Pilot Debrief

CESSNA 340A near Hayward, CA — 2023-10-02

Final reportWPR24LA003
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Date
2023-10-02
Location
Hayward, CA, USA
Airport
KHWD
Aircraft
CESSNA 340A
Registration
N121CB
Category
Airplane
Highest injury
None
Fatalities
0
Phase of flight
Preflight

Probable cause

The pilot’s sudden incapacitation from effects of a previously undiagnosed underlying heart disease, which resulted in his loss of control of the airplane and subsequent impact with terrain.

NTSB narrative

The pilot had just removed the airplane from his hangar and started both engines. While setting up the avionics, the pilot was suddenly incapacitated, and the airplane began to move across a taxiway. The passenger attempted to wake the pilot, but the airplane continued across a taxiway intersection and into the runway safety area before it collided with a swale. The nose landing gear collapsed and both wings sustained substantial damage. Postaccident medical examination of the pilot attributed the loss of consciousness to an episode of abnormal heartbeat due to a previously undiagnosed underlying heart disease. Thus, the pilot’s sudden incapacitation from effects of previously undiagnosed heart disease likely caused the accident. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot should have completed cardiac stress test before flying.

NTSB coding

Evidence available

  • Video
  • Photos
  • 7 docket documents
View NTSB final reportView NTSB docket

Docket documents7

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