Accident Details
Probable Cause and Findings
The pilot's loss of situational awareness while maneuvering in adverse weather conditions, resulting in spatial disorientation.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHT
On December 22, 2008, at 1220 mountain standard time, a Piper PA-46-310P, N46SB, registered to and operated by the pilot, was destroyed when it collided with terrain following a loss of control during an instrument landing system (ILS) runway 10 approach to the Yampa Valley Airport (HDN), Hayden, Colorado. Instrument meteorological conditions prevailed at the time of the accident. The personal flight was being conducted under the provisions of Title 14 Code of Federal Regulations (CFR) Part 91, and an instrument flight rules (IFR) flight plan had been filed. The private pilot-in-command and commercial pilot on board the airplane were fatally injured. The cross-country flight originated at Hutchison (HUT), Kansas, at 1010 central standard time, and was en route to HDN.
The two pilots, husband and wife, had flown to HUT on December 7 to have an annual inspection performed on their airplane. They rented an automobile and returned home to Steamboat Springs, Colorado. When told the airplane was ready for pickup, they returned to HUT. The accident occurred as they were flying back to HDN.
The pilot obtained a weather briefing on the evening of December 21, and again at 0917 cst on the morning of December 22. In the latter briefing, he was told there was a stationary front along the Front Range, and a large low pressure area aloft approaching Colorado from the northern Rockies. These conditions were bringing deteriorating conditions including moisture --– mist, increasing snow, and fog --– and mountain obscuration due to clouds and precipitation. There were several AIRMETs (Airman Meteorological Information) in effect, one for marginal VFR (visual flight rules) and IFR conditions in Colorado, another for moderate turbulence below 18,000 feet, and another for moderate icing below 20,000 feet\1.
According to air traffic control (ATC) documents, an IFR release was issued for N46SB at 1010 cst. Radio contact with the flight was established at 1012 cst, and radar contact was made at 1013 cst. En route altitudes varied from 12,000 feet to FL200 (flight level 20,000 feet). At 1052:18 cst, the second pilot\2, hereinafter referred to as the pilot, reported they were accumulating light rime ice at 12,000. She then corrected herself and reported it was “trace” icing. At 1135:13 mst\3, Denver Air Route Traffic Control Center (ARTCC) cleared the flight direct to the Hayden VOR-DME (Very High Frequency Omnidirectional Radio Range, Distance Measuring Equipment). Other than for some deviations due to weather and clouds, the flight proceeded uneventfully to HDN.
At 1149:07, the flight was cleared direct to INEDE, the initial approach fix (IAF) for the ILS approach to runway 10. The pilot declined the controller’s request for a possible visual approach, citing that they were flying "in and out" of the clouds. Approach clearance was issued at 1211:10.
Radar showed the airplane proceeding outbound for the procedure turn. At 1216:55, the pilot reported they were "having trouble with getting their gear down ... we’re trying to turn back in and do our gear here all at the same time." At 1218:12, the pilot reported that they "got the gear down," that they had "three good three green lights, so we’re hoping the gear is down," and that "we are now turned inbound." She was told to contact HDN’s CTAF (common traffic advisory frequency). This was the last recorded radio transmission from the flight. According to the HDN Unicom operator, she heard the pilot say they were "coming in."
Radar plots indicated the airplane crossed the localizer at almost a 90-degree angle and continued turning right until it started to intercept the localizer. Then it began a left turn that continued until radar coverage was lost, which was at 1920:11. It was about the time the pilot reported the landing gear was down that the airplane entered the left turn.
At 1220:27, the pilot of N3237S told DEN ARTCC, "Sounds like she was trying to call you guys. We thought we were hearing the Malibu calling ya. She was transmitting when you guys were talking with Execjet."
When other aircraft at HDN advised that they had not seen N46SB, ARTCC asked Execjet (EJA) 984 for the HDN visibility. They replied, "It’s dropping a little bit, I’d says, in and out, it’s ten miles at the surface, but the ceiling’s dropping. On one side of the airport, it’s three miles, the other side it’s ten miles." At the approach end of runway 10, "That’s probably the least visibility. It looks like at the most three miles."
At 1229:00, EJA 803 reported that "with the squelch off, we're picking up one [an ELT (emergency locator transmitter) signal]." At 1229:15, the pilot of N3237S told ARTCC, "When you were talking to Execjet, we're pretty sure we heard her making some sort of exclamation." He also told ARTCC, "In case you weren't briefed, sir, she was troubleshooting a gear item ... and she indicated that she was flying around V-F-R."
