Pilot Debrief

PIPER PA34 near Bennington, VT — 2018-05-20

Final reportERA18FA148
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Date
2018-05-20
Location
Bennington, VT, USA
Aircraft
PIPER PA34
Registration
N1101X
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Maneuvering

Probable cause

The pilot's improper decision to attempt a visual flight rules flight in instrument meteorological conditions, which resulted in a loss of control during a turn.

NTSB narrative

After receiving commercial and flight instructor certificates with a designated pilot examiner (DPE), the instrument-rated commercial pilot planned to fly back to his home airport the following day. The DPE reviewed weather with the pilot and advised him to delay the flight 2 days due to poor weather; however, the following day, the pilot attempted the visual flight rules flight in instrument meteorological conditions with mountain obscuration. Before departing on the flight, the pilot received three weather briefings and all three contained information regarding instrument flight rules conditions with mountain obscuration. The pilot was receiving flight following services from air traffic control, while proceeding southeast, in clouds, below the minimum vectoring altitude, near mountainous terrain. The controller suggested a westbound turn for lower terrain and continued radar coverage. The airplane briefly turned to a westbound heading, then turned back to a southeast heading. About 4 miles later, the controller again advised the pilot that, if he continued on the present heading, radar coverage would be lost. The pilot asked again what heading he should fly and the controller responded westbound, to which the pilot responded, "westbound heading 270." Radar and radio contact were lost during the second westbound turn. The last radar target indicated an altitude of 3,500 ft msl and groundspeed of 218 knots about 1,000 ft from the accident site, which was located at an elevation about 2,625 ft msl. Examination of the accident site revealed a 60-ft debris path on a 265° course through trees, consistent with a 45° nose-down attitude at impact. Examination of the wreckage did not reveal any preimpact mechanical malfunctions. The pilot had entered clouds and was trying to fly clear of clouds. The conditions were conducive to the development of spatial disorientation; however, the extent to which spatial disorientation played a role could not be determined as the descent could have also been the result of an uncoordinated turn or distraction.

Analysis

Primary failure mode
Human factors
First missed decision gate
Pilot should have delayed return flight due to weather conditions.

NTSB coding

Evidence available

  • ADS-B / radar
  • Photos
  • 7 docket documents
View NTSB final reportView NTSB docket

Docket documents7

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