# NTSB NYC07FA065: Socata TBM 700, N944CA, Dartmouth, MA, February 3, 2007

- Type: NTSB accident investigation
- Classification: Accident · Fatal · Field investigation · Final report
- Date: February 2, 2007, 19:40 local (Feb 3, 2007, 00:40 UTC)
- Place: Dartmouth, MA
- Coordinates: 41.56052, -71.000289 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=41.5605&lon=-71.0003&mi=10
- Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping)
- Highest injury: Fatal
- Injuries: 3 fatal
- Status: Completed, report December 20, 2007
- Report: Approved by Office Director
- Parties: EADS Socata, Massachusetts Aeronautics Commision, FAA/FSDO, Pratt & Whitney
- NTSB case key (mKey): 65234
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=NYC07FA065
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/65234/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=65234
- Page: https://openairdocs.org/ntsb/NYC07FA065

## Probable cause

Both pilots' failure to maintain aircraft control during a missed approach.

## Sequence of events

In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf).

- Loss of control - in flight, missed approach (ifr)
  - aircraft control - not maintained, pilot in command (cause)
  - aircraft control - not maintained, copilot/second pilot (cause)
- In flight collision with terrain/water, descent - uncontrolled
  - terrain condition - ground

## Analysis

During the flight, the private pilot/operator was most likely seated in the left seat.  He obtained his instrument rating about 7 months prior to the accident, and had accumulated approximately 300 hours of flight experience; of which, about 80 hours were in the accident airplane.  The commercial pilot/company pilot was most likely seated in the right seat.  He had accumulated approximately 1,000 hours of flight experience; of which, about 125 hours were actual instrument experience, and 80 hours were in the accident airplane.  The commercial pilot had filed a flight plan to the wrong airport, received a weather briefing for the wrong airport, and therefore was not aware of the NOTAM in effect for an out of service approach lighting system at the destination  airport.  When the commercial pilot realized his error, he changed the flight plan, but did not request another weather briefing.  According to radar information, the airplane flew the instrument landing system runway 5 approach fast, performed a steep missed approach to 1,000 feet, and then disappeared from radar, consistent with a loss of control during the missed approach.  No preimpact mechanical malfunctions were identified with the airplane during the investigation.  The reported weather at the accident airport included an overcast ceiling at 200 feet, visibility 1 mile in light rain and mist, and wind from 160 degrees at 4 knots. The investigation could not determine which pilot was flying the airplane at the time of the accident.

## Factual narrative

This report was modified on December 11, 2007.

HISTORY OF FLIGHT

On February 2, 2007, about 1940 eastern standard time, a Socata TBM 700, N944CA, was destroyed when it impacted terrain in Dartmouth, Massachusetts, during a missed approach to New Bedford Regional Airport (EWB), New Bedford, Massachusetts.  The certificated commercial pilot, certificated private pilot, and a passenger were fatally injured.  Night instrument meteorological conditions prevailed for the flight that departed General Edward Lawrence Logan International Airport (BOS), Boston, Massachusetts, about 1917.  An instrument flight rules (IFR) flight plan was filed for the business flight conducted under 14 CFR Part 91.

The airplane was based at Lehigh Valley International Airport (ABE), Allentown, Pennsylvania.  The private pilot operated the airplane through his legal practice, and was visiting Massachusetts to meet colleagues.  The commercial pilot was employed as a company pilot for the legal practice.

According to data from Lockheed Martin Corporation, the commercial pilot contacted the Williamsport Automated Flight Service Station (AFSS) about 0925 on the day of the accident.  He filed an IFR flight plan for a trip from ABE to BOS, with a proposed departure time of 1300.  The flight service specialist accepted the flight plan, and provided a standard weather briefing for the flight, which included Notices to Airmen (NOTAM).  The airplane subsequently flew uneventfully from ABE to BOS.

The commercial pilot contacted the Williamsport AFSS again about 1600.  He filed two IFR flight plans.  The first flight plan was from BOS to "Bedford B-E-D," (erroneously, not New Bedford) with a proposed departure time of 1700.  The second IFR flight plan was from Lawrence G. Hanscom Airport (BED), Bedford, Massachusetts, to ABE, with a proposed departure time of 2000.  The commercial pilot requested a weather briefing for the flight from BOS to BED, and was provided a standard weather briefing, which included NOTAMs for BOS and BED.

