MIA04LA133

NTSB accident investigation · Britten-Norman BN-2A-27 · Vega Baja, PR · September 29, 2004

Accident · FatalLimited investigationFinal report
Date
September 29, 2004, 18:59 local (22:59 UTC)
Place
Vega Baja, PR
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N902GDBritten-Norman BN-2A-27
Weather
Instrument (IMC) · Dusk
Status
Completed · report March 30, 2005
Report
Approved by Office Director
Parties
FAA Caribbean FSDO
FAA report
20040929025789A
Case key
60255

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's improper inflight planning which resulted in an inflight encounter with weather (low ceilings and thunderstorms), his loss of aircraft control, and an inflight collision with the ocean during uncontrolled descent.

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 - normal
Weather condition - low ceilingFactor
Weather condition - thunderstormFactor
In-flight planning/decision - improperPilot in commandCause
Vfr flight into imc - inadvertentPilot in commandCause
Loss of control - in flightCruise
Aircraft control - not maintainedPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - water

Analysis

On September 29, 2004, about 1859, Atlantic standard time, the accident airplane, N902GD, operating as an "on demand" air taxi flight, transporting bank financial documents, departed Mayaguez, Puerto Rico, and was later reported as not having arrived at its destination. Search and rescue assets later discovered airplane related debris, specific to the missing airplane, floating in the Atlantic Ocean, in the vicinity of geographic position 18 degrees 29 minutes north latitude, 066 degrees 27 minutes west longitude. The NTSB evaluated radar and weather data, and radar track data for the flight showed that after departure the accident airplane climbed to 1,700 feet, and then descended to 1,300 feet at 1840. From 1840 to 1850, the radar data indicated that the flight was proceeding east along the northern coast of Puerto Rico, at an altitude of 1,100 feet. About 1855, the data showed that the airplane climbed to 1,400 feet, and about 1856, it descended to about 1,000 feet. About 1858, the airplane descended to 800 feet, and then to 600 feet, before disappearing from radar at 18:59:18. Weather data showed that a weak upper air trough, a moist low level southeasterly flow and associated showers and thunderstorms had formed over Puerto Rico during the time of the accident flight. The weather data showed that at departure visual meteorological conditions existed, but doppler weather radar data showed that a 50 dBz (level 5) rain shower was positioned about 3 to 5 miles off the airplane's right wing from 1837 to 1838, and from 1855 to 1901 there was a level 4-5 (45-50 dBZ) rain shower along the accident airplane's track, and the radar track data along with the doppler weather radar data was consistent with the flight having penetrated the rain shower corresponding to the time radar contact with the flight was lost. The NTSB Weather Group Chairman's Report has been included as an attachment to the factual report.

Factual narrative

On September 29, 2004, about 1859 Atlantic standard time, a Britten-Norman BN-2A-27 airplane, N902GD, registered to and operated by Air Charter Inc., as Air Flamenco, an on-demand Title 14 CFR Part 135 air taxi flight, crashed into the Atlantic ocean. Visual meteorological conditions prevailed in the area when the flight departed, and no flight plan was filed. The commercial-rated pilot received fatal injuries, and the airplane was destroyed. The flight originated in Mayaguez, Puerto Rico, the same day, about 1830.

The president/owner of Air Flamenco said that the pilot made a Unicom radio communications call announcing his departure from Mayaguez, en route to Isla Grande Airport, San Juan, Puerto Rico. He further stated that the airplane had been transporting bank financial documents, and after the flight did not arrive at its destination, he filed an overdue report.

Upon receiving notification on September 29, 2004, about 2036, search and rescue assets initiated a search for the missing airplane. After several searches, airplane related debris, specific to the missing airplane, was discovered floating in the vicinity of geographic position 18 degrees 29 minutes north latitude, 066 degrees 27 minutes west longitude. In addition, light airplane wreckage and cargo associated with the accident flight was found to have washed ashore at Manatee, Puerto Rico.

Examination of radar track data for the flight showed that after departure the accident airplane climbed to 1,700 feet, and then descended to 1,300 feet at 1840. From 1840 to 1850, the radar data indicated that N902GD was flying east along the northern coast of Puerto Rico at a constant altitude of 1,100 feet. About 1855, the data showed that the airplane climbed to 1,400 feet, and about 1856, it descended to about 1,000 feet. About 1858, the airplane descended to 800 feet, and then to 600 feet before disappearing from radar at 18:59:18.

Weather data showed that a weak upper air trough, a moist low-level southeasterly flow, and associated showers and thunderstorms, had formed over Puerto Rico during the afternoon and evening of September 29, 2004. Synoptic and surface data, satellite imagery, and weather radar indicated that there had been no significant weather in the Mayaguez area at the time of departure, and that visual meteorological conditions had existed at the time of departure.

Infrared satellite data showed the presence of broken to overcast cloud layers off the right side of N902GD's northward radar track over interior portions of northwestern Puerto Rico. In addition, the presence of a southeasterly flow and cloud-top temperatures were consistent with there being an overcast cloud layer after departure, along the airplane's track. Doppler weather radar data for the nominal time of 1838 indicated a 50 dBz (level 5) rain shower about 3 to 5 miles off the accident airplane's right wing from 1837 to 1838, and the data indicated there was very light to light reflectivity along the flight path. Doppler weather radar data for the time period 1855 to 1901 showed a level 4-5 (45-50 dBZ) rain shower along the airplane's track, consistent with the flight having penetrated the rain shower, at which time all radar contact with the flight was lost. A NTSB Weather Group Chairman Factual Report has been provided as an attachment to this report.

Aircraft

Registration
N902GD
Reported as
Britten-Norman BN-2A-27
Category
Airplane
Serial number
905
Engines
Lycoming O-540-E4C5, 260 horsepower, reciprocatingLycoming O-540-E4C5, 260 horsepower, reciprocating
Damage
Destroyed
Flight
Part 135
Registered owner
Air Charter Inc.
Airworthiness certificate
Standard, Normal
Departed
TJMZ · Mayaguez, PR
Destination
TJAJ · San Juan, PR

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
28
Injuries
Fatal
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left

Weather

Conditions
Instrument (IMC) · Dusk
Wind
90° at 5 knots
Lowest ceiling
None
Temperature
82 °F, dew point 73 °F
Altimeter
29.87 inHg
Observed at
TJSJ, 23 nm away

Docket · 5

The files NTSB released with the investigation on February 10, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 11.4 MB in all.

FAA reports on this event · 1

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