# NTSB MIA94FA175: Piper PA-32-260, N3610W, Gulf Of Mexico, July 8, 1994

- Type: NTSB accident investigation
- Classification: Accident · Fatal · Field investigation · Final report
- Date: July 8, 1994, 10:16 local (14:16 UTC)
- Place: Gulf Of Mexico
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Highest injury: Fatal
- Injuries: 1 fatal, 3 serious
- Status: Completed, report April 7, 1995
- Report: Approved by Office Director
- NTSB case key (mKey): 37430
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=MIA94FA175
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/37430/pdf
- Page: https://openairdocs.org/ntsb/MIA94FA175

## Probable cause

LOSS OF ENGINE POWER DUE TO AN UNDETERMINED REASON.  A FACTOR RELATED TO THE ACCIDENT WAS: INADEQUATE PASSENGER BRIEFING BY THE PILOT.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Loss of engine power, cruise
  - reason for occurrence undetermined (cause)
- Forced landing, emergency descent/landing
- Ditching, landing
  - terrain condition - water,rough
- Miscellaneous/other, other
  - misc eqpt/furnishings,lifevest
  - passenger briefing - inadequate, pilot in command (contributing factor)

## Analysis

WHILE OVER WATER ABOUT 14 MILES NORTH OF THE DESTINATION, A LOSS OF ENGINE POWER OCCURRED. EMERGENCY PROCEDURES FAILED TO RESTORE ENGINE POWER. BEFORE DITCHING, THE PILOT ADVISED ATC OF HIS POSITION, AND RADAR RETURN AT 100 FEET WAS MARKED ON THE CONTROLLER'S RADAR SCOPE. THE AIRPLANE WAS DITCHED AT SEA, AND THE 4 OCCUPANTS EGRESSED FROM THE SINKING PLANE. THE PILOT REPORTED THAT 3 LIFE PRESERVERS WERE ABOARD THE PLANE, BUT THEY WERE NOT RECOVERED BEFORE THE PLANE SANK (HE HAD NOT BRIEFED THE PASSENGERS ABOUT THE LIFE PRESERVERS BEFORE FLIGHT).  ABOUT 3 MINUTES AFTER DITCHING, A COAST GUARD AIRPLANE (WHICH WAS ON A TRAINING MISSION IN THE VICINITY, BUT WAS NOT DROP EQUIPPED) FLEW OVER AND FOUND THE 4 SURVIVORS. A RESCUE BOAT AND HELICOPTER WERE DISPATCHED TO THE AREA, BUT ONE OF THE SURVIVORS DROWNED BEFORE HELP ARRIVED. THE DITCHED AIRPLANE WAS NOT RECOVERED.

## Factual narrative

HISTORY OF FLIGHT

On July 8, 1994, about 1016 eastern daylight time, a Piper PA-32-260, N3610W, registered to Michael S. Turner, was ditched in the Gulf of Mexico about 14 statute miles north-northwest of the Key West International Airport, Key West, Florida, while on a 14 CFR Part 91 personal flight.  Visual meteorological conditions prevailed at the time and an IFR flight plan was filed.  The airplane has not been recovered and is presumed to be destroyed.  The commercial-rated pilot and two passengers sustained serious injuries.  One passenger was fatally injured.  The flight originated from the Pine Shadows Airpark, Fort Myers, Florida, about 0915.

The pilot stated that after departure he obtained his IFR clearance and climbed to 5,000 feet mean sea level (msl) but he elected to descend to 2,000 feet and canceled his IFR clearance when the flight was north of Marco Island.  Flight following was obtained with ATC and he elected to descend to 1,500 feet continuing to Key West.

At 1003.36, the pilot contacted the Navy Key West Approach Controller and advised the controller of the distance away which according to the certified recording, was unreadable.  The controller advised the pilot that runway 9 was the active, to which the pilot acknowledged.  The controller then advised the  pilot to descend at his discretion and to report when the field is in sight.  Additionally, at 1010.18, the crew of a Coast Guard Falcon 20 "charlie" model (2141) airplane contacted the same controller and advised that the flight was 27 miles east, training, transitioning west.  At 1014.40, the pilot of N3610W advised the controller that the Key West Airport was in sight to which the controller advised the pilot to contact the Key West ATC tower.  At 1015.12, the pilot advised the Key West Approach controller "I've got a rough running engine here."  The pilot later stated that the flight was 11.7 nautical miles on the 360- degree radial from the Key West Vortac going down.  Attempts to restore the engine power were unsuccessful.  The controller marked his scope of the last radar return which was when the airplane was at 100 feet and on the 005-degree radial and 10.6 nautical miles from the Key West Vortac.

The crew of the Coast Guard Falcon hearing the transmissions about the imminent ditching, advised the controller that they would proceed to that location and the controller provided the crew with a heading to fly.  At 1019.49, the crew of the Falcon advised the controller that two of the occupants are in sight.  At about 1022, the Key West Naval Air Station Search and Rescue (SAR) crew on duty was called.  At about 1022.45 the controller asked the Falcon crew if there were any boats in the area to which the crew responded negative.  At about 1025.17, the Falcon crew advised the controller that four people were in the water, three were assisting the fourth, there was no flotation equipment and no obvious injuries.  At about 1028.09, the Falcon crew advised the Key West Approach controller that there was a boat about 10 miles away.  The approach controller advised the crew that the SAR helicopter should be airborne momentarily.  At 1029.05, the controller asked the Falcon crew if they could drop flotation equipment to the people to which the crew responded "negative, were not drop capable."  At about 1030, the approval was granted to launch the Navy SAR helicopter.  At about 1034.25, the controller asked the Falcon crew if the survivors were still afloat to which the crew stated they were trying to relocate them after they went to look for a boat.  The controller then provided the Falcon crew with a suggested heading to fly direct to the last known position of the ditched airplane.  At about 1040.35, the crew of the Falcon advised the approach controller that they would reenter the search.  At about 1046.50, the crew of the Navy SAR helicopter made initial contact with the approach controller and at 1048.50, the Navy SAR helicopter crew contacted the Falcon crew.  At 1054, a Florida Marine Patrol (FMP) boat located at the FMP Summerland Key facility was dispatched to assist in the search and rescue for the downed occupants.  At about 1054.50, the crew of the Falcon advised the crew of the Navy helicopter that the people were in sight.  The Navy crew arrived at the reported location and reported that the sightings were birds in the water.  At about 1104, a Coast Guard boat was also on scene involved in the search and rescue.

