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GAA16CA320 · Beech 77

15 Jun 2016 · Santa Fe, NM, United States

Beech 77 · Accident: loss of lift during initial climb

From Santa Fe Municipal Airport (SAF) to U77 · Spanish Fork, UT

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Event

NTSB case
GAA16CA320
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
0 · all aircraft and ground
Ground fatalities
Unknown
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
Visual Meteorological Cond

Beech 77

Aircraft type
Beechcraft 77
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
N60189
Operator
Unknown
Onboard fatalities
Unknown
Route
From Santa Fe Municipal Airport (SAF), Santa Fe, NMTo U77 · Spanish Fork, UT
Aircraft age
About 37 years (built 1979)
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
Initial climb
Defining eventThe 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 lift
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Cause areas

  • Aircraft › Aircraft oper/perf/capability
  • Personnel issues › Action/decision

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

NTSB narrative

The pilot reported that during the initial climb in night visual meteorological conditions the airplane "was not climbing well." The pilot further reported for about 15 minutes he maneuvered the airplane over a highway, and the airplane still would not gain altitude. Subsequently, he reported that was "unable to maintain adequate terrain separation" and landed on the highway. During the landing roll on the highway, the pilot swerved to avoid a car and struck a road sign, which substantially damaged the left wing.

During postaccident correspondence with the pilot, he reported that the airplane was "160 lbs. over gross with high estimates on bags, likely closer to 140 over gross."

The Federal Aviation Administration (FAA) Pilot's Handbook of Aeronautical Knowledge (PHAK) in part states: "The pilot should always be aware of the consequences of overloading. An overloaded aircraft may not be able to leave the ground, or if it does become airborne, it may exhibit unexpected and unusually poor flight characteristics. If not properly loaded, the initial indication of poor performance usually takes place during takeoff."

The pilot also reported that a cold compression check was performed on the engine after the accident. He reported that the "compressions were 25/80, 42/80, and both rear cylinders were 72/80."

The Service Instructions for cylinder compression checks provided by Textron Lycoming in part states: "Operate the engine until normal cylinder head and oil temperatures are attained; then shut down the engine making sure that magneto switches and fuel supply valves are shut off. Proceed with the test as soon as possible after shut down." The cylinder compression measured was not completed in accordance with the manufacture's service instructions.

The FAA provides guidance on how density altitude affects aircraft performance. The density altitude about the time of departure was 8,202 feet, the pressure altitude was 6,217 feet, and the temperature was 20 Celsius (68 Fahrenheit). According to the FAA Koch Chart, the airplane would have likely experienced a 145% increase to the "normal takeoff distance" and a 65% decrease in a normal climb rate. The FAA PHAK in part states: "In extreme conditions, such as high gross weight, high density altitude, and high temperature, a deficiency of airspeed during takeoff may permit the aircraft to become airborne but be incapable of sustaining flight out of ground effect."

The pilot also reported that he had been on a four day trip and had worked more than 12 hours each day, including the day of the accident. He reported that, "fatigue significantly affected decision making as [the] pilot had opportunities to attempt to land back at [the] airport, abort [the] takeoff, or land closer on [the] highway avoiding the vehicle." The FAA PHAK in part states: "Fatigue is frequently associated with pilot error. Some of the effects of fatigue include degradation of attention and concentration, impaired coordination, and decreased ability to communicate. These factors seriously influence the ability to make effective decisions."

Probable cause

The pilot's decision to takeoff over the maximum takeoff weight in high density altitude conditions, which resulted in an inability to climb above terrain, a forced landing, and a collision with a road sign. Contributing to the accident was the pilot's decision to fly in a fatigued mental state.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record GAA16CA320
Event ID
20160616X62306
Case number
GAA16CA320
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
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: local date, investigation status. Values present in the bulk record are kept.
  • The date is the local date; the NTSB stores the UTC date 2016-06-16.
  • API snapshot SHA-256: ab72347359c449f1405a09ce6ce1a631f4179a539d17c0b39051ee942058aad5; retrieved 2026-09-16T03:31:14.876Z.