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Aviation safety reports, made easier to study

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NTSB Report

February 12, 1989 · Piper PA-24-260 · N9240P

Julian, CA

Overview

Report Status
Probable Cause
Event Type
Accident
Date
February 12, 1989
Injury Outcomes
3 injuries (3 fatalities)
Location
Julian, CA
Aircraft
Piper PA-24-260
Tail Number
N9240P
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
LAX89FA106

The non-instrument rated pilot first filed an IFR flight plan before obtaining a weather briefing. Light to moderate rime icing was forecast from 5,000 to 16,000 ft. At 1541 the ARTCC controller noticed the Mode C altitude report was 1,300 ft lower than the assigned altitude of 10,000 ft, and descending. The pilot responded to the controller's inquiry that 'I cannot maintain altitude'. At 1543 radio and radar contact was lost. An airline flight reported picking up moderate rime ice while flying in the area of the accident site. A ground witness reported that at the time of the accident a thunderstorm was overhead, accompanied by lightning, thunder, hail, and moderate snow and rain showers. The witness also heard a loud 'winding up engine sound followed by a large bang'. The last pitot static system test and calibration was recorded on 7/8/86. The pilot had received about 44 hrs dual instrument training during the first 6 months of 1986.

NTSB Probable Cause

THE PILOT'S POOR JUDGEMENT OF INTENTIONALLY FLYING INTO AN AREA OF KNOWN FORECAST ICING CONDITIONS WHICH RESULTED IN A LOSS OF CONTROL AND AN INFLIGHT BREAKUP OF THE AIRCRAFT. CONTRIBUTING FACTORS WERE THE PILOT'S OVERCONFIDENCE IN HIS PERSONAL ABILITY BY ATTEMPTING FLIGHT INTO INSTRUMENT METEOROLOGICAL CONDITIONS, AND THE ADVERSE WEATHER CONDITIONS.

Full Narrative

THE NON-INSTRUMENT RATED PILOT FIRST FILED AN IFR FLIGHT PLAN BEFORE OBTAINING A WEATHER BRIEFING. LIGHT TO MODERATE RIME ICING WAS FORECAST FROM 5,000 TO 16,000 FT. AT 1541 THE ARTCC CONTROLLER NOTICED THE MODE C ALTITUDE REPORT WAS 1,300 FT LOWER THAN THE ASSIGNED ALTITUDE OF 10,000 FT, AND DESCENDING. THE PILOT RESPONDED TO THE CONTROLLER'S INQUIRY THAT 'I CANNOT MAINTAIN ALTITUDE'. AT 1543 RADIO AND RADAR CONTACT WAS LOST. AN AIRLINE FLIGHT REPORTED PICKING UP MODERATE RIME ICE WHILE FLYING IN THE AREA OF THE ACCIDENT SITE. A GROUND WITNESS REPORTED THAT AT THE TIME OF THE ACCIDENT A THUNDERSTORM WAS OVERHEAD, ACCOMPANIED BY LIGHTNING, THUNDER, HAIL, AND MODERATE SNOW AND RAIN SHOWERS. THE WITNESS ALSO HEARD A LOUD 'WINDING UP ENGINE SOUND FOLLOWED BY A LARGE BANG'. THE LAST PITOT STATIC SYSTEM TEST AND CALIBRATION WAS RECORDED ON 7/8/86. THE PILOT HAD RECEIVED ABOUT 44 HRS DUAL INSTRUMENT TRAINING DURING THE FIRST 6 MONTHS OF 1986.

Flight

Event TypeAccident
Event Time15:43 PST
Nearest Airport0nm N
Runway0
Runway Length0
Runway Width0
Flight Plan FiledIFR
Aircraft FireGrd
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-24-260
Tail NumberN9240P
Aircraft CategoryAir
DamageDestroyed
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · IO-540-D4A5 · Reciprocating · 260
Seats4

People & Injuries

Injury Summary3 injuries (3 fatalities)
Fatal3
Serious0
Minor0
Uninjured0
Total3
Crew 1Age 35 · Third Class

Conditions

ConditionsIMC
LightDaylight
Wind290° @ 8 kt
Visibility15 sm
CeilingBroken clouds 6000 ft
Temperature / Dew Point57 / 34 C
Altimeter29.00 inHg
Observation Time23:59
Weather SourceWFAC

Appendix: Source Data