CHI97LA154

NTSB accident investigation · Cessna 340A · Fort Wayne, IN · June 3, 1997

Accident · No injuriesLimited investigationFinal report
Date
June 2, 1997, 23:25 local (Jun 3, 1997, 04:25 UTC)
Place
Fort Wayne, IN
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N171DBCessna 340A
Weather
Instrument (IMC) · Night/dark
Status
Completed · report February 2, 1998
Report
Approved by Office Director
FAA report
19970603012309A
Case key
10584

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 did not comply with the decision height and his attention was diverted from his cockpit scan. The factors involved were the weather conditions were at landing minimums and a flight to his destination alternate was not performed.

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.

UndershootApproach
Weather condition - low ceiling
Decision height - not complied withPilot in commandCause
Diverted attentionPilot in commandCause
Weather condition - below approach/landing minimumsFactor
Flight to destination alternate - not performedPilot in commandFactor
Light condition - dark night
In flight collision with terrain/waterApproach - faf/outer marker to threshold (ifr)

Analysis

While flying his ILS approach with 1 mile visibility and a 200 foot ceiling, the pilot was able to see the runway lights to the right side of the airplane upon reaching decision height, but chose a missed approach. The second approach resulted in the same conditions. On the third approach, the pilot requested a radar surveillance approach coupled with the ILS approach for glide slope information. The pilot stated 'I fixed my eyes on the runway and inadvertently descended below the glide path and landed short of the runway.' No discrepancies were discovered with the Nav #1 or Nav #2 instrumentation regarding the ILS centering, deflection and sensitivity.

Factual narrative

On June 02, 1997, at 2325 eastern standard time (est), a Cessna 340A, N171DB, registered to Exterior Designing, Inc., of Hoagland, Indiana, piloted by an instrument rated private pilot, was substantially damaged when it collided with the terrain approximately one mile from the runway 05 threshold, at the Fort Wayne Municipal Airport, Fort Wayne, Indiana. The pilot flew two unsuccessful ILS approaches to runway 05. The pilot then requested the third approach to be a surveillance approach to runway 05. The pilot reported no injuries. The personal 14 CFR Part 91 flight was operating on an IFR flight plan. Instrument meteorological conditions prevailed at the time of the accident. The flight departed El Reno, Oklahoma, at 1900 cdt, with the intended destination of Fort Wayne, Indiana.

While en route to Fort Wayne, the pilot received a weather update that was reported as IFR conditions with one mile visibility and a 200 foot ceiling. The pilot decided to continue on to Fort Wayne. The pilot flew the ILS approach and "upon reaching the one mile marker the indicator swung to the right indicating we were off course, one quarter mile left of the center line." The pilot was able to see the runway lights to the right side at decision height but chose to make a missed approach. The pilot flew a second ILS approach with the same results. On the third approach, the pilot requested a radar surveillance approach (heading information) coupled with the ILS for glide slope information. On the third approach the pilot stated "I fixed my eyes on the runway and inadvertently descended below the glide path and landed short of the runway." The pilot went on to say "Pilot must not become focused on one item, he must continue scanning all instruments and always keep in mind his decision height when flying any approaches." The pilot also said, "Airplane had no mechanical problems."

Examination of both Nav #1 and Nav #2 revealed that both ILS circuits operated correctly for ILS centering, deflection, and sensitivity.

Aircraft

Registration
N171DB
Reported as
Cessna 340A
Category
Airplane
Serial number
340A-1257
Airframe hours
2,230
Engine
Continental TSIO-520, 325 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Exterior Designing, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 21, 1996 · 40 hours before
Departed
F28 · El Reno, OK
Destination
FWA · IN
Flight plan
IFR
Airport
FWA · Fort Wayne International, runway 5, 12,000 × 150 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
62
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
5,988 total · 935 in this make and model · 5,988 as pilot in command · 54 in the last 90 days · 26 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
50° at 14 knots
Visibility
1.5 statute miles
Lowest ceiling
100 ft overcast
Temperature
57 °F, dew point 57 °F
Altimeter
29.00 inHg
Observed at
FWA

FAA reports on this event · 1

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