DCA94MA053

NTSB accident investigation · Piper PA31 · Stratford, CT · April 28, 1994

Accident · FatalClass 1 · MajorFinal report
Date
April 27, 1994, 22:56 local (Apr 28, 1994, 02:56 UTC)
Place
Stratford, CT
Injuries
8 fatal, 1 serious
Damage
Destroyed
Phase of flight
Landing
Aircraft
N990RAPiper PA31
Weather
Visual (VMC) · Night/dark
Status
Completed · report April 12, 1995
Report
Board-adopted at Board Meeting
Investigation class
Class 1
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19940427009289A
Case key
10984

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 failure of the captain to use the available ILS glideslope, his failure to execute a go-around when conditions were not suitable for landing, and his failure to land the airplane at a point sufficient to allow for a safe stopping distance; the fatalities were caused by the presence of the nonfrangible blast fence and the absence of a safety area at the end of the runway. (NTSB Report AAR-94/08)

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.

OverrunLanding - roll
Proper glidepath - not usedPilot in commandCause
Weather condition - tailwindFactor
Weather condition - fogFactor
Distance/speed - misjudgedPilot in commandFactor
Go-around - not performedPilot in commandCause
Proper touchdown point - not attainedPilot in commandCause
Airport facilities,instrument approach lights - not installed
On ground/water collision with objectLanding - roll
Airport facilities,runway safety area - inadequate
Fuselage,seat - improper
Fuselage,seat - unapproved
Misc eqpt/furnishings,seat belt - incorrect
Object - fence

Analysis

The captain had ILS glideslope data available during the approach but did not fly the ILS glideslope. The partial obscuration of the airport environment, due to ground fog, contributed to the captain's failure to recognize that the airplane was high on both his approach and landing. The destruction of the airplane and the resulting occupant injuries were a direct result of the collision with the blast fence. FAA interaction & communication with local communities, although persistent, were unsuccessful in gaining support for runway safety area improvements and for the installation of approach lighting for runway 6. The passenger seats had been improperly assembled using unapproved parts, and seat belts had been installed incorrectly.

Factual narrative

See NTSB blue cover report NTSB/AAR-94-008

Aircraft

Registration
N990RA
Reported as
Piper PA31 (350)
Category
Airplane
Serial number
31-7405417
Engine
Lycoming TIO-540-J2BD, 350 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Operator
Action Air Charters, doing business as Action Air Charters
Registered owner
Jib, Inc
Airworthiness certificate
Standard, Aerobatic; Special, Experimental (Special); Standard, Normal
Last inspection
Annual · January 17, 1994
Departed
ACY · Atlantic City, NJ
Flight plan
VFR
Airport
BDR · Sikorsky Memorial, runway 6, 4,677 × 150 ft, asphalt

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
33
Certificates
Commercial, Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
3,500 total · 527 in this make and model · 2,200 as pilot in command · 71 in the last 90 days · 44 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
250° at 6 knots
Visibility
2 statute miles
Lowest ceiling
9,500 ft broken
Temperature
59 °F, dew point 59 °F
Altimeter
29.00 inHg
Observed at
BDR, 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.