- Date
- February 6, 2019, 15:30 local (23:30 UTC)
- Place
- Aurora, OR
- Injuries
- 2 serious
- Damage
- Substantial damage
- Phase of flight
- Approach
- Aircraft
- N997MAPiper PA46
- Defining event
- Approach-VFR pattern final: Aerodynamic stall/spin
- Weather
- Visual (VMC) · Day
- Status
- Completed
- Report
- Approved by Office Director
- Investigation class
- Class 3
- NTSB office
- Western Pacific Region
- Parties
- Federal Aviation Administration
- FAA report
- 20190206009959A
- Case key
- 99003
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 exceedance of the airplane’s critical angle of attack while maneuvering for landing during a simulated power-off approach and landing, which resulted in an aerodynamic stall and loss of control and the flight instructor’s failure to adequately monitor the pilot.
Findings · 5
NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.
Sequence of events
The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.
Analysis
The pilot reported that the purpose of the instructional flight was to practice commercial pilot maneuvers. He and the instructor returned to the airport at the conclusion of the flight and discussed how to conduct a power-off 180° approach and landing. When the airplane was abeam the 1,000-foot markings on the runway, the pilot reduced engine power to idle and started a left turn toward the runway. He stated that he realized the airplane was “probably not going to make the runway” and that the airplane was “not on final course.” He recalled the airplane turning sharply to the left as he pulled up on the control yoke and added right rudder. The pilot did not report any mechanical malfunctions or anomalies with the airplane. A video of the event showed the airplane in a left turn as it descended toward the runway. The airplane’s left bank decreased to a wings-level attitude before the airplane entered a steeper left bank, followed immediately by a right bank as the airplane descended into the ground short of the runway. Both the pilot's description and the video are consistent with the pilot exceeding the airplane’s critical angle of attack while maneuvering toward the runway, resulting in an aerodynamic stall, loss of control, and impact with terrain.
Factual narrative
On February 6, 2019, about 1530 Pacific standard time, a Piper PA 46-350P, N997MA, was substantially damaged when it was involved in an accident near Aurora, Oregon. The private pilot and flight instructor were seriously injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 instructional flight. The pilot reported that the purpose of the flight was to practice commercial pilot maneuvers. After practicing slow flight, chandelles, lazy eights, and eights on pylons, they returned to the airport and discussed how to conduct a practice a power-off 180° landing as they entered the traffic pattern. When the airplane was abeam the 1,000-foot runway markings, the pilot reduced the power to idle and started a left turn toward the runway. He stated that he realized that the airplane was “probably not going to make the runway” and that the airplane was “not on final course.” He recalled the airplane turning sharply to the left as he was pulled up on the control yoke and added right rudder. He could not recall whether he applied power. The pilot did not report any mechanical malfunctions or anomalies with the airplane. A video of the event showed the airplane in a left turn as it descended toward the runway. The airplane’s left bank decreased to a wings-level attitude before the airplane entered a steeper left bank, followed immediately by a right bank as the airplane descended into the ground short of the runway. The airplane’s right wing and fuselage sustained substantial damage.
Aircraft
- Registration
- N997MA
- Reported as
- Piper PA46 (350P)
- Category
- Airplane
- Serial number
- 4636126
- Built
- 1997
- Airframe hours
- 2,670
- Engine
- Lycoming TIO-540 SER, 310 horsepower, reciprocating
- Damage
- Substantial damage
- Flight
- Personal · Part 91
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · December 1, 2018
- Departed
- UAO · Aurora, OR
- Destination
- UAO · Aurora, OR
- Airport
- UAO · Aurora State Airport, runway 35, 5,003 × 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 · 2
As NTSB recorded them. NTSB leaves out names.
- Role
- Pilot
- Age
- 64
- Injuries
- Serious
- Certificate
- Private
- Airplane ratings
- Single-engine sea, Multi-engine land, Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 3, Without waivers/limitations
- Last flight review
- July 1, 2017
- Seat
- Left
- Restraint
- 3-point
- Flight hours
- 970 total · 23 in this make and model · 865 as pilot in command · 23 in the last 90 days · 6 in the last 30 days · 0 in the last 24 hours
- Role
- Flight instructor
- Age
- 70
- Injuries
- Serious
- Certificates
- Flight instructor, Commercial
- Airplane ratings
- Single-engine land, Single-engine sea
- Instrument ratings
- Airplane
- Medical
- Class 2, With waivers/limitations
- Seat
- Right
- Restraint
- 3-point
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- Calm
- Visibility
- 10 statute miles
- Lowest ceiling
- 2,900 ft broken
- Temperature
- 37 °F, dew point 27 °F
- Altimeter
- 30.32 inHg
- Observed at
- UAO
Docket · 2
The files NTSB released with the investigation on November 10, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.1 MB 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.