ATL04FA107

NTSB accident investigation · Mooney M20M · Cary, NC · May 3, 2004

Accident · FatalField investigationFinal report
Date
May 3, 2004, 15:20 local (19:20 UTC)
Place
Cary, NC
Injuries
2 fatal
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N91514Mooney M20M
Weather
Instrument (IMC) · Day
Status
Completed · report September 13, 2005
Report
Approved by Office Director
Parties
Lycoming Textron, Greensboro FSDO
FAA report
20040503018239A
Case key
59162

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot experienced spatial disorientation, which resulted in a loss of control and the subsequent collision with trees. Factors were low ceilings and fog.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of control - in flightApproach - iaf to faf/outer marker (ifr)
Aircraft control - not maintainedPilot in commandCause
Weather condition - low ceilingFactor
Spatial disorientationPilot in commandCause
Weather condition - fogFactor
In flight collision with terrain/waterDescent - uncontrolled
Object - tree(s)
Terrain condition - water,frozen

Analysis

Upon arriving at the destination airport, the flight was cleared for the ILS runway 5L approach. Since the pilot was not familiar with the destination airport, the pilot requested and was given radar vectors. Approach control informed the pilot when established on the localizer he was cleared for the ILS runway 5L approach. After multiple attempts to land at the Raleigh-Durham Airport, approach control provided the pilot with visual flight rules alternatives to the Greensboro and Winston-Salem Airports. The pilot requested to attempt another approach, and on the final attempt approach control lost radio and radar contact with the airplane. At 1545 the Wake County rescue located the downed airplane approximately 5-miles south of the Raleigh-Durham Airport in a small lake in an apartment complex. The debris from the airplane sank in the water on the northwest side of the lake in approximately 8 feet of water. Witnesses at the crash site reported seeing the airplane come in at a shallow angle turned sideways. The airplane collided with trees and then the lake. Examination of the wreckage site revealed freshly broken trees at the beginning of the wreckage path. Approximately 300 feet from the first broken tree there was another tree with freshly broken branches, and a ground scar along the shoreline of a small lake. Examination of the inboard left wing assembly revealed it was separated from at the mid-section of the wing and crush damaged. The post- accident examination of the airframe and the engine assembly did not reveal any flight control anomalies.

Factual narrative

History of flight

On May 3, 2004, at 1520 eastern daylight time, a Mooney M20M, N91514, registered to TLSB INC. and operated by private pilot collided with trees and a lake, and sank in 8 feet of water while attempting an approach to Raleigh Durham International Airport (RDU), Cary, North Carolina. The flight was operated under the provisions of Title 14 CFR Part 91 with an instrument flight plan filed. Instrument meteorological conditions prevailed at the time of the accident. The private pilot and passenger were fatally injured, and the airplane sustained substantial damage. The flight departed Columbia Owens Airport, Columbia, South Carolina, on May 3, 2004 at 1350.

Review of the transcription of voice recordings revealed, at 1018, the pilot received a preflight briefing from Anderson, South Carolina Automated Flight Service Station. The pilot received a standard briefing for the requested route of flight. Included in the briefing was an AIRMET covering the Raleigh-Durham area calling for occasional ceilings below 1,000 feet above ground level and visibility below three miles in precipitation, mist, and fog, with conditions ending between 1700 and 1900. At 1254, the pilot requested to file an instrument flight plan to Raleigh-Durham International Airport, North Carolina.

At 1350, the flight departed Columbia Owens Airport and the pilot established radio contact with Columbia approach for cross-country instrument flight to Raleigh Durham International Airport. At 1436, the pilot established radio contact with Raleigh approach control, reported altitude, heading and speed. Raleigh Approach control informed the pilot when established on the localizer he was cleared for the ILS runway 5L approach. Between 1445, and 1448 the airplane was observed by approach control to be approximately ½ mile to the right of runway 5L localizer, and not maintaining assigned altitudes. At 1450, Raleigh approach control contacted the pilot and allowed the pilot to fly whatever heading he needed, and to maintain an altitude above 2000 feet. The pilot was provided heading instructions, and reissued ILS runway 5L approach clearance.

Between 1449, and 1451, Raleigh approach control issued the pilot no-gyro turn away vectors from the other traffic approaching the localizer. Review of the radar plot showed the airplane making a series of maneuvers the pilot described as a "spiral". The pilot recovered from the spiral, and climbed up to 4,100 feet and maintained his altitude on top of the weather. At 1454, the pilot contacted Raleigh Approach control and stated: " he was back under control again, and felt good". He requested another approach attempt to RDU. Raleigh Approach control advised the pilot that he was in a continuous left turn and encouraged the pilot to level out and check his flight instrument. Between 1457 and 1458, approach control provided the pilot with VFR alternatives to the Greensboro and Winston-Salem Airports. The pilot requested another RDU ILS approach, and control issued a heading to verify the pilot's capability and ability to hold an assigned heading. At 1503, Raleigh Approach control contacted the pilot to confirm that he had the appropriate approach plate for RDU. The pilot responded that he should be able to handle it, and he just got things screwed up here. The pilot informed approach control that he did not have weather like this in Arizona. Raleigh approach control advised the pilot that he would remain VFR until established on final approach course, then descending into the clouds while in straight and level flight.

