ERA09LA124

NTSB accident investigation · Piper PA-28-160 · Indiana, PA · January 4, 2009

Accident · FatalLimited investigationFinal report
Date
January 4, 2009, 18:05 local (23:05 UTC)
Place
Indiana, PA
Injuries
1 fatal, 2 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N5212WPiper PA-28-160
Defining event
Approach-VFR go-around: Collision with terr/obj (non-CFIT)
Weather
Instrument (IMC) · Night/dark
Status
Completed · report October 21, 2010
Report
Approved by Office Director
NTSB office
Eastern Region Aviation
Parties
Piper Aircraft, Inc, FAA/FSDO, Lycoming
FAA report
20090104005909A
Case key
73186

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's decision to attempt VFR flight in IMC conditions, resulting in a collision with trees during a go-around.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Ceiling/visibility/precip: fogEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomePiper PA-28-160: 1 caseAll aircraft: 78 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot and two passengers took off with the intent to fly around the traffic pattern. The automated weather reporting system for the field reported steadily deteriorating conditions from earlier in the day and up to the time of departure, with instrument meteorological conditions prevailing throughout the flight. The pilot was not instrument rated and the airplane was not equipped for instrument flight. The flight continued after twilight into full darkness. The pilot stated that he encountered fog that obscured his view of the runway. After five unsuccessful approaches, the pilot stated that he could see the lights on runway 28, which was mostly behind the airplane. The pilot elected to make one more go around and attempt to land on the runway; the airplane impacted trees 1,200 feet northwest of the runway. The airplane came to rest inverted. The pilot stated that he had no intentions of flying that day due to the weather. He said that he was only to going to refuel the airplane, but one of the passengers convinced him to take the airplane once in the pattern.

Factual narrative

HISTORY OF FLIGHT On January 4, 2009, at 1805 eastern standard time, a Piper, PA-28-160, N5212W, collided with trees while on a go around at the Indiana County Airport (IDI), Indiana, Pennsylvania. The pilot and one of the two passengers received serious injuries, the other passenger died from injuries four days after the accident. Instrumental meteorological conditions (IMC) prevailed and no flight plan was filed. The airplane was operated by a private individual, under the provisions of Title 14 Code of Federal Regulations Part 91, as a personal flight. The pilot stated that he had called the airport earlier in the day to inquire about the weather. After being told the weather “wasn’t too bad” he requested fuel and drove to the airport with the two passengers. They observed the poor weather conditions on their way to the field, which led to a discussion about flying another day. They arrived at the airport with the intent to simply pay for the fuel and leave. The pilot stated that one of the passengers asked if “a go in the pattern was possible.” Against his better judgment, the pilot agreed. The pilot stated that the weather “wasn’t too bad” after takeoff, but the flight later encountered fog that obscured his view of the runway. The pilot contacted line services at IDI fixed base operations via radio and repeatedly asked whether the line services personnel could see the airplane, and if it was over the runway. A line service personnel from the fixed base operator stated that he was in radio contact with the pilot during at least five attempted approaches to runway 28 at IDI. The pilot repeatedly inquired whether the line service person could see the aircraft or whether the airplane was over the runway. The line service person stated that he advised the pilot to climb, declare an emergency, and contact Cleveland Center for assistance; the repeated approaches were attempted with the airport environment obscured in heavy fog, in twilight, and after full darkness. The pilot did not heed this advice, and after at least five unsuccessful approaches, the pilot stated that he could see the lights on Runway 28, which was mostly behind the airplane. The pilot elected to make one more go around and attempt to land on the runway. At 1805, a sound of impact was heard by the line service person and radio contact was lost. PERSONNEL INFORMATION The pilot held a private pilot certificate with an airplane single engine land rating. He was issued a third class medical certificate on May 16, 2008, with the limitation that he must wear corrective lenses. The pilot’s flight logbook showed he logged a total of 113 hours at the time of the accident. AIRCRAFT INFORMATION The airplane was a Piper, PA-28-160, built in 1961 with serial number 28-248 and operated in the normal category. The airplane was powered by a Lycoming O-320-B2B, 160 horsepower engine. The airplane’s maintenance records showed the last annual inspection was performed on June 8, 2008, at a totaltime of 3,568 hours. The airplane was not equipped for instrument flight. METEOROLOGICAL INFORMATION The responding Federal Aviation Administration (FAA) inspector stated that the weather was reported by the IDI automatic weather observation system (AWOS) as steadily deteriorating throughout the time the flight was planned, initiated, and terminated. Basic visual flight rules (VFR) conditions were last reported at 1255. At 1355, the weather was reported at 800 feet overcast and 10 miles visibility with temperature of 4 degrees Celsius (C) and dew point of -1 degree C. Prior to the estimated time of departure, the weather was reported at ceiling as 200 feet overcast and visibility 1/4 mile with temperature and dew point both at 3 degrees C. At, 1801 the weather was reported at 200 feet overcast, 1/4 mile visibility, and temperature and dew point both at 5 degrees C. WRECKAGE AND IMPACT INFORMATION The wreckage debris field was located near the top of a forested area 100 feet higher than the field elevation at IDI. The airplane came to rest about 1,200 feet northwest of the threshold of runway 10 at IDI. The right wing impacted a tree about 50 feet about the terrain. The outer 1/3 of the wing was separated on impact and fell 40 feet from the majority of the wreckage. The right wing forward spar detached from the fuselage and the wing had a large, ragged hole in its lower skin. The tail of the airplane showed evidence of impacting several tree limbs and was torn from the fuselage forward of the vertical stabilizer. The left wing was also impacted by trees and the outer 1/3 of it bent at an angle about perpendicular to the fuselage. The aircraft came to rest inverted with its main fuselage, engine, forward cowling, and propeller spinner crushed. The emergency locator transmitter (ELT) did not activate. A wreckage examination was conducted by the airframe and engine manufacturer with FAA over sight. There were no discrepancies noted with the airplane, engine, and systems that would have prevented normal operational of the airplane. TEST AND RESEARCH A damage hand held global positioning system (GPS) unit was recovered from within the wreckage and sent to the National Transportation Safety Boards Vehicle Recorder Laboratory for further evaluation. The data retrieved depicts the accident flight’s route and attempts to land at the IDI airport. MEDICAL AND PATHOLOGICAL INFORMATION The cause of death for the passenger was multiple blunt force trauma as per the Cambria County Coroner’s Office in Johnstown, Pennsylvania, January 8, 2009 report.

