NYC06FA156

NTSB accident investigation · Piper PA-28R-200 · Philipsburg, PA · June 26, 2006

Accident · FatalField investigationFinal report
Date
June 26, 2006, 03:02 local (07:02 UTC)
Place
Philipsburg, PA
Injuries
1 fatal, 3 serious
Damage
Destroyed
Phase of flight
Approach
Aircraft
N56246Piper PA-28R-200
Weather
Instrument (IMC) · Night/dark
Status
Completed · report July 25, 2007
Report
Approved by Office Director
Parties
Lycoming Engines, New Piper, FAA/FSDO
FAA report
20060626022599A
Case key
63976

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 failure to comply with the published instrument approach procedure, which resulted in controlled flight into trees. Factors in the accident were the low cloud ceiling, and dark night 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.

In flight collision with objectApproach - faf/outer marker to threshold (ifr)
Light condition - dark nightFactor
Ifr procedure - not complied withPilot in commandCause
Weather condition - low ceilingFactor
Object - tree(s)

Analysis

The airplane was cleared for the full instrument landing system (ILS) runway 16 approach. After crossing the locator outer marker (LOM), the airplane turned outbound, executed a course reversal, and then proceeded inbound in the general direction of the LOM, but never became established during the procedure turn. The airplane passed abeam the LOM about 1/2 mile to the northeast, and then conducted one "S" turn in about a mile, crossing over the final approach course twice before radar contact was lost. The last recorded target was at an altitude of 2,700 feet, and located about 1/2 mile west of the approach end of the runway. The airplane impacted trees about 228 feet below the decision altitude of 2,325 feet, and came to rest in a wooded area on a heading of 160 degrees. Examination of the wreckage revealed the NAV 1 radio was tuned to the localizer frequency, but the automatic direction finder was not tuned to the LOM. In addition, no preimpact failures or malfunctions were identified with either the airframe or engine. The pilot had approximately 625 total hours of flight experience, of which 45 hours were under simulated instrument conditions, and 107 hours were under actual instrument conditions. At the time of the accident, the airplane had been aloft approximately 4 hours 19 minutes, had about 41 minutes of fuel remaining, and it was unlikely the pilot would have been able to reach his filed alternate airport approximately 100 nautical miles away. The pilot was advised, 1 hour before the flight, of decreasing ceilings to 400 feet with 2 miles. Interpolation of weather data revealed that the weather at the arrival airport was about 200 feet overcast with 2.5 miles of visibility in light rain.

Factual narrative

History of flight

On June 26, 2006, at 0302 eastern daylight time, a Piper PA-28R-200, N56246, was destroyed when it impacted trees and terrain during an instrument approach to Mid-State Airport (PSB), Philipsburg, Pennsylvania. The certificated commercial pilot was fatally injured. The pilot-rated passenger in the right front seat and two passengers were seriously injured. The flight originated at Springfield Robertson County Airport (M91), Springfield, Tennessee, on June 25, 2006, at 2243 eastern daylight time. Instrument meteorological conditions (IMC) prevailed and an instrument flight rules (IFR) flight plan was filed for the personal flight conducted under 14 CFR Part 91.

At 2146, the pilot obtained a weather briefing from the Louisville Automated Flight Service Station. The forecast was for IMC conditions in the vicinity of the destination airport, and the pilot discussed the ceilings, visibility, and winds at length with the briefer. The briefer advised the pilot of decreasing ceilings to 400 feet overcast with 2 miles of visibility with light rain and mist. The pilot also obtained NOTAMS, and filed an IFR flight plan with Pittsburgh International Airport (PIT) as his alternate destination. The pilot filed an en route time of 4 hours at a cruising speed of 130 knots, and stated he had 5 hours of fuel endurance. The briefing was concluded at 2205.

The instrument landing system (ILS) runway 16 approach at Mid-State Airport had an inbound course of 165 degrees. The minimum altitude outside the final approach fix, PORTS locator outer marker (LOM) was 4,000 feet. The PORTS LOM was 6 miles from the airport. The decision altitude for the approach was 2,325 feet which corresponded to 377 feet above the landing threshold.

A review of voice communication data provided by the Federal Aviation Administration (FAA) revealed that the airplane was cleared directly to PORTS LOM, and then for the ILS runway 16 approach. After a brief discussion with the controller, the pilot clarified that he would perform the "full approach," rather than receive radar vectors to the final approach course. The pilot was issued a frequency change by the controller, radar services were terminated, and no further transmissions were received from the airplane.

Radar data from the FAA was plotted to scale over the ILS runway 16 instrument approach procedure. A target identified as the accident airplane approached the airport from the south, and descended toward the PORTS LOM on an approximate track of 040 degrees. The airplane crossed PORTS LOM, and flew northwest along the eastern edge of the 345-degree outbound localizer course. About 3.5 miles northwest of PORTS LOM, the airplane performed a course reversal over the localizer course, instead of on the western side, as depicted by the procedure turn barb. After course reversal, the airplane flew inbound approximately parallel to the 165-degree final approach course, about 1/2 mile east of the course.

