FTW91FA144

NTSB accident investigation · Piper PA-28RT-201T · Midland, TX · August 9, 1991

Accident · FatalField investigationFinal report
Date
August 9, 1991, 13:33 local (18:33 UTC)
Place
Midland, TX
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Uncontrolled descent
Aircraft
N8144JPiper PA-28RT-201T
Weather
Visual (VMC) · Day
Status
Completed · report April 23, 1993
Report
Approved by Office Director
FAA report
19910809033249A
Case key
23274

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 inability to control the airplane due to his physiological incaapacitation. A factor was the pilot's impairment due to the usage of pain medications.

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/waterDescent - uncontrolled
Aircraft control - not possiblePilot in command
Incapacitation(other organic problem)Pilot in commandCause
Impairment(drugs)Pilot in commandFactor
FireStanding

Analysis

The airplane crashed in a shallow uncontrolled attitude about 3.5 miles from its intended destination while heading in the opposite direction, despite having received vectors through an arsa and a landing advisory from the UNICOM. Review of the ATC tapes from the departure and arrival segments revealed that the pilot was in extreme physical distress upon arrival. Analysis of the tapes and the pilot's medical history by a panel of flight surgeons indicated that the pilot was incapacitated shortly before impact, probably due to a major medical impairment. The autopsy revealed several artifacts indicative of several years of hypertension and ankylosing spondylitis. He was taking medication for the conditions, however, the medications, taken in parallel, counteracted the antihypertensive medicine's effect. In addition, his toxicology samples revealed two pain medications, normally prescribed to alleviate the side effects of the prescriptions being taken for the medical conditions, in quantities above the normal therapeutic levels. One of the

Aircraft

Registration
N8144J
Reported as
Piper PA-28RT-201T (PA-28RT-20)
Category
Airplane
Serial number
28R-8231034
Airframe hours
3,808
Engine
Continental TSIO-360-FB1, 180 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Business · Part 91
Operator
Stevens Operating Corp.
Registered owner
Stevens Operating Corp.
Airworthiness certificate
Standard, Utility
Last inspection
100 hour · June 7, 1991 · 93 hours before
Departed
ROW · Roswell, NM
Airport
MDD · Midland Airpark, runway 11, 4,380 × 150 ft, concrete

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
61
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
4,000 total · 25 in this make and model · 3,500 as pilot in command · 24 in the last 90 days · 15 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 4 knots
Visibility
20 statute miles
Lowest ceiling
25,000 ft broken
Temperature
82 °F, dew point 64 °F
Altimeter
30.00 inHg
Observed at
MAF, 6 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.