# NTSB MIA99FA172: Piper PA-28R-200, N56192, Cape Canaveral, FL, June 10, 1999 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: June 9, 1999, 20:54 local (Jun 10, 1999, 00:54 UTC) - Place: Cape Canaveral, FL - Coordinates: 28.230718, -80.600395 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=28.2307&lon=-80.6004&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report March 9, 2001 - Report: Approved by Office Director - NTSB case key (mKey): 46523 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=MIA99FA172 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/46523/pdf - Page: https://openairdocs.org/ntsb/MIA99FA172 ## Probable cause The pilot's VFR flight into Instrument meteorological conditions and his subsequent failure to maintain control of the aircraft resulting in overload and separation of both wings. Contributing factors were the pilot's failure to obtain a preflight and in-flight weather briefing, thunderstorm and dark night conditions, and the pilot's lack of instrument certification. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - In flight encounter with weather, cruise - normal - preflight briefing service - not obtained, pilot in command (contributing factor) - use of inappropriate medication/drug, pilot in command - in-flight briefing service - not attained, pilot in command (contributing factor) - weather condition - thunderstorm (contributing factor) - vfr flight into imc, pilot in command (cause) - Loss of control - in flight, unknown - light condition - dark night (contributing factor) - aircraft control - not maintained, pilot in command (cause) - lack of certification, pilot in command (contributing factor) - Airframe/component/system failure/malfunction, unknown - wing - overload - wing - failure - In flight collision with terrain/water, descent - uncontrolled ## Analysis The pilot obtained no preflight or in-flight weather briefings. While being vectored by ATC and advised to maintain VFR under dark night conditions, the non-instrument rated pilot encountered level 3 radar returns. Radar data from Jacksonville ARTCC indicates that the airplane entered a left turn with the airplane descending 1,000 feet in a 12 second period between the second to last and the last radar returns. The airplane was lost from radar at 5,400 feet mean sea level. Separated sections of both wings and right horizontal stabilator were located about .3 nautical mile south-southwest of the main wreckage location. Examination of the fracture surfaces revealed no evidence of preexisting cracks. A search for the airplane by the U.S. Coast Guard, the Civil Air Patrol, and aircraft from Patrick and Moody Air Force Base was performed. The flight crew of a helicopter from the 301'st rescue squadron located the wreckage approximately 40 hours after the airplane was lost from radar. Examination of the engine, flight controls, and vacuum pump revealed no evidence of pre-impact failure or malfunction. The end of civil twilight where radar contact was lost occurred at 2052. Cocaine and benzoylecgonine, which is an inactive metabolite of cocaine, were detected in the pilot's bile. Propoxyphene, which is a narcotic painkiller often referred to by the trade name Darvon, and norpropoxyphene, which is a metabolite of Propoxyphene, were also detected in the pilot's bile. A small plastic packet of cocaine was found in a wallet that contained the pilot's identification. ## Factual narrative HISTORY OF FLIGHT On June 9, 1999, about 2054 eastern daylight time, a Piper PA-28R-200, N56192, registered to Major Strategies, Inc., dba Dolphin Holiday Flying Club, was lost from radar and radio contact approximately 2.2 nautical miles north of the Cape Canaveral Air Force Station Skid Strip, Cape Canaveral Air Station, Florida. Instrument meteorological conditions (IMC) prevailed in the area and no flight plan was filed for the 14 CFR Part 91 personal flight. The airplane was destroyed and the private-rated pilot, the sole occupant, was fatally injured. The flight originated about 1903, from the Fort Lauderdale Executive Airport, Fort Lauderdale, Florida. Before taxiing to takeoff, the pilot advised the controller that he received Automatic Terminal Information Service (ATIS) information "Echo", which indicated a thunderstorm distant southwest moving north, and hazardous weather information for south Florida and coastal waters available on HIWAS, Flight