N4975S

Substantial
Fatal

PIPER PA-28R-200S/N: 28R-35693

Accident Details

Date
Sunday, January 13, 2013
NTSB Number
ERA13LA111
Location
Dover, DE
Event ID
20130114X61927
Coordinates
39.172500, -75.490280
Aircraft Damage
Substantial
Highest Injury
Fatal
Fatalities
1
Serious Injuries
0
Minor Injuries
0
Uninjured
0
Total Aboard
1

Probable Cause and Findings

The pilot's failure to land the airplane at multiple airports that were equipped with adequate instrument approach procedures while operating in low instrument meteorological conditions and his delay in declaring a fuel-related emergency, which resulted in a loss of engine power due to fuel exhaustion.

Aircraft Information

Registration
N4975S
Make
PIPER
Serial Number
28R-35693
Engine Type
Reciprocating
Year Built
1970
Model / ICAO
PA-28R-200P28R
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
SALE REPORTED
Address
1990 VAUGHN RD NW STE 350
Status
Deregistered
City
KENNESAW
State / Zip Code
GA 30144-7827
Country
United States

Analysis

HISTORY OF FLIGHT

On January 13, 2013, about 1845 eastern standard time, a Piper PA-28R-200, N4975S, operated by a private individual, was substantially damaged during a forced landing, following a total loss of engine power while on approach to Dover Air Force Base (DOV), Dover, Delaware. The private pilot was fatally injured. Night instrument meteorological conditions prevailed and an instrument flight rules flight plan was filed for the planned flight to Summit Airport (EVY), Middletown, Delaware. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91 and originated from Kaolin Field (OKZ), Sandersville, Georgia, about 1330.

Review of the pilot's flight plan revealed an estimated time enroute of 3 hours 45 minutes, with 5 hours 30 minutes of fuel onboard. The pilot filed for a cruising altitude of 5,000 feet mean sea level (msl) and listed an alternate airport of Baltimore/Washington International Airport (BWI), Baltimore, Maryland. Review of fueling records revealed that the pilot completely fueled the airplane before departing on the accident flight. According to information provided by the U.S. Air Force, Federal Aviation Administration (FAA) and obtained from a handheld GPS, the airplane was in radio and radar contact with Dover Approach at 1647, while descending for a GPS approach to EVY.

The controller advised the pilot that a previous airplane had to fly a missed approach at EVY due to weather, then flew another missed approach at Wilmington, Delaware, before diverting again. At 1649, the pilot asked the controller what the weather was at Salisbury Regional Airport (SBY), Salisbury, Maryland. The controller replied that the 1629-recording included a ceiling that was 400 foot overcast and a visibility of 8 miles. The pilot replied that he wanted to try an approach at SBY. The controller cleared the flight direct to SBY and the airplane reversed direction to south, about 15 miles south of EVY, at 1650.

The pilot then attempted two GPS approaches to runway 14 at SBY and performed a missed approach both times. The descent altitude for the approach, utilizing localizer performance with vertical guidance (LPV), was 355 feet msl, or 306 feet above ground level (agl); however the pilot discontinued the first approach at a GPS altitude of 581 feet, when the airplane was aligned with the runway, about 1.7 miles from the runway. During the second approach, the airplane descended to 928 feet GPS altitude while aligned with the runway, but then veered right and continued to descend to 529 feet, before performing another missed approach. At that time, the pilot advised air traffic control that his GPS was not working right and he was going to try it again.

The wind was reported as calm and runway 32 (6,400 feet long) at SBY was equipped with an instrument landing system (ILS) approach; however, the pilot did not request that approach and did not attempt another GPS approach to SBY. After the second missed approach, the pilot requested to divert to Sussex Country Airport (GED), Georgetown, Delaware at 1753. At that time, the controller reported the last recorded ceiling at GED, which was 700 feet overcast. At 1801, when the pilot was cleared for the GPS runway 22 approach to GED, the controller advised that the updated weather recording, which was 7 minutes old, included an overcast ceiling of 300 feet. The pilot thanked the controller for the information and continued to fly to GED. At 1816, the pilot reported that he was established on the approach. The published minimum for the GPS approach to runway 22 at GED, with LPV, was 360 feet msl (310 agl). The pilot flew that approach to a GPS altitude of 250 feet and at 1826, reported that he was on a missed approach, requested the same approach again, and advised that he was running low on fuel.

The controller then asked the pilot if he was going to need an alternate airport and the pilot asked if there was anything easier than the approach at GED. The controller replied that he could try Delaware Airpark (33N), Dover, Delaware. The controller added that 33N used DOV weather recording, which was currently visibility 10 miles and ceiling 500 feet overcast. At 1830, while being vectored for an approach at 33N, the pilot asked if there was any chance he could land at DOV. The controller replied, "…negative sir, unless it's an emergency, there is no way you can land here."

