MIA96IA094

NTSB incident investigation · Piper PA-31-310 · Charlotte, NC · March 6, 1996

Incident · FatalIncident investigationFinal report
Date
March 6, 1996, 15:22 local (20:22 UTC)
Place
Charlotte, NC
Injuries
1 fatal, 4 uninjured
Damage
No damage
Phase of flight
Approach
Aircraft
N7451LPiper PA-31-310
Weather
Visual (VMC) · Day
Status
Completed · report February 28, 1997
Report
Approved by Office Director
FAA report
19960306006569I
Case key
37919

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the incident.

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Probable cause

fatal incapacitation of the pilot due to a heart attack.

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.

Miscellaneous/otherApproach - faf/outer marker to threshold (ifr)
Aircraft control - not possiblePilot in command
Incapacitation(cardiovascular)Pilot in commandCause

Analysis

During flight, one of the passengers (a single engine rated pilot) was seated in the right front seat. After arriving at the destination, the pilot initiated an ILS approach; however, before landing, a full deflection of the localizer CDI was noted, and the pilot executed a go-around. The pilot rated passenger stated that about 15 seconds later, the pilot released the control yoke, rested against his own seat back, and began to have convulsions. The pilot rated passenger began flying the airplane and advised ATC of the situation. The controller vectored the flight for landing, and the pilot rated passenger was initially unable to release the autopilot. At one point during the flight, the pilot's hand pulled the left engine mixture control to the idle cutoff position, but engine power was restored after the pilot rated passenger repositioned the mixture control. The pilot rated passenger landed the airplane; however, during the landing roll, he did not have access to the airplane's brake system. The airplane rolled off the left side of the runway onto grass, but was not damaged. Subsequently, the pilot was pronounced dead. After a post-mortem examination, the cause of death was listed as coronary atherosclerosis/hypertensive heart disease. According to the pilot's wife, he had no previous complaints suggestive of heart disease.

Factual narrative

On March 6, 1996, about 1522 eastern standard time, N7451L, a Piper PA-31-310, registered to Southeast Airmotive Corporation, veered off the side of a runway on landing at the Charlotte/Douglas International Airport, Charlotte, North Carolina. Visual meteorological conditions prevailed at the time and an IFR flight plan was filed for the 14 CFR Part 135, non-scheduled, domestic, passenger flight. While on final approach the pilot died and a passenger landed the airplane which was not damaged. The four passengers were not injured. The flight originated from the Roscoe Turner Airport, Corinth, Mississippi, about 1400 the same day.

The flight was flown by a single company pilot, and was cleared for an ILS approach to runway 18L. According to a transcript of Air Traffic Control (ATC) communications, shortly after the pilot was advised of traffic that was 3 miles ahead on approach to runway 18L, a passenger who was seated in the right front seat advised the ATC controller that "...we have an emergency with the captain." The passenger stated that while on the approach over the runway numbers, he recognized that the course deflection indicator (CDI) was fully deflected to the right, and the pilot then declared a missed approach and the flight was given a heading and altitude to fly. About 15 seconds later, he noted that the pilot released the control yoke and he was leaning back in his seat. The pilot began to have convulsions and at that time he (right seat passenger) grabbed the control yoke in front of his seat and began flying the airplane and declared a "Mayday." He advised the ATC controller that he was a single engine instrument-rated pilot and that he had not flown in 5 years. The controller gave the passenger a heading to fly to return for landing but the passenger reported that he was unable to initially disconnect the autopilot system. While maneuvering at one point the pilot inadvertently positioned the left engine mixture control to the idle cutoff position and the engine quit but the passenger repositioned the mixture control and the engine restarted.

The flight was vectored for a landing on runway 36 Left, and while on final approach knowing that he could land on the runway, he pulled both mixture controls to the idle cutoff position. Both engines quit and he landed the airplane; however, during the landing roll, he realized that he did not have access to the airplane's brake system. The airplane rolled off the left side of the runway onto grass and came to rest undamaged.

Review of the pilot's medical file revealed that he was last given a second class medical certificate on December 13, 1995, with the limitation that the holder should possess corrective lenses for near vision. At that time he indicated that he had no heart or vascular trouble.

A post-mortem examination of the pilot was performed by J. Michael Sullivan, M.D., Pathologist, Mecklenburg County, Office of the Medical Examiner. The cause of death was listed as coronary atherosclerosis/hypertensive heart disease. Toxicological analysis of specimens of the pilot was performed by the FAA Toxicology and Accident Research Laboratory. The results were negative for carbon monoxide, cyanide, volatiles, and tested drugs. Chlorpheniramine, pseudoephedrine, and phenylpropanolamine were detected in the blood and urine.

According to the pilot's wife, her husband had not expressed symptoms suggestive of heart disease.

Review of the Physicians' Desk Reference revealed that chlorpheniramine maleate and pseudoephedrine HCI are found in Allergy-Sinus COMTREX. Phenylpropanolamine HCI is found in COMTREX Liquid-Gel. COMTREX is indicated to provide temporary relief of listed major cold and flu symptoms.

Aircraft

Registration
N7451L
Reported as
Piper PA-31-310
Category
Airplane
Serial number
31-847
Airframe hours
10,588
Engine
Lycoming TI0-540-A2C, 310 horsepower, reciprocating
Damage
No damage
Flight
Part 135
Registered owner
Southeast Airmotive
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 31, 1996 · 70 hours before
Departed
CRX · Corinth, MS
Destination
CLT
Flight plan
IFR
Airport
CLT · Charlotte/Douglas Intl, runway 36L, 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
57
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
10,000 total · 2,500 in this make and model · 9,500 as pilot in command · 121 in the last 90 days · 44 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
230° at 8 knots
Visibility
20 statute miles
Lowest ceiling
4,500 ft overcast
Temperature
61 °F, dew point 57 °F
Altimeter
29.00 inHg
Observed at
CLT

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 N7451L · 1

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