BFO95FA064

NTSB accident investigation · Piper PA-31P-350 · Cedar Bluff, VA · June 15, 1995

Accident · FatalField investigationFinal report
Date
June 14, 1995, 21:54 local (Jun 15, 1995, 01:54 UTC)
Place
Cedar Bluff, VA
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N922DCPiper PA-31P-350
Weather
Instrument (IMC) · Night/dark
Status
Completed · report October 9, 1996
Report
Approved by Office Director
FAA report
19950614020329A
Case key
9001

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's improper planning/decision, and his allowing the airplane to exceed its maximum design/stress limitation. Factors relating to the accident were: the adverse weather conditions, and the pilot's continued flight into adverse weather.

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.

In flight encounter with weatherCruise - normal
Planning/decision - improperPilot in commandCause
Weather condition - cloudsFactor
Weather condition - icing conditionsFactor
Weather condition - thunderstormFactor
Flight into adverse weather - continuedPilot in commandFactor
Airframe/component/system failure/malfunctionCruise
Design stress limits of aircraft - exceededPilot in commandCause
Wing - overload
Wing - separation
Engine assembly,mount - overload
Miscellaneous,engine - separation
In flight collision with terrain/waterDescent - uncontrolled

Analysis

ATC data indicated the airplane was in cruise flight at about 17,000 feet MSL, when the pilot deviated from the intended flight path to avoid thunderstorms. At 2150 EDT, the pilot requested clearance to climb to 19,000 MSL. At 2152, he requested a right turn out of weather and advised ATC that he was 'getting icing.' Between 2153 and 2154, the pilot's transmissions were garbled, then at 2154:38, he stated '...trying to get out of this mess.' Radar and radio contact with the airplane were lost. An in-flight breakup of the airplane occurred, and wreckage was found scattered over a 3 mile area. Postaccident examination revealed the outboard portion of the right wing had failed and separated in an upward and aft direction. Scrape marks were found on the right side of the fuselage, and there was damage to the right horizontal stabilizer and rudder. Also, there was evidence that both engines had separated in flight; they were found about 1 mile from the main wreckage. No preexisting mechanical malfunction or fatigue of the airplane was found. The pilot had received a complete weather briefing, and was advised of severe weather along the intended route of flight.

Factual narrative

History of flight

On June 14, 1995, at about 2154 eastern daylight time, a Piper PA-31P-350, N922DC, disappeared from the Atlanta, Georgia, Air Route Traffic Control Center (ARTCC) radar tracking system. The pilot and two passengers were fatally injured and the airplane was destroyed. The wreckage was located near Cedar Bluff, Virginia. Instrument meteorological conditions prevailed for the flight, and an instrument flight rules (IFR) flight plan was filed. The business flight was conducted under 14 CFR Part 91. The flight originated from Nashville, Tennessee at 2034 and the intended destination was Lancaster, Pennsylvania.

According to Federal Aviation Administration (FAA) Air Traffic Control (ATC) records, at 1820 the pilot contacted Nashville, Tennessee (BNA) Automated Flight Service Station (AFSS). The pilot filed an IFR flight plan from Chattanooga, Tennessee to Nashville, then filed another flight plan from Nashville to Lancaster, Pennsylvania. The BNA AFSS personnel issued a complete weather briefing. He advised the pilot of severe weather along his intended route of flight, and relayed two updated SIGMETs, and flight precautions for turbulence. (For details, see excerpts from ATC package section.)

ATC records indicate that at 1954, the pilot contacted BNA air traffic control tower (ATCT) and requested and received the IFR clearance to Lancaster, Pennsylvania. At 2034, the airplane departed Nashville, and was cleared to climb and maintain 11,000 feet mean sea level (MSL.) According to ATC transcripts, at 2050, the pilot requested and received clearance to 17,000 feet MSL.

At 2119, the pilot contacted Indianapolis (ZID) Air Route Traffic Control Center (ARTCC), and asked about weather deviations. ARTCC personnel advised the pilot that aircraft were deviating to the south. The pilot requested and received clearance to deviate to the south around weather.

At about 2142, ZID ARTCC coordinated the weather deviation and routing for N922DC with Atlanta (ZTL) ARTCC, and N922DC was transferred to ZTL ARTCC. The pilot contacted ZTL ARTCC at 2144:36, and stated "...it looks like I might have to go east further yet, uh, on my routing." The pilot further stated "...I got some pretty good weather up here...if you guys will help me through...some of the lightning looks pretty good." At 2145:09, the ZTL ARTCC controller advised the pilot that he didn't see any weather directly along the airplane's flight path, but added "...let me know how you want to deviate, we'll be able to work it out I'm sure."

At 2149:19, the pilot asked the ZTL ARTCC controller if there was previous traffic along his route of flight, and asked: "Did they get a fairly smooth ride, or..." The ATL ARTCC controller responded: "No complaints." At 2150:36, the pilot of N922DC requested clearance to climb to 19,000 MSL, and the ZTL ARTCC controller acknowledged the request.

