NTSB CAROL · Event
Event CEN17FA227
Aircraft involved
Probable cause & findings
The pilot's failure to maintain clearance from terrain after takeoff during dark night conditions.
Factual narrative
HISTORY OF FLIGHTOn June 13, 2017, about 2210 mountain daylight time, a Beech E 90, N48TA, impacted terrain during initial climb after takeoff from runway 24 at Sierra Blanca Regional Airport (SRR), Ruidoso, New Mexico. The commercial pilot and the passenger sustained fatal injuries. The airplane was destroyed by impact forces and postcrash fire. The airplane was registered to King Industries Corporation and was being operated by the pilot under Title 14 Code of Federal Regulations Part 91 as a personal flight. Dark night visual meteorological conditions prevailed at the time of the accident. An instrument rules flight plan was filed for the flight that was originating at the time of the accident and was destined for Abilene Regional Airport (ABI), Abilene, Texas. The flight plan was filed at 2155 and listed a proposed departure time of 2320 from SRR. The planned flight to ABI was 1 hour 5 minutes, and the fuel on board was 2 hours 50 minutes. According to the pilot's wife, on the day of the accident, their oldest son played in a championship baseball game, and after the game, the family drove to the airport, arriving about 2130. She said that her husband did "all the preflight checks" of the airplane and then he and their oldest son boarded the airplane. She further said that her husband did an engine runup by the hangar area; everything "looked good, sounded good"; the airplane then taxied to runway 24. She reported that the airplane lifted off about halfway down the runway, and "plenty of runway" remained for the airplane to "set back down." She further reported that the airplane was airborne by the time it flew in front of her truck, and "everything sounded okay." She said that she did not see any flames from the airplane or its engines. She could not see if there was any smoke, since it was dark outside. She said the takeoff was "normal," and the airplane did not sink. She lost sight of the airplane as it climbed out because her truck was parked by one of the hangars, which blocked her view, and she did not see the accident. The wreckage was located by first responders about 2,400 ft southeast from the departure end of runway 24. PERSONNEL INFORMATIONThe pilot held a commercial pilot certificate with airplane single- and multi-engine land and instrument ratings; he also held a mechanic certificate. At the time of his last airman medical examination on March 25, 2015, he reported a flight experience of 400 total hours with no hours in the last 6 months. His second-class airman medical certificate had no limitations. On an aviation insurance application dated January 31, 2017, the pilot listed a total flight experience of 1,073 hours including 197.1 hours in multi-engine land airplanes, 10 hours of instrument flight experience, and 25 hours of turbine flight experience. The application did not have an entry block for night flight time, and no night flight time was listed in any other area on the application. Between February 10, 2017 and February 17, 2017, the pilot completed 25.0 hours of BE-90 initial flight training, which was provided by Aviation Group Florida, LLC. The pilot's wife stated that her husband got up about 0700 to 0730 on the day of the accident and that she did not know what time he went to work. She said that her husband went to his office to do some work and did not have any meetings. She said her husband would typically go to sleep about 2130 to 2200 and wake up at 0700 to 0730. AIRCRAFT INFORMATIONOn February 3, 2017, the airplane was sold to King Industries Corporation by Aviation Group Florida, LLC. An aircraft registration application for the airplane was signed by the pilot, whose title was listed as Vice President, on February 3, 2017. METEOROLOGICAL INFORMATIONAccording to the U.S. Naval Observatory, Astronomical Applications Department, on June 13, 2017, moon rise in Ruidoso was at 2323, and the phase of the moon was waning gibbous with 85% of the moon's visible disk illuminated. AIRPORT INFORMATIONOn February 3, 2017, the airplane was sold to King Industries Corporation by Aviation Group Florida, LLC. An aircraft registration application for the airplane was signed by the pilot, whose title was listed as Vice President, on February 3, 2017. WRECKAGE AND IMPACT INFORMATIONThe accident site was located about 2,400 ft southeast of the departure end of runway 24 at an elevation of about 6,756 ft. The airplane wreckage path was on a southeasterly heading and was about 168 ft in length. The terrain from the northwest to the southeast was upsloping and exhibited soot and fire damage to the ground and surrounding trees. The northwest end of the wreckage path had trees with breaks that exhibited a downward slope estimated to be about 20° toward the left as viewed looking southeast. The left wingtip was located near the broken trees. The outboard section of the right wing was located about midway along the wreckage path and to the right side of the path as viewed looking southeast. The remaining wing sections and control surfaces were located along the wreckage path. The southeast end of the wreckage path contained the airplane fuselage and empennage. Both propellers were separated from the engines and were resting along the debris path. Both propellers exhibited S-shaped bending, leading edge damage, and chordwise scratching consistent with