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Accidents · NTSB ERA16LA003 · Final report

Beech S35 accident near Knoxville, Tennessee, October 7, 2015

On October 7, 2015 at about 9:30 am local time, a 1965 Beech S35, registered N449CT, was substantially damaged in an accident during initial climb near Knoxville, Tennessee (Knoxville Downtown Island airport). It was a personal flight under general aviation rules (Part 91). 2 people were seriously injured. The weather was instrument conditions (cloud, fog or low visibility).

The NTSB's probable cause their words, unchanged

The pilot's inadequate preflight weather planning and his improper decision to attempt a visual flight rules flight in night instrument metrological conditions, which resulted in spatial disorientation and subsequent collision with terrain.

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

What the record shows

Date
October 7, 2015 · about 9:30 am local time
Place
Knoxville, Tennessee · Knoxville Downtown Island · map
Type
Accident
Injuries
2 people were seriously injured.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Beech S35, built 1965 · all S35s on the register
Registration
N449CT · no longer on the register · serial D-7912
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

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

The airplane had been topped off with fuel the day before the accident flight. Early the following day, the pilot arrived at the airport for the visual flight rules flight and completed a preflight inspection, then he and his passenger boarded the airplane. According to the pilot, while taxiing to the runup area for the runway, he listened to the automated weather observation system (AWOS) at the airport and thought he heard that the ceiling was about 200 ft, even though he could "look up at the sky and see stars." He also stated that this was also not compatible with his weather briefings from the night before or earlier the morning of the accident. According to the passenger, the morning of the accident was dark and foggy, and he could not see the sky. He remembered asking the pilot about instrument procedures as he believed the pilot was instrument qualified. The pilot and passenger could only remember the preflight, the engine warmup, the takeoff, and the landing gear retraction. After departure, the airplane impacted trees and vegetation about 10 ft above ground level about 600 ft from the departure end of the runway. The airplane then impacted in an open field in a level attitude with the wing flaps retracted and the landing gear in the up position. Both the pilot and passenger were seriously injured during the impact sequence. The airport's line service manager arrived at the airport about 20 minutes after the accident occurred and stated that he could not see anything and that it was "zero/zero." The traffic patrol pilot for the local radio station tried to take off to try to locate the airplane, but the visibility was too bad. There was no record of the pilot receiving a formal weather briefing. Review of the weather conditions before the accident revealed that the National Weather Service had been forecasting fog and low clouds for at least 5 hours before the time of the accident, the AWOS had been reporting 1/4 mile visibility for at least 15 minutes before the accident, and the sun had not yet risen. If the pilot had delayed his departure until midmorning, he would have been able to depart in visual meteorological conditions. Postaccident examination of the airframe, engine, and recorded engine data did not reveal any preimpact failures or malfunctions that would have precluded normal operation. Examination of the accident site and airplane revealed that the impact with the ground was at high speed with the engine at takeoff power, indicative of the pilot not climbing the airplane after takeoff. It is likely that, during the takeoff from the well-lit runway into a dark sky with no ambient light, the pilot experienced a somatogravic illusion in which he likely sensed that the sudden linear acceleration of the airplane created a pitch-up sensation, when instead the airplane was not climbing or climbing shallowly. It is likely that, with no other visual cues, the pilot became spatially disoriented and pushed the nose down to avoid what he sensed was pitching up too high and impacted the trees at the end of the runway.

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

What happened, in order

  1. Preflight or dispatch event during prior to flight
  2. VFR encounter with IMC during initial climb defining event
  3. Loss of visual reference during initial climb
  4. Controlled flight into terrain or object (CFIT) during initial climb

The NTSB's findings

  • cause Personnel issues › Task performance › Planning/preparation › Weather planning › Pilot
  • cause Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot
  • cause Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
  • cause Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
  • cause Aircraft › Aircraft oper/perf/capability › Performance/control parameters › (general) › Not attained/maintained
  • cause Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Below VFR minima › Decision related to condition
  • cause Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Below VFR minima › Effect on personnel
  • cause Environmental issues › Conditions/weather/phenomena › Light condition › Dark › Effect on personnel

Pilot

  • Certificate: private
  • Ratings: single-engine land; instrument: airplane
  • Flight time: 300.7 hours in all; 190 in this make and model; 29.5 in the last 90 days; 6.8 in the last 30 days; 259.6 as pilot in command
  • Last flight review: October 13, 2014
  • Medical certificate: Class 3 (without waivers/limitations)
  • Seat: left
  • Injury: serious injuries

The aircraft

  • Airframe total time: 4,563.3 hours
  • Last inspection: annual inspection, May 14, 2015
  • Maximum gross weight: 3,300 lb
  • Seats: 4
  • Landing gear: retractable
  • Engine: Continental IO-550-B (B2) (piston); 1,133 hours total

The flight

  • Departed from: DKX Knoxville TN at 9:30 am
  • Destination: MOR Morristown TN
  • Flight plan: none
  • Runway 8, 3,499 ft by 75 ft

Weather at the time

  • Light: night
  • Visibility: 0.2 statute miles
  • Sky: overcast at 200 ft
  • Temperature: 55°F (13°C), dew point 55°F (13°C)
  • Altimeter: 30.04 inHg
  • Observation at 9:30 am from DKX, 1 miles away

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers1

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

13 documents, released by the NTSB on October 16, 2020. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

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.