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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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NTSB Report

August 13, 1992 · Piper PA-28R-180 · N44AE

Bradford, NY

Overview

Report Status
Probable Cause
Event Type
Accident
Date
August 13, 1992
Injury Outcomes
3 injuries (3 fatalities)
Location
Bradford, NY
Aircraft
Piper PA-28R-180
Tail Number
N44AE
Operator
Automated Environments
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
NYC92FA161

The pilot and passengers were returning to Ithaca, NY, after a business trip to Indiana. The pilot had departed under VFR conditions but received an IFR clearance en route due to deteriorating weather conditions near his destination. He was at 5,000 feet and being vectored to the final approach course for the VOR approach to RWY 14, when he reported that he 'just lost the gyros.' Radio and radar contact were lost shortly thereafter. The wreckage was found 4 days later in a wooded area. Examination of the engine driven vacuum pump revealed it was capable of normal operation. The examination of the artificial horizon revealed that due to 'dirt packed in the filter' and evidence that the gyro was 'poorly maintained,' it was the opinion of the quality control inspector for Mid Continent Instrument Company that the 'this unit was not reliable enough to fly with.' The pilot's personal flight time logbook was not recovered, thus, instrument proficiency could not be determined.

NTSB Probable Cause

A MECHANICAL MALFUNCTION OF THE ARTIFICIAL HORIZON IN IMC THAT RESULTED IN SPATIAL DISORIENTATION OF THE PILOT AND HIS INABILITY TO MAINTAIN AIRPLANE ORIENTATION. A FACTOR IN THE ACCIDENT WAS THE IMPROPER MAINTENANCE OF THE ARTIFICIAL HORIZON.

Full Narrative

THE PILOT AND PASSENGERS WERE RETURNING TO ITHACA, NY., AFTER A BUSINESS TRIP TO INDIANA. THE PILOT HAD DEPARTED UNDER VFR CONDITIONS BUT RECEIVED AN IFR CLEARANCE EN ROUTE DUE TO DETERIORATING WEATHER CONDITIONS NEAR HIS DESTINATION. HE WAS AT 5,000 FEET AND BEING VECTORED TO THE FINAL APPROACH COURSE FOR THE VOR APPROACH TO RWY 14, WHEN HE REPORTED THAT HE 'JUST LOST THE GYROS.' RADIO AND RADAR CONTACT WERE LOST SHORTLY THEREAFTER. THE WRECKAGE WAS FOUND 4 DAYS LATER IN A WOODED AREA. EXAMINATION OF THE ENGINE DRIVEN VACUUM PUMP REVEALED IT WAS CAPABLE OF NORMAL OPERATION. THE EXAMINATION OF THE ARTIFICIAL HORIZON REVEALED THAT DUE TO 'DIRT PACKED IN THE FILTER' AND EVIDENCE THAT THE GYRO WAS 'POORLY MAINTAINED,' IT WAS THE OPINION OF THE QUALITY CONTROL INSPECTOR FOR MID CONTINENT INSTRUMENT COMPANY THAT THE 'THIS UNIT WAS NOT RELIABLE ENOUGH TO FLY WITH.' THE PILOT'S PERSONAL FLIGHT TIME LOGBOOK WAS NOT RECOVERED, THUS, INSTRUMENT PROFICIENCY COULD NOT BE DETERMINED.

Flight

Event TypeAccident
Event Time16:57 EDT
Nearest Airport0nm N
Runway0
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-28R-180
Tail NumberN44AE
Aircraft CategoryAir
DamageDestroyed
OperatorAutomated Environments
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · IO-360-B1E · Reciprocating · 180
Seats4

People & Injuries

Injury Summary3 injuries (3 fatalities)
Fatal3
Serious0
Minor0
Uninjured0
Total3
Crew 1Age 44 · Third Class

Conditions

ConditionsIMC
LightDaylight
Wind60° @ 7 kt
Visibility6 sm
CeilingBroken clouds 800 ft
Temperature / Dew Point61 F / 57
Altimeter30.00 inHg
Observation Time20:51
Weather SourceWFAC

Appendix: Source Data