LAX04FA102

NTSB accident investigation · Piper PA-32R-300 · Big Pine, CA · January 21, 2004

Accident · FatalField investigationFinal report
Date
January 21, 2004, 08:45 local (16:45 UTC)
Place
Big Pine, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N8701EPiper PA-32R-300
Weather
Visual (VMC) · Day
Status
Completed · report November 30, 2007
Report
Approved by Office Director
Parties
Textron Lycoming, Federal Aviation Administration, New Piper Aircraft, Ameriflight
FAA report
20040121001339A
Case key
58649

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

failure of the pilot to maintain clearance with mountainous terrain for undetermined reasons.

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/waterCruise - normal
Clearance - not maintainedPilot in commandCause
Terrain condition - mountainous/hilly

Analysis

During cruise flight on a clear VFR day, the airplane collided with top of a ridgeline in a wing and nose level attitude. A post-impact fire destroyed the fuselage and forward cockpit areas. The pilot's normal workweek was Monday through Friday. Family members said he would leave his residence each day around 0530 in order to report to operations at the required 0600 time, and return home around 2030 each evening at the conclusion of his shift; going to bed around 2300. A captain who had flown with the accident pilot during the pilot's initial training (the accident pilot was observing en route procedures) indicated that during two flights, both from Inyokern to Bishop (the general area of the accident), the accident pilot had fallen asleep. The first time the accident pilot stated that he was tired and asked if it would be okay if he slept for a little bit. The second time, he just went to sleep. Both naps lasted between 20-30 minutes. A dispatcher working the night shift on January 20th reported that the accident pilot was 2.5 hours late returning to Burbank. The pilot was scheduled to be back at 1700, but had encountered adverse weather at Mammoth and did not return to the company base until 1930. The dispatcher reported that the accident pilot looked "beat up," like he had had a rough flight. According to the operator, the airplane was equipped with an autopilot. Due to the thermal damage to the airplane, the autopilot was not recovered. No discrepancies were noted with the airframe or engine that would have precluded normal operation.

Factual narrative

History of flight

On January 21, 2004, at 0845 Pacific standard time, a Piper PA-32R-300, N8701E, impacted mountainous terrain near Big Pine, California. Ameriflight, Inc., operated the airplane as AMF flight 132 under the provisions of 14 CFR Part 135 as a nonscheduled cargo flight. The airplane was destroyed in the post-impact fire. The airline transport pilot (ATP), the sole occupant, sustained fatal injuries. The cross-country flight departed the Burbank-Glendale-Pasadena Airport (BUR), Burbank, California, at 0640. The flight was scheduled to terminate at the Mammoth Airport, Mammoth, California. Planned stops were at the Inyokern Airport, Inyokern, California, and the Bishop Airport, Bishop, California. Day visual meteorological conditions prevailed, and a visual flight rules (VFR) company flight plan had been filed.

Witnesses in the accident area stated that there was no significant weather at the time of the accident, and that it was "clear blue skies." One witness stated that he was outside at the time, and did not hear the airplane because he was listening to the radio. However, when he looked up from what he was doing he saw a black cloud of smoke and called the Inyo County Sheriff's Department to report a possible downed aircraft.

There were no reports of communications between the pilot and the controlling Federal Aviation Administration (FAA) facilities. According to the FAA, their radar coverage is not available below 10,000 feet in the Owens Valley area where the accident occurred.

Personnel information

A review of the FAA airman records revealed the pilot held an airline transport pilot certificate with a rating for airplane multiengine land. The ATP certificate also contained commercial privileges for airplane single engine. The pilot held a certified flight instructor certificate with ratings for airplane single engine land, multiengine land, and instrument airplane. The pilot also held a mechanic certificate with ratings for airframe and powerplant.

The pilot held a first-class medical certificate that was issued on December 19, 2003, with a limitation that the pilot must wear corrective lenses.

According to Ameriflight paperwork, the pilot was hired on November 3, 2003. According to the pilot's personnel records from Ameriflight, the pilot had a total flight time of 1,884 hours. He logged 115 hours in the accident airplane make and model. The pilot's Part 135 check ride was conducted on November 11, 2003.

An examination of the pilot's logbook indicated a total flight time of 1,842.4 hours. He logged 86.0 hours in the last 90 days, and 28.4 in the last 30 days.

According to the pilot's sister, his normal workweek was Monday through Friday. He would leave his residence each day around 0530 and return home around 2030 each evening; going to bed around 2300. The week of the accident, she indicated was a short week for him. Monday, January19th was a holiday, January 20th the pilot returned home early due to bad weather, and January 21st was the accident. She further reported that the pilot had not been sick in the recent past.