During the approach to runway 5L approach control advised the pilot that he was drifting to the right of the localizer. The pilot acknowledged and was issued a correction to rejoin the localizer. The pilot continued to head further right of the localizer. Raleigh approach control issued an emergency surveillance approach, and radar vectors to rejoin the approach centerline with instructions to continue his descent.

Between 1514 and 1517, the pilot turned to the right off of the approach centerline, and was issued an altitude assignment to avoid an antenna. The pilot acknowledged the instructions and reported that he was climbing to 3,000 feet with the wings level. Raleigh approach control radioed the pilot stated there concern for his fuel remaining to complete a diversion to VFR weather at Greensboro Airport. The pilot responded that he wanted to try the approach one more time. Approach control reissued another heading and altitude assignment. The airplane began a descending turn with an increasing ground speed of 151 knots. Radar and radio contact were lost with the pilot as approach control attempted to make contact with no response. At 1545 the Wake County rescue located the downed airplane in a lake within an apartment complex.

Witnesses at the crash site reported seeing the airplane come in at a shallow angle turned sideways. The airplane collided with trees and then a small lake.

Personnel information

Review of the pilot's flight records revealed, he was issued a private pilot certificate on October 27, 1994, with airplane single- engine land and an instrument rating. Review of the pilot's last insurance application it was reported that he had a total flight time of 2,493 hours, 2224 flight hours in type, and 1,272 flight hours in model and make. The private pilot held a third-class medical certificate dated September 9, 2003, and valid when wearing corrective lenses.

Aircraft information

Review of aircraft maintenance logbooks revealed that the last recorded altimeter, static, and transponder system checks were completed on January 1, 2003. The last annual inspection was conducted on May 1, 2003. The tachometer time at the annual inspection was 2116 hours.

Meteorological information

The Terminal Area Forecast (TAF) for RDU effective at 1300, forecast wind variable at three knots7, greater than six miles visibility, broken clouds at 900 feet, overcast clouds at 2,500 feet. Between 1300 and 1500 the forecast called for a greater than 50 percent chance of three miles visibility in light rain and mist with overcast clouds at 1,200 feet.

From 1500 to 1800, conditions were forecast to include wind from 010 degrees 8 at 10 knots, greater than six miles visibility, broken clouds at 2,500 and overcast at 5,000 feet. From 1800 to 0000, weather conditions were forecast to include winds from 350 degrees at 10 knots, greater than six miles visibility, with broken clouds at 4,000 feet. Between 1900 and 2300 the weather forecast called for a greater than 50 percent chance of visibility five miles in light rain showers with broken clouds at 2,500 feet.

Wreckage examination

The airplane wreckage was located approximately 5-miles south of the Raleigh-Durham Airport in a small lake in an apartment complex. The debris from the airplane submerged on the northwest side of the lake in approximately 8 feet of water.

Examination of the wreckage site revealed freshly broken trees at the beginning of the wreckage path. Approximately 300 feet from the first broken tree there was another tree with freshly broken branches, and an impact mark along the shoreline of a small lake. The airplane was recovered from the lake, and taken to a facility for examination.

Examination of the inboard left wing assembly revealed it was separated from at the mid-section of the wing and crush damaged. The mid-section of the left wing revealed leading crush damage and fragmented. The left wing tip, aileron and flap were fragmented. The left main landing gear was in the stowed position.

Examination of the fuselage and cockpit section revealed it was damaged and fragmented, and the instrument panel was shattered. All flight instruments displayed crush damage.

Examination of the vertical and horizontal stabilizer revealed the left horizontal stabilizer was shattered and the

Aircraft

Registration
N91514
Reported as
Mooney M20M
Category
Airplane
Serial number
27-0119
Airframe hours
2,116
Engine
Lycoming TIO-540, 270 hp, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Jerome Forrest Kurtz
Registered owner
Tlsb Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 1, 2003
Departed
CUB · Columbia, SC
Destination
RDU · Raleigh/Durham, NC
Flight plan
IFR
Airport
RDU · Raleigh-Durham International, runway 5, 7,500 × 150 ft

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
66
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
2,493 total · 1,272 in this make and model · 213 in the last 90 days

Weather

Conditions
Instrument (IMC) · Day
Wind
30° at 7 knots
Visibility
0.05 statute miles
Lowest ceiling
900 ft broken
Temperature
52 °F, dew point 52 °F
Altimeter
29.90 inHg
Observed at
RDU, 5 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.