IAD05FA052

NTSB accident investigation · Piper PA-28R-201 · Green Creek, NJ · April 6, 2005

Accident · FatalField investigationFinal report
Date
April 5, 2005, 22:03 local (Apr 6, 2005, 02:03 UTC)
Place
Green Creek, NJ
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N36725Piper PA-28R-201
Weather
Visual (VMC) · Night/dark
Status
Completed · report March 28, 2006
Report
Approved by Office Director
Parties
FAA/FSDO, Lycoming Engines, New Piper Aircraft
FAA report
20050405009549A
Case key
61252

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 flight crew's failure to maintain terrain clearance while executing a practice published instrument approach in night visual meteorological conditions. A factor in the accident was the dark night.

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 objectApproach
Object - tree(s)
Altitude/clearance - not maintainedFlightcrewCause
Light condition - dark nightFactor

Analysis

The two private pilots departed at night in VFR conditions to practice instrument approach procedures. The pilot in the left seat held an instrument rating, and the pilot in the right seat did not. The arrival airport was surrounded by water on three sides, and at the time of the accident, the moon was below the horizon. Examination of radar data revealed that the airplane followed the southeasterly procedure track for the intermediate segment of a published localizer approach. The airplane flew through the localizer 190-degree final approach course, and did not change its heading to intercept the course for another 30 seconds. Once established on the localizer course, the airplane performed S-turns back and forth across the course throughout the approach. The airplane crossed on the east side of the final approach fix at 1,200 feet, 300 feet below the minimum altitude for the intermediate segment of the approach, and then began a constant descent of about 850 feet per minute. For the next two miles, the airplane turned gradually to the southwest, and crossed the localizer centerline at 100 feet, shortly before radar contact was lost. The minimum descent altitude for the final segment was 340 feet. The airplane crashed two miles prior to the runway of intended landing, which was equipped with pilot-controlled precision approach path indicator lighting. The wreckage path was 520 feet long through trees, with several pieces of angularly cut wood found along the wreckage path and in the engine air inlet. Examination of the wreckage revealed no pre-impact anomalies.

Factual narrative

History of flight

On April 5, 2005, at 2203 eastern daylight time, a Piper PA-28R-201, N36725, was destroyed when it collided with trees and terrain in Green Creek, New Jersey, during approach to the Cape May County Airport (WWD), Wildwood, New Jersey. The two certificated private pilots were fatally injured. Visual meteorological conditions prevailed for the personal flight that departed the Millville Municipal Airport (MIV), Millville, New Jersey, at 2151. No flight plan was filed for the flight conducted under 14 CFR Part 91.

The Ken Marson Flying Club at the South Jersey Regional Airport (VAY), Mount Holly, New Jersey, operated the airplane. The pilots were both members of the club, and the purpose of the flight was to practice instrument approach procedures at night. The airplane departed South Jersey Regional on an instrument flight rules (IFR) flight plan for the first flight of the evening, about 1700. The flight terminated at the Millville Municipal Airport, at 1858, after completing the ILS RWY 10 approach.

The pilots spent the next 2 hours and 53 minutes on the ground at Millville eating dinner, and preparing for the next flight. At 2143, during ground taxi, the crew contacted the Federal Aviation Administration (FAA) Millville Flight Service Station (FSS), and requested NOTAMS for Cape May County Airport. At 2151, the airplane departed the Millville Municipal Airport under visual flight rules. There was no known communication with the airplane after departure.

Examination of radar data revealed that the airplane flew a southeasterly track and leveled about 1,500 feet mean sea level (msl) after departing Millville. The radar track was then superimposed over a topographic map with elements of the Cape May County Localizer Runway 19 approach procedure depicted.

Examination of the approach procedure revealed that one of the 4 initial approach fixes (IAF), LEEAH intersection, was about 12 miles north of Cape May Airport, and to the west of the 190-degree final approach course. The 153-degree procedure track from LEEAH was along the 333 degree radial from the Sea Isle VHF Omnidirectional Range (VOR) transmitter. The track was 3.7 miles long, intercepted the localizer final approach course, and formed KAGYS intersection. The distance from KAGYS intersection, to GRASY outer marker, the final approach fix, was 7.5 miles. The minimum descent altitude for that segment of the approach was 1,500 feet.

The distance from GRASY to the approach end of runway 19 was 4.2 miles, and the minimum descent altitude for that segment of the approach was 340 feet. Runway 19 had pilot-controlled Precision Approach Path Indicator (PAPI) lighting installed.

The airplane flew an approximate 153-degree track toward the Sea Isle VOR, and maintained that track after it over flew LEEAH intersection. At 21:57:56, the airplane flew through the Localizer 19 final approach course at KAGYS intersection, and continued on its southeasterly track for another 30 seconds before turning southwest, back toward the localizer course. The airplane then flew back and forth across the localizer centerline, and descended to 1,200 feet before it crossed abeam the GRASY final approach fix on the east side of the approach course.

