MIA89FA113

NTSB accident investigation · Piper Aerostar 600 · Jacksonville, FL · March 23, 1989

Accident · FatalField investigationFinal report
Date
March 22, 1989, 22:44 local (Mar 23, 1989, 03:44 UTC)
Place
Jacksonville, FL
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N77BRPiper Aerostar 600
Weather
Instrument (IMC) · Night/dark
Status
Completed · report September 5, 1990
Report
Approved by Office Director
FAA report
19890322006709A
Case key
32283

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

Improper use of the IFR procedure by the pilot, his failure to maintain a proper glide path, and his failure to identify the decision height.

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 objectApproach - faf/outer marker to threshold (ifr)
Light condition - dark night
Ifr procedure - improperPilot in commandCause
Proper glidepath - not maintainedPilot in commandCause
Decision height - not identifiedPilot in commandCause
Object - tree(s)
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Drg arrival, the plt was clrd for an ILS rwy 7 apch. Also, he was adzd of a DC-9 that was 4 mi ahead & was told to use caution for wake turbulence. As the acft was on final apch, it descended below the ILS glide slope & subsequently hit trees & crashed about 1.8 mi short of the rwy. No preimpact part failure or malfunction of the acft or engs was found that would have resulted in an acdnt. Also, there were no reported problems with the ILS system & it tested normal after the acdnt. The plt held a commercial plt certificate which was good for single engine land acft; his multi-engine privileges were authorized as a private plt, only. An NTSB performance study showed the acft was 2 min & 57 sec behind the DC-9. Radar data indcd the acft did not exceed a bank angle of 32 deg & no excessive g-values were evident drg the apch.

Aircraft

Registration
N77BR
Reported as
Piper Aerostar 600 (AEROSTAR 6)
Category
Airplane
Serial number
6007961193
Airframe hours
3,891
Engine
Lycoming IO-540-K1F5, 285 horsepower, reciprocating
Damage
Destroyed
Flight
Part 135
Operator
Top Flight Air Service
Registered owner
Top Flight Air Service Inc
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · March 20, 1989 · 14 hours before
Departed
ATL · Atlanta, GA
Flight plan
IFR
Airport
JAX · Jacksonville Intl, runway 7, 8,000 × 150 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
45
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
2,575 total · 1,250 in this make and model · 2,400 as pilot in command · 260 in the last 90 days · 93 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
40° at 13 knots
Visibility
1 statute miles
Lowest ceiling
400 ft overcast
Temperature
59 °F, dew point 59 °F
Altimeter
30.00 inHg
Observed at
JAX, 1 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.