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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

April 21, 1991 · Piper PA-28-181 · N8019N

Carpenteria, CA

Overview

Report Status
Probable Cause
Event Type
Accident
Date
April 21, 1991
Injury Outcomes
4 injuries (4 fatalities)
Location
Carpenteria, CA
Aircraft
Piper PA-28-181
Tail Number
N8019N
Operator
West Wind Aviation
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
LAX91FA181

The pilot took off in VMC conditions from an airport that is on the coast. The surrounding mountains a few miles inland had been obscured by clouds and low ceilings for several hours. About 15 minutes after takeoff, the pilot contacted an approach control facility to request visual flight rules flight following. About one minute after that first contact, the pilot started giving indications that he was having problems with the weather and with finding his exact position. Within about 3 1/2 minutes after the initial contact with the controller, the pilot said that he couldn't see 'anything'. That was his last known radio transmission. His transponder squawk code disappeared from the controller's radar screen at about the same time as the last known transmission. The controller asked the pilot several times if he was VMC or VFR. The pilot responded affirmatively every time. The aircraft collided with a mountain at about the 3,300 feet level.

NTSB Probable Cause

1) INADEQUATE WEATHER EVALUATION BY THE PILOT, 2) POOR INFLIGHT DECISION TO TRY AND CONTINUE VMC FLIGHT, AND 3) THE PILOT'S LACK OF TOTAL EXPERIENCE.

Full Narrative

THE PILOT TOOK OFF IN VMC CONDITIONS FROM AN AIRPORT THAT IS ON THE COAST. THE SURROUNDING MOUNTAINS A FEW MILES INLAND HAD BEEN OBSCURED BY CLOUDS AND LOW CEILINGS FOR SEVERAL HOURS. ABOUT 15 MINUTES AFTER TAKEOFF, THE PILOT CONTACTED AN APPROACH CONTROL FACILITY TO REQUEST VISUAL FLIGHT RULES FLIGHT FOLLOWING. ABOUT ONE MINUTE AFTER THAT FIRST CONTACT, THE PILOT STARTED GIVING INDICATIONS THAT HE WAS HAVING PROBLEMS WITH THE WEATHER AND WITH FINDING HIS EXACT POSITION. WITHIN ABOUT 3 1/2 MINUTES AFTER THE INITIAL CONTACT WITH THE CONTROLLER, THE PILOT SAID THAT HE COULDN'T SEE 'ANYTHING'. THAT WAS HIS LAST KNOWN RADIO TRANSMISSION. HIS TRANSPONDER SQUAWK CODE DISAPPEARED FROM THE CONTROLLER'S RADAR SCREEN AT ABOUT THE SAME TIME AS THE LAST KNOWN TRANSMISSION. THE CONTROLLER ASKED THE PILOT SEVERAL TIMES IF HE WAS VMC OR VFR. THE PILOT RESPONDED AFFIRMATIVELY EVERY TIME. THE AIRCRAFT COLLIDED WITH A MOUNTAIN AT ABOUT THE 3,300 FEET LEVEL.

Flight

Event TypeAccident
Event Time20:53 PDT
Nearest Airport0nm N
Runway0
Flight Plan FiledNone
Aircraft FireGrd
Aircraft ExplosionGrd

Aircraft

AircraftPiper PA-28-181
Tail NumberN8019N
Aircraft CategoryAir
DamageDestroyed
OperatorWest Wind Aviation
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · O-360-A4M · Reciprocating · 180
Seats4

People & Injuries

Injury Summary4 injuries (4 fatalities)
Fatal4
Serious0
Minor0
Uninjured0
Total4
Crew 1Age 20 · First Class

Conditions

ConditionsIMC
LightDark Night
WindCalm
Visibility5 sm
CeilingBroken clouds 1300 ft
Temperature / Dew Point0 C / 0 C
Altimeter0
Observation Time04:59
Weather SourceWFAC

Appendix: Source Data