Watch, or Flight Service frequencies. The pilot received taxi clearance, requested flight following to the Sanford Airport, and received takeoff clearance. After takeoff at 1904:18, the local controller broadcast on the tower frequency, "attention all aircraft hazardous weather information for florida and coastal waters available through in flight advisory hiwas or flight service convective activity in the area." At 1905:53, the pilot requested a frequency change with the local controller. Air traffic control communications were transferred to Miami Approach Control then to West Palm Beach Approach Control where radar services were terminated and frequency change was approved. There was no record that the pilot contacted the Witham Field Air Traffic Control Tower, the St. Lucie County International Air Traffic Control Tower, the Vero Beach Municipal Air Traffic Control Tower, the Melbourne International Air Traffic Control Tower, the Space Coast Regional Air Traffic Control Tower, or the Jacksonville Air Route Traffic Control Center. The pilot radioed Orlando Approach Control and was advised to stand by two times. At 1946:14, the Orlando Approach controller advised the pilot to squawk 0322 and to maintain visual flight rules (VFR) outside of class "B" airspace. The pilot responded at 2046:22, with, "and ah I would like flight following in the storms and I also got diverted and I am now over the shoreline ah right now ah approximately abeam sanford is there any way you can get me in there with a special ifr clearance." Air traffic control communications were transferred to Daytona Beach Approach Control. At 2048:10, the pilot contacted initially contacted Daytona Beach Approach Control and after acknowledgment by the controller, advised that, "...I got diverted in the storms and uh lost my flight following." The controller asked the pilot to ident. At 2049:08, the controller advised the pilot that the flight was radar identified and, "...fly heading of 290 degrees to the sanford airport maintain vfr the altimeter at melbourne is two niner niner seven." At 2049:27, the pilot acknowledged the transmission from the controller by repeating the heading. At 2051:52, the controller advised the pilot that while flying around, he violated restricted area 2932, class "D" airspace at Melbourne, and that he was going to provide a phone number to the pilot to call after he landed. The pilot responded at 2052:06 with, "ah sorry sir I'm in a major storm right now uh can I change altitude." The controller advised the pilot that he could descend to 5,000 feet or did he want to ascend. The pilot then questioned the controller if ascending would be clearer, and the pilot advised the controller that ascending, "...would be better." The controller advised the pilot to maintain VFR to climb as requested and to advise when able to copy the phone number to call. The controller again questioned the pilot if he was able to copy a phone number and the pilot responded at 2053:21 with "negative sir I'm in a major storm right now (unintelligible) just holding things straight." The controller advised the pilot that "alright if you need to you can turn northbound that will take you ah looks like further away from the weather." The pilot acknowledged with "ah roger sir we'll try." At 2054:14, the controller stated, "five six one niner two your over head restricted area twenty nine thirty two it's in use below five thousand feet suggest you fly eastbound if you need to descend anymore." This transmission was not acknowledged by the pilot. Review of the Jacksonville Air Route Traffic Control Center (ARTCC) National Track Analysis Program (NTAP) revealed that between 2051:48, to 2054:00, indicates a nearly 540-degree turn to the left. Two primary radar returns were recorded in the immediate vicinity of the secondary radar returns and both occurred during the approximate 540-degree left turn. The first primary radar return occurred at 2053:13, at 28 degrees 30 minutes 33 seconds North Latitude and 080 degrees 33 minutes 07 seconds West Longitude. The second primary radar return occurred at 2053:37, at 28 degrees 31 minutes 04 seconds North Latitude and 080 degrees 33 minutes 48 seconds West Longitude. The radar data also indicates that from 2053:48, to 2054:00, the altitude decreased from 6,400 to 5,400 feet. The airplane was lost from the Jacksonville ARTCC radar at 2054:00, at 