Casualties unknown

1991-12-29: Beech 1900C (N811BE) — Business Express Inc. — Block Island, RI

Block Island, RI, US

On December 29, 1991, a Beech 1900C (registration N811BE) operated by Business Express Inc. was involved in an aviation accident near Block Island, RI. Investigators recorded the probable cause as: THE INSTRUCTOR PILOT'S LOSS OF ALTITUDE AWARENESS AND POSSIBLE SPATIAL DISORIENTATION, WHICH RESULTED IN THE LOSS OF CONTROL OF THE AIRPLANE AT AN ALTITUDE TOO LOW FOR RECOVERY; AND COMPANY MANAGEMENT'S LACK OF INVOLVEMENT IN AND OVERSIGHT OF ITS BEECHCRAFT… This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive; 8 related events involving the same aircraft type or operator are linked below.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 1781061362Data APIEditorial standards

During a simulated instrument approach on a moonless night, an instructor disabled the student's attitude indicator and later simulated an engine failure. The student became disoriented and requested control, but the instructor refused. Investigation found the instructor had dimmed his own instruments to prevent the student from seeing his operable indicator.

Incident Overview

A training flight aimed at preparing two first officers for a captain upgrade encountered difficulties when the instructor pilot disabled the student's attitude indicator. The student struggled to maintain control of the aircraft. During a simulated instrument approach, while in the procedure turn, the instructor additionally simulated an engine failure. The student, experiencing disorientation, requested the instructor to take control; however, the instructor declined.

Instructor's Actions

The investigation revealed that the instructor routinely turned his own flight instrument lights to the 'DIM' position when the student was flying, to prevent the student from observing the operable attitude indicator. Examination of the wreckage confirmed that the instructor's light rheostat was in the DIM position.

Environmental Conditions

The accident occurred over the ocean on a moonless night, providing minimal external visual references.

Operational Oversight

Neither the operator nor the Federal Aviation Administration (FAA) were aware that this instructor was using Block Island for training purposes, nor were they informed of the training methods being employed.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001212X18653. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.