Pilot Debrief

AVID MAGNUM near Beaver Island, MI — 2023-06-23

Final reportCEN23FA257
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Date
2023-06-23
Location
Beaver Island, MI, USA
Aircraft
AVID MAGNUM
Registration
N103DG
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Maneuvering

Probable cause

The pilot’s failure to maintain clearance from the water while maneuvering in low visibility conditions due to smoke and haze.

NTSB narrative

During a local personal sightseeing flight, the pilot was maneuvering the airplane to see a lighthouse on a remote island. Although he reported that he had good visibility and that the water was flat, the airplane inadvertently impacted the surface of the lake. The pilot regained consciousness in the water but had no recollection of the accident. The airplane was submerged in 20 ft of water. A postaccident examination of the airplane revealed that both wings, the floats, and the lower fuselage exhibited significant aft crush damage consistent with a nose low, left-wing low impact with the water. An examination of the engine and airframe revealed no mechanical anomalies that would have precluded normal operations. According to a surface observation about 6 miles southeast of the accident site, visual meteorological conditions prevailed. Satellite imagery for the accident site indicated cloud cover and lower visibility over most of the lake due to wildfire smoke. The first responders reported that about 15 minutes after the accident there was a lack of contrast on the horizon with smoke, haze, and calm seas, with no discernable horizon visible. The pilot of a rescue helicopter that arrived at the accident site about 30 minutes after the accident confirmed that the smoke and haze, combined with no wind and very calm water, made it impossible to determine where the sky and water met. There was no record that the pilot obtained a weather briefing before the flight. Given the condition of the airplane and the visibility conditions at the time of the accident, it is likely that the pilot was not able to discern between the water and the horizon due to the smoke, haze, and the calm waters which resulted in the inadvertent descent into the water.

Analysis

Primary failure mode
Spatial disorientation
First missed decision gate
Pilot did not request a weather briefing before the flight.

NTSB coding

Evidence available

  • Photos
  • 13 docket documents
View NTSB final reportView NTSB docket

Docket documents13

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