IFR missed approach
First occurrenceThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Loss of control in flight
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Destroyed

Cause areas

  • Pilot in command › Aircraft control, not maintained
  • Pilot in command › Spatial disorientation

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

THE PILOT WAS PROVIDED VECTORS FOR AN ILS RUNWAY 20L APPROACH IN INSTRUMENT METEOROLOGICAL CONDITIONS (IMC). IN ANTICIPATION OF OTHER TRAFFIC, THE RADAR CONTROLLER VECTORED THE AIRCRAFT ONTO A CLOSE-IN FINAL APPROACH. THE AIRCRAFT INTERCEPTED THE LOCALIZER ABOUT .5 MILE OUTSIDE THE OUTER MARKER WITH A 35-DEGREE INTERCEPT. THE ILS APPROACH GATE IS DEFINED AS BEING 1 MILE OUTSIDE THE OUTER MARKER, AND AIRCRAFT ARE REQUIRED TO BE VECTORED TO INTERCEPT AT LEAST 2 MILES OUTSIDE THE GATE. (ACCORDING TO FAA ORDER 7110.65G, THE MAXIMUM ANGLE OF INTERCEPT WITHIN 2 MILES OF THE APPROACH GATE IS 20 DEGREES.) RADAR DATA INDICATED THAT, ABOUT 2.5 MILES FROM THE APPROACH END OF THE RUNWAY, THERE WERE ERRATIC HEADING AND ALTITUDE EXCURSIONS. THESE LASTED FOR ABOUT 2 MINUTES, AND THEN THE PILOT CALLED A MISSED APPROACH. DURING THE MISSED APPROACH, THE AIRCRAFT ENTERED A DESCENDING RIGHT TURN AND CRASHED. WITNESSES REPORTED THAT THE ENGINE WAS RUNNING AT HIGH RPM AT THE TIME OF IMPACT. EXAMINATION OF THE AUTOPILOT DID NOT INDICATE EVIDENCE OF MALFUNCTION OR FAILURE. THE PILOT DID NOT REPORT ANY AIRCRAFT PROBLEMS. THE PILOT HAD JUST ATTENDED A BONANZA OWNER'S PROFICIENCY COURSE. AN INSTRUCTOR FOR THAT COURSE SAID THE PILOT'S SKILLS AT INSTRUMENT FLYING WERE POOR AND THAT HE WOULD NOT SIGN OFF THE PILOT'S INSTRUMENT COMPETENCY CHECK.

Probable cause

THE PILOT'S FAILURE TO MAINTAIN AIRCRAFT CONTROL AFTER BECOMING SPATIALLY DISORIENTED. FACTORS RELATING TO THE ACCIDENT WERE: THE PILOT'S LACK OF PROFICIENCY (RECENT EXPERIENCE) IN INSTRUMENT FLYING, AND IMPROPER APPROACH CONTROL SERVICE BY VECTORING THE AIRPLANE ONTO THE ILS LOCALIZER COURSE AT AN INADEQUATE DISTANCE FROM THE OUTER MARKER AND AT AN INTERCEPT ANGLE THAT DID NOT ALLOW THE PILOT TO ESTABLISH A STABILIZED APPROACH.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ATL95FA046
Event ID
20001207X02814
Case number
ATL95FA046
Dataset
historical-pre2008
Source SHA-256
89e2df6d848e7ab3b42e7d7c7a03ff403303057a26ca04c95b3ea67201c3ce74
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: b89ec6fa3e3b1932db0ccc67e36167a863e35140e14a0864d4917c2845cb5e2b; retrieved 2026-09-20T23:52:43.397Z.