MIA96FA048

NTSB accident investigation · Piper PA-32-301 · Memphis, TN · December 19, 1995

Accident · FatalField investigationFinal report
Date
December 19, 1995, 13:11 local (19:11 UTC)
Place
Memphis, TN
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N8349ZPiper PA-32-301
Weather
Visual (VMC) · Day
Status
Completed · report January 17, 1997
Report
Approved by Office Director
FAA report
19951219041459A
Case key
37887

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 continued flight into known forecast icing conditions which resulted in the aircraft developing an ice buildup, and the pilot's failure to maintain control of the aircraft. The icing conditions was a factor.

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 weatherApproach
Weather condition - icing conditionsFactor
Flight into known adverse weather - continuedPilot in commandCause
Loss of control - in flightApproach - iaf to faf/outer marker (ifr)
Airframe - iceCause
Airspeed(vs) - not maintainedPilot in commandCause
Stall/spin - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - residential area

Analysis

Preflight weather briefings received by the pilot indicated that icing conditions were forecast for the route of flight and at the destination. The aircraft was not certificated or equipped for flight in icing conditions. While approaching the destination airport the pilot reported encountering moderate rime icing conditions during descent. About 35 minutes later, while on final approach, the aircraft was observed to slow to a 65 knot ground speed and enter a rapid descent. Witnesses observed the aircraft descend from the clouds in a nose down attitude, pitch up to a nose high attitude, and then enter a spin to right from which it crashed. Postcrash examination of the aircraft structure, flight controls, engine, propeller, and aircraft systems showed no evidence of precrash failure or malfunction. The medical examiner reported no findings that would indicate precrash incapacitation of the pilot or passenger.

Factual narrative

History of flight

On December 19, 1995, about 1311 central standard time, a Piper PA-32-301, N8349Z, registered to the pilot, crashed at Memphis, Tennessee, while on a Title 14 CFR Part 91 personal flight. Visual meteorological conditions prevailed at the surface at the time and an instrument flight rules flight plan was filed. The aircraft was destroyed. The private-rated pilot and one passenger were fatally injured. The flight last departed from Wichita Falls, Texas, the same day, about 0932.

Transcripts of recorded communications indicate a person identifying himself as the pilot of N8349Z called the FAA, Fort Worth Automated Flight Service Station, on December 18, 1995, about 2146. This person asked for and received a weather briefing for the Wichita Falls, Texas area. This person then filed an instrument flight rules flight plan from Albany, Texas to Wichita Falls, for a 0730 departure on December 19, 1995. The person then asked for and received a weather briefing for a flight from Wichita Falls to Cincinnati, Ohio, on December 19, 1995.

On December 19, 1995, about 0901, a person identifying himself as the pilot of N8349Z again contacted the FAA, Fort Worth Automated Flight Service Station. This person filed an instrument flight rules flight plan from Wichita Falls to Memphis, Tennessee, and another instrument flight rules flight plan from Memphis to Cincinnati, Ohio. The person asked for and received a weather briefing for the flights. He was told that there was a low pressure system over the route of flight and that there was an airmet all along the route of flight that called for occasional moderate rime or mixed icing in clouds or precipitation above the freezing level.

About 1238, N8349Z approached the Memphis, Tennessee area. The pilot was told by the FAA Memphis Air Route Traffic Control Center controller to contact the FAA Memphis Approach controller. The flight was descending from 9,000 to 4,000 feet at this time. At 1241:50, the pilot reported to the Memphis Approach controller that the aircraft picked up moderate rime icing going through 5,000 feet, but that it stabilized at 4,000 feet. At 1242:39, the pilot requested a lower altitude as soon as possible. At 1243:21, the flight is cleared to 3,000 feet.

About 1307:13, the flight was receiving radar vectors to the instrument landing system approach to runway 27 at Memphis International Airport. The pilot was told to descend to 2,000 feet. At 1307:44, the flight was cleared for the approach. At 1309:18, the pilot was told to contact Memphis Tower. The pilot acknowledged the instruction. No further transmissions were received from the pilot.

The line serviceman at the Wichita Falls, Texas Airport stated that when N8349Z arrived at that airport at about 0900 on December 19, 1995, it had visible ice on the wing tips. He topped off the fuel tanks and when the flight departed at 0930, the ice had melted off of the aircraft.

Witnesses at Memphis, Tennessee, reported hearing the engine of N8349Z increasing and decreasing in noise level. They then observed the aircraft exit from about a 500-foot overcast layer of clouds in a nose-down attitude. The aircraft was not spinning. As the aircraft exited the clouds the nose raised to a steep nose up angle and the engine noise increased to what they believed was full power. The right wing and nose of the aircraft dropped and the aircraft entered a spin to the right. As the aircraft entered the spin, the engine noise level decreased. The aircraft descended in a spin and impacted the ground in a residential area.