Interpolation of radar data revealed that after crossing abeam GRASY, the airplane entered a continuous descent at an average rate of about 850 feet per minute, as it turned southwesterly toward the localizer centerline. At 22:03:51, the airplane crossed the localizer course centerline on a southwesterly heading, at 100 feet, about 2 miles north of the airport, before radar contact was lost.

About 2200 on the night of the accident, the owner of a campground in Green Creek heard an airplane "wind up, and then a crunching sound." The campground was in the vicinity of the final approach course for runway 19 at the Cape May County Airport, so he was accustomed to the sound of airplanes passing overhead on the approach. The engine sound was much closer to his home than usual, and the power setting was "high", with no interruption before the crunching sound. He went outside to investigate, but he did not see or hear anything, and he returned to his home.

On April 6, 2005, about 1000, the co-owner of the campground discovered the wreckage on their property.

The accident occurred during the hours of darkness approximately 39 degrees, 03 minutes north latitude, and 74 degrees, 54 minutes west longitude.

Personnel information

The pilot seated in the left front seat held a private pilot certificate with a rating for airplane single engine land, single engine sea, and instrument airplane. A review of the pilot's logbook revealed she had accrued 334 total hours of flight experience, 311 hours of which were in single engine airplanes. She logged 100 total hours of simulated instrument flight experience, and 9 hours of actual instrument flight experience. The pilot logged 14 hours of flight experience at night, 1.7 hours of which were in the 90 days prior to the accident.

The pilot was issued an FAA third class medical certificate on March 10, 2004.

The pilot seated in the right front seat, held a private pilot certificate with ratings for airplane single engine land, and single engine sea. He did not posses an instrument rating. A review of his logbook revealed that he had accrued 195 total hours of flight experience. He logged 17 hours of flight experience at night, and nine-tenths of an hour of instrument flight experience.

The second pilot was issued an FAA third class medical certificate on January 6, 2005.

Aircraft information

The airplane was manufactured in 1978, and had accrued approximately 3,360 total aircraft hours. The airplane's most recent annual inspection was completed November 1, 2004, at 3,242 aircraft hours. It's most recent 100-hour inspection was completed March 11, 2005, at 3,338 aircraft hours.

Meteorological information

At 2155, the weather reported at Cape May County Airport included clear skies, 10 miles visibility, and wind from 190 degrees at 4 knots. The temperature was 48 degrees, and the dewpoint was 37 degrees. The altimeter setting was 30.19 inches of mercury.

On April 5, 2005, 13% of the moon's visible disk was illuminated, and moonset was at 1600. At the time of the accident, the moon was below the horizon.

Aids to navigation

The FAA performed flight inspections of the Localizer Runway 19 approach at Cape May County Airport approximately 1 year prior to, and 8 months after the accident. On both occasions, the tested elements of the approach were found to be "satisfactory."

Airport information

The Cape May County Airport was comprised of two intersecting runways oriented 010 and 190 degrees, and 100 and 280 degrees, respectively. The runways intersected at the southeast corner of the airport, near the approach ends of runways 01 and 28.

The airport was situated near the tip of a peninsula that jutted southwesterly into the Atlantic Ocean.

Wreckage and impact information

The airplane was examined at the site on April 6 and 7, 2005, and all major components were accounted for at the scene. The wreckage site was 2 nautical miles from the Cape May County Airport. The course from the wreckage to the airport was 187 degrees.

The wreckage path was oriented about 259 degrees, and was about 520 feet long. The initial impact point was in the top of trees about 60 feet tall. Several pieces of angularly cut wood, and small pieces of Plexiglas and fiberglass were found along the wreckage path. The wood pieces were cut cleanly, at sharp angles, with black paint transfers on the exposed wood. The right wing tip was found 337 feet beyond the initial tree strike.

The airplane came to rest lodged between two trees, and leaning against a camp trailer. The fuselage came to rest on its right side, in a nose-up attitude of about 45

Aircraft

Registration
N36725
Reported as
Piper PA-28R-201
Category
Airplane
Serial number
28R-7837290
Airframe hours
3,360
Engine
Lycoming IO-360-C1C6, 200 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Ken Marson Aero Club
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 1, 2005 · 22 hours before
Departed
MIV · Millville, NJ
Destination
WWD · Wildwood, NJ
Airport
WWD · Cape May County, runway 19, 4,998 × 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
57
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
January 1, 2005
Seat
Left
Toxicology
Performed
Flight hours
332 total
Role
Co-pilot
Age
58
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Single-engine sea
Medical
Class 3, With waivers/limitations
Last flight review
March 1, 2005
Seat
Right
Toxicology
Performed
Flight hours
195 total

Weather

Conditions
Visual (VMC) · Night/dark
Wind
190° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
48 °F, dew point 37 °F
Altimeter
30.19 inHg
Observed at
wwd, 2 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.