The commercial pilot contacted the Williamsport AFSS a third time, about 1710, and advised that he needed to make changes to two IFR flight plans.  First, he asked that the destination of his first flight plan be changed from "Bedford" to "New Bedford."  The commercial pilot then asked if the flight service specialist knew the three-letter-identifier for New Bedford as the commercial pilot was not near a map or computer at the time.  The flight service specialist then provided the correct "EWB" identifier for New Bedford.  The commercial pilot also changed the departure time from 1700 to 1730.

For the second flight plan, the commercial pilot changed the departure point from BED to EWB, for the return flight to ABE.  The flight service specialist then stated that he would change the flight plans.  The commercial pilot thanked the specialist and ended the telephone call.  The commercial pilot did not request a weather briefing for the flight to EWB.

While at BOS, the airplane was fueled, and then departed for EWB.  According to radar and voice data provided by the Federal Aviation Administration (FAA), the flight proceeded toward the instrument landing system (ILS) approach for runway 5 at EWB.

At 1935, the flight intercepted the localizer course, about 3 miles prior to the NEFOR intersection.  At that time the airplane's radar target indicated an altitude of 1,900 feet and a groundspeed of 180 knots.  The flight was handed off from Providence Approach Control to New Bedford Tower, and subsequently cleared to land.

At 1936, the flight crossed NEFOR.  At that time, the airplane's radar target indicated an altitude of 1,400 feet and a groundspeed of 200 knots.  The EWB tower controller advised the flight that two preceding aircraft landed about 10 to 15 minutes prior, and "broke out" about 300 feet, which was acknowledged.

At 1937, the flight was approximately 1 mile from the runway 5 threshold at EWB.  At that time, the airplane's radar target indicated an altitude of 300 feet and a groundspeed of 160 knots.

About 15 seconds later, the airplane's radar target indicated a left climbing turn to 1,000 feet, at a ground speed of 140 knots.  The radar target was subsequently lost.  During that time, one of the pilots reported a missed approach to EWB tower.  No further transmissions were received from the accident airplane after the radar target was lost.  The investigation could not determine which pilot was flying the airplane at the time of the accident.

The accident occurred during the hours of night; located about 41 degrees, 40.06 minutes north latitude, and 70 degrees, 58.57 minutes west longitude.

PERSONNEL INFORMATION

The commercial pilot, age 23, held a commercial pilot certificate, with ratings for airplane single engine land, airplane multiengine land, and instrument airplane.  He also held a flight instructor certificate, with ratings for airplane single engine land and instrument airplane.  The commercial pilot reported 1,700 hours of total flight experience on the application for his most recent FAA first class medical certificate, issued January 8, 2007.

The commercial pilot completed formal training for the make and model accident airplane in July 2006, at SIMCOM, Pan Am International Flight Academy.

The commercial pilot's logbook was recovered; however, the last entry was dated September 29, 2006.  There was no record of all of his flight time between the last entry and the day of the accident.  According to the logbook, as of the last entry, the commercial pilot had accumulated a total flight experience of approximately 1,037 hours; of which, about 113 hours were in multiengine airplanes, and 924 hours in single engine airplanes.  The commercial pilot also recorded about 125 hours in actual instrument meteorological conditions, 91 hours in night conditions, and 65 hours in the accident airplane.

The private pilot, age 53, held a private pilot certificate, with a rating for airplane single engine land.  He obtained his private pilot certificate in November 2005.  The private pilot also obtained an instrument rating on July 24, 2006, and reported 300 hours of total flight experience on his most recent FAA third class medical certificate, issued on December 14, 2006.  The private pilot's logbook was not recovered.  According to a witness who spoke to the private pilot about 1 week prior to the accident, the private pilot reported 80 hours of flight experience in the accident airplane.

There was no record that the private pilot completed a formal training course for the make and model accident airplane.

According to a flight instructor that had flown with both pilots, during the month prior to the accident, the private pilot flew from the left seat, with the commercial pilot in the right seat.  The flight instructor described the commercial pilot as a fantastic instrument pilot.

