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NTSB Report

March 20, 2009 · Piper PA-32-300 · N55962

Corona, CA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
March 20, 2009
Injury Outcomes
2 injuries (2 fatalities)
Location
Corona, CA
Aircraft
Piper PA-32-300
Tail Number
N55962
Injuries
Fatal
Aircraft Damage
Substantial
NTSB Number
WPR09FA158

Before departure, the pilot filed an instrument flight rules flight plan and received a flight release. One witness observed the airplane make a normal takeoff and then lost sight of it due to the low fog. Two other witnesses at the airport reported hearing the airplane maneuvering northwest of the airport, making what they believed were 360-degree turns. Neither of these witnesses observed the airplane due to the low visibility. Recorded radar data indicated that the airplane entered a climbing right turn shortly after takeoff and then made several altitude and heading changes before radar contact was lost. The accident occurred before the pilot established radio contact with air traffic control. The weather observation facility at the airport reported visibility of 3/4 mile and 400-foot overcast skies. The wreckage was located in a basin less than 1 mile northwest of the departure runway and in the vicinity of the last radar target. Impact signatures indicated that the airplane collided with the terrain in a nose down and left-wing-low attitude. Review of the pilot’s flight logbook indicated that he obtained an instrument rating about 2 years prior to the accident. He had accumulated 49 hours of instrument flight time of which 2 hours were in actual instrument meteorological conditions. No instrument proficiency check was recorded within the year before the accident, and no instrument flight time was recorded since about 1 month after the pilot obtained the instrument rating. Postaccident examination of the airplane and engine did not reveal evidence of any mechanical failures or malfunctions that would have precluded normal operation. It is likely that the pilot experienced spatial disorientation shortly after takeoff and lost control of the airplane.

NTSB Probable Cause

The pilot did not maintain airplane control during climb due to spatial disorientation while flying in instrument meteorological conditions. Contributing to the accident was the pilot's lack of recent instrument flying experience.

