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Cases › ERA11FA218 · Part 135 fatal

CESSNA 310RMILLER AVIATION LLC

Pikeville, KY, USA · 2011-03-30·N1914G

2
fatal
0
serious
Fatal
highest injury
Substantial
damage

What happened

NTSB summary, verbatim

The pilot requested and was cleared for a non-precision instrument approach to the mountaintop airport that was obscured by clouds and fog; a precision approach to the same airport was also available. Review of the radar data revealed that the last two data points were aligned with the runway but below the published minimum descent altitude. Witnesses at a worksite 200 to 300 feet below the airport elevation heard the airplane approach and then saw it appear from beneath the clouds directly on top of, and parallel to, a ridgeline approximately in line with the final approach course. The witnesses heard and saw the airplane hit small branches in the treetops of some trees and then strike a large tree before disappearing from view. They each said that the sound of the airplane’s engines was smooth and continuous until contact with the trees. They stated that the fog was heavy and that the clouds were on top of the trees. The first identifiable tree strikes were 1,100 feet right of the runway centerline and about 100 feet below the airport elevation. The local director of public safety who responded to the airport immediately after the accident estimated that visibility was less than 30 feet due to fog. A postaccident examination of the wreckage revealed no preimpact mechanical anomalies. Toxicological testing of the pilot revealed use of nighttime cold medication at doses above therapeutic levels; such levels may have posed a hazard to flight safety.

Photographs

1the aircraft, and what the investigators found
Wreckage and site documentation · 1 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 flight below the published minimum descent altitude in instrument meteorological conditions, which resulted in a collision with trees and the ground. Contributing to the accident was the pilot's use of nighttime cold medication at doses above therapeutic levels that may have resulted in impairment and posed a hazard to flight safety.

Occurrence sequence

1 stepsNTSB coding · CICTT taxonomy
  1. 1 · Approach-IFR final approach
    Controlled flight into terr/obj (CFIT)
    defining event

Findings

4 causal · 3 contributing
  • CAUSE
    Personnel issues › Action/decision › Action › Incorrect action selection — Pilot
  • CAUSE
    Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Altitude — Not attained/maintained
  • CAUSE
    Personnel issues › Physical › Impairment/incapacitation › OTC medication — Pilot
  • CAUSE
    Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Descent/approach/glide path — Not attained/maintained
  • FACTOR
    Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low ceiling — Effect on operation
  • FACTOR
    Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low visibility — Effect on operation
  • FACTOR
    Environmental issues › Physical environment › Object/animal/substance › Tree(s) — Contributed to outcome

NTSB analysis

from the final report

The pilot requested and was cleared for a non-precision instrument approach to the mountaintop airport that was obscured by clouds and fog; a precision approach to the same airport was also available. Review of the radar data revealed that the last two data points were aligned with the runway but below the published minimum descent altitude. Witnesses at a worksite 200 to 300 feet below the airport elevation heard the airplane approach and then saw it appear from beneath the clouds directly on top of, and parallel to, a ridgeline approximately in line with the final approach course. The witnesses heard and saw the airplane hit small branches in the treetops of some trees and then strike a large tree before disappearing from view. They each said that the sound of the airplane’s engines was smooth and continuous until contact with the trees. They stated that the fog was heavy and that the clouds were on top of the trees. The first identifiable tree strikes were 1,100 feet right of the runway centerline and about 100 feet below the airport elevation. The local director of public safety who responded to the airport immediately after the accident estimated that visibility was less than 30 feet due to fog. A postaccident examination of the wreckage revealed no preimpact mechanical anomalies. Toxicological testing of the pilot revealed use of nighttime cold medication at doses above therapeutic levels; such levels may have posed a hazard to flight safety.