At 1835, the pilot was cleared for the VOR RWY 27 approach at 33N. At 1841, the pilot declared an emergency and reported that he was out of fuel. At that time, the controller provided vectors for the ILS runway 19 approach at DOV; however, the airplane was about 2,000 feet msl, 7 miles north of DOV, and had to reverse course as it was flying north, away from the airport. After completing the turn, the airplane was flying toward DOV, between the final approach courses for runways 14 and 19. At 1843, the controller advised that DOV was at the pilot's 12 o'clock position and 6 miles, which the pilot acknowledged. At 1844, the controller reported that the airplane was heading in the right direction and the pilot could expect to land on runway 14. The pilot replied that he was "on to tower right now," and no further communications were received from the accident airplane. A GPS target was recorded at 1845:33, indicating the airplane was at 500 feet, on an approximate 3-mile final for runway 14.

PERSONNEL INFORMATION

The pilot held a private pilot certificate, with ratings for airplane single-engine land and instrument airplane. The pilot received his instrument rating on June 9, 2010. His most recent FAA third-class medical certificate was issued on July 28, 2011. Review of the pilot's logbook revealed that he had accumulated a total flight experience of approximately 598 hours; of which, about 77 hours and 35 hours were actual instrument and simulated instrument experience, respectively. The pilot had flown about 31 hours and 15 hours during the 90-day and 30-day periods preceding the accident, respectively. He flew 2.2 hours and 0.8 hours in actual instrument meteorological conditions during the 90-day and 30-day period, respectively. The pilot flew four instrument approaches and one instrument approach during the 90-day and 30-day period, respectively.

The pilot was a surgeon and was scheduled to perform surgery during the morning following the accident.

AIRCRAFT INFORMATION

The four-seat, low-wing, retractable tricycle-gear airplane, serial number 28R-35693, was manufactured in 1970. It was powered by a Lycoming IO-360, 200-horsepower engine, equipped with a McCauley constant-speed propeller. Review of the airplane's logbooks revealed that its most recent annual inspection was completed on June 2, 2012. At that time, the airplane had accumulated 5,613 total hours of operation. The engine had accumulated approximately 953 hours since major overhaul. The airplane was IFR equipped and had a Garmin 430 GPS that was wide area augmentation system (WAAS) enabled. The airplane was also equipped with an STEC 30 autopilot that would fly the lateral portion of a GPS approach, but not the vertical. Additionally, the pilot had a handheld Garmin Area 796 GPS.

METEOROLOGICAL INFORMATION

The pilot obtained weather information and filed a flight plan with direct user access terminals about 1016. The weather the pilot obtained included the terminal forecast for New Castle Airport (ILG), Wilmington, Delaware. From 1300 to 1600, the forecast weather included visibility 2 miles in mist and an overcast ceiling at 400 feet; however, from 1600 to 1900, the forecast weather at ILG included visibility 6 miles in mist and a broken ceiling at 1,200 feet. From 1100 to 1700, the forecast weather at BWI included visibility 2 miles in light drizzle and mist and a broken ceiling at 300 feet. From 1700 to 2200, the forecast weather at BWI included visibility greater than 6 miles and a broken ceiling at 3,000 feet.

The recorded weather at SBY, at 1629, was: wind from 150 degrees at 8 knots; visibility 8 miles; overcast ceiling at 400 feet; temperature 13 degrees C; dew point 11 degrees C; altimeter 30.06 inches Hg. The recorded weather at SBY, at 1654, included visibility 7 miles and an overcast ceiling at 400 feet.

The recorded weather at BWI, at 1654, included visibility 1/2 mile in light drizzle and fog, and an overcast ceiling at 200 feet.

The recorded weather at GED, at 1654, was: wind from 190 degrees at 7 knots; visibility 10 miles; overcast ceiling at 700 feet; temperature 13 degrees C; dew point 11 degrees C; altimeter 30.07 inches Hg. The recorded weather at GED, at 1751, included visibility 6 miles in mist and overcast ceiling at 300 feet.

The recorded weather at DOV, at 1842, was: wind from 330 degrees at 3 knots; visibility 4 miles in mist; overcast ceiling at 400 feet; temperature 8 degrees; dew point 8 degrees; altimeter 30.04 inches Hg.

AERODROME INFORMATION

In addition to a decision altitude of 355 feet msl for the GPS approach to runway 14 at SBY, the decision height for the ILS approach to runway 32 was 253 feet msl (200 feet agl).

The decision altitude for the GPS approach to runway 22 at GED, with LPV, was 360 feet msl (310 feet agl). GED was not equipped with an ILS approach.

The minimum descent altitude for the "VOR RWY 27" approach at 33N was 520 feet msl (477 feet agl). Further review of the published procedure revealed, "Procedure NA at night."

In addition to SBY, both DOV and BWI were equipped with ILS approaches.

WRECKAGE AND IMPACT INFORMATION

Examination of the wreckage by an FAA inspector revealed that the airplane impacted several trees and came to rest inverted in a wooded area, about 2 miles from DOV. The inspector observed an approximate 150-foot debris path, extending on a course about 190 degrees magnetic, from the first tree branch separation, to the main wreckage. The right wingtip and right flap were observed at the ...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ERA13LA111