The flight instructor added that the private pilot flew during a 6-year period, about 10 years prior to the accident.  He did not have a pilot license at the time, but flew about 600 to 700 hours as a student pilot receiving instruction, primarily in multiengine airplanes.  The private pilot subsequently misplaced his logbook containing a record of that flight time.  The private pilot did not count that time when applying for his private pilot or medical certificates.  The flight instructor estimated that the private pilot had accumulated about 400 to 450 hours of flight experience since the lapse in flying.  The flight instructor described the private pilot as a low experience instrument pilot, who occasionally became distracted or fixated on one instrument.

AIRCRAFT INFORMATION

The airplane was manufactured in 2001.  The airplane's most recent annual inspection was completed on July 7, 2006.  At that time, the airplane had accumulated 478.8 total hours of operation.

The airplane was equipped with an en

## Aircraft

- Registration: [N944CA](https://openairdocs.org/deregistered/N944CA-2017-07-07), registration cancelled 2017-07-07, S/N 206, built 2001 (OpenAirDocs)
- Reported make and model: SOCATA TBM 700
- Registry model: [Socata TBM 700](https://openairdocs.org/model/socata-tbm-700) (registry code 8682000) (OpenAirDocs)
- Registry engine: [Pratt & Whitney PT6A series](https://openairdocs.org/engine/pratt-whitney-pt6a-series) (registry code 52032, turbo-prop) (OpenAirDocs)
- Category: Airplane
- Serial number: 206
- Airframe hours: 479
- Engines: Pratt & Whitney PT6A-64 700 horsepower turbo prop
- Damage: Destroyed
- Flight: Executive/Corporate, Part 91
- Operator: Peter J Karoly
- Registered owner: PK Leasing Llc.
- Airworthiness certificate: Standard, Normal
- Last inspection: Annual, July 1, 2006, 168 hours before
- Departed: BOS, Boston, MA
- Destination: EWB, New Bedford, MA
- Flight plan: IFR
- Airport: EWB, New Bedford Regional Airport, runway 05, 4,997 × 150 ft, asphalt

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 23; injuries: fatal; flight instructor, commercial; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 1, with waivers/limitations; last flight review July 1, 2006; seat: right; toxicology performed; flight hours: 1,037 total, 65 in this make and model
- Other flight crew; age 53; injuries: fatal; private; airplane ratings: single-engine land; instrument ratings: airplane; medical: class 3, without waivers/limitations; seat: left; toxicology performed; flight hours: 300 total

## Weather

- Conditions: Instrument (IMC), Night
- Wind: 160° at 4 knots
- Visibility: 1 statute miles
- Lowest ceiling: 200 ft overcast
- Temperature: 34 °F, dew point 34 °F
- Altimeter: 29.57 inHg
- Observed at: EWB, 1 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 20070202001079A](https://openairdocs.org/incident/20070202001079A), Feb 2, 2007: Socata TBM700, New Bedford, MA, Destroyed, 3 fatal. (-23) On February 2, 2007, about 1938 eastern standard time (EST), a Socata TBM-700, N944CA, declared a missed approach and subsequently crashed while…

## Docket (30 files)

The files NTSB released with the investigation on October 25, 2007, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=65234. 26.8 MB in all.

