FlarePath
Cases › ANC12FA083 · Part 135 fatal

PIPER PA-32-301AIR EXCURSIONS LLC

Hoonah, AK, USA · 2012-08-02·N8200M

1
fatal
0
serious
Fatal
highest injury
Destroyed
damage

What happened

NTSB summary, verbatim

The operator reported that during the flight, which traversed areas of remote inland fjords, coastal waterways, and steep, mountainous, tree-covered terrain, contact with the airplane was lost. A search located the airplane's fragmented wreckage in a densely wooded area along the airplane's route. A postaccident examination of the airframe and engine did not reveal evidence of any preimpact malfunction or failure that would have precluded normal operation. Visual meteorological conditions prevailed at the point of departure, with areas of marginal visual conditions and mountain obscuration in areas along the anticipated route of flight. The airplane was equipped with Automatic Dependent Surveillance-Broadcast (ADS-B) avionics package. A review of archived track data showed that, after crossing the north end of an island, the airplane began a shallow descent while approaching a peninsula with rising mountainous terrain ahead. No unusual or extreme deviations of altitude, speed, or course heading were recorded by ADS-B. Given the reported weather conditions, the lack of mechanical deficiencies that would have precluded normal operation, and the lack of maneuvering by the pilot, it is likely the pilot flew into marginal visual meteorological conditions and subsequently collided with mountainous tree-covered terrain.

Photographs

4the aircraft, and what the investigators found
Wreckage and site documentation · 4 photographs from the docket

Photographs are NTSB docket attachments — works of the US government, in the public domain. Captions are the Board’s own.

Probable cause

the Board's determination
The pilot's failure to maintain clearance from trees and terrain while in cruise flight in marginal visual meteorological conditions.

Occurrence sequence

1 stepsNTSB coding · CICTT taxonomy
  1. 1 · Enroute-descent
    Controlled flight into terr/obj (CFIT)
    defining event

Findings

3 causal · 1 contributing
  • CAUSE
    Personnel issues › Task performance › Use of equip/info — Pilot
  • CAUSE
    Personnel issues › Action/decision › Info processing/decision › Decision making/judgment — Pilot
  • CAUSE
    Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Altitude — Not attained/maintained
  • FACTOR
    Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low ceiling — Contributed to outcome

NTSB analysis

from the final report

The operator reported that during the flight, which traversed areas of remote inland fjords, coastal waterways, and steep, mountainous, tree-covered terrain, contact with the airplane was lost. A search located the airplane's fragmented wreckage in a densely wooded area along the airplane's route. A postaccident examination of the airframe and engine did not reveal evidence of any preimpact malfunction or failure that would have precluded normal operation. Visual meteorological conditions prevailed at the point of departure, with areas of marginal visual conditions and mountain obscuration in areas along the anticipated route of flight. The airplane was equipped with Automatic Dependent Surveillance-Broadcast (ADS-B) avionics package. A review of archived track data showed that, after crossing the north end of an island, the airplane began a shallow descent while approaching a peninsula with rising mountainous terrain ahead. No unusual or extreme deviations of altitude, speed, or course heading were recorded by ADS-B. Given the reported weather conditions, the lack of mechanical deficiencies that would have precluded normal operation, and the lack of maneuvering by the pilot, it is likely the pilot flew into marginal visual meteorological conditions and subsequently collided with mountainous tree-covered terrain.