DEN90FA184

NTSB accident investigation · Morane-Saulnier MS760 · Albuquerque, NM · September 11, 1990

Accident · FatalField investigationFinal report
Date
September 11, 1990, 04:00 local (10:00 UTC)
Place
Albuquerque, NM
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N23STMorane-Saulnier MS760
Weather
Visual (VMC) · Night/dark
Status
Completed · report June 2, 1992
Report
Approved by Office Director
FAA report
19900911038899A
Case key
17847

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

Failure of the pilot to maintain a climb after takeoff, due to spatial disorientation. Factors related to the accident were: darkness, pilot fatigue, and the pilot's lack of recent experience in night flying operation.

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 collision with terrain/waterTakeoff
Light condition - dark nightFactor
Climb - not maintainedPilot in commandCause
Spatial disorientationPilot in commandCause
Lack of recent experience in type operationPilot in commandFactor
FatiguePilot in commandFactor

Analysis

The pilot, a heart transplant surgeon, was advised of a donor in las cruces, NM. He and a physician's assistant were to fly to las cruces, retrieve the donor heart, and return to Albuquerque, where the transplant was to be performed. The pilot obtained a weather briefing (VMC was forecast) and filed an IFR flight plan. He fueled the jet aircraft to capacity and took off into a dark, clear, moonless night towards open, flat terrain with few ground lights. The aircraft crashed seconds later. It impacted the ground in a left wing/nose slightly low attitude at high speed. There was no evidence of preimpact failure/malfunction of the airframe, engines, instruments, or controls. The pilot had been awake for 22 hours with little or no rest. He was not current for night flight. His IFR currency could not be determined.

Aircraft

Registration
N23ST
Reported as
Morane-Saulnier MS760
Category
Airplane
Serial number
50
Airframe hours
1,108
Engine
Turbomeca MARBORE VI C2, 1,060 lbs thrust, turbo jet
Damage
Destroyed
Fire
On-Ground
Flight
Business · Part 91
Operator
Stonewall Transport, Inc.
Registered owner
Stonewall Transport, Inc
Airworthiness certificate
Standard, Utility
Last inspection
Continuous airworthiness · September 6, 1990
Destination
LCR · Las Cruces, NM
Flight plan
IFR
Airport
AEG · Double Eagle II, runway 22, 7,398 × 100 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
49
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
1,372 total · 56 in this make and model · 1,193 as pilot in command

Weather

Conditions
Visual (VMC) · Night/dark
Wind
70° at 12 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
66 °F, dew point 45 °F
Altimeter
30.00 inHg
Observed at
ABQ, 11 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.