CEN20LA118

NTSB accident investigation · Piper PA32R · Rensselaer, IN · March 11, 2020

Accident · Serious injuriesClass 3 · LimitedFinal report
Date
March 11, 2020, 06:36 local (11:36 UTC)
Place
Rensselaer, IN
Injuries
1 serious
Damage
Destroyed
Phase of flight
Approach
Aircraft
N599STPiper PA32R
Defining event
Approach-IFR missed approach: Collision with terr/obj (non-CFIT)
Weather
Instrument (IMC) · Not reported
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA - FSDO, Piper Aircraft, Inc, Lycoming Aircraft Engines
FAA report
20200311001439A
Case key
101061

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 non-instrument rated pilot’s failure to establish a climb while initiating a missed approach after conducting an instrument approach below weather minimums.

Findings · 5

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotPiper PA-32R-301T: 8 casesAll aircraft: 9,295 casesProbable cause
Ceiling/visibility/precip: low ceilingEnvironmental issues › Conditions/weather/phenomena · Effect on operationPiper PA-32R-301T: 2 casesAll aircraft: 190 cases
Ceiling/visibility/precip: low visibilityEnvironmental issues › Conditions/weather/phenomena · Effect on operationPiper PA-32R-301T: 1 caseAll aircraft: 175 cases
Performance/control parameters: climb rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-32R-301T: 1 caseAll aircraft: 265 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The non-instrument rated pilot planned a cross-country flight in instrument meteorological conditions. The pilot obtained weather information and filed an instrument flight rules (IFR) flight plan through his on-line weather/flight planning account the day of the accident. Air traffic control data indicated that the flight and initial portion of the instrument approach proceeded normally. Position data revealed that the airplane proceeded inbound and descended as expected along the assigned approach course. The airplane passed the runway approach threshold at an altitude of about 300 ft above ground level (agl) and entered a gradual left turn; however, the established descent continued. The final data point depicted the airplane about 0.14 mile east of the runway, about 100 ft agl. The pilot’s memory of the instrument approach was vague due to his injuries; however, he stated that he was unable to see the runway and decided to execute a missed approach. At some point, he either made a “bad input” into the autopilot or the autopilot commanded a slight turn or descent. The accident site was located immediately southeast of the final position data point. A postimpact fire destroyed much of the airplane. A postaccident examination did not identify any preimpact abnormities that would have contributed to the accident. The instrument approach procedure allowed for descent as low as 250 ft above the runway elevation and required 1-3/8 to 1 mile flight visibility to land depending on the capabilities of the airplane. Just before the accident the automated weather reporting station recorded calm winds, one-half mile visibility in fog, and an overcast ceiling at 200 ft above ground level. The pilot held a private pilot certificate with a single-engine land airplane rating; however, he did not have an instrument rating. The accident was consistent with the non-instrument rated pilot’s loss of control during a go-around attempt after conducting an instrument approach in weather conditions that were below minimums.

Factual narrative

On March 11, 2020, about 0636 central daylight time, a Piper PA-32R-301T airplane, N599ST, was destroyed when it was involved in an accident near Jasper County Airport (RZL), Rensselaer, Indiana. The pilot was seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot obtained weather information and filed an instrument flight rules (IFR) flight plan through his on-line weather/flight planning account the day of the accident. Air traffic control data revealed that the airplane departed the Purdue University Airport (LAF) at 0607 on an IFR flight plan en route to RZL. At 0620, the pilot was cleared for the area navigation approach (RNAV) to runway 18. At 0626, the pilot was instructed to change to the airport common traffic advisory frequency (CTAF) and to cancel the flight plan through flight service after landing. The pilot acknowledged and no further communications were recorded. Position data depicted the airplane proceed inbound and descend along the approach course. At 0635:49, the airplane crossed the runway approach threshold about 1,000 ft mean sea level (msl). The airplane entered a gradual left turn; however, the descent continued. The final data point was recorded at 0636:07. The airplane was about 0.14 mile east of the runway and about 800 ft msl. The airport elevation was 698 ft. Due to his injuries and hospitalization, the pilot was unable to provide a statement until several months after the accident. The pilot indicated that his memory of the accident was vague due to his injuries; however, he remembered that before the flight he obtained a weather briefing and departed without a flight plan. He added that the automated weather station at RZL reported overcast clouds at 400 ft. and one mile visibility, so he elected to conduct a RNAV/GPS approach to runway 18. He was unable to see the runway and executed a missed approach. He believed at some point on the missed approach that he either made a “bad input” into the autopilot or the autopilot commanded a slight turn or descent. The RNAV 18 approach allowed for descent as low as 250 ft above the runway elevation and required 1-3/8 to 1 mile flight visibility to land depending on the capabilities of the airplane. At 0635, the automated weather reporting station at RZL recorded calm winds, one-half mile visibility in fog, and an overcast ceiling at 200 ft above ground level. Federal Aviation Administration records indicated that the pilot held a private pilot certificate with a single-engine land airplane rating; however, he did not have an instrument rating. The airplane wreckage was recovered to a salvage facility where engine and airframe examinations were conducted. The airframe had extensive fire and thermal damage which limited the scope of the examination. Much of the cabin and instrument panel was destroyed by the fire. Flight control continuity from the cockpit to the ailerons, rudder, and stabilator wasestablished, with the exception of a broken cable segment. Further examination of the cable segment observed failure signatures consistent with fracture after exposure to the postimpact fire while still under tension. The stabilator trim assembly corresponded to a neutral trim setting. The flap control rod position was consistent with a flaps up (retracted) setting. The nose and left main landing gear actuators were in the extended position which corresponded to a landing gear down (extended) position. The right landing gear was impact separated and its actuator was observed about mid-travel position. Examination of the engine and propeller did not identify any preimpact abnormalities.

Aircraft

Registration
N599ST
Reported as
Piper PA32R (301T)
Category
Airplane
Serial number
3257383
Built
2005
Airframe hours
2,650
Engine
Lycoming TIO-540, 300 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 27, 2019 · 20 hours before
Departed
LAF · LaFayette, IN
Destination
RZL · Rensselaer, IN
Flight plan
IFR
Airport
RZL · Jasper County, runway 18, 4,000 × 60 ft, concrete
Equipment
ADS-B, Auto-pilot

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
48
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
September 26, 2019
Seat
Left
Restraint
3-point
Flight hours
1,012 total · 600 in this make and model

Weather

Conditions
Instrument (IMC) · Not reported
Wind
0° at 0 knots
Visibility
0.5 statute miles
Lowest ceiling
200 ft overcast
Temperature
36 °F, dew point 36 °F
Altimeter
30.08 inHg
Observed at
KRZL
METAR
KRZL 111135Z AUTO 00000KT 1/2SM FG OVC002 02/02 A3008 RMK AO2=

Docket · 13

The files NTSB released with the investigation on February 23, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 216 MB in all.

FAA reports on this event · 1

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