LAX90FA031

NTSB accident investigation · Piper PA-28R-200 · Camarillo, CA · November 13, 1989

Accident · FatalField investigationFinal report
Date
November 12, 1989, 21:40 local (Nov 13, 1989, 05:40 UTC)
Place
Camarillo, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N2723RPiper PA-28R-200
Weather
Instrument (IMC) · Night/dark
Status
Completed · report July 29, 1992
Report
Approved by Office Director
FAA report
19891112046519A
Case key
26602

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

On this page

Probable cause

Improper IFR procedure by the pilot, and his failure to maintain the minimum descent altitude (mda) for that segment of the VOR approach. Factors related to the accident were: darkness, low ceiling, fog, haze, the pilot's lack of recent instrument experience, and his probable spatial disorientation.

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/waterApproach - iaf to faf/outer marker (ifr)
Light condition - dark nightFactor
Weather condition - low ceilingFactor
Weather condition - fogFactor
Weather condition - haze/smokeFactor
Ifr procedure - improperPilot in commandCause
Minimum descent altitude - not maintainedPilot in commandCause
Lack of recent instrument timePilot in commandFactor
Spatial disorientationPilot in commandFactor

Analysis

Drg a night arrival, the plt contacted nas point mugu apch ctl & was clrd for a VOR rwy 26 apch. As the plt contd the apch, the acft veered radically off course to the right & dscndd prematurely. The ctlr issued a safety alert & told the plt to turn left to a heading of 210 deg & to climb & maint 2100 ft. the plt acknowledged, but failed to take adequate corrective action. Subsequently, the acft collided with mountainous terrain at an elevation of about 1100 ft, as it was apchg the final apch fix (faf). Min dscnt alt (mda) on that segment of the apch was 2100 ft MSL. Aprx 10 mi sw at point mugu (elev 12 ft), the 2155 PST wx was in part: 1000 ft ovc, 6 mi vis with fog & haze. The plt had been issued an instrument rating on 4/28/89. Since that date, he had logged only 5.5 hrs of instrument time & 4 instrument apchs.

Aircraft

Registration
N2723R
Reported as
Piper PA-28R-200
Category
Airplane
Serial number
PA-28R-35269
Airframe hours
3,792
Engine
Lycoming IO-360-C1C, 200 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Frederick Steuer
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 1989 · 57 hours before
Departed
VNY · Van Nuys, CA
Destination
CMA · Camarillo, CA
Flight plan
IFR
Airport
CMA · Camarillo, runway 26, 6,010 × 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
53
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
380 total · 320 in this make and model

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
20° at 6 knots
Temperature
61 °F, dew point 54 °F
Altimeter
30.00 inHg
Observed at
NTD, 10 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.