WPR23LA236

NTSB accident investigation · Piper PA-46-310P · Springfield, KY · March 24, 2023

Accident · No injuriesClass 4 · LimitedFinal report
Date
March 24, 2023, 13:32 local (17:32 UTC)
Place
Springfield, KY
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N146MSPiper PA-46-310P
Defining event
Enroute-cruise: Loss of control in flight
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Western Pacific Region
Parties
FAA
FAA report
20230324003219A
Case key
192427

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 activate the pitot heat in a timely manner during flight into icing conditions, which resulted in a temporary failure of the flight instruments and a subsequent loss of control.

Findings · 2

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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotPiper PA-46-310P: 2 casesAll aircraft: 1,391 casesProbable cause
Ice/rain protection system: pitot/static anti-iceAircraft › Aircraft systems · Incorrect use/operationPiper PA-46-310P: 1 caseAll aircraft: 4 casesProbable cause

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 light rain and trace clear air icing were forecast along his intended route of flight, and he encountered those conditions during climb out. As the airplane was climbing through 14,000 ft mean sea level (msl) in instrument meteorological conditions, he noticed the airspeed had decreased 10-15 knots. He checked the wings for ice and did not notice any accumulation but activated the pitot heat at that time as a precaution. After the pitot heat was activated the Primary Flight Display (PFD) and Multi-Function Display (MFD) displayed a red X and went black. Subsequently, the autopilot commanded the airplane to descend. The pilot reported that he was unable to read his standby instruments due to the violent shaking of the airplane during the descent. As the airplane emerged into VMC conditions, the airplane was in an unusual attitude. He disconnected the autopilot and was able to recover the airplane to a level attitude. At this time, the PFD and MFD operation returned. An air traffic controller reported to the pilot that he had lost about 5,000 ft in altitude and airspeed had increased over 200 kts. The pilot responded that his avionics were working again, and that the aircraft was operating normally. He continued with the flight and landed without further incident. Substantial damage was discovered to both wings following the flight. The airplane’s “Before Takeoff checklist” calls for the pitot heat to be activated for flight into icing conditions when visible moisture below +5° C, is anticipated or encountered. A Federal Aviation Administration inspector examined the airplane after the event and verified the pitot heat was operational. The circumstances of the accident are consistent with the pilot failing to activate the pitot heat in a timely manner, which allowed ice to accumulate on the pitot static system. The PFD, MFD, and autopilot subsequently malfunctioned and the pilot lost control of the airplane.

Aircraft

Registration
N146MS
Reported as
Piper PA-46-310P
Category
Airplane
Serial number
46-8408032
Built
1984
Engine
Continental TIO-520, 310 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Registered owner
Magnolia Partners Aviation LLC
Airworthiness certificate
Standard, Normal
Departed
IOB · Mount Sterling, KY
Destination
ADP · Arkadelphia, AR
Flight plan
IFR
Equipment
Electronic multifunction display, Auto-pilot, ADS-B, Stall warning system, Satellite tracking device, Onboard weather, Handheld GPS, Electronic primary flight display

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
65
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
May 23, 2023
Seat
Left
Restraint
3-point
Flight hours
8,700 total · 112 in this make and model · 4,000 as pilot in command · 114 in the last 90 days · 49 in the last 30 days · 3.7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
20° at 7 knots
Visibility
10 statute miles
Temperature
81 °F, dew point 52 °F
Altimeter
30.10 inHg
Observed at
KLEX, 28 nm away
METAR
METAR KLEX 241654Z 02007KT 10SM FEW080 27/11 A3010 RMK AO2 SLP185 T02670111

Docket · 4

The files NTSB released with the investigation on December 21, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.3 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.