MIA02FA045

NTSB accident investigation · Piper PA-32-260 · Jacksonville, FL · December 13, 2001

Accident · FatalField investigationFinal report
Date
December 12, 2001, 19:41 local (Dec 13, 2001, 00:41 UTC)
Place
Jacksonville, FL
Injuries
4 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N7701JPiper PA-32-260
Weather
Instrument (IMC) · Night/dark
Status
Completed · report April 18, 2003
Report
Approved by Office Director
Parties
Lycoming Engines, Federal Aviation Administration, The New Piper Aircraft, Inc, S-Tec, National Air Traffic Controllers Association
FAA report
20011212038839A
Case key
53911

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 pilot becoming spatially disoriented and losing control of the airplane during a missed approach resulting in the airplane descending uncontrolled and colliding with trees and the ground.

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 flightMissed approach (ifr)
Spatial disorientationPilot in commandCause
Aircraft control - not maintainedPilot in commandCause
In flight collision with objectDescent - uncontrolled
Object - tree(s)
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The airplane crashed during the missed approach segment of the instrument landing system (ILS) approach to runway 7 at Jacksonville International Airport (JAX). This was the third airport the pilot tried to land after unsuccessful attempts due to low clouds and visibilities at two other airports. During the ILS approach to JAX, the air traffic controller advised the pilot that two flights had landed earlier with each reporting breaking out of the clouds 50 to 100 feet above the decision height and initially only the approach lights being visible. The pilot subsequently radioed he was on a missed approach. The controller, and another flight on the ground later heard a partially unclear transmission with the pilot indicating his instruments were malfunctioning. Witnesses either heard or saw the airplane over fly the airport. Two witnesses stated they heard the sounds of the engine increase and one reported he thereafter heard the airplane turn north, circle several times, and descend followed by the sound of a crash. Recorded radar data indicate that before radar contact was lost the airplane did complete circling turns to the left while at the same time climbing to 1000 feet and then descending to 300 feet. Radar contact of the airplane was lost 2 miles south of the accident site. The airplane crashed in a wooded area and came to rest about 200 feet from the initial tree impact point. The examination of the airplane did not disclose evidence of mechanical malfunction.

Factual narrative

History of flight

On December 12, 2001, about 1941 eastern standard time, a Piper PA-32-260, N7701J, registered to DWW Plane, Inc., crashed while making a missed approach at Jacksonville International Airport, Jacksonville, Florida, while on a 14 CFR Part 91 business flight. Instrument meteorological conditions prevailed at the time and an instrument flight rules flight plan was filed. The airplane was destroyed and the private-rated pilot and 3 passengers received fatal injuries. The flight originated from Fort Lauderdale, Florida, the same day, about 1650.

At about 1535, a person identifying themselves as the pilot of N7701J, called the FAA, Gainesville, Florida, Automated Flight Service Station, requesting a weather briefing and to file an instrument flight rules flight plan for a flight from Fort Lauderdale Executive Airport, Fort Lauderdale, Florida, to St. Augustine, Florida, and with Craig Airport, Jacksonville, Florida, as the alternate airport. The weather briefing was given and the flight plan information was taken by the Flight Service Personnel. The telephone call ended at 1545.

At 1650, N7701J departed Fort Lauderdale Executive Airport on an instrument flight rules clearance to St. Augustine, Florida. At 1809, the pilot of N7701J called the FAA Miami Automated International Flight Service Station via aircraft radio. The pilot reported he was at 9,000 feet, south of Daytona Beach, Florida, destination St. Augustine, Florida, and then to Craig Airport, Jacksonville, Florida. The pilot requested the current weather conditions at both St. Augustine and Jacksonville. The pilot was given the current weather and then gave a pilot report to the Flight Service Station personnel. The radio call ended at 1811.