The pilots of several aircraft which performed the instrument landing system approach to runway 27 at Memphis International Airport before and after N8349Z reported they entered the tops of the clouds at about 5,000-6,000 feet while on the approach. They encountered rime icing conditions in the clouds, which continued until they broke out of the clouds at between 1,000-2,000 feet.

Recorded radar data from the FAA Memphis Approach Control showed that N8349Z flew an easterly heading and passed south of the Memphis Airport at 3,000 feet. The aircraft's ground speed was about 115 knots at this time. At 1306:30, the flight initiated a left turn to the north and continued turning until the aircraft was on a northwesterly heading. The ground speed slowed to 100 knots at this time and continued to slowly decrease. The aircraft also descended to 2,000 feet at this time. At 1309:02, the aircraft turned to a westerly heading and the ground speed was 85 knots. At 1310:07, the aircraft's ground speed was 65 knots and the altitude was 1,900 feet. At 1310:12, the ground speed was 66 knots and the altitude was 1,700 feet. At 13:10:16, the ground speed was 66 knots and the altitude was 1,100 feet. The aircraft was 071 degrees at 6.93 nautical miles from the Memphis Airport at this time. No further radar returns were received from the aircraft.

Personnel information

A review of the pilot's logbook showed the pilot had accumulated about 1,615 total flight hours with 1,450 hours in the Piper PA-32-301. The pilot had accumulated about 380 flight hours in actual instrument conditions and about 35 hours in simulated instrument conditions. The logbook indicated the pilot met the currency requirements for instrument flight. The logbook started on October 3, 1992. The pilot reported on an application for aircraft insurance that he received a biennial flight review in June 1994. No entries for a biennial flight review were found in the logbook. The pilot's airmen certificate was last issued by the FAA on March 3, 1990, for issuance of an instrument rating airplane. For additional personnel information see First Pilot Information on page 3 of this report and the pilot logbook pages attached to this report.

Aircraft information

The FAA Type Certificate Data Sheet for the Piper PA-32-301 states that "this aircraft approved for VFR, IFR, Day and Night Non-Icing flight when equipped in accordance with FAR 91 or FAR 135." The aircraft did not have anti-icing or de-icing equipment installed. Logbook records showed the aircraft received an annual inspection on May 3, 1995, 87 flight hours before the accident. On October 16, 1995, the aircraft's static system, altimeter, and transponder were tested. Additional information on the aircraft is contained in Aircraft Information, on page 2 of this report.

Meteorlogical information

The Memphis International Airport, 1250, surface weather observation was measured ceiling 1,400 feet broken, 2,300 feet overcast, visibility 7 miles with light drizzle, temperature 39 degrees F., dew point 37 degrees F., winds 300 degrees at 14 knots gusts to 20 knots, altimeter setting 29.74 in. Hg, drizzle began at 1235.

Pilot reports for the Memphis area indicated that moderate mixed icing conditions existed from 2,000 feet to 9,000 feet at the time N8349Z approached. The pilot of N8349Z reported encountering icing conditions at 5,000 feet. The pilots of aircraft which approached Memphis ahead of and behind N8349Z reported encountering icing conditions on the approach.

The pilot received a weather briefing from the FAA, Fort Worth Automated Flight Service Station before departure for Memphis. The pilot was told that occasional moderate rime or mixed icing in clouds and precipitation was forecast for his route of flight and in the Memphis area.

An analysis of data from the Memphis Integrated Terminal Weather System was performed by Mark Isaminger, Weather Sensing Group, Massachusetts Institute of Technology, Lincoln Laboratory, Lexington, Massachusetts. The conclusions of the analysis were that N8349Z "probably accumulated some ice during two short duration penetrations of radar detectable echos. The plane could have also accumulated ice enroute."

Additional meteorological information is contained in Weather Information on page 3 and 4 of this report and in the Meteorological

Aircraft

Registration
N8349Z
Reported as
Piper PA-32-301
Category
Airplane
Serial number
32-8306008
Airframe hours
2,290
Engine
Lycoming IO-540-K1G5, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Wayne E. Betz
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 3, 1995 · 87 hours before
Departed
SPS · Wichita Falls, TX
Destination
MEM
Flight plan
IFR

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
49
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,615 total · 1,450 in this make and model · 1,573 as pilot in command · 30 in the last 90 days · 10 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
300° at 14 knots, gusting 20
Visibility
7 statute miles
Lowest ceiling
1,400 ft broken
Temperature
39 °F, dew point 37 °F
Altimeter
29.00 inHg
Observed at
MEM, 7 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.

Other investigations on N8349Z · 1

Matched to the same aircraft by N-number and date.