CFI-to-CFI Newsletter - Volume 12 Issue 2 - 30

ACCIDENT CASE STUDY
FAULTY ASSUMPTIONS
BY ASI STAFF
THIS LATEST ACCIDENT CASE STUDY FROM THE
AOPA AIR SAFETY INSTITUTE RECREATES THE
EVENTS THAT LED A BEECHCRAFT BARON 58 TO
CRASH SHORT OF REACHING ITS DESTINATION
DURING AN INSTRUMENT APPROACH IN IMC.
In the early morning light on April 22, 2019, the
pilot of the Baron preflighted his aircraft at West
Houston Airport in Texas, before heading to the
terminal to greet his five passengers. The twinengine
airplane then departed on an IFR flight
plan from West Houston Airport to Kerrville
Municipal Airport in Texas. For the flight,
which would take just over one hour, the pilot
thought he had 54 gallons usable fuel-just four
gallons short of the legal requirements, including
reserves. But the pilot's mistaken beliefs about
existing onboard fuel together with deteriorating
weather conditions at the destination would
prove disastrous and clinch the flight's outcome.
Accident Case Study: Faulty Assumptions
exposes the consequences of planning a flight
with little room for contingencies. A combination
of flawed assumptions, improper risk
assessment, and relying on equipment beyond
the designs of its accuracy ultimately proved
catastrophic.
Join the AOPA Air Safety Institute as we follow
the Baron's flight and learn how an unfortunate
chain of events led to tragedy.
The Accident Case Study series uses FAA
ATC radio communication transcripts, NTSB
documentation, and video animation to recreate
accidents and share critical lessons, so we can
recognize and avoid similar mistakes.
ASI Staff share a deep passion for aviation
safety. As compassionate pilots, we bring together
safety research, analysis, and knowledge in
creative ways to share aviation safety education
with you-with the ultimate goal of one day having
zero fatal accidents in GA.
Email: cfinewsletter@aopa.org
https://youtu.be/ydogesjgmzU

CFI-to-CFI Newsletter - Volume 12 Issue 2

Table of Contents for the Digital Edition of CFI-to-CFI Newsletter - Volume 12 Issue 2

CFItoCFI Newsletter—Vol. 12, Issue 2
CFI Notes
Letters
Navigating BasicMed—Follow These Simple Steps
Safety Webinars: Hone Your Skills—Be Well-Informed
Safety Webinars: Freedom in Rules—Responsibly Transitioning from Paper to EFT
ASI Message: An Impossible Turn?—Reality Check on Turnbacks
CFI News
CFI Tips: The Longest Flight Review
Checkride Checklist: DPE Answers for Students and CFIs
Practical Advice: Avoid Mishaps—Keep Your Pocket Book Happy
Chart Challenge: Rocket Science or Space Race?
CFI's Point of View: Nontowered Airport Ops—Safety and Good Manners
Accident Case Study: Faulty Assumptions
You Can Fly: AOPA's Flight Training Experience Survey is Back!
Safety Quiz: Colllision Avoidance
CFI Tools: Thunder and Lightning—Can be Frightening
Chief's Corner: Conversations About This and That
Runway Safety: Over the Line
CFI-to-CFI Newsletter - Volume 12 Issue 2 - CFItoCFI Newsletter—Vol. 12, Issue 2
CFI-to-CFI Newsletter - Volume 12 Issue 2 - CFI Notes
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Letters
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Navigating BasicMed—Follow These Simple Steps
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 5
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 6
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 7
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 8
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Safety Webinars: Hone Your Skills—Be Well-Informed
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Safety Webinars: Freedom in Rules—Responsibly Transitioning from Paper to EFT
CFI-to-CFI Newsletter - Volume 12 Issue 2 - ASI Message: An Impossible Turn?—Reality Check on Turnbacks
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 12
CFI-to-CFI Newsletter - Volume 12 Issue 2 - CFI News
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 14
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 15
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 16
CFI-to-CFI Newsletter - Volume 12 Issue 2 - CFI Tips: The Longest Flight Review
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 18
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 19
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 20
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Checkride Checklist: DPE Answers for Students and CFIs
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 22
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Practical Advice: Avoid Mishaps—Keep Your Pocket Book Happy
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 24
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 25
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Chart Challenge: Rocket Science or Space Race?
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 27
CFI-to-CFI Newsletter - Volume 12 Issue 2 - CFI's Point of View: Nontowered Airport Ops—Safety and Good Manners
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 29
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Accident Case Study: Faulty Assumptions
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 31
CFI-to-CFI Newsletter - Volume 12 Issue 2 - You Can Fly: AOPA's Flight Training Experience Survey is Back!
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Safety Quiz: Colllision Avoidance
CFI-to-CFI Newsletter - Volume 12 Issue 2 - CFI Tools: Thunder and Lightning—Can be Frightening
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 35
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 36
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Chief's Corner: Conversations About This and That
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 38
CFI-to-CFI Newsletter - Volume 12 Issue 2 - 39
CFI-to-CFI Newsletter - Volume 12 Issue 2 - Runway Safety: Over the Line
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol13issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol13issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol13issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol13issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol12issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol12issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol12issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol12issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol11issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol11issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol11issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol11issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol10issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol10issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol10issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol10issue1
https://www.nxtbook.com/nxtbooks/aopa/flashcards_2019
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol9issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol9issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol9issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol9issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol8issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol8issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol8issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol8issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol7issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol7issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol7issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol7issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol6issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol6issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol6issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol6issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol5issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol5issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol5issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol5issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol4issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol4issue3
https://www.nxtbook.com/nxtbooks/aopa/flashcards_201310
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol4issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol4issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol3issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol3issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol3issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol2issue4
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol2issue3
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol2issue2
https://www.nxtbook.com/nxtbooks/aopa/cfi_vol2issue1
https://www.nxtbook.com/nxtbooks/aopa/cfi_201011
https://www.nxtbook.com/nxtbooks/aopa/cfi_201009
https://www.nxtbookmedia.com