The National Transporation Safety Board investigator-in-charge (IIC) interviewed several personnel from Ameriflight. A captain who had flown with the accident pilot during the pilot's initial training indicated that during two flights, both from Inyokern to Bishop, the accident pilot had fallen asleep. The first time the accident pilot stated that he was tired and asked if it would be okay if slept for a little bit. The second time, the captain said there was no warning that the accident pilot wanted to take a nap. Both naps lasted between 20-30 minutes. He further reported that the evening flights (cargo/training flights) were uneventful, and he did not recall the accident pilot sleeping or acting fatigued.

According to the company's operations supervisor, the pilot had arrived late on a couple of occasions for his morning flights. In accordance with company procedures, all flight crews are required to be at their aircraft 45 minutes prior to their scheduled departure time. The pilots are required to file a flight plan with the local Flight Service Station. The operation's supervisor further reported that the pilots also have the option to file a flight-locating plan with dispatch, but dispatch still has to wait for phone calls from the pilots indicating that they have arrived at their scheduled destination.

A dispatcher working the night shift on January 20th reported that the accident pilot was 2.5 hours late returning to Burbank. The pilot was scheduled to be back at 1700, but had encountered adverse weather at Mammoth. The dispatcher reported that the pilot was going to stay in Mammoth until the weather cleared. Later that evening the weather cleared, and the accident pilot arrive in Burbank at 1930. The dispatcher reported that the accident pilot looked "beat up," like he had had a rough flight. The accident pilot commented to the dispatcher that the weather had been "rough" at Inyokern.

Aircraft information

The airplane was a Piper PA-32R-300, serial number 32R-7680160. A review of the airplane's logbooks revealed a total airframe time of 11,246.3 hours at the operator's last Approved Aircraft Inspection Program (AAIP) completed on January 19, 2004.

The airplane was equipped with a Textron Lycoming IO-540-K1G5 engine, serial number L-6470-48A. Engine maintenance records recorded a total engine time of 11,104.0 hours; 3,819.0 hours at the last inspection, and 142 hours since overhaul.

According to the operator, all of their PA-32R-300 airplane's were equipped with autopilot.

A review of the maintenance and flight department records revealed no unresolved maintenance discrepancies against the airplane prior to departure. Maintenance personnel reported that during the last inspection, a visual inspection of the exhaust system was conducted with no leaks or cracks observed.

Meteorological information

Reported weather from IYK at 0645 was: winds from 050 degrees at 10 knots; visibility 20 miles; sky conditions clear with no clouds; temperature 48 degrees Fahrenheit; and altimeter 30.22 inHg. At 0845, winds were from 050 degrees at 13 knots; visibility 20 miles; sky conditions clear with no clouds; temperature 46 degrees Fahrenheit; and altimeter 30.24 inHg.

Reported weather from BIH at 0756 was: winds from 350 degrees at 15 knots gusting to 20 knots; visibility 10 miles; temperature 39 degrees Fahrenheit; dew point 15 degrees Fahrenheit; and altimeter 30.33 inHg. At 0856, winds were from 350 degrees at 12 knots; visibility 10 miles; temperature 38 degrees Fahrenheit; dew point 14 degrees Fahrenheit; and altimeter 30.35 inHg.

Wreckage and impact information

Investigators from the Safety Board, the FAA, New Piper Aircraft, and Textron Lycoming examined the wreckage at the accident scene. The wreckage was at 37 degrees 06.379 minutes north latitude and 118 degrees 17.886 minutes west longitude.

The accident site was located on the eastern side of the Sierra Nevada mountain range in the Owens Valley, on Crater Mountain near the Big Pine Fish Hatchery. Crater Mountain is at an elevation of 5,860 feet, and is located about 5 miles west of Interstate 395. The uneven terrain consisted of lava rocks, and desert scrub. A post impact fire destroyed the forward fuselage and cockpit.

Investigators noted that the tachometer and Hobbs hour meter were destroyed.

The main wreckage came to rest in a level upright position on top of a flat spot on a ridgeline, and oriented on a magnetic bearing of 335 degrees. The first identified point of impact (FIPC) was about 10 feet below where the wreckage came to rest. Portions of the center section of the airplane (nose landing gear, fuselage skin, and stringers) were located in the debris path. On each side of the FIPC, at a distance approximately the l

Aircraft

Registration
N8701E
Reported as
Piper PA-32R-300
Category
Airplane
Serial number
32R-7680160
Airframe hours
11,246
Engine
Textron Lycoming IO-540-K1G5, 300 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Registered owner
Ameriflight, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · January 1, 2004 · 1 hours before
Departed
IYK · Inyokern, CA
Destination
BIH · Bishop, CA
Flight plan
VFR

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
32
Injuries
Fatal
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1
Last flight review
November 1, 2003
Seat
Left
Toxicology
Performed
Flight hours
1,884 total · 115 in this make and model · 1,663 as pilot in command · 115 in the last 90 days · 65 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 9 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
37 °F, dew point 21 °F
Altimeter
30.32 inHg
Observed at
BIH, 34 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.