Pilot Debrief

CESSNA 172 near New Orleans, LA — 2016-08-28

Final reportCEN16LA338
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Date
2016-08-28
Location
New Orleans, LA, USA
Airport
KNEW
Aircraft
CESSNA 172
Registration
N984RA
Category
Airplane
Highest injury
Fatal
Fatalities
2
Phase of flight
Approach

Probable cause

The pilot's improper decision to continue a descent during a night visual approach a for landing which resulted in controlled flight into terrain. Contributing to the accident was the reduced visibility and pilot's disregard of the PAPI indications that the airplane's approach path was excessively low.

Contributing factors

Contributing to the accident was the reduced visibility and pilot's disregard of the PAPI indications that the airplane's approach path was excessively low.

NTSB narrative

Shortly after sunset, the pilot with two passengers departed on a local sightseeing flight of the city. The flight flew around the city, then proceeded back to the airport after civil twilight. The final portion of the flight and the landing approach were conducted over a lake. A review of radar's last return revealed the airplane about 0.6 miles from the airport at an altitude of 100 ft agl. The surviving passenger reported everything appeared normal during the flight, and as they neared the airport, it started to rain, and visibility was poor. The pilot pointed out 4 four red lights ahead of the airplane and stated to the passengers that was the airport. The passenger added that she could see out the side window and the airplane was about 4-6 ft above the surface of the lake. Shortly thereafter, the airplane impacted the lake. Postaccident examination of the airplane did not reveal any anomalies that would have precluded normal operation. A review of weather information noted the presence of thunderstorm activity and isolated rain showers in the area at the time of the accident. The pilot's toxicology report was positive for ethanol and clomipramine. Due to a delay in the recovery, it is likely that most, if not all, of the ethanol was from postmortem production. Clomipramine is a tricyclic antidepressant used to treat symptoms of obsessive-compulsive disorder. Clomipramine is not considered impairing. Additionally, the pilot's actions and communication with the passengers also indicate that the pilot did not experience a seizure or incapacitation, so a reaction to his medication was not likely. With reduced visibility due to rain and night conditions, it is unlikely the pilot could see the water. The four red lights, consistent with the runway's precision approach path indicator (PAPI) that the pilot pointed out to the passengers, reflected the airplane's low approach path. The accident is consistent with the pilot continuing the descent, while already below a normal approach path to the airport, which resulted in the controlled flight into terrain.

Analysis

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

NTSB coding

Evidence available

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

Docket documents8

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