CHI92FA028

NTSB accident investigation · Piper PA28-236 · Valley Center, KS · November 15, 1991

Accident · FatalField investigationFinal report
Date
November 14, 1991, 22:33 local (Nov 15, 1991, 04:33 UTC)
Place
Valley Center, KS
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N412GKPiper PA28-236
Weather
Instrument (IMC) · Night/dark
Status
Completed · report April 23, 1993
Report
Approved by Office Director
FAA report
19911114051469A
Case key
15272

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 spatial disorientation, his loss of aircraft control, and his exceeding the aircraft's design limits. Factors in the accident were the pilot's disregard for directives and procedures, and his continued flight into known 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.

Loss of control - in flightApproach - iaf to faf/outer marker (ifr)
Procedures/directives - disregardedPilot in commandFactor
Light condition - dark night
Flight into known adverse weather - continuedPilot in commandFactor
Aircraft control - not maintainedPilot in commandCause
Spatial disorientationPilot in commandCause
Airframe/component/system failure/malfunctionDescent - uncontrolled
Pull-up - abruptPilot in command
Design stress limits of aircraft - exceededPilot in commandCause

Analysis

A private pilot without instrument rating obtained a weather brief and filed IFR for a 4-hour night flight to a refueling stop. His destination was reporting IFR and forecasting marginal conditions on arrival, with an outlook for IFR. Weather remained IFR through arrival, and he commenced an ILS approach to the field. While attempting to intercept course, the pilot initiated a right turn which continued away from the field and was accompanied by a rapid descent out of radar contact. The airplane broke up in flight as result of high positive acceleration.

Aircraft

Registration
N412GK
Reported as
Piper PA28-236
Category
Airplane
Serial number
28-7911047
Airframe hours
1,924
Engine
Lycoming O-540-J345D, 235 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Heck, Thomas J III
Registered owner
Heck, Thomas J III
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 26, 1991 · 91 hours before
Departed
ABQ · Albuquerque, NM
Destination
ICT · Wichita, KS
Flight plan
IFR
Airport
ICT · Wichita Mid-Continent, runway 19, 10,300 × 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
42
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
415 total · 245 in this make and model · 37 in the last 90 days · 28 in the last 30 days · 8 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
200° at 12 knots
Visibility
7 statute miles
Lowest ceiling
800 ft broken
Temperature
61 °F, dew point 57 °F
Altimeter
29.00 inHg
Observed at
ICT, 10 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.