Accident Details
Probable Cause and Findings
The pilot’s failure to follow the instrument landing system (ILS) course guidance, which resulted in the pilot’s loss of airplane control during the instrument approach. Contributing to the accident was the presence of turbulence and low-level wind shear.
Aircraft Information
Registered Owner (Current)
Analysis
HISTORY OF FLIGHTOn December 17, 2021, at 2008 eastern standard time, a Piper PA-32R-300 airplane, N5677V, was destroyed when it was involved in an accident near the Monroe County Airport (BMG), Bloomington, Indiana. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight.
Automatic dependent surveillance – broadcast (ADS-B) and Federal Aviation Administration (FAA) air traffic data revealed that the pilot initially departed Chicago Executive Airport (PWK) at 1618 central standard time en route to Indianapolis Metro Airport (UMP), arriving at 1844 eastern standard time. He subsequently departed UMP at 1925 eastern standard time with an intended destination of BMG. After departure from UMP, the airplane proceeded on course to the southwest, then to the south, and climbed to an altitude of about 4,000 ft mean sea level (msl). Upon contacting the BMG approach controller, the pilot was instructed to descend to 3,000 ft msl and issued radar vectors for the instrument landing system approach to runway 35.
About 2003, the controller issued an intercept heading to the pilot and cleared him for the approach. About 2005, the pilot reported that the flight was established on the approach and the controller instructed the pilot to contact the control tower. The tower controller subsequently cleared the pilot to land; however, the pilot never responded. The airplane tracked inbound along the ILS runway 35 localizer. At 2006:58, the airplane passed the final approach fix (NITTE); the airplane’s altitude was about 2,258 ft msl at that time. After the airplane passed NITTE, the flight path appeared to become more erratic in comparison to the airplane flight path before passing NITTE. At 2008:15, the airplane entered a right turn approximately 2.25 miles from the runway. The final data point was recorded at 2008:29; the airplane’s altitude was about 1,045 ft msl at that time.
Airspeed and climb/descent rates derived from ADS-B position and altitude data indicated the airplane was stabilized about 3,000 ft msl and 120 knots until about 1959. The airspeed then decreased and appeared to stabilize about 110 knots with the airplane remaining about 3,000 ft msl. At 2002:20, a momentary altitude deviation was recorded consisting of a 200 ft loss immediately followed by a 300 ft gain. During this time, the airspeed initially increased and then decreased to as low as 90 knots before recovering. From 2003:00 until 2006:40, the airplane entered a general descent with momentary level offs or climbs. Airspeed during this timeframe increased to about 150 knots before decreasing again. Beginning at 2006:40, the airplane entered a continuous descent until the final data point. The average airplane descent rate between the final approach fix and the final ADS-B data point varied from about 400 fpm to over 1,200 fpm.
A passenger on the flight from PWK to UMP reported that it was smooth with no issues, and communications with air traffic control seemed routine. They encountered some rime icing near Lafayette, Indiana; the pilot descended out of the icing conditions and the flight proceeded without incident. The pilot seemed to be “very conscientious.” She flew with the pilot from UMP to PWK the preceding day, which was also uneventful. AIRCRAFT INFORMATIONThe Pilot’s Operating Handbook recommended a final approach indicated airspeed of 75 knots. METEOROLOGICAL INFORMATIONAn area of clouds and precipitation was present in the vicinity of the accident site. The precipitation and cloud cover continued to increase over the region with a southwesterly wind above 5,000 ft. These conditions resulted in low instrument flight rules conditions with ceilings at 400 ft above ground level (agl), and the possibility of light to moderate low-level wind shear below 2,000 ft agl. No icing potential was indicated below 10,000 ft.
A wind model indicated a near surface wind from 109° at 9 knots with the wind remaining easterly through 2,000 ft. Above 2,000 ft the wind veered and became southwesterly to westerly through 14,000 ft. The wind speed was between 10 to 20 knots between the surface and about 1,200 ft agl. The wind speed continued to increase with height to 30 knots by 4,000 ft. AIRPORT INFORMATIONThe Pilot’s Operating Handbook recommended a final approach indicated airspeed of 75 knots. WRECKAGE AND IMPACT INFORMATIONThe airplane impacted a wooded hillside absent of ground lighting about 2 miles south of the runway on an easterly heading. The initial tree impact was about 112 ft from the final ADS-B data point. Multiple tree breaks were observed along the impact path. One tree strike consistent with a propeller blade cut was located within the debris path.
The fuselage came to rest about 300 ft from the initial tree strike and was partially consumed by a postimpact fire. The propeller hub was fractured consistent with overstress. Both propeller blades were liberated and located at the accident site. The engine was partially separated and located in position forward of the firewall. The wings and empennage were fragmented. All airframe structure, including the flight controls, were located within the debris field.
Postaccident airframe and engine examinations did not reveal any anomalies consistent with a preimpact malfunction or failure. The airframe exam was hindered by the extent of the postimpact fire. MEDICAL AND PATHOLOGICAL INFORMATIONAn autopsy of the pilot was performed by Terre Haute Regional Hospital, Terre Haute, Indiana, which listed the cause of death as “multiple blunt impact injuries.” Toxicology testing performed at the FAA Forensic Sciences Laboratory found no evidence of carboxyhemoglobin, ethanol, or tested for drugs and medications.
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN22FA080