Transcripts of communications show that at 1835:35, the pilot of N7701J reported to the FAA Jacksonville Approach Control Controller that he was at 3,000 feet. The controller inquired if the pilot had received the current weather at St. Augustine, and the pilot responded yes. At 1836:05, the pilot was cleared by the controller to fly direct to the St. Augustine VOR and then cleared for the VOR Approach to runway 13 at St. Augustine. At 1858:11, the pilot of N7701J reported to the Jacksonville Approach Control controller that he had performed a missed approach at St. Augustine. The pilot was told to climb to 3,000 feet and state his intentions. The pilot stated he would like to go to Craig Airport, Jacksonville, Florida. The controller later asked the pilot if he wanted to go to Jacksonville International Airport if misses the approach at Craig. The pilot replied yes.

At 1909:44, the pilot of N7701J was cleared by the Jacksonville Approach Controller for the instrument landing system approach to runway 32 at Craig Airport. At 1911:41, the controller instructed the pilot to contact the Craig Airport Control Tower. At 1916:51, the pilot of N7701J contacted the Jacksonville Approach Controller and reported he had made a missed approach to the Craig Airport. The controller told the pilot to fly heading 280 degrees and climb to 2,000 feet for an instrument landing system approach to runway 7 at Jacksonville International Airport. The controller then asked the pilot to change to another controller. The pilot made contact with the next controller at 1919:50. The new controller asked the pilot if he had the Jacksonville Automated Terminal Information Service weather report "Mike". The pilot replied affirmative.

At 1920:20, the controller then asked the pilot to contact the next controller. The pilot contacted the next controller at 1921:08. At 1929:06, the controller reported to the pilot of N7701J that he was 10 miles from the "Dinns" locator outer marker, to turn right to heading 040 degrees, to maintain 2,000 feet until established on the localizer, and that he was cleared for the instrument landing system, runway 7 approach. The pilot was then told to contact the Jacksonville International Airport Control Tower local controller. The pilot responded to the request. The Jacksonville International Airport Control Tower was operating from a temporary facility and had no recording capability for the control tower frequency. No additional communications with the pilot of N7701J were recorded.

The local controller stated that two other single engine airplanes made the approach to runway 7 ahead of N7701J. The pilot's of these airplanes reported that they broke out of the clouds about 50-100 feet above the decision height of 200 agl. The pilot's reported that at this point they could see the approach lights, but not the runway lights. He did not see the airplanes until they passed the temporary control tower and touched down about 1,500 feet from the approach end of the runway. Each of these airplanes landed without the landing light on. He gave the pilot reports to the pilot of N7701J when that flight was passing the "Dinns" locator outer marker. He did not see N7701J come out of the clouds. As he was attempting to contact the Approach Controller, the Approach Controller contacted him and told him the radar flight path for N7701J showed the flight was initiating a missed approach. He then heard the pilot of N7701J report he was making a missed approach. He next heard some crackling sounds on the radio followed by the pilot of N7701J transmit something about his instruments malfunctioning. He called the Approach Controller to determine if he was in contact with the pilot of N7701J and was told no. He then attempted to contact the pilot of N7701J with no success. He was then told by the Approach Controller that radar contact with N7701J had been lost. Search and rescue operations were begun and on December 13, 2002, about 1230, the wreckage of N7701J was located. (See ATC Group Chairman Factual Report).

Two persons from the Florida Air National Guard Facility, located to the southwest of the approach end of runway 7, at Jacksonville International Airport, reported hearing N7701J, and one reported seeing a red navigation light from N7701J, as the airplane passed over the alert aircraft area. The one person reported losing sight of the red navigation light and both persons reports hearing the engine increase in power as the airplane approached the end of runway 7. The airplane then appeared to start climbing and turn hard to the north. The airplane then continued to make several circles and descend, followed by the sound of the airplane crashing through trees. (See Witness Statements).