The airplane continued approximately parallel to the inbound course, passed abeam PORTS LOM, and did not intercept the localizer course until it was 1/4 mile inside the final approach fix. Over the next mile, an "S" turn was completed, and then the airplane flew away from the localizer course on an approximate track of 200 degrees. The airplane then tracked south, and paralleled the localizer course until the radar target was lost about 1/2 mile west of the approach end of the runway, at 2,700 feet. The airport elevation was 1,948 feet.

In a telephone interview, the pilot-rated passenger said that he worked at the departure airport, and was well acquainted with the pilot who invited him along for the flight. He said he had taken instrument flight training, but was not an instrument-rated pilot. The passenger said that the pilot arrived at the airport in the afternoon, and spent the day giving flight instruction in the local area. About 2200, they departed with the two other passengers on the cross-country flight. Prior to departure, the pilot mentioned that they might encounter "some weather" along the way.

The airplane reached the Pittsburgh, Pennsylvania, area in clear weather, but the observation at Philipsburg was "500 to 600 foot ceiling," so the passenger suggested that they land at Pittsburgh. The pilot said, "We really need to get these guys to Phillipsburg," and elected to continue the flight.

About 20 minutes from Philipsburg, the airplane encountered instrument meteorological conditions and "heavy rain." When asked about the pilot's demeanor, the passenger said, "He looked a little nervous, he was a little nervous about the approach. He mentioned [his nervousness] too."

The passenger said that when the airplane entered the procedure turn he noticed ground lights, but then "nothing after that." He said that he then felt some turbulence, "like a micro-burst" during the approach. When asked about the conduct of the approach, the passenger said that the airplane appeared to be on course and on glide path until "we hit the turbulence and everything."

When asked about the fuel state at that point, he said, "The fuel state wasn't the best. We had about 30 minutes left in the procedure turn, and I'm not sure that 30 minutes would have helped us. Pittsburgh was our alternate, and I'm not sure that 30 minutes would have gotten us back there."

According to National Aeronautical Charting Office publications, the distance from Mid-State Airport to Pittsburgh International Airport was about 100 nautical miles.

According to the Pilot's Operating Manual, the airplane's fuel capacity was 48 gallons. Fuel consumption rates were listed at 10.15 gallons-per-hour (GPH) at 75 percent power, 9.16 GPH at 65 percent power, and 8.0 gallons per hour at 55 percent power.

When asked about the performance and handling of the airplane, the passenger stated that it was "good" and performed "normally" throughout the flight.

The accident occurred during the hours of darkness approximately 40 degrees, 53 minutes north latitude, and 78 degrees, 06 minutes west longitude.

Personnel information

According to FAA records, the pilot held a commercial pilot certificate with a rating for airplane single engine land, multi-engine land, and instrument airplane. He additionally held a flight instructor certificate with a rating for airplane single engine, and a ground instructor certificate with a rating for advanced ground instructor. The pilot's most recent second-class medical certificate was issued January 24, 2006. He reported 535 total hours of flight experience on that date.

Examination of the pilot's logbook revealed that he had logged 625 total hours of flight experience, 614 hours of which were in single engine airplanes. He logged 152 total hours of instrument flight experience, 107 hours of which were in actual instrument meteorological conditions. The pilot logged 80 total hours of night flying experience.

Aircraft information

Examination of aircraft records revealed that the airplane was a 1973 model, and had accumulated approximately 5,400 total hours of operation. The airplane's most recent annual inspection was completed April 1, 2006, at 5,396.7 aircraft hours.

Meteorological information

At 0243, the weather reported at State College Airport (SCE), State College, Pennsylvania, 11 miles east of Mid-State Airport at 1,239 feet elevation, included broken clouds at 900 feet, an overcast ceiling at 1,400 feet, and 2.5 miles of visibility in light rain. The winds were calm.

According to FAA records, the pilot did not obtain any weather updates after the initial briefing, and he advised the air traffic controller that he had the weather information at PSB before the approach was initiated.

Aids to navigation

On June 28, 2006 the FAA performed a flight check inspection of the ILS or LOC RWY 16 approach at Mid-State Airport, Philipsburg, P

Aircraft

Registration
N56246
Reported as
Piper PA-28R-200
Category
Airplane
Serial number
28R 73-35390
Airframe hours
5,400
Engine
Lycoming IO-360, 200 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Fayez Abdel
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 2006 · 4 hours before
Departed
M91 · Springfield, TN
Destination
PSB · Philipsburg, PA
Flight plan
IFR
Airport
PSB · Mid-State, runway 16, 5,711 × 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
21
Injuries
Fatal
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Without waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
626 total · 585 as pilot in command · 43 in the last 90 days · 32 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
Calm
Visibility
2.5 statute miles
Lowest ceiling
900 ft broken
Temperature
66 °F, dew point 64 °F
Altimeter
30.01 inHg
Observed at
SCE, 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.