LAX88FA082

NTSB accident investigation · Piper PA-28-181 · Napa, CA · January 8, 1988

Accident · FatalField investigationFinal report
Date
January 7, 1988, 18:19 local (Jan 8, 1988, 02:19 UTC)
Place
Napa, CA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N2938XPiper PA-28-181
Weather
Instrument (IMC) · Night/dark
Status
Completed · report July 9, 1990
Report
Approved by Office Director
FAA report
19880107000209A
Case key
25801

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

Pilot's inflight loss of control of the aircraft while maneuvering in IFR conditions after becoming disoriented while executing an instrument approach procedure. Factors in the accident were the pilots lack of recent instrument flight experience and the aircraft fuel state which was near exhaustion. Contributing to the accident was the pilots decision to continue the flight in the face of a weather brieifing which advised against VFR flight, and his decision not to proceed to an alternate destination with better weather conditions at a earlier stage in the flight.

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 encounter with weatherCruise
Weather condition - cloudsFactor
Weather condition - low ceilingFactor
Weather condition - fogFactor
Weather condition - rainFactor
Light condition - dark nightFactor
Preflight planning/preparation - improperPilot in commandCause
Weather forecast - disregardedPilot in commandCause
In-flight planning/decision - poorPilot in commandCause
Miscellaneous/otherManeuvering - holding(ifr)
Fluid,fuel - low levelFactor
Not performedPilot in commandFactor
Miscellaneous/otherApproach - faf/outer marker to threshold (ifr)
Ifr procedure - misjudgedPilot in commandFactor
Became lost/disoriented - inadvertentPilot in commandCause
Lack of recent instrument timePilot in commandFactor
Loss of control - in flightManeuvering
Aircraft control - not maintainedPilot in commandCause
Anxiety/apprehensionPilot in commandFactor
Spatial disorientationPilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The plt was returning after a 2 week vacation trip to Arizona. At an enroute stop the plt ordered the acft fueled to partial tank capacity on 1 side & full on the other. He also got a wx briefing which advised against VFR flt due to clouds, fog & rain. The plt had an inst rating but was not current. The plt cont on to the dest & found worse wx conds than forecast. He asked oakland center for an approach & was given holding instructions & told to expect delays due to heavy IFR traffic. At that time the acft had about 1 hr & 30 mins of fuel left. The plt held for 47 mins before an approach clearance was issued. On the approach the plt reported the VOR inbound but radar data showed he was over the arpt instead. The plt was 3 miles past arpt when controllers told him his position. Plt claimed he had a fire & had lost his gyros & asked for vectors to arpt. Acft crashed while maneuvering in IFR cond. No evidence of fire or gyro failure was found.

Aircraft

Registration
N2938X
Reported as
Piper PA-28-181
Category
Airplane
Serial number
28-7990575
Airframe hours
1,346
Engine
Lycoming O-360-A4M, 180 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Petersen, John C.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 2, 1987 · 76 hours before
Departed
WJF · Lancaster, CA
Destination
APC · Napa, CA
Airport
APC · Napa County, runway 18, 5,931 × 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
50
Certificate
Commercial
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Expired
Seat
Left
Toxicology
Performed
Flight hours
1,123 total · 758 in this make and model · 990 as pilot in command · 36 in the last 90 days · 15 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
180° at 7 knots
Visibility
2 statute miles
Lowest ceiling
800 ft overcast
Altimeter
30.00 inHg
Observed at
APC, 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.