FTW93LA106

NTSB accident investigation · Piper PA-23-160 · Mena, AR · March 16, 1993

Accident · Serious injuriesLimited investigationFinal report
Date
March 15, 1993, 21:20 local (Mar 16, 1993, 03:20 UTC)
Place
Mena, AR
Injuries
2 serious, 1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N4341PPiper PA-23-160
Weather
Instrument (IMC) · Night/dark
Status
Completed · report May 10, 1994
Report
Approved by Office Director
FAA report
19930315005539A
Case key
18713

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 improper in-flight planning/decision. Factors related to the accident were: the adverse weather conditions, the pilot's improper use of carburetor heat, his improper IFR procedures, darkness, and the high (mountainous) terrain.

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.

Loss of engine power(partial) - nonmechanicalApproach - iaf to faf/outer marker (ifr)
In-flight planning/decision - improperPilot in commandCause
Weather condition - low ceilingFactor
Weather condition - fogFactor
Weather condition - rainFactor
Weather condition - icing conditions
Weather condition - carburetor icing conditionsFactor
Carburetor heat - improper use ofPilot in commandFactor
In flight collision with terrain/waterApproach
Light condition - dark nightFactor
Comm/nav equipment,distance measuring eqpt(dme) - not installed
Ifr procedure - not followedPilot in commandFactor
Terrain condition - mountainous/hillyFactor

Analysis

During IFR arrival at night, pilot requested & was cleared for vor/dme-a approach, though the airplane was not equipped with DME. He was cleared to descend & maintain 4200' MSL until reaching VOR. He stated that after reaching VOR, he was making a (procedure) turn to intercept inbound course (105 degrees), when airplane began losing altitude. He applied full power, but was unable to maintain altitude. Radar data showed that after starting procedure turn, airplane crossed inbound radial, heading east, & continued 13 miles. Pilot then turned south to intercept inbound course, but airplane continued descent. It crashed on rising mountain slope about 15 miles northwest of airport at about 2300' MSL. Minimum descent altitude was 2360'. No preimpact mechanical problem was found. Surface temperature/dew point were 43/40 degrees which was conducive to carburetor ice. Passenger stated they encountered severe carburetor icing & possible en route structural ice, pilot cycled carburetor heat off & on as ice was burned off & used airspeed indicator as ice indicator.

Factual narrative

On March 15, 1993, at approximately 2115 central standard time, a Piper PA 23 160 multiengine airplane, N4341P, was substantially damaged during an instrument approach to Mena Intermountain Municipal Airport, Mena, Arkansas, when it impacted into a wooded area approximately 12 nautical miles northwest of the airport. The ATP rated pilot and one passenger received minor injuries. The other passenger received serious injuries. Instrument meteorological conditions prevailed for the personal flight.

The flight originated from Newport News, Virginia, with a planned intermediate stop in Tullahoma, Tennessee. The final destination was Mena, Arkansas. The pilot filed an IFR flight plan via radio with Little Rock Approach Control who handed him off to Memphis Center. At 2104, Memphis Center cleared the airplane to the Rich Mountain VORTAC for the VOR/DME A approach to Mena. The pilot was instructed to maintain 4,200 feet msl until reaching the Initial Approach Fix. This was the last radar contact. At 2108, the pilot reported his position as 6 miles from the VORTAC. The pilot radioed that he was starting the approach at 2115. No further radio contact with the pilot occurred.

The pilot made the following statements to the FAA inspector. When he initiated the approach the airplane was in instrument meteorological conditions with moderate turbulence, light to heavy rain showers, and strong winds out of the south. The pilot attempted the approach even without having DME equipment installed on the airplane. As he continued the approach, the airplane descended rapidly before it impacted into the wooded area. The pilot did not see the terrain until impact.

Aircraft

Registration
N4341P
Reported as
Piper PA-23-160
Category
Airplane
Serial number
23-1842
Airframe hours
3,978
Engine
Lycoming O-320-B3B, 160 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Gaffney, Richard & Cynthia
Registered owner
Gaffney, Richard & Cynthia
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 4, 1992 · 52 hours before
Departed
THA · Tullahoma, TN
Destination
M39 · AR

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
36
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Right
Flight hours
3,520 total · 240 in this make and model · 3,064 as pilot in command · 28 in the last 90 days · 13 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
100° at 11 knots
Visibility
4 statute miles
Lowest ceiling
600 ft broken
Temperature
43 °F, dew point 39 °F
Altimeter
30.00 inHg
Observed at
FSM, 18 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.

Other investigations on N4341P · 1

Matched to the same aircraft by N-number and date.