Full Narrative

HISTORY OF FLIGHT On March 20, 2009, about 0840 Pacific daylight time (PDT), a Piper Cherokee Six, PA-32-300, N55962, impacted terrain during departure from Corona Municipal Airport (AJO), Corona, California. The pilot/owner was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The private pilot and passenger were fatally injured, and the airplane was substantially damaged by impact forces. The cross-country personal flight departed Corona, California, at 0838, with a planned destination of Lake Havasu City, Arizona. Instrument meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan had been filed. A search for the airplane was begun by local fire, police, and search and rescue personnel. The wreckage was located 10 hours later in thick vegetation in the Prado Flood Control Basin. The accident site was located .5 nautical miles (nm) northwest of the departure end of runway 25. The National Transportation Safety Board investigator-in-charge (IIC) reviewed recorded radar data and noted a discrete 4740 beacon code at a mode C reported altitude of 600 feet mean sea level (msl). Recorded radar data indicated that after the target took off, it climbed on a westerly course until reaching a mode C reported altitude of 900 feet msl. The target made a climbing right turn to a recorded altitude of 1,000 feet msl, followed by a descending right turn to a recorded altitude of 700 feet msl. The target then made a climbing right turn to an altitude of 1,300 feet msl, then changing to a left descending turn to an altitude of 700 feet msl. The last return was at 900 feet msl. The main wreckage was located 400 feet west of the last recorded radar target. One witness reported that following a normal takeoff, and after losing sight of the airplane due to the low fog, the witness heard what sounded like the airplane impacting trees. Another witness at the airport reported hearing an airplane, which the witness thought was flying northwest of the airport. The witness stated that he thought the airplane made two 360-degee turns, which were followed by a dull thud sound. The witness stated that he thought the airplane was making 360-degree turns based on the rising and falling pitch, and building and waning intensity of the engine and propeller noise. Both witnesses were unable to see the airplane due to the low visibility at the airport. PERSONNEL INFORMATION A review of Federal Aviation Administration (FAA) airman records revealed that the 50-year-old pilot held a private pilot certificate with ratings for airplane single-engine land and instrument airplane. The pilot held a third-class medical certificate issued on July 16, 2007, which identified a limitation that the pilot must possess corrective glasses for near vision. An examination of the pilot's logbook indicated that the pilot had accumulated a total flight time of about 426 hours, with about 415 hours in the make and model airplane involved in the accident. An instrument rating was obtained on October 31, 2007, with the last instrument flight logged on November 6, 2007. The logbook indicated that the pilot had accumulated about 2 hours of actual instrument time, and about 47 hours of simulated instrument time. No flight time was recorded within the last 90 days prior to the accident, and there is no record of the pilot obtaining an instrument proficiency check within the 12 months prior to the accident. AIRCRAFT INFORMATION The airplane was a Piper PA-32-300, serial number 32-7340147. A review of the airplane’s maintenance records revealed that the airplane had a reported total airframe time of 2,224 hours at the last annual inspection, which was signed off on June 26, 2008. The engine was a Lycoming IO-540-K1A5, serial number L-10955-48. Total time recorded on the engine at the last annual inspection was unknown, and time since major overhaul was 692 hours. METEOROLOGICAL INFORMATION The closest official weather observation station was Corona Municipal Airport (AJO), which was .7 nm southeast of the accident site. The elevation of the weather observation station was 533 feet msl. An aviation special weather report for AJO was issued at 0833 PDT. It stated: winds were calm; visibility 3/4 miles; skies 400 feet overcast; temperature 11 degrees Celsius; dew point 11 degrees Celsius; altimeter 29.93 inches of mercury. COMMUNICATIONS The pilot had filed an instrument flight rules (IFR) flight plan, and received an IFR flight release via telephone from Southern California terminal radar approach control (TRACON). The accident occurred prior to the pilot establishing radio contact with TRACON after departure. AIRPORT INFORMATION Corona Municipal Airport is a publicly owned, uncontrolled airport on lease to the City of Corona. The Airport/ Facility Directory, Southwest U. S., indicated that Corona Municipal Airport runway 25 was 3,200 feet long and 60 feet wide. The runway surface was asphalt. The published takeoff minimums/departure procedures for Corona Municipal Airport (AJO) is: TAKE-OFF MINIMUMS: Runway 25, 600 feet and 2 miles or standard with a minimum climb rate of 280' per nm to 1,200 feet. DEPARTURE PROCEDURE: Runway 25, climbing right turn. All aircraft continue climb direct to PDZ VORTAC. Aircraft departing PDZ R-091 CW R-140 and R-231 CW R-280 climb on course. All others continue climb in PDZ VORTAC holding pattern (Hold NE, right turns, 210° inbound) to cross PDZ VORTAC at or above: R-141 CW R-230 4000, R-281 CW R-090 6700. WRECKAGE AND IMPACT INFORMATION The airplane impacted a flood control basin within the Prado Dam wetlands in Corona. The site was in an area of dense vegetation and 30-foot-high bamboo-like plants. Investigators examined the wreckage at the accident scene. Impact signatures indicated that the airplane impacted the ground in a left wing low, nose down attitude. The right wing then followed, impacting the ground leading edge down. The right wing fuel tip tank and associated fiberglass material separated from the wing and came to rest about 30 feet outboard of the wing. The fuselage came to rest on a heading of 179 degrees. The empennage section was bent over aft of the baggage compartment to the left side of airplane near the left wing. The tail section came to rest on the tip of the left horizontal surface. The engine was buried vertically in the main ground crater underneath the main wreckage. MEDICAL AND PATHOLOGICAL INFORMATION The Riverside County Coroner completed an autopsy, and reported the cause of death to be “multiple blunt force injuries” within an interval of seconds. The FAA Civil Aerospace Medical Institute (CAMI), Oklahoma City, Oklahoma, performed toxicological testing of specimens of the pilot. Analysis of the specimens contained no findings for carbon monoxide, cyanide, volatiles, and tested drugs. TESTS AND RESEARCH Investigators examined the wreckage at Aircraft Recovery Service, Littlerock, California, on March 23, 2009. The directional gyro (DG) assembly was disassembled for examination. No rotational signatures were observed on either the rotor or housing assemblies. The artificial horizon (AH) gyro was disassembled for examination. Minor rotational signatures were observed on the rotor and housing assemblies. Water was present inside the housing assembly. The rear-mounted vacuum pump was secure at the mounting pad. The pump was removed, examined, and photographed. The drive was intact. The rotor/vane assembly was intact and undamaged. The cover o-ring was protruding from the cover. The airframe and engine were examined with no mechanical anomalies identified.

Flight

Event TypeAccident
Event Time08:40 PDT
Nearest AirportCorona Municipal Airport (0nm)
Runway25
Runway Length3200 ft
Runway Width60 ft
Flight Plan FiledIFR
Flight Plan ActivatedNo
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftPiper PA-32-300
Tail NumberN55962
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 91
Engines1
Engine TypeReciprocating
Engine DetailsLycoming · TSI0-54O SER · Reciprocating · 310
Seats6

People & Injuries

Injury Summary2 injuries (2 fatalities)
Fatal2
Serious0
Minor0
Uninjured0
Total2
Crew 1Age 50 · Third Class · Fatal

Conditions

ConditionsIMC
LightDaylight
WindCalm
Visibility1 sm
CeilingOvercast 400 ft
Temperature / Dew Point52 / 52
Altimeter29.93 inHg
Observation Time15:46
Weather SourceWFAC

Appendix: Source Data