The pilot of another airplane that was taxing to runway 7 for takeoff at the time of the accident reported that the ground and local control positions were combined and he could hear the pilots of airplanes on approach talking to the local controller. He heard the pilot of N7701J report on the approach to runway 7, followed by the pilot reporting he was making a missed approach. This pilot reported he could hear stress in the voice of the pilot of N7701J. The local controller did not respond to the pilot of N7701J reporting a missed approach. After a time the local controller then asked the pilot of N7701J what his position was. About 5 seconds later the pilot of N7701J transmitted something like his instruments were "haywire or goofy", with stress in his voice. This was the last transmission he heard from the pilot of N7701J. As they waited at the departure end of runway 7, visibility was about 1/2 mile. (See Witness Statements).

Recorded radar data shows that N7701J approached runway 7 at Jacksonville International Airport. The flight maintained a straight flight path on the localizer course until about 1939:04, when it was about 2 miles from the runway approach end. At this point the flight was at about 500 feet and turned slightly to the right. The flight continued to descend to 300 feet and turned back to the left. At about 1939:59, when about 2,000 feet from the end of the runway, the flight turned left to the north and began to climb

Aircraft

Registration
N7701J
Reported as
Piper PA-32-260
Category
Airplane
Serial number
32-1068
Airframe hours
7,850
Engine
Lycoming O-540-E4B5, 260 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Operator
Donald W. Weidner
Registered owner
DWW Plane, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 21, 2001 · 34.6 hours before
Departed
FXE · Fort Lauderdale, FL
Destination
JAX · Jacksonville, FL
Flight plan
IFR
Airport
JAX · Jacksonville International, runway 7, 10,000 × 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
52
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Last flight review
February 8, 2001
Seat
Left
Toxicology
Performed
Flight hours
965 total · 442 in this make and model · 905 as pilot in command · 45 in the last 90 days · 15 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
30° at 4 knots
Visibility
0.13 statute miles
Lowest ceiling
100 ft indefinitevv
Temperature
66 °F, dew point 66 °F
Altimeter
30.20 inHg
Observed at
JAX, 1 nm away

Docket · 59

The files NTSB released with the investigation on January 20, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 107 MB in all.

