Pilot Debrief

DOMBROSKI FRANK VANS RV-10 near Lake Placid, NY — 2013-02-21

Final reportERA13CA142
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Date
2013-02-21
Location
Lake Placid, NY, USA
Airport
LKP
Aircraft
DOMBROSKI FRANK VANS RV-10
Registration
N10FD
Category
Airplane
Highest injury
Minor
Fatalities
0
Phase of flight
Approach

Probable cause

The pilot's improper in-flight planning and decision making, which resulted in attempted visual flight in night instrument meteorological conditions and subsequent impact with terrain.

NTSB narrative

The pilot received weather information and filed an instrument flight rules (IFR) flight plan before departure. As the pilot approached his destination, which was surrounded by high terrain, the scattered cloud layer below him became broken and light conditions were dimming as the sun set. After seeing a break in the clouds and being uncomfortable with what he observed, the pilot requested the GPS-A approach then maneuvered to intercept the inbound course at the initial approach fix (IAF). Before reaching the IAF, he saw a clear visual path to his destination. At the same time, the air traffic controller was awaiting cancellation from a landing aircraft and advised that the pilot should expect an instruction to hold. The pilot advised that visual meteorological conditions existed and that he would continue visually. He then turned, descended, and crossed the final approach course inside of the final approach fix. The controller then received the cancellation he had been waiting for and cleared the pilot for the GPS-A approach. The pilot acknowledged and continued his descent. The controller then asked the pilot to cancel his IFR clearance with him or on the ground. The pilot replied with his intention to fly a visual flight rules (VFR) approach and canceled the IFR clearance. The pilot had the town in sight and estimated there was a 2,000-foot ceiling. Light conditions were significantly darker below the cloud layer. He switched to the Unicom frequency and keyed the microphone five times to activate the runway lights but did not see them. He tried twice more, and the lights still did not activate. As the pilot considered whether to climb or circle the airport and try the lights again, he maintained his last heading, which he believed would keep him over lower terrain. However, the airplane drifted right of course. The pilot had decided to climb when a passenger then observed trees. The pilot pulled up to avoid them, but the airplane struck trees and terrain, sustaining substantial damage to the fuselage, wings, and empennage. Radar data revealed that the pilot had never become established on the approach, at no point was in position to land, and was never closer than 1 mile northeast of the airport before flying into rising terrain. No anomalies with airport lighting were discovered. Examination of the GPS-A approach procedure revealed that it was not authorized for use at night. Weather data recorded near the time of the accident indicate visibility below VFR minimums at 2.5 miles in light snow and mist and a 1,400-foot overcast ceiling, which was also below the published minimum descent altitude.

Analysis

Primary failure mode
Controlled flight into terrain
First missed decision gate
Pilot should have aborted the approach when visibility was below VFR minimums.

NTSB coding

Evidence available

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

Docket documents9

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