ERA22LA220

NTSB accident investigation · Cirrus Design SR22 · Tybee Island, GA · May 6, 2022

Accident · FatalClass 3 · LimitedFinal report
Date
May 6, 2022, 08:44, time zone not recorded
Place
Tybee Island, GA · lat/long from FAA Neil Baker 31-42.34N 80-42.44W
NTSB coordinates
31.7057, -80.7073, outside the stated state
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N24LACirrus Design SR22
Defining event
Enroute: Medical event
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
Cirrus, FAA/FSDO
FAA report
20220506006639A
Case key
105047

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

A loss of airplane control due to pilot incapacitation, which resulted in an overflight of his destination and subsequent descent into water.

Findings · 1

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.

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 was issued instrument approach instructions from air traffic control (ATC) and instructed to report over a waypoint. The pilot did not report over the waypoint and did not respond to any subsequent ATC communications. At the request of ATC, pilots of another airplane tried to get the accident pilot’s attention but were unsuccessful. They continued alongside and watched as the airplane descended into the ocean. The pilot had a history of heart palpitations and had a loop recorder heart monitor implanted in his left upper chest. The download of the device revealed a period of tachycardia during the time the pilot was not responding to ATC. It is likely that this cardiac event caused the pilot to be incapacitated. Examination revealed there were no preimpact mechanical malfunctions or failures with the airframe or engine that would have precluded normal operation.

Factual narrative

On May 6, 2022, at 0844 eastern daylight time, a Cirrus Design Corp SR22, N24LA, was substantially damaged when it was involved in an accident in the Atlantic Ocean near Tybee Island, Georgia. The private pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. A review of automatic dependent surveillance-broadcast (ADS-B) data and air traffic control information obtained from the Federal Aviation Administration revealed that the airplane departed runway 27 at Whiteplains Airport (SC99), Lexington, South Carolina, about 0738. The airplane turned to a southbound heading, climbed to an altitude of about 4,000 ft mean sea level (msl) and flew for about 10 nautical miles (nm). The pilot had requested and was given an approach clearance for the RNAV GPS approach to runway 17 at Barnwell Regional Airport (BNL), Barnwell, South Carolina, about 48 miles from SC99. The air traffic controller requested that the pilot provide a position report inbound on the approach over the “FATSU” waypoint. The pilot acknowledged the request but did not report passing the waypoint. The airplane overflew runway 17 at BNL at about 2,200 ft msl and continued to fly another 113 miles on a 170° heading. The airplane crossed over the eastern coastline of Tybee Island and continued over the Atlantic Ocean for about 15 miles then began to slow and descend briefly. Then, when passing through about 1,500 ft msl, the airplane entered a left arcing descending turn with a corresponding increase in groundspeed. The last ADS-B data received was at 0844, as the airplane descended through 75 ft msl about 18 nm southeast of Tybee Island. ATC asked pilots in another airplane to check on N24LA. The pilots rocked their wings but were unable to get the accident pilot’s attention and they continued to watch as the airplane descended into the ocean. An autopsy of the pilot was performed by the Division of Forensic Sciences, Georgia Bureau of Investigation, Coastal Regional Medical Examiner’s Office, Pooler, Georgia. The cause of death was “drowning”, and the manner of death was accidental. Toxicological testing performed by the Federal Aviation Administration’s (FAA) Forensic Sciences Laboratory detected ethanol in the pilot’s heart blood tissues. Metoprolol was detected in his heart and liver tissues; this high blood pressure medication is generally considered non-impairing. Postmortem ethanol concentrations in blood samples have been positively correlated with the number of days before body recovery at sea. The pilot reported a history of ablation for atrial fibrillation with a loop recorder implanted, for which he had received an FAA authorization for special issuance. During the time that the pilot did not report the waypoint and did not respond to ATC, there was a 7:43 minute period of tachycardia with a median heart rate of 300 beats per minute. Postaccident examination of the recovered airframe verified flight controlcontinuity throughout the airframe from the cockpit controls to all primary flight control surfaces. Examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.

Aircraft

Registration
N24LA
Reported as
Cirrus Design SR22
Category
Airplane
Serial number
2013
Built
2006
Airframe hours
1,062.1
Engine
Continental IO-550-N, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 1, 2021
Departed
SC99 · Lexington, SC
Destination
BNL · Barnwell, SC
Flight plan
IFR
Equipment
Airframe parachute

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
67
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
BasicMed, With waivers/limitations
Last flight review
February 1, 2022
Seat
Left
Toxicology
Performed
Flight hours
2,240 total · 279 in this make and model · 2,069 as pilot in command

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
73 °F, dew point 66 °F
Altimeter
29.87 inHg
Observed at
BNL, 99 nm away
METAR
KBNL 061235Z AUTO 21005KT 10SM CLR 23/19 A2987 RMK AO2

Docket · 10

The files NTSB released with the investigation on October 5, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.3 MB in all.

FAA reports on this event · 1

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