ATC 3-factual report of group chairmanItem 1 · PDF · 23 pages · 301 KBATC 3-attachment 1-FAA 8020-9Item 2 · PDF · 2 pages · 127 KBATC 3-attachment 2-FAA 8020-3Item 3 · PDF · 1 page · 94 KBATC 3-attachment 3-FAA 8020-6Item 4 · PDF · 1 page · 82 KBATC 3-attachment 4-7230-4 personnel logItem 5 · PDF · 6 pages · 308 KBATC 3-attachment 5-SUPERVISOR'S narrativeItem 6 · PDF · 1 page · 102 KBATC 3-attachment 6-JAX 7230-1Item 7 · PDF · 4 pages · 123 KBSupplement aItem 8 · PDF · 2 pages · 191 KBSupplement bItem 9 · PDF · 4 pages · 264 KBATC 3-attachment 7-7230-4 dec 12-132001Item 10 · PDF · 3 pages · 238 KBATC 3-attachment 8-personnel statementsItem 11 · PDF · 9 pages · 893 KBATC 3 - attachment 9 - jax 7110.2 standard operating procedures redactedItem 12 · PDF · 220 pages · 17.2 MBATC 3-attachment 10-UCR on ASOSItem 13 · PDF · 42 pages · 2.2 MBATC 3-attachment 11-7230-10'SItem 14 · PDF · 6 pages · 216 KBATC 3-attachment 12-5 recurrent training briefings on weather and visibilityItem 15 · PDF · 43 pages · 3.3 MBSupplement sItem 16 · PDF · 1 page · 49 KBATC 3-attachment 13-airport diagramItem 17 · PDF · 1 page · 158 KBATC 3-attachment 14-TRACON layoutItem 18 · PDF · 1 page · 80 KBATC 3-attachment 15-temporary tower layout diagramItem 19 · PDF · 1 page · 35 KBATC 3-attachment 16-temporary tower operating-briefing guideItem 20 · PDF · 3 pages · 332 KBATC 3-attachment 17-ATIS format east operation during temporary towerItem 21 · PDF · 1 page · 74 KBATC 3-attachment 18-ATIS panel instructionsItem 22 · PDF · 2 pages · 102 KBATC 3-attachment 19-JAX temporary tower equipmentItem 23 · PDF · 1 page · 32 KBATC 3-attachment 20-video mapItem 24 · PDF · 1 page · 59 KBATC 3-attachment 21-METAR information from TRACONItem 25 · PDF · 9 pages · 1.1 MBATC 3-attachment 22-medical certificationsItem 26 · PDF · 7 pages · 471 KBATC 3-addendum 23 radar dataItem 27 · ZIP · 355 KBATC 3-attachment 24-GNV fss event reconstructionItem 28 · PDF · 26 pages · 3.2 MBATC 3-attachment 25-MIA fss event reconstructionItem 29 · PDF · 8 pages · 992 KBATC 3-attachment 26-JAX ILS runway 7 certificationItem 30 · PDF · 5 pages · 348 KBATC 3-attachment 27-JAX equipment certificationItem 31 · PDF · 10 pages · 707 KBATC 3-attachment 28-ATC transcriptsItem 32 · PDF · 26 pages · 897 KBMeteorology 5-factual report of group chairmanItem 33 · PDF · 69 pages · 11.1 MBAutopilot examination 17-factual report of group chairmanItem 34 · PDF · 3 pages · 145 KBReports from federal agencies_FAA test report GX-60 GPSItem 35 · PDF · 3 pages · 129 KBReports from federal agencies_FAA test report northstar loranItem 36 · PDF · 11 pages · 20.5 MBWitness statementsItem 37 · PDF · 3 pages · 129 KBMaps or charts of accident area wreckage diagramsItem 38 · PDF · 5 pages · 9.1 MBFueling recordsItem 39 · PDF · 16 pages · 1.1 MBStatement of party representatives to NTSB investigationItem 40 · PDF · 6 pages · 592 KBToxicological reportsItem 41 · PDF · 5 pages · 137 KBPilot logbook recordsItem 42 · PDF · 65 pages · 11.5 MBRelease of aircraft wreckage NTSB form 612015Item 43 · PDF · 7 pages · 293 KBAirplane maintenance records redactedItem 44 · PDF · 155 pages · 14.4 MBTranscript of radio communicationsItem 45 · PDF · 29 pages · 757 KBRecord of telephone conversation-remote compass examinationItem 46 · PDF · 1 page · 40 KBPhoto 1_overhead view of accident site of N7701J sheriff's department photo no negativeItem 47 · PDF · 1 page · 220 KBPhoto 2_view to south showing initial tree impact area by N7701JItem 48 · PDF · 1 page · 278 KBPhoto 3_close up view of initial tree impact areaItem 49 · PDF · 1 page · 273 KBPhoto 4_view of wreckage of N7701J along impact lineItem 50 · PDF · 1 page · 322 KBPhoto 5_view of outboard right wing from N7701JItem 51 · PDF · 1 page · 228 KBPhoto 6_view of tail section of N7701JItem 52 · PDF · 1 page · 303 KBPhoto 7_view of tail section of N7701J after recovery from the crash siteItem 53 · PDF · 1 page · 177 KBPhoto 8_view of tail section of N7701J after recovery from the crash siteItem 54 · PDF · 1 page · 140 KBPhoto 9_view of right wing from N7701J after recovery from the crash siteItem 55 · PDF · 1 page · 137 KBPhoto 10_view of engine and propeller from N7701J after recoveryItem 56 · PDF · 1 page · 187 KBPhoto 11_view of vacuum pump from N7701JItem 57 · PDF · 1 page · 95 KBPhoto 12_view of vacuum pump from N7701JItem 58 · PDF · 1 page · 86 KBPhoto 13_view of over the counter medications found at the crash site in the pilot's briefcase after the accidentItem 59 · PDF · 1 page · 194 KB

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.