CEN18LA328
2018-08-12 · South Beloit, Illinois, United States · Serious · 1 aircraft · Status: Completed
Airport 44C
Aircraft involved
Probable cause & findings
The pilot’s failure to maintain airspeed after being startled and distracted when the engine cowling opened during takeoff, which led to a subsequent impact with terrain.
Factual narrative
On August 12, 2018, about 0832 central daylight time, a Piper PA32R airplane, N9894K, impacted terrain near South Beloit, Illinois after departing from Beloit Airport (44C), Beloit, Wisconsin. The pilot and one passenger suffered minor injuries, one passenger suffered serious injuries, and the airplane was substantially damaged. The airplane was registered to DBG Aviation Inc. and operated by the pilot under the provisions of Title 14 Code of Federal Regulations Part 91 as a personal flight. Day visual meteorological conditions prevailed for the flight, which was destined for Baraboo–Wisconsin Dells Airport (DLL), Baraboo, Wisconsin. After takeoff from runway 25, the pilot stated the engine cowling opened and begin to rapidly swing back and forth. Based on his concern the cowling might fracture the windshield and cause an injury, the pilot reduced power and considered landing straight ahead. Realizing he was too far down the runway to land, the pilot increased power and attempted to climb and return to the runway with a shallow left bank. The airplane developed a sink rate and impacted a cornfield about ½ mile off the end of the runway, damaging the engine mounts and fuselage. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal flight operations. The pilot stated that he was very startled by the sudden and unexpected opening of the cowling, which distracted him from maintaining airspeed control. A Federal Aviation Administration Safety Team (FAAST) safety briefing titled "Startle Response", located in the public docket for this investigation, included the following information: Humans are subject to a "startle response" when they are faced with unexpected emergency situations and may delay action or initiate inappropriate action in response to the emergency. Some examples of unexpected events during flight that could crop up and cause an emergency, or an accident if it is not managed properly, include: • Partial/full loss of power on takeoff • Landing gear extension/retraction failure • Bird strike • Cabin door opening Train and plan for emergencies. In many cases, pilots don't review and practice how they will handle unexpected events and abnormal or emergency situations, except during flight reviews or other recurrent training. "Chair Flying" - Unexpected events, especially those occurring close to the ground, require rapid, appropriate action. Your chances of a safe outcome are greatly improved if your response to an unexpected event is planned out ahead of time. Review "what if" scenarios in your head and practice what you would immediately do should a certain event take you by surprise. The private pilot indicated that soon after takeoff for the personal flight, the airplane's engine cowling opened and began to swing back and forth. Concerned the cowling might fracture the windshield, he reduced engine power to land straight ahead, but, after realizing that the runway remaining was insufficient to do so, he attempted to climb and return to the runway. During his attempted go-around, the airplane began to descend and then impacted a cornfield off the end of the runway. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal flight operations. The pilot stated that he was very startled by the opening of the cowling, which distracted him from maintaining airspeed. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
- C Personnel issues-Psychological-Attention/monitoring-Attention-Pilot - C
Verbatim from NTSB's published report. Source file
NTSB_2018_CEN18LA328.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
Matched on aircraft type or causal vocabulary (go-around). All research papers
- NASA NTRS 2025 · Conference Paper A Training Study to Improve Monitoring During A Go-Around
As part of an FAA program to improve go-around (GA) safety, we were asked to determine if we could improve the performance of the Pilot Monitoring (PM) during a GA maneuver.
- Flight Safety Foundation 2024 · FSF / AeroSafety World Go-Around Safety Forum Findings
Foundation Go-Around Safety Forum technical findings — examines why pilots fail to execute go-arounds when criteria are met (stabilized approach gate not met, energy state out of envelope, traffic con…
- Semantic Scholar 2022 · Article (Journal of Safety Research) Go-around accidents and general aviation safety.
INTRODUCTION Changes in General Aviation (GA) accident rates, specifically in the go-around phase, are examined by comparing the number of accidents, the proportion of fatal accidents, and the proport…
- Semantic Scholar 2021 · Article (Aerospace) Classification and Analysis of Go-Arounds in Commercial Aviation Using ADS-B Data
Go-arounds are a necessary aspect of commercial aviation and are conducted after a landing attempt has been aborted. It is necessary to conduct go-arounds in the safest possible manner, as go-arounds …
- NASA NTRS 2021 · Accepted Manuscript (Version with final changes) Go-Around Criteria Refinement for Transport Category Aircraft
Presently, airline pilots are trained to go around if, when lower than 500 ft above the ground, they are outside of a handful of parameters such as airspeed, position, and rate of descent.
- NASA NTRS 2019 · Conference Paper Validation of Proposed Go-Around Criteria Under Various Environmental Conditions
This paper evaluates the effects of environmental conditions on touchdown performance under varying approach states and validates proposed go-around criteria developed using data from a previously con…