NYC03LA019

NTSB accident investigation · Mooney M20R · Vineyard Haven, MA · November 13, 2002

Accident · FatalLimited investigationFinal report
Date
November 12, 2002, 19:53 local (Nov 13, 2002, 00:53 UTC)
Place
Vineyard Haven, MA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N2165YMooney M20R
Weather
Instrument (IMC) · Night
Status
Completed · report July 23, 2003
Report
Approved by Office Director
FAA report
20021112033309A
Case key
56041

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

On this page

Probable cause

The pilot's spatial disorientation during a missed approach, which resulted in a loss of control, and the airplane's subsequent impact with water. Factors included clouds, rain, and night lighting conditions.

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.

Loss of control - in flightMissed approach (ifr)
Spatial disorientationPilot in commandCause
Light condition - nightFactor
Aircraft control - not maintainedPilot in command
Weather condition - cloudsFactor
Weather condition - rainFactor
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - water

Analysis

The pilot was performing a VOR Runway 6 approach over water during night instrument meteorological conditions. Radar data revealed that the airplane descended toward the airport, to an altitude of 200 feet, then began a climbing right turn to an altitude of 700 feet, before radar contact was lost. The pilot did not report any problems to air traffic controllers. Several small pieces of debris, which included portions of the airplane's interior and small pieces of sheet metal, were recovered during the days subsequent to the accident. A portion of the cabin forward of the wing spar and aft of the engine washed onto a beach area. The airplane's engine, wings, and empennage were not recovered. A pilot who landed 15 minutes prior to the accident, and also utilized the VOR Runway 6 approach, said he had no problems tracking the VOR, and "broke out" of the clouds at 700 feet, with 2 to 3 miles of visibility in moderate rain. He stated it was "windy, but down the runway." In addition, the pilot reported he felt the weather conditions he experienced while on approach were the same as the accident airplane, except that the rain had intensified. A review of the VOR Runway 6 approach revealed that the minimum decent altitude was 400 feet above the ground. In addition, the missed approach procedure included a climbing right turn to 2,500 feet. A weather observation taken at the airport, about the time of the accident, included: winds from 030 degrees at 15 knots; visibility 2 miles with heavy rain and mist; and a broken ceiling at 600 feet, with a broken cloud layer at 1,100 feet, and an overcast cloud layer at 1,800 feet.

Factual narrative

On November 12, 2002, about 1953 eastern standard time, a Mooney M20R, N2165Y, was destroyed when it crashed into the Atlantic Ocean, about 5 miles south of the Martha's Vineyard Airport (MVY), Vineyard Haven, Massachusetts. The certificated private pilot and a passenger were fatally injured. Instrument meteorological conditions prevailed and an instrument flight rules (IFR) flight plan had been filed for the flight that departed the Theodore Francis Green State Airport (PVD), Providence, Rhode Island. The personal flight was conducted under 14 CFR Part 91.

The pilot purchased the airplane in April 2002, and based it at MVY.

According to a representative of the pilot's family, the pilot was returning from a trip to Florida to visit friends. The day before the accident, the pilot flew to Savannah, Georgia, and on the day of the accident, the pilot flew to PVD. While at PVD, the airplane was refueled with 50 gallons of aviation gasoline. The pilot contacted the Bridgeport Automated Flight Service Station (AFSS) to obtain a standard and updated weather briefing for the flight, and then departed for MVY, about 1925.

According to information received from the Federal Aviation Administration (FAA), the airplane was cleared for the VOR Runway 6 approach at 1947:39. Radar data revealed the airplane descended toward the airport, to an altitude of 200 feet, and then began a climbing right turn to an altitude of 700 feet, before radar contact was lost. The pilot did not report any problems to air traffic controllers.

A pilot reported he landed at MVY about 15 minutes prior to the accident, and utilized the VOR Runway 6 Approach. The pilot said he had no problems tracking the VOR, and "broke out" of the clouds at 700 feet, with 2 to 3 miles of visibility in moderate rain. He stated it was "windy, but down the runway." The pilot said he was taxing out for takeoff when he heard the accident pilot report he was "2 miles out." The accident pilot then asked if someone could confirm that the runway lights were on. The pilot on the ground told the accident pilot that only the runway end lights were illuminated. The accident pilot then activated the runway lights and the pilot on the ground confirmed they were illuminated. The accident pilot thanked him, and the pilot on the ground did not hear any further communication from the airplane. In addition, the pilot reported he felt the weather conditions he experienced while on approach were the same as the accident airplane, except that the rain had intensified.

Several small pieces of debris, which included portions of the airplane's interior and small pieces of sheet metal, were recovered during the days subsequent to the accident. On February 5, 2003, a portion of the cabin forward of the wing spar and aft of the engine washed up onto a beach area. As of June 1, 2003, the airplane's engine, wings, and empennage had not been recovered.

The airplane was manufactured in 1998, and had been operated for about 360 total hours. The airplane had been flown about 115 hours since its most recent annual inspection, which was performed on April 12, 2002.

The pilot held a private pilot certificated for single engine land airplanes and an instrument rating. The pilot's most recent logbook was not located. He reported 425 hours of total flight experience on his most recent application for an FAA third class medical certificate, which was dated December 3, 2001. On his application for an instrument rating dated March 8, 2001, the pilot reported 325 hours of total flight experience, which included 80 hours of instrument flight time. The pilot's instrument rating was issued on March 12, 2001.

Review of a VOR Runway 6 approach plate revealed that the minimum decent altitude was 400 feet above the ground. In addition, the missed approach procedure included a climbing right turn to 2,500 feet.

A weather observation taken at MVY, at 1953, included: winds from 030 degrees at 15 knots; visibility 2 miles with heavy rain and mist; and a broken ceiling at 600 feet, with a broken cloud layer at 1,100 feet, and an overcast cloud layer at 1,800 feet.

Aircraft

Registration
N2165Y
Reported as
Mooney M20R
Category
Airplane
Serial number
29-0174
Airframe hours
245
Engine
Continental IO-550-G, 280 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Richard A. Colson
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 12, 2002 · 115 hours before
Departed
PVD · Providence, RI
Destination
MVY · Vineyard Haven, MA
Flight plan
IFR
Airport
MVY · Marthas Vineyard, runway 6, 5,500 × 100 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
43
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Flight hours
425 total

Weather

Conditions
Instrument (IMC) · Night
Wind
30° at 15 knots
Visibility
2 statute miles
Lowest ceiling
600 ft broken
Temperature
50 °F, dew point 48 °F
Altimeter
29.94 inHg
Observed at
MVY, 5 nm away

Docket · 7

The files NTSB released with the investigation on June 2, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 950 KB in all.

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.