Pilot Debrief

Piper PA32R near Rensselaer, IN — 2020-03-11

Final reportCEN20LA118
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Date
2020-03-11
Location
Rensselaer, IN, USA
Airport
RZL
Aircraft
Piper PA32R
Registration
N599ST
Category
Airplane
Highest injury
Serious
Fatalities
0
Phase of flight
Approach

Probable cause

The non-instrument rated pilot’s failure to establish a climb while initiating a missed approach after conducting an instrument approach below weather minimums.

NTSB narrative

The non-instrument rated pilot planned a cross-country flight in instrument meteorological conditions. The pilot obtained weather information and filed an instrument flight rules (IFR) flight plan through his on-line weather/flight planning account the day of the accident. Air traffic control data indicated that the flight and initial portion of the instrument approach proceeded normally. Position data revealed that the airplane proceeded inbound and descended as expected along the assigned approach course. The airplane passed the runway approach threshold at an altitude of about 300 ft above ground level (agl) and entered a gradual left turn; however, the established descent continued. The final data point depicted the airplane about 0.14 mile east of the runway, about 100 ft agl. The pilot’s memory of the instrument approach was vague due to his injuries; however, he stated that he was unable to see the runway and decided to execute a missed approach. At some point, he either made a “bad input” into the autopilot or the autopilot commanded a slight turn or descent. The accident site was located immediately southeast of the final position data point. A postimpact fire destroyed much of the airplane. A postaccident examination did not identify any preimpact abnormities that would have contributed to the accident. The instrument approach procedure allowed for descent as low as 250 ft above the runway elevation and required 1-3/8 to 1 mile flight visibility to land depending on the capabilities of the airplane. Just before the accident the automated weather reporting station recorded calm winds, one-half mile visibility in fog, and an overcast ceiling at 200 ft above ground level. The pilot held a private pilot certificate with a single-engine land airplane rating; however, he did not have an instrument rating. The accident was consistent with the non-instrument rated pilot’s loss of control during a go-around attempt after conducting an instrument approach in weather conditions that were below minimums.

Analysis

Primary failure mode
Controlled flight into terrain
First missed decision gate
Pilot could have aborted the approach earlier due to low visibility conditions.

NTSB coding

Evidence available

  • ATC audio
  • ADS-B / radar
  • Photos
  • 13 docket documents
View NTSB final reportView NTSB docket

Docket documents13

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