28 degrees 30 minutes 19 seconds North Latitude and 080 degrees 34 minutes 07 seconds West Longitude. Review of the radar data from Orlando Approach Control revealed that from 2049:31, and 2050:49, revealed that the heading changed from 196 degrees to 313 degrees. The last radar return with the discrete transponder code and altitude reported was at 2054:08, when the airplane was at 3,700 feet. Radar data from the Jacksonville Air Route Traffic Control Center and Orlando Approach Control are attachments to this report. According to a controller on duty on the night of the accident at the Shuttle Landing Facility, he observed an aircraft intrude into Restricted airspace R-2932, fly to nearby airports, then re-enter Restricted airspace R-2932. He also noted a thunderstorm just west of the Indian River moving east. He observed that the airplane made a left turn and lost the airplane from radar when the airplane was at 5,400 feet. Another controller notified security and the fire department at Kennedy Space Center about the possible downed airplane. A search for the airplane was performed by the U.S. Coast Guard, the Civil Air Patrol, aircraft from the 301'st Rescue Squadron Air Force Reserve located at Patrick Air Force Base, and a HC-130 type airplane from Moody Air Force Base. Pieces believed to be from the airplane were spotted first about 1330 hours on June 11, 1999, in an open field; the main wreckage was located approximately 40 minutes later. PERSONNEL INFORMATION According to FAA records, the pilot was not instrument rated. Review of his pilot logbook which begin with an entry dated October 7, 1997, to the last logged entry dated May 30, 1999, with no flight time carried forward, revealed he recorded a total of 13.1 hours of simulated instrument instruction. He also logged a 1.4 hour flight as pilot-in-command in actual instrument conditions, a flight that took place on July 3, 1998. The remarks section for that flight indicates "x country/smoke/storms fuel stop pick up *[unreadable]-*[unreadable]." The logbook also indicates that he had logged a total of 11 instrument instructional flights after receiving his private pilot certificate. AIRCRAFT INFORMATION On the day of the accident about 1730 hours, the airplane was flown on a maintenance test flight which lasted approximately 15 minutes; following replacement of the landing gear hydraulic pump. According to the pilot who performed the flight, the landing gear and all other ## Aircraft - Registration: [N56192](https://openairdocs.org/deregistered/N56192-2000-05-24), registration cancelled 2000-05-24, S/N 28R-7335380 (OpenAirDocs) - Reported make and model: Piper PA-28R-200 - Registry model: [Piper PA-28R-200](https://openairdocs.org/model/piper-pa-28r-200) (registry code 7102811) (OpenAirDocs) - Category: Airplane - Serial number: 28R-7335380 - Airframe hours: 2883 - Engines: Lycoming IO-360-C1C 200 horsepower reciprocating - Damage: Destroyed - Flight: Personal, Part 91 - Registered owner: Major Strategies, Inc. - Airworthiness certificate: Standard, Normal - Last inspection: 100 hour, May 4, 1999, 78 hours before - Departed: FXE, FORT LAUDERDALE, FL - Destination: SFB, SANFORD, FL ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 46; private; airplane ratings: single-engine land; medical: class 3, valid medical--w/ waivers/lim; seat: left; toxicology performed; flight hours: 202 total, 56 in this make and model, 151 as pilot in command, 27 in the last 90 days, 12 in the last 30 days ## Weather - Conditions: Instrument (IMC), Night/dark - Wind: 240° at 8 knots - Visibility: 3 statute miles - Lowest ceiling: 4,000 ft overcast - Temperature: 72 °F, dew point 72 °F - Altimeter: 30.00 inHg - Observed at: KTT, 9 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 19990609021759A](https://openairdocs.org/incident/19990609021759A), Jun 9, 1999: Piper PA28R200, Cape Canaveral, FL, Destroyed, 1 fatal. On June 9, 1999, about 2054 eastern daylight time, a Piper PA-28R-200, N56192, registered to major strategies, inc., was lost from radar and radio contact… ## Other investigations on N56192 (1) 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. - [NTSB NYC74FHD35](https://openairdocs.org/ntsb/NYC74FHD35), Apr 29, 1974: Piper PA-28 (N56192), Bridgeport, NJ, substantial damage 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. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.