N1148V

Destroyed
Fatal

Mooney M20KS/N: 25-0725

Accident Details

Date
Wednesday, March 17, 2004
NTSB Number
LAX04FA162
Location
Los Angeles, CA
Event ID
20040330X00399
Coordinates
34.014999, -118.437500
Aircraft Damage
Destroyed
Highest Injury
Fatal
Fatalities
2
Serious Injuries
0
Minor Injuries
0
Uninjured
0
Total Aboard
2

Probable Cause and Findings

The pilot's loss of airplane control while maneuvering due to spatial disorientation. Contributing factors were the low ceiling, reduced visibility (fog), and the pilot's lack of instrument flying currency. An additional factor was the failure of air traffic control personnel to follow established Federal Aviation Administration directives to disseminate updated weather information.

Aircraft Information

Registration
N1148V
Make
MOONEY
Serial Number
25-0725
Engine Type
Reciprocating
Year Built
1982
Model / ICAO
M20KM20T
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
KILPATRICK HARRY
Address
2225 SISKIYOU BLVD
Status
Deregistered
City
ASHLAND
State / Zip Code
OR 97520
Country
United States

Analysis

HISTORY OF FLIGHT

On March 16, 2004, about 1703 Pacific standard time, a Mooney M20K, N1148V, descended into a single family residence about 0.5 nautical miles south-southeast (122 degrees, magnetic) of the Santa Monica Municipal Airport (SMO), in Los Angeles, California. Impact forces and fire destroyed the airplane and a portion of the private residence. The two private pilots in the airplane were fatally injured. The male pilot in the left front seat held an instrument rating. The female passenger in the right front seat was not instrument-rated. Neither the sole occupant in the residence nor anyone else on the ground was injured. The male pilot was the registered co-owner of the airplane. Instrument meteorological conditions prevailed, and an instrument flight plan was in effect at the time of the accident. The personal flight was performed under the provisions of 14 CFR Part 91, and it originated from the Mammoth Yosemite (uncontrolled) Airport, near Mammoth Lakes, California, at an undetermined time before 1538.

A friend of the pilot reported to the National Transportation Safety Board investigator that he believed the purpose of the accident flight was to return home following a brief vacation in the Mammoth area where the accident pilot and his wife (the passenger-pilot) had been skiing.

According to the Federal Aviation Administration (FAA), after takeoff the male pilot contacted the Oakland, California, Air Route Traffic Control Center (ARTCC) at 1538. The pilot requested an instrument flight rules (IFR) clearance to SMO. The pilot had previously filed an IFR flight plan for the flight.

The controller radar identified the airplane and issued the requested clearance. The flight proceeded without mishap during its en route phase, and all communications were normal.

Approaching the Los Angeles basin area, the pilot was handed off to a radar controller at the Southern California Terminal Radar Approach Control facility (SCT). At 1643, the SCT controller asked the pilot if he had received SMO's automatic terminal information service (ATIS) "Information Yankee." At 1644, the pilot responded to SCT that he had received "Information Yankee."

The SCT controller provided a clearance for the pilot to proceed toward SMO, and to descend to 4,300 feet mean sea level (msl). The pilot acknowledged the clearance.

At 1655, the SCT controller, after noticing that the airplane's altitude was 4,100 feet and that it was descending to 3,600 feet, reminded the pilot that the assigned altitude was 4,300 feet. The controller told the pilot "you need a clearance prior to making a change of altitude." The pilot replied "I misunderstood," and the airplane's altitude increased.

At 1657:24, SCT issued the pilot an instrument approach clearance to perform the VOR runway 21 instrument approach into SMO. The pilot acknowledged the clearance and proceeded inbound on the approach.

According to the FAA's recorded radar data, about 1659, the airplane flew past the Bevey Intersection (final approach fix) at 2,500 feet, as indicated by the airplane's Mode C altitude reporting transponder. Thereafter, the airplane continued descending while proceeding toward the airport.

As the airplane passed the Culve Intersection (step down fix) it was about 0.3 miles left (south) of the prescribed course.

At 1701:05, the SMO tower controller, who was observing the accident airplane approach the airport on the control tower's digital bright radar indicator (DBrite), transmitted to the pilot "...you appear to be left of course, verify correcting to the right." No reply was recorded from the pilot.

At 1701:36, the SCT controller advised the SMO tower controller to "...watch this guy he is all over."

About 1702:06, when the airplane was approximately 0.4 miles east of the approach end of runway 21 and at 700 feet, the pilot advised the controller that he was "going around." This location was also about 1,000 feet northwest of the crash site. Thereafter, no recorded radar evidence was found of the airplane departing the area.

