WPR11CA142
2011-02-22 · North Bend, Oregon, United States · None · 1 aircraft · Status: Completed
Airport KOTH
Current FAA registration · N9237Y
- Make / Model
- PIPER PA 31P 350
- Seats / Engines
- 7 seats · 2 engines
- ADS-B equipped
- Yes — Mode-S ACCCB3
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The pilot's failure to lower the landing gear while on approach to landing. Contributing to the accident was the pilot's failure to follow a written checklist during the approach portion of the flight.
Factual narrative
According to the pilot, while in the process of executing a terminal instrument approach to his home airport, he transitioned from instrument meteorological conditions (IMC) to visual meteorological conditions (VMC). He therefore canceled his instrument flight rules (IFR) clearance, and transitioned from the terminal instrument approach to a visual flight rules (VFR) approach pattern. During this sequence of events, the pilot, who was not following a written checklist, inadvertently forgot to lower the landing gear. During the landing flare, the pilot heard the noise caused by the wing flaps and both propellers contacting the surface of the runway, and therefore he added power and immediately executed a go-around. The pilot then entered a closed pattern, lowered the landing gear and repositioned the flaps, before making an uneventful landing. According to the pilot, during his approach he heard the gear warning horn sounding, but he thought it was the altitude alerting system. An inspection of both the runway surface scarring and each propeller blade revealed that the tips of all six blades had been ground down by repeated contact with the asphalt surface. The pilot also said that the airplane did not have any system malfunctions. According to the pilot, while in the process of executing a terminal instrument approach to his home airport, he transitioned from instrument meteorological conditions to visual meteorological conditions. He canceled his instrument flight rules clearance, and transitioned from the terminal instrument approach to a visual flight rules approach pattern. During this sequence of events he did not follow a written checklist, and inadvertently forgot to lower the landing gear. During the landing flare, he heard the noise caused by the wing flaps and both propellers contacting the surface of the runway, and he added power and immediately executed a go-around. He then entered a closed pattern, lowered the landing gear and repositioned the flaps, before making an uneventful landing. He said during the approach he heard the gear warning horn sounding, but he thought it was the altitude alerting system. An inspection of both the runway surface scarring and each propeller blade revealed that the tips of all six blades had been grounded down by repeated contact with the asphalt surface. He also said that the airplane did not have any system malfunctions. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- C Aircraft-Aircraft systems-Landing gear system-Landing gear actuator-Not used/operated - C
- F Personnel issues-Task performance-Use of equip/info-Use of checklist-Pilot - F
- C Personnel issues-Action/decision-Action-Forgotten action/omission-Pilot - C
- C Personnel issues-Task performance-Use of equip/info-Use of equip/system-Pilot - C
Verbatim from NTSB's published report. Source file
NTSB_2011_WPR11CA142.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, imc). 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…