MIA01FA108

NTSB accident investigation · Piper PA-60-601P · Marco Island, FL · March 31, 2001

Accident · FatalField investigationFinal report
Date
March 31, 2001, 10:15 local (15:15 UTC)
Place
Marco Island, FL
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Landing
Aircraft
N900CEPiper PA-60-601P
Weather
Visual (VMC) · Day
Status
Completed · report October 23, 2001
Report
Approved by Office Director
Parties
FAA, Textron Lycoming, Piper Aircraft
FAA report
20010331008129A
Case key
51991

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 failure of the pilot to maintain control of the aircraft during a rejected landing and the collision with the terrain and mangrove trees. A finding in the investigation was the presence of quinine in the blood and urine during postmortem toxicological testing of specimens from the pilot.

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.

Loss of control - in flightLanding - aborted
Aircraft control - not maintainedPilot in commandCause
Use of inappropriate medication/drugPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - swampy
Object - tree(s)

Analysis

Witnesses watching N900CE's approach for landing to runway 17 at Marco Island Executive Airport stated the pilot appeared to have difficulty aligning the Machen modified Aerostrar with the runway centerline. They stated the aircraft appeared unstable about the yaw and roll axes, and appeared too fast. Winds were from the southwest at about 15 knots, gusting to about 20 knots. One pilot/witness close to the touchdown area saw the right wheel touch down instantly, and climb back up to about 50 feet, agl without the full addition of engine power. Most witnesses thought he was either performing a go-around or an extended touch down further down the runway. The airplane continued, "..more and more wobbly" until it entered a climbing attitude and sharp left bank and turn. About half way down the runway the left wing dropped until it contacted the terrain left of the runway, and the aircraft slid into mangrove trees and burned. During postcrash examination, flight control continuity from surface to cockpit floorboards was confirmed. No condition was found with either engine or propeller that would have precluded proper operation, precrash. A witness listening to the pilot's initial radio call up for approach and landing stated that no abnormality was reported by the pilot. Postmortem toxicology testing on specimens obtained from the pilot by the FAA Toxicology and Accident Research Laboratory and the Dade County Medical Examiner revealed quinine found in the blood and urine. The side effects of quinine can include disturbances of vision, hearing, and balance.

Factual narrative

History of flight

On March 31, 2001, about 1015 eastern standard time, an Aerostar PA-60-601P, N900CE, registered to Crosco, Inc., operating as a Title 14 CFR Part 91 personal flight, crashed while attempting a landing at the Marco Island Executive Airport, Marco Island, Florida. Visual meteorological conditions prevailed and no flight plan was filed. The airplane was destroyed and the commercially-rated pilot, the sole occupant, received fatal injuries. The flight departed Venice Municipal Airport, Venice, Florida, about 30 minutes before the accident.

According to eyewitnesses, N900CE's approach to runway 17 appeared unstable. The winds were from the southwest at about 15 knots, gusting to about 20 knots, and the pilot appeared to have difficulty lining up with the runway centerline, as well as appearing excessively fast on approach. The pilot appeared to either attempt a go-around, climbing to about 50 feet agl, with little or no power advance, or attempt touching down further down the runway. At about 1/3 to 1/2 way down the runway, the aircraft entered a steep left bank and nose drop until the left wing tip contacted the terrain. The aircraft skidded sideways into mangrove tree growth and burned. All witnesses stated the aircraft was operating on both engines. One witness who was positioned near the FBO radio stated N900CE's pilot sounded "normal" and mentioned no abnormalities during his initial call up prior to his landing approach.

According to two passengers, an FAA-rated current pilot and his wife, who accompanied the pilot/owner the day before the accident during the flight leg from Akron, Ohio to Venice, the pilot/owner flew the aircraft on an instrument meteorological conditions, (IMC) flight plan while the passenger/pilot handled the radios. The flight, as well as the descent, approach, and landing at Venice was normal and unremarkable. The pilot/passenger stated that the pilot/owner tended to use differential engine power to maintain runway centerline tracking during crosswind landings. Thunderstorms in the southwestern Florida peninsular precluded the pilot/owner from continuing the flight to Marco Island that evening, and he overnighted with the couple near Venice. Following dinner that included two tall iced teas or diet cokes, and definitely no mixed drinks containing quinine water, the couple and the pilot/owner retired about 10 o'clock. The next morning the couple and the pilot/owner arose, had breakfast, drove the pilot/owner to the airport, and watched his uneventful departure at about 0930 to 0945.

Personal information

The pilot, age 77, held a commercial pilot certificate with ratings for airplane single-engine land, airplane multiengine land, and instrument-airplane. He held a flight instructor certificate with ratings for airplane single-engine and multiengine land, and instrument. His most recent Federal Aviation Administration, (FAA) second class medical certificate was issued on March 16, 2000, with the limitation: "Holder shall possess glasses that correct for near and intermediate vision." The pilot had completed a biennial flight review on March 21, 2000, in the Cessna 210 type aircraft.