Routt County Search and Rescue (SAR) was alerted to the missing airplane approximately 1300, and a search was initiated approximately 1400. They reported encountering moderate to heavy snow and reduced visibility during the search. Using computer imagery supplied by ARTCC, a SAR spokesman said the airplane skirted a drainage area on the edge of a field before it made a couple of erratic turns to the north in the direction of a butte and descended abruptly from 8,000 feet. Aided by ELT signals, the wreckage was located approximately 1645 at a location 2.5 miles northwest of the Elk Head Reservoir near County Road 178.
PERSONNEL (CREW) INFORMATION
The pilot-in-command, age 67, held a private pilot certificate with airplane single-engine land and instrument ratings. He also held an FAA third class airman medical certificate, dated November 8, 2008, with a restriction for corrective lenses. According to the airplane insurance company, the pilot’s last flight review was accomplished on November 8, 2008, in the PA-46-310P. On the application for airplane insurance, he listed his total flight time as being 1,967 hours, of which 823 hours were accrued in the Piper PA-46-310P. Because no logbooks were ever located, it could not be determined how much instrument flight time the pilot had accumulated.
The second pilot, age 67, held a commercial pilot certificate with airplane single-engine land and instrument ratings. She also held an FAA third class airman medical certificate, dated October 1, 2007, with a restriction for corrective lenses. According to the airplane insurance company, the pilot’s last flight review was accomplished on November 8, 2008, in the PA-46-310P. On the application for airplane insurance, she listed her total flight time as being 2,067 hours, of which 798 hours were accrued in the Piper PA-46-310P. Because no logbooks were ever located, it could not be determined how much instrument flight time the pilot had accumulated.
AIRCRAFT INFORMATION
N48SB (s.n. 4608039), a model PA-46-310P, was manufactured by the Piper Aircraft Corporation in 1986. The original engine and propeller had been removed and replaced by a Continental TSIO-550-C1B engine (s.n. 814538-R), rated at 310 horsepower, driving a MT Propellers 4-blade composite, constant-speed propeller (m.n. MTV-A4-D).
The airplane received an annual inspection on December 22, 2008. Total time on the airframe and engine was 3,301.7 hours and 1,253 hours, respectively. During the inspection, adjustments were made to the nose landing gear to remove free play. A ground retraction test was performed.
METEOROLOGICAL INFORMATION
Weather at Yampa Valley Airport was recorded by a non-federal automated weather observation system (AWOS-3). At the time of the accident, the precipitation discriminator was inoperative. The following pertinent METARs (Aviation Routine Weather Report) were recorded at HDN and Craig, Colorado (CAG) (22 miles west of HDN):
HDN (1215): Wind, 350 degrees at 4 knots; visibility, 2.5 statute miles; sky condition, few clouds 1,500 feet, 3,200 feet scattered, 4,400 feet broken; temperature, -3 Celsius (C.); dew point, -6 C.; altimeter setting, 29.48 inches of Mercury.
CAG (1253): Wind, calm; visibility, 10 statute miles; sky condition, few clouds 2,600 feet, 4,100 feet broken, 5,500 feet overcast; temperature, -1 degrees C.; dew point, -5 degrees C.; altimeter setting, 29.51 inches of Mercury.
CAG (1353): Wind, 250 degrees at 6 knots; visibility, 6 statute miles; sky condition, light snow, 3,600 feet scattered, 4,700 feet overcast; temperature, 0 degrees C.; dew point, -3 degrees C.; altimeter, 29.28 inches of Mercury; remarks: snow began 1936.
AIDS TO NAVIGATION
There were no difficulties with aids to navigation. According to FAA monitoring devices, the ILS was operating satisfactorily prior to and at the time of the accident.
COMMUNICATIONS
There were no difficulties with communications.
AERODROME INFORMATION
Yampa Valley Airport (HDN) is located at 40 degrees, 28’52” North latitude, and 107 degrees, 13’03.58” West longitude, or 2 miles southeast of Hayden. It is situated at an elevation of 6,602 feet.
The airport has a rotating beacon and is served by one runway, 10-28. The runway is 10,000 feet long and 150 feet wide, constructed of asphalt and grooved. The runway has a 1,400-foot-long medium intensity approach lighting system with sequenced flashers (MALSF), runway end identification lights (REIL), and high intensity runway lights (HIRL) that are pilot-controlled. A 4-light PAPI (precision approach path indicator) is located on the left side of the runway, projecting a 3-degree glide path.
According to airport personnel, all airport facilities were operating normally prior to and at the time of the accident.
WRECKAGE AND IMPACT INFORMATION
Weather conditions precluded the on-site wreckage examination until December 29, 2008.
The accident site was at a location of 40 degrees, 34.179' North latitude, and 107 degrees, 24.934' West longitude, ...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN09FA098