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Accidents · NTSB ERA17FA106 · Final report

Beech C23 accident near Winder, Georgia, February 16, 2017

On February 16, 2017 at about 7:00 pm local time, a 1973 Beech C23, registered N24695, was substantially damaged in an accident during approach near Winder, Georgia (Barrow County airport). It was an instructional flight under general aviation rules (Part 91). 2 people were killed. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The flight instructor's inadequate preflight planning and operation of the airplane outside its center of gravity envelope, which resulted in a loss of control while maneuvering.

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

What the record shows

Date
February 16, 2017 · about 7:00 pm local time
Place
Winder, Georgia · Barrow County · map
Type
Accident
Injuries
2 people were killed.
Weather
visual conditions (good weather)
Aircraft
Beech C23 NO SERIES, built 1973 · all C23s on the register
Registration
N24695 · no longer on the register · serial M-1446
Damage
Substantial damage
Flight
Instructional flight · general aviation rules (Part 91)

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

The student pilot, who had recently purchased the airplane, and a flight instructor were conducting a local instructional flight. Another pilot reported that, while approaching the airport for landing, he heard an airplane (likely the accident airplane) announce over the common traffic advisory frequency that they would be departing runway 31; however, he did not see the airplane depart. A witness, who was driving on a highway near airport, observed the accident airplane fly in front of her heading south/southeast. She stated that the airplane seemed to be flying low and fast as it went over the highway. It then began to nose down, then level out, and "tilt to the right." The witness then lost sight of the airplane behind trees. The airplane impacted trees and terrain on a southeasterly heading about 500 ft west of the departure end of runway 31 (the runway 13 threshold). Given the location and orientation of the wreckage, it is possible that the flight instructor and student departed runway 31 and were attempting to return to the airport to land on the opposite runway (13) when they experienced a loss of control. As the airplane turned back toward runway 13, the pilots would have encountered an 8-knot gusting to 14-knot tailwind, which would have increased the airplane's ground speed and closure rate with terrain and obstacles surrounding the airport and the runway. Weight and balance calculations revealed that, although the airplane was operating below its maximum gross weight at the time of the accident, its center of gravity (CG) was forward of the limit established by the manufacturer. Since airplane stability and control are affected by improper balance, exceedance of the forward limit would likely have resulted in a nose-heavy condition and difficulty in controlling and raising the nose, especially during takeoff and landing. Although the reason for the decision to land on the opposite runway could not be determined, it is likely that the airplane's forward CG affected its control characteristics and that the trim required to help relieve the control forces imposed by the forward CG may have resulted in reduced pitch control travel at the lower airspeeds required for approach and landing. Examination of the airplane and engine did not reveal evidence of any preimpact malfunctions or failures that would have precluded normal operation. There was evidence of fuel onboard, and the lack of airframe, flight control, and engine anomalies were also consistent with a loss of control event. Toxicology testing revealed that the flight instructor had used amphetamine at some time before the flight, but whether the drug was being used to treat an underlying condition such as attention-deficit/hyperactivity disorder (ADHD) or narcolepsy, or whether he had used the amphetamine illicitly to get high and was in/or entering the withdrawal phase of use, also could not be determined. Overall, whether the flight instructor's use of amphetamine or effects from an underlying medical condition contributed to the accident circumstances could not be determined.

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. Aircraft loading event during prior to flight
  2. Loss of control in flight during approach defining event
  3. Collision with terrain or object (not controlled flight into terrain) during approach

The NTSB's findings

  • cause Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Instructor/check pilot
  • cause Personnel issues › Task performance › Use of equip/info › Use of manual › Instructor/check pilot
  • cause Personnel issues › Task performance › Planning/preparation › Weight/balance calculations › Instructor/check pilot
  • cause Aircraft › Aircraft oper/perf/capability › Aircraft capability › CG/weight distribution › Incorrect use/operation
  • cause Aircraft › Aircraft oper/perf/capability › Aircraft capability › CG/weight distribution › Capability exceeded
  • Environmental issues › Conditions/weather/phenomena › Wind › Tailwind › Contributed to outcome

Flight instructor

  • Certificate: airline transport pilot, flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; instructor: airplane single-engine; instrument: airplane
  • Flight time: 1,650 hours in all; 1,452 as pilot in command; 530 on instruments
  • Last flight review: July 27, 2016
  • Medical certificate: Class 1 (without waivers/limitations)
  • Seat: rgt
  • Injury: fatal

Dual student

  • Certificate: student
  • Flight time: 8 hours in all; 3 in this make and model
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 2,680.2 hours
  • Last inspection: annual inspection, October 3, 2016; 15 hours since
  • Maximum gross weight: 2,450 lb
  • Seats: 4
  • Landing gear: fixed
  • Engine: Lycoming O-360-A4J (piston); 2,680 hours total

The flight

  • Departed from: WDR Winder GA at 6:45 pm
  • Destination: WDR Winder GA
  • Flight plan: none
  • Runway 31, 5,500 ft by 100 ft
  • A second pilot was aboard

Weather at the time

  • Light: daylight
  • Wind: from 320° at 8 knots, gusting 14
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 57°F (14°C), dew point 16°F (-9°C)
  • Altimeter: 29.95 inHg
  • Observation at 6:45 pm from WDR

Injuries

FatalSeriousMinorNone
Flight crew2

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

12 documents, released by the NTSB on April 9, 2019. 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.