NTSB CAROL · Event
Event GAA19CA438
Registry · N9161S
FAA Aircraft Registry record.
Make / Model
BEECH B19
Year of manufacture
1975 · 44 years old at event
Engine
LYCOMING 0-320 SERIES (180 hp)
Seats / Engines
4 seats · 1 engine
Last airworthiness date
19751216
ADS-B equipped
Yes — Mode-S ACAF81
Registrant of record
CARR JACK WILLSON
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The pilot's failure to see and avoid tall grass along the side of the runway during the takeoff roll, which resulted in his loss of directional control, a runway excursion, and nose-over.
Factual narrative
The pilot reported that during takeoff, the airplane "did not gain altitude normally." About midfield, the airplane had climbed only a few feet and the right wing "may have caught" the 4ft tall grass that outlined the 40ft wide runway. The pilot aborted the takeoff and the airplane departed the right side of the runway and came to rest nose down. The airplane sustained substantial damage to the engine mounts. According to the manufacturer's pilot operating handbook the wingspan of the airplane was 32ft 9in. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. The pilot reported that, during takeoff, the airplane "did not gain altitude normally." About midfield, the airplane had climbed only a few feet, and the right wing hit tall grass that outlined the 40-ft-wide runway. The pilot aborted the takeoff, and the airplane departed the right side of the runway and came to rest nose down. The airplane sustained substantial damage to the engine mounts. According to the Pilot's Operating Handbook, the airplane's wingspan was 32 ft 9 in. The pilot reported that there were no preaccident mechanical failures or malfunctions with the airplane that would have precluded normal operation. 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 Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
- C Personnel issues-Psychological-Attention/monitoring-Monitoring environment-Pilot - C
- C Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Directional control-Not attained/maintained - C
- C Environmental issues-Physical environment-Object/animal/substance-(general)-Effect on operation - C
Verbatim from NTSB's published report. Source file
NTSB_2019_GAA19CA438.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 (runway excursion). 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 2024 · Journal article (IJAAA)
A Quantitative Analysis of Seaplane Accidents from 1982-2021
This study aimed to assess and analyze all historical National Transportation Safety Board accident reports since 1982. For analysis, reports were bisected into seaplane (float, amphibian, and hull) a…
- Embry-Riddle Scholarly Commons 2023 · Faculty research project
A qualitative analysis of social and emotional perspectives of airline passengers during the COVID-19 pandemic
This paper investigated how willing participants were to fly during COVID-19, and found that their major concerns involved fear and trust issues with airlines, information, and other people.
- NASA NTRS 2023 · Reprint (Version printed in journal)
Fatigue, Schedules, Sleep, and Sleepiness in U.S. Commercial Pilots During COVID-19
Introduction: COVID-19 has had a significant impact on the aviation industry. While reduced flying capacity may intuitively translate to reduced fatigue risk by way of fewer flights and duty hours, th…
- Embry-Riddle Scholarly Commons 2023 · Conference paper
Mental Health in Pilots Ages 19-26: What are the new pilots telling us?
Mental Health is stigma that reaches all professional pilots. After spending a considerable amount of money, a pilot is always afraid of losing his/her medical certification.
- Semantic Scholar 2022 · Article (ORL)
Olfactory Training Impacts Olfactory Dysfunction Induced by COVID-19: A Pilot Study
Introduction: Olfactory dysfunction is one of the main symptoms of COVID-19 and may last beyond resolution of the infection.
- Semantic Scholar 2022 · Article (Journal of Safety Research)
The effect of COVID-19 on self-reported safety incidents in aviation: An examination of the heterogeneous effects using causal machine learning
Introduction: Disruptions to aviation operations occur daily on a micro-level with negligible impacts beyond the inconvenience of rebooking and changing aircrew schedules.
Browse the full corpus — academia portal ↗