At about 1135.35, the Falcon crew reported sighting of the occupants which was verified by the Navy SAR crew at about 1135.59.  At about 1136, the FMP boat arrived on scene and about 1141, a rescue swimmer from the Navy SAR helicopter was dropped into the water providing three uninflated flotation devices to the survivors.  The pilot of the ditched airplane directed the swimmer to the deceased passenger who was away from the three who were clinging to the nose landing gear of the airplane.  The FMP boat driver pulled the three survivors into his boat and the deceased passenger was hoisted into the helicopter.  The pilot and one of the passengers were then placed back into the water and both were hoisted into the helicopter.  The remaining survivor was placed in a litter in the FMP boat and hoisted into the helicopter.  At about 1215, the U.S. Navy helicopter departed the scene and arrived at the hospital about 1222.  The occupants were located according to the Coast Guard about North 24.44.6 Latitude, West 081.49.3 Longitude.  The last known radar return was about North 24.45.5 Latitude, West 081.46.9 Longitude.  The pilot stated that three life preservers were located in a bag of his which was located one of the rear seats of the airplane and that there was no life raft.  The deceased's wife stated that her husband was alive up until 15 minutes before the rescue.

PERSONNEL INFORMATION

Information pertaining to the pilot is contained in the NTSB Factual Report-Aviation.

AIRCRAFT INFORMATION

Information pertaining to the airplane is contained in the NTSB Factual Report-Aviation.  Review of the engine logbook revealed that the engine was last overhauled on October 16, 1981, at a tachometer reading of 1463.93 hours.  On May 23, 1994, the last entry in the engine logbook, the tachometer was recorded as 2708.94 hours.

METEOROLOGICAL INFORMATION

Information pertaining to the weather is contained in the NTSB Factual Report-Aviation.

COMMUNICATIONS

Before the ditching, two-way radio communications were established with the Key West Approach Control facility.  At about 1015.23, the accident pilot advised the approach controller of his position (distance and direction) from the Key West Vortac and that the airplane was going down.  The approach controller marked his screen of the last radar return when the airplane was at about 100 feet and on the 005 degree radial and 10.6 nautical miles from the Key West Vortac.  Several times during the search and rescue mission, the approach controller gave suggested headings to fly to the crew of the Falcon to locate the last known position of the ditched airplane.

WRECKAGE AND IMPACT

The airplane was not recovered.

MEDICAL AND PATHOLOGICAL

A postmortem examination of the deceased passenger was conducted by R.J. Nelms Jr., M.D., Medical Examiner District Sixteen, Monroe County, Florida.  The cause of death was listed as salt water drowning related to airplane crash.  The following anatomical diagnoses were discovered; 1) pulmonary edema 2) sigmoid diverticulosis and chronic diverticulitis with adhesions 3) chemical burns on chest, abdomen, and back 4) chronic bronchitis, mild, and 5) chronic duodenitis, mild.

A toxicological analysis was performed by the Wuesthoff Memorial Hospital.  The results were positive in the urine for nortriptyline, nortriptyline metabolite, acetaminophen, quinine/quinidine, and caffein

## Aircraft

- Registration: [N3610W](https://openairdocs.org/deregistered/N3610W-1997-06-02), registration cancelled 1997-06-02, S/N 32510 (OpenAirDocs)
- Reported make and model: PIPER PA-32-260
- Registry model: [Piper PA-32-260](https://openairdocs.org/model/piper-pa-32-260) (registry code 7103206) (OpenAirDocs)
- Category: Airplane
- Serial number: 32-510
- Engines: LYCOMING O-540-E4B5 260 horsepower reciprocating
- Damage: Destroyed
- Flight: Personal, Part 91
- Registered owner: Turner, Michael S.
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, August 28, 1993
- Departed: 94FL, FORT MYERS, FL
- Destination: EYW, KEY WEST, FL
- Flight plan: IFR

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 29; flight instructor, commercial; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 1, valid medical--no waivers/lim.; seat: left; flight hours: 1,550 total, 30 in this make and model, 1,450 as pilot in command, 95 in the last 90 days, 30 in the last 30 days

## Weather

- Conditions: Visual (VMC), Day
- Wind: 110° at 5 knots
- Visibility: 10 statute miles
- Lowest ceiling: 8,000 ft broken
- Temperature: 82 °F, dew point 75 °F
- Altimeter: 30.00 inHg
- Observed at: EYW, 11 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 (OpenAirDocs).

- [Accident 19940708017899A](https://openairdocs.org/incident/19940708017899A), Jul 8, 1994: Piper PA32260, Key West, FL, Destroyed, 1 fatal. Lost power approaching airport. Ditched in gulf. Plane sank. Pilot failed to advise occupants of life vest on seat.

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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