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Accidents · NTSB CHI92LA024 · Final report

Beech C-23 accident near Burlington, Iowa, November 9, 1991

On November 9, 1991 at about 4:35 pm local time, a Beech C-23, registered N38036, was substantially damaged in an accident near Burlington, Iowa. It was an instructional flight under general aviation rules (Part 91). 1 person had minor injuries. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

THE PILOT HAVING AN IMPROPER FUEL TANK SELECTOR POSITION.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
November 9, 1991 · about 4:35 pm local time
Place
Burlington, Iowa · map
Type
Accident
Injuries
1 person had minor injuries.
Weather
visual conditions (good weather)
Aircraft
Beech C-23 · all C-23s on the register
Registration
N38036 · no longer on the register · serial M-2299
Damage
Substantial damage
Flight
Instructional flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

THE PRIVATE PILOT HAD COMPLETED A CROSS COUNTRY FLIGHT AND ENTERED THE TRAFFIC PATTERN TO LAND. WHILE ON BASE LEG THE PILOT APPLIED CARBURETOR HEAT, REDUCED POWER AND EXTENDED LANDING FLAPS BECAUSE SHE BELIEVED SHE WAS TOO HIGH. ONCE ON FINAL APPROACH, THE PILOT EXTENDED ADDITIONAL FLAPS. UPON EXTENSION OF THE FLAPS THE PILOT STATED THAT THE AIRPLANE BEGAN TO DECELERATE AND DESCEND RAPIDLY. THE PILOT STATED THE STALL WARNING HORN ACTIVATED AND THE AIRPLANE ROLLED TO THE RIGHT DURING THE DECELERATION AND DESCENT. THE PILOT APPLIED POWER AND FORWARD ELEVATOR PRESSURE ON THE CONTROL YOKE. THE ENGINE DID NOT RESPOND WITH THE APPLICATION OF THROTTLE. DURING THIS PROCESS THE PILOT STATED SHE LOST SIGHT OF THE AIRPORT. SHORTLY AFTER THIS ACTION THE PILOT PERFORMED A FORCED LANDING. AN ON SCENE INVESTIGATION REVEALED THAT THE RIGHT WING FUEL TANK CONTAINED APPROXIMATELY 1 GALLON OF FUEL, AND THAT THE FUEL SELECTOR WAS POSITIONED ON THE RIGHT WING FUEL TANK. THE LEFT WING FUEL TANK WAS APPROXIMATELY 3/4 FULL.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

Pilot

  • Certificate: private
  • Ratings: single-engine land
  • Flight time: 88 hours in all; 34 in this make and model
  • Medical certificate: Class 3
  • Seat: unk

The aircraft

  • Last inspection: inspection type not recorded; 0 hours since
  • Maximum gross weight: 2,450 lb
  • Seats: 4
  • Landing gear: fixed
  • Engine: Lycoming O-360A4J (piston); 0 hours total

The flight

  • Departed from: CMI Champiion IL at 3:00 pm
  • Flight plan: VFR
  • Runway 0

Weather at the time

  • Light: daylight
  • Wind: from 190° at 15 knots
  • Visibility: 15 statute miles
  • Temperature: 0°F (-18°C), dew point 0°F (-18°C)
  • Observation at 4:50 pm from BRL, 2 miles away

Injuries

FatalSeriousMinorNone
Crew1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.