Loss of Control in Flight · NTSB CEN14FA300
PIPER PA 46-310P — Lehman, TX
| Date | June 18, 2014 |
| Location | Lehman, TX |
| Aircraft | PIPER PA 46-310P |
| Purpose of flight | Personal |
| Conditions | Day · Visual Meteorological Cond |
| Phase / occurrence | Enroute Loss of control in flight |
| Pilot age | 61 |
| Pilot total time | 2,258 hrs · Experienced |
| Time in type | 188 hrs |
| Fatalities | 3 |
Probable cause
NTSB findings
- Aircraft-Aircraft oper/perf/capability-(general)-(general)-Not attained/maintained - C
- Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
- Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Pilot - C
- Environmental issues-Operating environment-Air traffic/operating proc-(general)-Effect on operation - F
- Environmental issues-Conditions/weather/phenomena-Convective weather-Thunderstorm-Effect on operation - C
- Personnel issues-Physical-Health/Fitness-Use of medication/drugs-Pilot
What happened
The private pilot was conducting a personal flight during day, instrument flight rules (IFR) conditions. The pilot checked in with an air route traffic control center, and, after radar data showed multiple changes in altitude that were not in accordance with the assigned altitudes, an air traffic controller queried the pilot about the altitude changes. The pilot reported an autopilot problem and then later requested clearance to deviate around weather at a higher altitude. The airplane passed through several sectors and controllers, and it was understood that the pilot was aware of the adverse weather due to the deviation information in the flight strip. The air traffic controller did not provide additional adverse weather information and updates to the pilot, as required by a Federal Aviation Administration order; however, general broadcasts of this weather information were recorded on the frequency the pilot was using before the accident.
Multiple weather resources showed rapidly developing multicellular to supercell-type convective activity with cloud tops near 48,000 ft. Forecasts and advisories warned of potential strong to severe thunderstorms with the potential for moderate-to-severe turbulence, hail, lightning, heavy rains, and high wind. Radar data indicated that the pilot turned into the intense weather cells instead of away from them as he had requested.
The pilot declared a "mayday" and reported that he had lost visual reference and was in a spin. Damage to the airplane and witness marks on the ground were consistent with the airplane impacting in a level attitude and a flat spin. No mechanical anomalies were noted that would have precluded normal operation before the loss of control and impact with the ground. The investigation could not determine if there was an anomaly with the autopilot or if the rapidly developing thunderstorms and associated weather created a perception of an autopilot problem.
The autopsy identified coronary artery disease. Although the coronary artery disease could have led to an acute coronary syndrome with symptoms such as chest pain, shortness of breath, palpitations, or fainting, it was unlikely to have impaired the pilot's judgment following a preflight weather briefing or while decision-making en route. Thus, there is no evidence that a medical condition contributed to the accident.
The toxicology testing of the pilot identified zolpidem in the pilot's blood and tetrahydrocannabinol and its metabolite in the pilot's cavity blood, which indicated that he was using two potentially impairing substances in the days to hours before the accident. It is unlikely that the pilot's use of zolpidem contributed to the accident; however, the investigation could not determine whether the pilot's use of marijuana contributed to the cause of the accident.