FTW99IA024

NTSB incident investigation · Piper PA-23-235 · Mineral Wells, TX · November 10, 1998

Incident · FatalIncident investigationFinal report
Date
November 10, 1998, 10:30 local (16:30 UTC)
Place
Mineral Wells, TX
Injuries
1 fatal, 2 uninjured
Damage
No damage
Phase of flight
Approach
Aircraft
N4927PPiper PA-23-235
Weather
Visual (VMC) · Day
Status
Completed · report September 28, 1999
Report
Approved by Office Director
FAA report
19981110031729A
Case key
45284

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

The pilot-in-command's incapacitation due to cardiovascular disease.

Analysis

The pilot rated passenger stated that, the multi-engine airplane was within 5 nautical miles of the airport and the pilot-in-command (PIC) was maneuvering the airplane on a VOR approach (practice instrument approach). The PIC maneuvered the airplane into a descending left turn to remain on course. 'Within two to three seconds,' the airplane entered a 'steep descent.' The PIC entered a state of unconsciousness and, subsequently, died. The 600 hour pilot rated passenger, who was rated to fly single engine aircraft, took control of the airplane. The passenger who was seated in the rear of the airplane contacted personnel at the airport over the Unicom frequency. He requested that emergency personnel be contacted and requested that a multi-engine rated pilot assist the pilot with landing procedures. The pilot rated passenger, assisted by an airline pilot via radio, landed the airplane without incident and emergency medical personnel met the airplane. Autopsy findings showed that the PIC (who held a valid third class medical certificate) died of a heart attack.

Factual narrative

The factual narrative501 words

On November 10, 1998, 1030 central standard time, a Piper, PA-23-235 multi-engine airplane, N4927P, was landed without incident by a pilot rated passenger, when the pilot-in-command (owner of the airplane) became incapacitated, while on a practice VOR approach to the Mineral Wells Airport, near Mineral Wells, Texas. The pilot rated passenger and an additional passenger were not injured. Visual meteorological conditions prevailed and no flight plan was filed for the Title 14 CFR Part 91 personal flight. The flight originated from the Mineral Wells Airport, approximately 0930.

According to the pilot rated passenger, who was seated in the right front seat, the airplane was within 5 nautical miles of the airport and the pilot-in-command was maneuvering the airplane on a VOR approach (practice instrument approach). The pilot rated passenger stated that the pilot indicated that he was going to maneuver the airplane into a descending left turn to remain on course. "Within two to three seconds," the airplane entered a "steep descent." The pilot-in-command entered a state of unconsciousness and, subsequently, died.

The 600 hour pilot rated passenger, who was rated to fly single engine aircraft, took control of the airplane. The passenger who was seated in the rear of the airplane contacted personnel at the Mineral Wells Airport over the Unicom frequency. He requested that emergency personnel be contacted and requested that a multi-engine rated pilot assist the pilot with landing procedures. The pilot rated passenger was assisted by an airline pilot via radio who was on the ground at the Mineral Wells Airport. Subsequently, the airplane landed on runway 31 without incident and emergency medical personnel met the airplane.

A retired airline pilot who was on the ground at the Mineral Wells Airport reported that he assisted the pilot rated passenger with landing procedures including airspeeds, mixture, and propeller control settings.

The pilot rated passenger reported that the day before the accident he assisted the pilot-in-command move a "heavy tablesaw" and he appeared normal. He then saw the pilot-in-command the morning of the accident. They had a cup of coffee together and performed the preflight inspection of the airplane. During that time pilot appeared normal and did not express any discomfort.

The pilot-in-command's wife reported that she saw her husband the morning of the accident and he appeared normal and did not communicate any discomfort to her.

The 63 year old, 30,000 hour pilot-in-command, who was a former airline captain, held a valid third class medical certificate, issued January 20,1998. According to FAA medical records, no EKG defect codes were entered by the examining physician. Information obtained on the pilot's personal medical history showed that he had visited a doctor in September of 1998. Memos from the doctor indicated that the pilot had high cholesterol, elevated blood sugar, and was prescribed diet and allergy medications.

Results of an autopsy performed on the pilot showed that he died of natural cause. The findings were that the pilot had Atherosclerotic Cardiovascular Disease, and Cardiomegaly with Biventicular Dialation.

Toxicology tests were negative.

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.

Miscellaneous/otherApproach
Relinquishing of control - initiatedPilot passenger
IncapacitationPilot in commandCause

Aircraft

Registration
N4927P
Reported as
Piper PA-23-235
Category
Airplane
Serial number
27-512
Engine
Continental O-540, 235 horsepower, reciprocating
Damage
No damage
Flight
Personal · Part 91
Registered owner
Robert R. Bean
Airworthiness certificate
Standard, Normal
Departed
MWL
Airport
MWL · Mineral Wells, runway 31, 5,094 × 150 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
63
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
30,000 total

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 12 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
54 °F, dew point 28 °F
Altimeter
30.00 inHg
Observed at
MWL, 5 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 N4927P · 1

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