According to the pilot's family, the aircraft and pilot's personal logbooks were kept in the aircraft cockpit in a flight kit with the navigational and approach charts, and were consumed by fire. At the time of the pilot's application for his second class medical on March 16, 2000, he listed his total flight time as 11,976 hours, and his last 6 month's flight time as 106 hours.The Canton-Venice flight of March 30, was the first time the pilot had flown the AeroStar in 2001.

Aircraft information

N900CE had undergone the Superstar 650 modification in stages between 1989 and 1996, by Machen, Inc., per STC's SA 1658NM and SA 2143 NM, which increased engine power output to 350 hp by the addition of an induction air intercooler and smaller diameter Hartzell propellers. Other features of the modification included an additional fuselage fuel tank and improvements to the brakes, exhaust system, turbocharger, stall improvement kit, and pressurization system. The configuration of N900CE at the time of the crash was four-place, two pilot's seats and two seats abutting the cabin aft bulkhead. The middle two seats had been removed.

Although the maintenance logbooks were burned, the family provided stored computer data reflecting inspection records for the aircraft. Those records, updated to February, 2001, when the aircraft underwent an annual inspection, revealed the aircraft total time was 3,632.7 hours. The left engine had a total time of 2,141.7 hours with 337.4 hours since overhaul. The right engine had a total time of 3,704.8 hours with 337.4 hours since overhaul. The left and right propellers both had a time since overhaul of 175.4 hours. Aircraft Inspection records stated that all components were inspected and determined to be in an airworthy condition as a result of the February 2001, annual inspection.

Meteorological information

The en route weather for the flight from Venice to Marco Island, (MKY) was VMC, and a pilot report of the conditions at MKY about 5 minutes before the accident were: 1,200 feet agl, broken to overcast cloud cover, visibility 10 statute miles, and winds from about 230 degrees at 12 knots, gusting to 18 knots.

Wreckage and impact information

The wreckage was located abeam the mid-length point of Marco Island's single runway, 17-35, about 270 feet east of the east edge of the 5,000- by 100-foot runway, upright, heading about 10 degrees, magnetic. Plow marks in the sandy, occasionally muddy, mangrove root-studded terrain revealed that the left wing impacted first, followed by a simultaneous impact of the right main landing gear, collapse of the nose landing gear, and ground impact of the lower nose section. What followed next was a right wing-first sideward slide into the mangrove trees, collapsing the right main landing gear inward and causing right wing fuel tank breaching and fuel fed post crash fire. The wreckage path measured about 80 feet in length from first wing/ground strike to the burn site, and was oriented about 140 degrees, magnetic. The right aileron remained attached to the trailing edge except for the outer hinge point. Rather than cartwheel the aircraft, the left wing fractured its spar attach fittings and came to rest vertically against the left side fuselage with the left main landing gear extended and intact. The left aileron had separated and was found adjacent to the wreckage bent in a "v" shape. The left and right flaps remained attached to their respective wing trailing edges and were found in a slightly extended position. The left wing fuel tank was also breached in the collision sequence, and leaked fuel onto the fuselage. Fire had consumed both outer wing panels, the fuselage from the nose to the interior hat rack behind the rear seats, and the upper portions of both engines and engine cowls. The forward instrument panel and center console, as well as all instruments, avionics, and systems controls and indicators were consumed by fire. The pilot's seatbelt buckle was found unfastened and the shoulder harness or harness buckle could not be located. The cockpit floorboards and seat frames, portions of the inner wing panels, the wing flaps and ailerons, both engines, and both main landing gear had sustained some fire damage, but remained generally intact. The burn pattern of the mangrove trees confirmed the reported wind direction and speed. The right pilot's seat frame was reclined rearward about 30 degrees. The aft fuselage, including the empennage, escaped the fire. The fuselage fuel tanks survived the fire and contained fuel. A clothing bag was found in the baggage compartment and returned to the family. Both engines were still attached to their respective mounts and firewalls, and both propellers and spinners were intact and s

Aircraft

Registration
N900CE
Reported as
Piper PA-60-601P
Category
Airplane
Serial number
61P-0555-239
Airframe hours
3,633
Engines
Lycoming IO-540-S1A5, 290 horsepower, reciprocatingLycoming IO-540-S1A5, 290 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Crosco, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 1, 2001 · 5 hours before
Departed
VNC · Venice, FL
Destination
MKY · Marco Island, FL
Airport
MKY · Marco Island Executive, runway 17, 5,000 × 100 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
77
Injuries
Fatal
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
March 21, 2000
Seat
Left
Toxicology
Performed
Flight hours
12,980 total

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 14 knots, gusting 20
Visibility
6 statute miles
Lowest ceiling
1,000 ft broken
Temperature
79 °F, dew point 73 °F
Altimeter
29.94 inHg
Observed at
APF, 12 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.