engine power being produced at impact. Postaccident disassembly examination of both propellers revealed witness marks that indicated about a 30° blade angle, which was consistent with mid-range power. None of the propeller blades exhibited a feathered position. Postaccident disassembly examination of both engines revealed impact and postcrash fire damage. The compressor and turbine sections of both engines exhibited circumferential contact damage of the compressor and turbine disks. There were no mechanical anomalies found that would have precluded normal operation of the engines. The cockpit avionics, flight instruments, and control panel switches were destroyed by impact forces and fire. The landing gear was found in the retracted position. Examination of the flight control cables revealed overload separations. The left outboard wing flap was in the retracted position, and the remaining flaps were separated from the wings. MEDICAL AND PATHOLOGICAL INFORMATIONThe University of New Mexico Health Sciences Center, Office of the Medical Examiner, Albuquerque, New Mexico conducted an autopsy of the pilot. The autopsy report stated that the cause of death was blunt trauma. The Federal Aviation Administration's Bioaeronautical Sciences Research Laboratory, Oklahoma City, Oklahoma, performed forensic toxicology on specimens from the pilot. According to the toxicology report, carbon monoxide and cyanide testing were not performed; no ethanol was detected, and ibuprofen was detected in muscle. The commercial pilot had filed an instrument flight rules flight plan and was departing in dark night visual meteorological conditions on a cross-country personal flight. A witness at the departure airport stated that during takeoff, the airplane sounded and looked normal. The witness said that the airplane lifted off about halfway down runway 24, and there was "plenty" of runway remaining for the airplane to land. The witness lost sight of the airplane and did not see the accident because the airport hangars blocked her view. The wreckage was located about 2,400 ft southeast of the departure end of runway 24. Examination of the accident site indicated that the airplane impacted in a nose-down attitude with a left bank of about 20°. A left turn during departure was consistent with the airport's published instrument departure procedures for obstacle avoidance, which required an immediate climbing left turn while proceeding to a navigational beacon located about 7 miles east-northeast of the airport. Examination of the wreckage did not reveal any evidence of preimpact mechanical malfunctions that would have precluded normal operation. The pilot had reportedly been awake for about 15 hours and was conducting the departure about the time he normally went to sleep and, therefore, may have been fatigued about the time of the event; however, given the available evidence, it was impossible to determine the role of fatigue in this event. Although the circumstances of the accident are consistent with spatial disorientation, there was insufficient evidence to determine whether it may have played a role in the sequence of events. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- C Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Altitude-Not attained/maintained - C
- — Environmental issues-Conditions/weather/phenomena-Light condition-Dark-Effect on operation
Verbatim from NTSB's published report. Source file
NTSB_2017_CEN17FA227.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (spatial disorientation). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2025 · Journal article (IJAAA)
Design, Implementation, and Testing of Spatial Disorientation Scenarios in a Modified Hexapod Motion Simulator
Abstract Investigations into aviation accidents aim to identify root causes and enhance safety. Despite advancements in safety measures, technology, and education, general aviation accident rates rema…
- AOPA Air Safety Institute 2022 · Safety advisor
Safety Advisor: Spatial Disorientation
Safety advisor on the perceptual illusions that cause spatial disorientation: the leans, graveyard spiral, somatogravic and somatogyral illusions, false horizon, and Coriolis.
- NASA NTRS 2019 · Conference Paper
Evaluation of Low Cost, User-Centered Alerting Devices for the Mitigation of Flight Crew Spatial Disorientation
The National Aeronautics and Space Administration (NASA) is conducting research into technologies which have the potential to reduce flight crew Spatial Disorientation (SD).
- NASA NTRS 2019 · Presentation
Pre-Flight Training of Autonomic Responses for Mitigating the Effects of Spatial Disorientation During Spaceflight
The National Aeronautics and Space Administration (NASA) has identified a potential risk of spatial disorientation, motion sickness, and degraded performance to astronauts during re-entry and landing …
- NASA NTRS 2019 · Other
The Role of Spatial Disorientation in Fatal General Aviation Accidents
In-flight Spatial Disorientation (SD) in pilots is a serious threat to aviation safety. Indeed, SD may play a much larger role in aviation accidents than the approximate 6-8% reported by the National …
- NASA NTRS 2019 · Technical Memorandum (TM)
Autogenic-Feedback Training Exercise (AFTE) Mitigates the Effects of Spatial Disorientation to Simulated Orion Spacecraft Re-Entry: Individual Differences
NASA has identified a potential risk of spatial disorientation to future astronauts during re-entry of the proposed Orion spacecraft.
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