CEN23LA028
2022-11-06 · Slidell, Louisiana, United States · Serious · 1 aircraft · Status: Completed
Airport ASD
Current FAA registration · N809DM
- Make / Model
- BEECH E-90
- Year of manufacture
- 1980 · 42 years old at event
- Engine
- U/A CANADA PT6A-27-28 (680 hp)
- Seats / Engines
- 10 seats · 2 engines
- Last airworthiness date
- 19800415
- ADS-B equipped
- Yes — Mode-S AB03A3
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The pilot’s failure to maintain airplane control during an attempted go-around in low visibility conditions.
Factual narrative
On November 6, 2022, about 2145 central standard time, a Beech E-90, N809DM, was destroyed when it was involved in an accident at Slidell Airport (ASD), Slidell, Louisiana. The pilot sustained serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 positioning flight. According to air traffic control information, the airplane departed John C. Tune Airport (JWN), Nashville, Tennessee, and climbed to a cruise altitude of 22,000 ft. The airplane descended to ASD, the pilot’s home airport, and a visual approach was flown that the pilot discontinued due to ground fog. The pilot received an instrument flight rules clearance and flew the RNAV (GPS) RWY 36 approach that he also discontinued due to ground fog. After executing a missed approach, the pilot flew another RNAV (GPS) RWY 36 approach, during which the airplane impacted terrain about 800 ft right of the departure end of Runway 36. The pilot egressed the airplane without assistance. The airplane initially impacted trees with the right wing (see Figure 1). The main wreckage came to rest upright and was consumed by a post-impact fire. The postaccident examination of the airplane revealed no preimpact anomalies that would have precluded normal operation. Figure 1. Wreckage Diagram, Courtesy of Textron Aviation ASD was equipped with an Automated Surface Observation System (ASOS). At 2153, the ADS ASOS observation was wind calm, visibility 5 statute miles in mist, ceiling overcast at 400 ft above ground level (agl), temperature 19°C and dew point 18°C. At 2135, the closest weather reporting station about 12 miles northeast of ASD reported wind calm, visibility 1/4 mile in fog, ceiling overcast at 200 ft agl, temperature 20°C, and dew point temperature 20°C. Several other weather stations in the vicinity reported low ceilings and visibilities, with fog forming over the area. There were no pilot weather reports (PIREPs) within 60 miles of ASD in the national database from 1700 through 2400. The pilot reported that, during the last attempted approach, he initiated a go-around after losing sight of visual references due to ground fog. He observed the right engine was slower to accelerate than the left engine during the go-around, and that he was distracted looking at the engine indications. He reported that he did not notice if the airplane yawed to the right, and before he could correct for the altitude loss, the airplane descended into the trees. Other pilots who flew the airplane reported the right engine’s acceleration was sometimes slower than the left engine. The director of maintenance had performed a timed engine run and found the right engine acceleration time was slower than the left engine, but within the normal range of the maintenance manual. The pilot flew a visual approach to his home airport but did a go-around due to ground fog. After receiving an instrument flight rules clearance, he flew an RNAV/GPS approach that he also discontinued due to ground fog. After executing a missed approach, the pilot flew another RNAV/GPS approach. The pilot reported that during this last approach he lost visual references and initiated a go-around, during which the airplane impacted trees about 800 ft to the right of the runway. The main wreckage came to rest upright and was consumed by a post-impact fire. The postaccident examination revealed no preimpact anomalies that would have precluded normal operation. The pilot reported that he observed the right engine was slower to accelerate than the left engine during the attempted go-around, and that he was distracted looking at the engine indications. He reported that he did not notice if the airplane yaw to the right and, before he could correct for the altitude loss, the airplane descended into and struck the trees. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- — Personnel issues-Psychological-Attention/monitoring-(general)-Pilot
- — Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot
- — Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Pitch control-Not attained/maintained
- — Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Yaw control-Not attained/maintained
- — Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Low visibility-Effect on operation
- — Environmental issues-Physical environment-Object/animal/substance-Tree(s)-Contributed to outcome
Verbatim from NTSB's published report. Source file
NTSB_2022_CEN23LA028.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, maintenance). All research papers
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- 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.
- Semantic Scholar 2025 · Article (Applied Sciences) Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.
- 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…