CEN21FA263

NTSB accident investigation · Piper PA-32-260 · Madisonville, TX · June 14, 2021

Accident · FatalClass 3 · FieldFinal report
Date
June 13, 2021, 23:55 local (Jun 14, 2021, 04:55 UTC)
Place
Madisonville, TX · 1,000 feet prior to runway 36
Injuries
1 fatal, 5 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N3258WPiper PA-32-260
Defining event
Approach-VFR pattern final: Collision with terr/obj (non-CFIT)
Weather
Visual (VMC) · Night
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
Piper Aircraft, Federal Aviation Administration; Houston FSDO, Lycoming Engines
FAA report
20210613007429A
Case key
103250

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

On this page

Probable cause

The pilot’s failure to maintain a proper glidepath during final approach for landing, which resulted in impact with trees and terrain.

Findings · 2

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.

Performance/control parameters: descent/approach/glide pathAircraft › Aircraft oper/perf/capability · Not attained/maintainedPiper PA-32-260: 3 casesAll aircraft: 809 casesProbable cause
Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotPiper PA-32-260: 9 casesAll aircraft: 1,391 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 pilot departed on a night cross-country flight. While on approach to the destination airport, the airplane impacted trees and terrain and came to rest about 550 ft from the runway threshold. Postaccident examination of the airplane revealed no anomalies that would have preclude normal airplane operation. The switches for the airplane’s landing light and rotating beacon were both found in the OFF position. Autopsy revealed that the pilot had 85% stenosis of one of his coronary arteries, which placed him at an increased risk for a sudden cardiac event; however, there was no evidence to suggest that occurred and based on the circumstances of this accident, it is unlikely that the pilot’s cardiovascular condition was a factor in the accident. Toxicological testing identified the antidepressant sertraline and its metabolite desmethysertraline in the pilot’s heart blood and urine. While the levels detected were above therapeutic levels, this medication can undergo postmortem redistribution. Sertraline is one of the four medications the Federal Aviation Administration will consider for treatment of depression. Special issuance is usually issued after 6 months of treatment when the applicant is clinically stable. It is unknown how long the pilot was taking sertraline and whether he was taking it for depression or some other condition. However, after a few weeks of use, sertraline does not impact psychomotor performance. Given the circumstances of this accident, it is unlikely that effects from the pilot’s use of sertraline were factors in the accident.

Factual narrative

The airplane’s maintenance logs were not located. A mechanic who completed the most recent annual inspection stated that he completed an “extensive” annual inspection of the airplane in July or August 2020. On June 13, 2021, about 2355 central daylight time, a Piper PA-32-260 airplane, N3258W, was substantially damaged when it was involved in an accident near Madisonville, Texas. The private pilot was fatally injured, and five passengers received serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. According to automatic dependent surveillance-broadcast data, the accident flight departed from Port Isabel-Cameron Country Airport, Port Isabel, Texas, about 2121 and proceeded to Madisonville Municipal Airport (51R), Madisonville, Texas. The airplane impacted 50-ft-tall trees about 680 ft south of the approach end of runway 36 at 51R. The airplane came to rest about 550 ft south of the approach end of the runway. At the time of his most recent Federal Aviation Administration (FAA) medical examination, the pilot reported taking no medications and no medical conditions. According to the autopsy, the pilot died as a result of blunt force injuries and the manner of death was accident. Other than an approximate 85% narrowing of his left anterior descending coronary artery, no other significant natural disease was identified. Toxicological testing by the FAA Forensic Sciences Laboratory identified the antidepressant sertraline at 1,006 nanograms per milliliter (ng/mL) and its metabolite, desmethysertraline, in the pilot’s heart blood at 1,533 ng/mL; both were also detected in his urine. The non-impairing medications salicylic acid and atorvastatin were also detected. A pilot logbook was found in the wreckage, and its two most recent entries were dated October 10, 2018, and November 8, with no year specified. The pilot’s recency of experience and the date of his most recent flight review could not be determined. The airplane sustained substantial damage to the fuselage and wings due to impact with trees and terrain. The propeller displayed S-bending consistent with the engine producing power at the time of impact. The trees along the wreckage path exhibited slash marks consistent with propeller strikes. The wing flaps were fully extended. Flight control continuity was confirmed. There were no mechanical anomalies that would have precluded normal operation. The airplane’s rotating beacon and landing light switches were in the OFF position. The landing light filament did not exhibit stretching.

Aircraft

Registration
N3258W
Reported as
Piper PA-32-260
Category
Airplane
Serial number
32-81
Built
1965
Engine
Lycoming O-540-E4B5, 260 hp, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2020
Departed
PIL · Port Isabel, TX
Destination
Same as departure
Airport
51R · Madisonville Muni, runway 36, 3,202 × 50 ft, asphalt
Equipment
ADS-B, Auto-pilot, Stall warning system

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
68
Injuries
Fatal
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Medical
Class 3, With waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
664 total · 582 as pilot in command

Weather

Conditions
Visual (VMC) · Night
Wind
Calm
Lowest ceiling
None
Temperature
81 °F, dew point 81 °F
Altimeter
29.95 inHg
Observed at
UTS, 21 nm away

Docket · 9

The files NTSB released with the investigation on July 7, 2022, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.7 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.

Other investigations on N3258W · 1

Matched to the same aircraft by N-number and date.