Aircraft

Registration
N5212W
Reported as
Piper PA-28-160
Category
Airplane
Serial number
28-248
Airframe hours
3,569
Engine
Lycoming O-320 SERIES, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 8, 2008 · 25 hours before
Departed
IDI · Indiana, PA
Destination
IDI · Indiana, PA
Airport
IDI · Indiana County Airport

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
51
Injuries
Serious
Certificate
Private
Airplane ratings
Single-engine land
Medical
Class 3, With waivers/limitations
Last flight review
December 1, 2007
Seat
Left
Flight hours
113 total · 113 in this make and model

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
Calm
Visibility
0 statute miles
Lowest ceiling
200 ft overcast
Temperature
41 °F, dew point 41 °F
Altimeter
29.95 inHg
Observed at
IDI, 1 nm away

Docket · 17

The files NTSB released with the investigation on July 29, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 19.8 MB in all.

Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1Item 1 · .PDF · 807 KBReports from Local Agencies: Indiana County Emergency Response Agency RecordItem 2 · .PDF · 159 KBReports from State Agencies: Excerpt from Pennsylvania State Police ReportItem 3 · .PDF · 52 KBReports from Federal Agencies: Federal Aviation Administration Inspectors' ReportsItem 4 · .PDF · 302 KBWitness Statements: Statements to the Federal Aviation Administration InspectorItem 5 · .PDF · 66 KBReports from Parties to the Investigation: Excerpts from Lycoming Field NotesItem 6 · .PDF · 55 KBReports from Parties to the Investigation: Excerpts From Piper Wreckage Documentation.Item 7 · .PDF · 17 KBGPS 17 - Factual Report of Group ChairmanItem 8 · .PDF · 1.2 MBOther Pertinent Forms and Reports: Excerpts From the Pilot's Flight Logbook.Item 9 · .PDF · 3.8 MBOther Pertinent Forms and Reports: Excerpts From the Airplane's Maintenance Records.Item 10 · .PDF · 8.7 MBWeather Reports and Records: For the Airport and Surrounding Areas.Item 11 · .PDF · 368 KBStatement of Party Representatives to NTSB InvestigationItem 12 · .PDF · 136 KBRelease of Aircraft Wreckage, NTSB Form 6120.15Item 13 · .PDF · 30 KBRelease of Aircraft Wreckage, NTSB Form 6120.15 Documentation, For the Hand Held GPS.Item 14 · .PDF · 243 KBPhoto 1) View of the Wreckage. Photo Provided by Federal Aviation Administration.Item 15 · .PDF · 1.3 MBPhoto 2) Front View of the Wreckage. Photo Provided by the Federal Aviation Administration.Item 16 · .PDF · 1.3 MBPhoto 3) View of the Wreckage. Photo Provided by the Federal Aviation Administration.Item 17 · .PDF · 1.4 MB

FAA reports on this event · 1

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