NTSB CAROL · Event
Event LAX99LA296
Aircraft involved
Probable cause & findings
The pilot's failure to follow the manufacturer's procedures to fully enrich the mixture, which induced an overly lean condition during full power application on the go-around and a resulting loss of power. The high density altitude weather condition was a factor in the accident.
Factual narrative
On September 5, 1999, about 1430 hours Pacific daylight time, a Beech 35-A33, N849B, collided with power lines and terrain during a forced landing near the Big Bear City, California, airport. The forced landing was precipitated by a loss of engine power during a go-around from an approach to runway 8. The airplane, owned and operated by the pilot, sustained substantial damage. The private pilot was not injured. The personal cross-country flight, conducted under the provisions of 14 CFR Part 91, originated at the Torrance, California, airport, about 1350, and was en route to Big Bear. Visual meteorological conditions prevailed and no flight plan was filed. The pilot reported that while he was on final approach to runway 08 with the landing gear down and the flaps set at 10 degrees, a helicopter was taking off from the parallel taxiway. He reported that the windsock was limp, but he experienced a sudden wind gust that pushed the airplane off the runway extended centerline. When the pilot was at 30 to 50 feet agl, he decided to go around and applied full power. After he gained sufficient altitude and a positive rate of climb, he retracted the landing gear and flaps. About 600 to 700 feet agl, the engine sputtered. The pilot reduced the throttle and the engine started back up again, and then quit completely. He checked the magnetos and fuel. He stated that the mixture had been leaned for cruise flight and he enriched it slightly and some power momentarily came back. He applied more mixture but the engine didn't respond. About 400 feet agl, he turned toward an empty lot. The left wingtip collided with a series of power lines but the pilot was able to maintain directional control of the airplane. The airplane came to rest in a field behind a row of homes on about 1/2 square acre of land. The engine twisted off from the fuselage and came to rest inverted. The sheriff's deputy who responded to the accident site reported that he checked the airplane for fuel. He noted that the fuel level was approximately 1/2 to 3/4 full in both wing tanks. The pilot reported that he had taken off with 42 gallons of fuel. The sheriff's deputy interviewed a pilot/witness who had been sitting in the airport restaurant during the accident. The witness reported that he observed the accident airplane approaching to land on runway 08. He stated that the plane dipped to the left and appeared to be straining to recover and climb. As the airplane passed by, the witness noted that the flaps were about 20 degrees down. He felt that was unusual because normal takeoff flaps were 10 degrees. The witness further reported that the landing gear retracted and the airplane continued to fly in an easterly direction while continuing to lose altitude. The nose was pointed upward and the tail was pointed downward during this time frame. The witness lost sight of the airplane behind a tree line, and then saw dust indicating that the plane had crashed. The automated weather observation service for Big Bear Airport listed the density altitude as 9,000 feet at 1425. An examination of the engine was conducted. The top sparkplugs were removed and examined; they exhibited normal color and wear patterns consistent with the Champion Check-A-Plug chart. The top sparkplug for the No. 5 cylinder was noted to have a lower break away torque than the other five. The valve covers were removed. Each cover contained oil. The rocker assemblies, springs, and valve retainers were secure at each cylinder assembly. Crankshaft rotation produced compression in all six cylinders. Accessory gear and valve train continuity were established. Both magnetos produced sparks at the sparkplug leads in firing order. The exhaust system was inspected. The muffler appeared unobstructed and displayed gray gas path coloration. The pilot's operating handbook (POH) for the airplane was reviewed and relevant portions are appended to this file. In pertinent part, the POH states that for the condition of a rough running engine or loss of engine power, the pilot should fully enrich the mixture, and then lean as required. The pilot had the mixture leaned for cruise flight. After experiencing a sudden wind gust while landing that moved the airplane off the extended runway centerline, the pilot applied full power and performed a go-around. The pilot said the airplane had trouble climbing. About 600 to 700 feet agl, the engine sputtered, then quit completely. When the pilot slightly enriched the mixture, the engine power returned momentarily. He applied more mixture, but the engine didn't respond and lost all power. While attempting to land in an empty lot, the left wingtip collided with a series of power lines. The airplane came to rest in a field. The fuel level was found to be about 1/2 to 3/4 full in both wing tanks. An examination of the engine was conducted and no discrepancies were found. The recorded weather data listed the density altitude as 9,000 feet at the time of the accident. The POH for the airplane stated that for a rough running engine or loss of engine power, the pilot should fully enrich the mixture, and then lean as required. Source: NTSB Aviation Accident Database (Pre-2008 Archive) Retrieved: 2026-02-12
Verbatim from NTSB's published report. Source file
NTSB_1999_LAX99LA296.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 (go-around). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- 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…
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