At 2152:19, the pilot stated "...[N922DC] would like to uh...uh take a right turn and get out of this weather." At 2152:27, the ZTL ARTCC controller responded "...deviation right of course approved...climb and maintain [19,000 feet MSL.]" The pilot acknowledged the climb clearance.

At 2152:59, the pilot stated "...going to go ahead and descend back, we're going to go down to [15,000 feet MSL.]" The ZTL ARTCC controller queried the pilot as to his intentions. At 2153:15, the pilot stated: "Well, I'm getting icing and uh, I just, uh... ."

According to the ATC transcript, during the next 60 seconds, the ZTL ARTCC controller attempted to reestablish radio communications with N922DC, but the transmissions from the aircraft were broken and unreadable. At 2154:38, the pilot of N922DC stated "...trying to get out of this mess." There were no further transmissions from the accident airplane. According to radar data, at 2153:30 the airplane's transponder signal was lost; less than one second later the airplane disappeared off the controller's radar screen. Excerpts from the ATC package are appended.

The accident occurred during the hours of darkness, and the main wreckage site was located at latitude 37 degrees 00 minutes 08 seconds North, and longitude 81 degrees 49 minutes 29 seconds west.

Personnel information

The pilot held an Airline Transport Pilot certificate. He had Commercial pilot privileges for airplane single engine land, and was type rated in rotorcraft. The pilot also held a ground instructor certificate. The pilot's logbook was recovered, but total flight time was not current. The pilot reported 6,650 civilian flight hours on the application for the most recent medical certificate, which was dated May 5, 1995. The pilot's last proficiency check is undetermined due to the lack of a current logbook. Records indicate that the pilot held the "flight manager" position for the owner/operator.

Aircraft information

The Piper PA-31P-350, S/N 31P-8414028, was manufactured and certificated in 1984. FAA records indicate that the airplane was registered to the current owner/operator on June 6, 1995. The registration document was signed by the pilot/flight manager. The airplane's maintenance records indicate that the most recent inspection was an Annual Inspection, which was dated November 1, 1994. The airplane had accumulated a total of 2,423 hours at the time of the accident, including 36 hours since the Annual Inspection. A review of aircraft maintenance logbooks revealed no evidence of discrepancies.

Meteorological information

Preliminary weather reports noted thunderstorm activity at the time and location of the accident. Witnesses on the ground near the accident site stated that they heard the airplane crash. They stated that it was "...raining, hailing, lightening, and thundering at the time of the accident".

At 2150, the Bluefield, West Virginia, weather observation facility reported an outside air temperature of 54 degrees Fahrenheit (F), and a dew point of 51 degrees F, with thunderstorms, lightning, and rain showers reported in the area.

According to the meteorological factual report prepared by the National Transportation Safety Board's (NTSB) National Resource Specialist - Meteorology, examination of weather radar data revealed that, at 2134, there was an area of very strong weather echo intensities at the latitude 37 degrees 00 minutes 08 seconds north and longitude 81 degrees 49 minutes 29 seconds west. The report also cited numerous lightning in clouds and cloud to ground between 2145 and 2200 EDT.

According to the National Weather Service (NWS) area forecast for Virginia, between 2045 EDT on June 14 and 0900 EDT on June 15:

Clouds 4,000 to 6,000 feet scattered, 10,000 to 12,000 feet broken, tops 20,000 feet. Cirrus above. Widely scattered moderate rain showers/thunderstorms moderate rain showers. Occasionally in line and clusters. Cumulonimbus tops to 41,000 feet.

Thunderstorms imply severe or greater turbulence, severe icing, low level wind shear, and IFR conditions.

According to the NTSB's meteorologist, the NWS also issued a convective SIGMET that "...was pertinent to the accident. Convective SIGMET 1E was issued at 2055 EDT and was valid until 2255 EDT, and stated:

Area of thunderstorms moving from 350o at 25 knots. Tops to 45,000 feet. Hail to 1 inch. Wind gusts to 50 knots possible.

The meteorologist's report indicated that the southwestern extent of convective SIGMET 1E was about 12 nautical miles north-northwest of latitude 37 degrees 00 minutes 08 seconds north, and longitude 81 degrees 49 minutes 29 seconds west. The meteorological factual report is appended.

Wreckage and impact information

The airplane wreckage was scattered over a three mile area. The main wreckage contained the fuselage, the left wing, part of the right wing, and the empennage. The outboard 9 1/2 feet of the leading edge of the right wing separated, and was not rec

Aircraft

Registration
N922DC
Reported as
Piper PA-31P-350
Category
Airplane
Serial number
31P-8414028
Airframe hours
2,423
Engine
Lycoming TIO-540-V2AD, 350 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Registered owner
Executive Aviation, LLC.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 1, 1994 · 36 hours before
Departed
BNA · Nashville, TN
Destination
LNS · Lancaster, PA
Flight plan
IFR

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
37
Certificates
Airline transport, Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
6,650 total

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
80° at 6 knots
Visibility
7 statute miles
Lowest ceiling
3,400 ft broken
Temperature
54 °F, dew point 52 °F
Altimeter
30.00 inHg
Observed at
BLF, 34 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.