At 1702:26, the airplane was approximately 900 feet southeast of the crash site at an elevation of 500 feet. About the time of the last radar return, at 1703:08, the airplane was approximately 400 feet north-northwest of the crash site.

The radar data indicates that during the airplane's last (approximate) 1.5 minutes of flight its flight path was consistent with the airplane making two left 360-degree turns within 1/4-mile of a point 0.5 miles southeast of runway 21's threshold. During this time a SMO controller broadcast to the airplane "...if you can hear, fly the published missed approach procedure."

Several witnesses reported hearing and/or seeing the airplane flying below the clouds. In part, the auditory witnesses indicated the airplane's sound gave them the impression that the airplane was circling over the area. Several of these witnesses indicated that the engine revved up as it was descending and then the engine sound completely stopped just before the impact.

The eyewitness reported that the airplane was turning with a steep angle of bank as it descended. One of the eyewitnesses reported that the airplane's bank angle increased from 30 to 60 degrees just before the crash. Another eyewitness reported that the bank angle increased over 60 degrees just before the crash. No witness reported observing fire or smoke trailing from the airplane.

PERSONNEL INFORMATION

Pilot, Left Seat.

The occupant in the left front seat held a private pilot certificate with an instrument rating. He received the pilot certificate in 1982 and the instrument rating in 1984.

A family friend, who co-owned the accident airplane, verbally opined to the Safety Board investigator that the accident pilot had only flown their airplane a couple of times during the past several months. Moreover, the accident pilot would probably not have rented another airplane while their airplane was being repaired. The friend also stated that he believed the pilot was familiar with the airplane's global positioning satellite navigation receiver and the autopilot.

On October 17, 2003, the pilot reported to a representative of the Mooney Aircraft Pilot's Association that his total pilot flight time was 1,897 hours. Also, his total Mooney flying experience was 797 hours, and he had a total of 238 hours of instrument flying experience (all models of airplanes).

According to the pilot's medical records on file in the FAA's Aerospace Medical Certification Division, when the pilot last was last issued an aviation medical certificate on November 14, 2003, he reported that his total flying experience was about 1,600 hours. Also, he had flown about 30 hours during the preceding 6 months.

On a preceding application for an aviation medical certificate, dated November 29, 2001, the pilot had reported that his total flying experience was about 1,520 hours, and he had flown about 60 hours during the preceding 6 months.

In an aviation insurance application dated January 15, 2004, the pilot reported that he had flown 60 hours during the previous 12 months. His total flying experience in the model of accident airplane was 842 hours. The pilot's total flying time in retractable gear airplanes was 1,542 hours.

According to a document filed with the co-owner's aviation insurance company, the pilot satisfactorily completed a flight review in the accident airplane on March 6, 2004. The pilot's indicated total flying experience was 1,550 hours. He had 900 hours in the model of accident airplane

Partially destroyed records found in the burned accident airplane indicated that on March 6, 2004, a person with the initials "PT" flew the airplane for 1.2 hours. On March 8, 2004, a person with the same initials flew the airplane for 1.6 hours. (The letters "PT" correspond to the accident pilot's first and last name.)

Instrument Currency Requirements.

FAA regulations (14 CFR Part 61.57(c)) prescribe the flying currency that a pilot must have in order to operate an airplane under instrument flight rules. In pertinent part, the regulations indicate that no person may act as pilot-in-command in weather conditions less than the minimums prescribed for visual flight rules unless, within the preceding 6 calendar months, that person has performed and logged under actual or simulated instrument conditions (1) at least six instrument approaches, (2) holding procedures; and (3) intercepting and tracking courses through the use of navigation systems.

Acquaintances of the pilot reported that the pilot typically kept his personal flight record logbook in the airplane when he flew. The airplane's cockpit and baggage compartment were totally destroyed by fire. No logbook was found. The Safety Board investigator was not able to document the accident pilot's instrument currency for the accident flight.

Documentation of the pilot's instrument currency was received from the co-owner of the airplane, and from a certified flight instructor (CFI) who flew with the accident pilot a few weeks prior to the crash.

The co-owner reported that he had flown with the accident pilot in August and October 2003, and about 2 weeks before the accident. The co-owner, who is instrument-rated, stated that their flights had been performed under visual conditions, and no simulated instrument flying had been performed.

The CFI who conducted the flight review of the accident pilot on March 6, 2004, reported that he had the pilot perform a 180-degree turn while flying solely by reference to flight instruments. The maneuver was performed in accordance with private pilot standards. The length of the flight under the hood lasted about 2 minutes. The remainder of the flight was performed under visual conditions. No practice instrument approaches were performed. The pilot passed the flight review.

Passenger-Pilot, Right Seat.

The occupant in...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# LAX04FA162