CHI92LA043

NTSB accident investigation · Piper PA-28-181 · Rochester, MN · December 8, 1991

Accident · Minor injuriesLimited investigationFinal report
Date
December 8, 1991, 00:41 local (06:41 UTC)
Place
Rochester, MN
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N8411APiper PA-28-181
Weather
Instrument (IMC) · Night/dark
Status
Completed · report April 23, 1993
Report
Approved by Office Director
FAA report
19911208055149A
Case key
15359

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

Improper use of autopilot during approach which resulted in proper alignment not maintained by the pilot. Factors related to the accident were turbulence and crosswinds, over confidence in aircraft's capability and overconfidence in personal ability.

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 weatherApproach - faf/outer marker to threshold (ifr)
Weather condition - turbulenceFactor
Weather condition - crosswindFactor
Autopilot - improper use ofPilot in commandCause
Overconfidence in aircraft's abilityPilot in commandFactor
Proper alignment - not maintainedPilot in commandCause
Overconfidence in personal abilityPilot in commandFactor
Missed approach - not performedPilot in command
In flight collision with terrain/waterApproach - faf/outer marker to threshold (ifr)

Analysis

The pilot said while flying a coupler autopilot instrument approach to the airport at Rochester, turbulence was encountered shortly after passing the middle marker. Substantial deflections of the obs/gs indicator were observed. The acft collided with the terrain about 4000 feet from the runway. A crosswind of 17 knots, 50 degrees to the runway heading was present during the approach.

Aircraft

Registration
N8411A
Reported as
Piper PA-28-181
Category
Airplane
Serial number
28-8190274
Engine
Lycoming O-360-A4M, 180 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Filmore County Flying Club
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 2, 2000
Departed
D42 · Springfield, MN
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
45
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
325 total · 325 in this make and model · 20 in the last 90 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
180° at 17 knots
Lowest ceiling
100 ft
Temperature
36 °F, dew point 36 °F
Observed at
RST, 1 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.