- ATC 3 - N944CA PVD Radar Study (item 1, .PDF, 1.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40274709&FileExtension=.PDF&FileName=ATC%203%20-%20N944CA%20PVD%20Radar%20Study-Master.PDF
- ATC 3 - N944CA ILS Profile View (item 2, .PDF, 461 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40274710&FileExtension=.PDF&FileName=ATC%203%20-%20N944CA%20ILS%20Profile%20View-Master.PDF
- ATC 3 - N944CA ILS Trail View (item 3, .PDF, 540 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40274711&FileExtension=.PDF&FileName=ATC%203%20-%20N944CA%20ILS%20Trail%20View-Master.PDF
- ATC 3 - N944CA ILS Plan View (item 4, .PDF, 2.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40274712&FileExtension=.PDF&FileName=ATC%203%20-%20N944CA%20ILS%20Plan%20View-Master.PDF
- ATC 3 - PVD TRACON Radar Data File (item 5, .EXE, 7.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40274713&FileExtension=.exe&FileName=ATC%203%20-%20PVD%20TRACON%20Radar%20Data%20File-Master.exe
- ATC 3 - N944CA ILS 5 Plan View (item 6, .PDF, 3.8 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40274719&FileExtension=.PDF&FileName=ATC%203%20-%20N944CA%20ILS%205%20Plan%20View-Master.PDF
- GPS 17 - GPS Study (item 7, .PDF, 479 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40284161&FileExtension=.PDF&FileName=GPS%2017%20-%20GPS%20Study-Master.PDF
- Commercial Pilot's First Conversation With Flight Service (item 8, .PDF, 10 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282656&FileExtension=.PDF&FileName=Commercial%20Pilot%27s%20First%20Conversation%20With%20Flight%20Service-Master.PDF
- Commercial Pilot's Second Conversation With Flight Service (item 9, .PDF, 10 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282657&FileExtension=.PDF&FileName=Commercial%20Pilot%27s%20Second%20Conversation%20With%20Flight%20Service-Master.PDF
- Commercial Pilot's Third Conversation With Flight Service (item 10, .PDF, 10 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282658&FileExtension=.PDF&FileName=Commercial%20Pilot%27s%20Third%20Conversation%20With%20Flight%20Service-Master.PDF
- Recorded Communications Between N944CA and PVD Approach (item 11, .PDF, 9 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282659&FileExtension=.PDF&FileName=Recorded%20Communications%20Between%20N944CA%20and%20PVD%20Approach-Master.PDF
- Recorded Communications Between N944CA and EWB Tower (item 12, .PDF, 9 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40283314&FileExtension=.PDF&FileName=Recorded%20Communications%20Between%20N944CA%20and%20EWB%20Tower-Master.PDF
- Transcript of Recored Communications Between N944CA and EWB Tower (item 13, .PDF, 74 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40283316&FileExtension=.PDF&FileName=Transcript%20of%20Recored%20Communications%20Between%20N944CA%20and%20EWB%20Tower-Redacted.PDF
- Interview Summaries (item 14, .PDF, 16 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40283317&FileExtension=.PDF&FileName=Interview%20Summaries-Master.PDF
- Witness Statement (item 15, .PDF, 39 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282641&FileExtension=.PDF&FileName=Witness%20Statement-Redacted.PDF
- Company Pilot's Logbook (item 16, .PDF, 7.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282642&FileExtension=.PDF&FileName=Company%20Pilot%27s%20Logbook-Redacted.PDF
- Excerpts From Maintenance Records (item 17, .PDF, 538 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282643&FileExtension=.PDF&FileName=Excerpts%20From%20Maintenance%20Records-Redacted.PDF
- Excerpts from Socata TBM 700 Pilot Information Manual (item 18, .PDF, 738 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40283321&FileExtension=.PDF&FileName=Excerpts%20from%20Socata%20TBM%20700%20Pilot%20Information%20Manual-Master.PDF
- Engine Data (item 19, .PDF, 26 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282644&FileExtension=.PDF&FileName=Engine%20Data-Master.PDF
- Copies of Flight Plans (item 20, .PDF, 82 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282645&FileExtension=.PDF&FileName=Copies%20of%20Flight%20Plans-Redacted.PDF
- Copy of NOTAM (item 21, .PDF, 249 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282646&FileExtension=.PDF&FileName=Copy%20of%20NOTAM-Master.PDF
- Flight Inspection Report (item 22, .PDF, 213 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282647&FileExtension=.PDF&FileName=Flight%20Inspection%20Report-Master.PDF
- Fueling Record (item 23, .PDF, 65 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282648&FileExtension=.PDF&FileName=Fueling%20Record-Redacted.PDF
- Weather Report (item 24, .PDF, 78 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282649&FileExtension=.PDF&FileName=Weather%20Report-Master.PDF
- Toxicological Reports (item 25, .PDF, 110 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282650&FileExtension=.PDF&FileName=Toxicological%20Reports-Redacted.PDF
- Statement of Party Representatives to NTSB Investigation (item 26, .PDF, 74 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282651&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF
- Release of Aircraft Wreckage, NTSB Form 6120.15 (item 27, .PDF, 49 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282652&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-Redacted.PDF
- Photo 1 - Main Wreckage (item 28, .PDF, 477 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282653&FileExtension=.PDF&FileName=Photo%201%20-%20Main%20Wreckage-Master.PDF
- Photo 2 - Propeller (item 29, .PDF, 472 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282654&FileExtension=.PDF&FileName=Photo%202%20-%20Propeller-Master.PDF
- Photo 3 - Engine (item 30, .PDF, 419 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40282655&FileExtension=.PDF&FileName=Photo%203%20-%20Engine-Master.PDF

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.

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