PIPER PA-28RT-201 near Lutz, FL — 2013-02-24

Probable cause

The noninstrument-rated pilot’s decision to attempt a visual flight rules flight in instrument meteorological conditions, which resulted in spatial disorientation and a loss of aircraft control. Contributing to the accident was the pilot’s lack of instrument experience.

Contributing factors

Contributing to the accident was the pilot's lack of instrument experience.

NTSB narrative

The pilot had recently purchased the airplane, and did not possess an instrument rating. Additionally, there was no record of the pilot obtaining a weather briefing from flight service or direct user access terminal before departing on a long cross-country flight; the ceiling at the departure airport ranged from 400 feet to 600 feet overcast. The wreckage was located the following day about 3 miles from the departure airport. Radar data revealed that the airplane flew for about 2 minutes after takeoff, with varying headings and altitudes, before beginning a left descending turn near the accident site. The majority of wreckage had been consumed by a postcrash fire and examination of the wreckage did not reveal any preimpact mechanical malfunctions. Given the low-visibility conditions, the pilot's lack of an instrument rating and instrument proficiency, and the radar data showing varying altitudes and headings shortly after takeoff, it is likely that the pilot experienced spatial disorientation and a subsequent loss of control. Toxicological testing of the pilot revealed therapeutic levels of a prescription pain medication (Hydrocodone). The investigation could not determine if the pain medication was impairing at the time. Further, the circumstances of the accident are more consistent with spatial disorientation rather than impairment.

Analysis

Primary failure mode

VFR into IMC

First missed decision gate

Pilot did not obtain a weather briefing before takeoff in IMC conditions.

NTSB coding

• VFR encounter with IMC · Initial climb
• Decision Making / Judgment
• Experience / Qualifications
• Impairment / Incapacitation
• Planning / Preparation
• Spatial Disorientation

Evidence available

• ADS-B / radar
• Photos
• 13 docket documents

Docket documents13

• Release of Aircraft Wreckage, NTSB Form 6120.15form
• Interview Summaryinterview
• Statement of Party Representatives to NTSB Investigationinterview
• Excerpts From Maintenance Recordsother
• Photo 1- Main Wreckagephotos
• Photo 2 – Enginephotos
• Photo 3 – Propeller Bladephotos
• Photo 4 – Main Wreckage Recoveredphotos
• Radar Plotradar
• Medical Factual Reportreport
• Toxicological Reportreport
• Weather Reportsreport
• Wreckage Plotswreckage

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