VFR into IMC · NTSB ERA15FA066

PIPER PA28 — Sommerville, TN

1 fatal NightIMCLow altitude
DateDecember 2, 2014
LocationSommerville, TN
AircraftPIPER PA28
Purpose of flightPersonal
ConditionsNight · Instrument Meteorological Cond
Phase / occurrenceManeuvering Loss of control in flight
Pilot age53
Pilot total time505 hrs · Building experience
Time in type505 hrs
Fatalities1

Probable cause

The noninstrument-rated pilot's improper decision to attempt visual flight in instrument meteorological conditions, which resulted in an in-flight loss of airplane control due to spatial disorientation. Contributing to the accident was the pilot’s impaired decision-making due to the effects of ethanol and chlordiazepoxide.

NTSB findings

  • Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Pilot - C
  • Personnel issues-Psychological-Perception/orientation/illusion-Spatial disorientation-Pilot - C
  • Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Clouds-Effect on operation - C
  • Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Drizzle/mist-Effect on operation - C
  • Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
  • Personnel issues-Physical-Impairment/incapacitation-Alcohol-Pilot - F
  • Personnel issues-Physical-Impairment/incapacitation-Prescription medication-Pilot - F

What happened

According to a family member, the noninstrument-rated private pilot was planning to refuel the airplane on the evening of the accident. After purchasing fuel, he subsequently departed in night instrument meteorological conditions, which included low clouds and mist. A witness heard the airplane flying overhead and then sounds associated with increased engine power, followed by a loud crash. The airplane impacted a heavily wooded area about 0.75 mile from the departure airport and was destroyed by impact forces and a postcrash fire. Examination of the airframe and engine did not reveal any anomalies that would have precluded normal operation. Dark night instrument meteorological conditions can lead to spatial disorientation, particularly for a noninstrument-rated pilot. In addition, the wreckage distribution and the witness observation of increasing engine noise and the wreckage are consistent with the pilot losing control of the airplane due to spatial disorientation.

The pilot's toxicology results identified ethanol at 0.109% in muscle tissue and 0.039% in brain tissue. Although some of the ethanol may have been produced postmortem, it is likely that some was ingested before the accident. In addition, chlordiazepoxide (a prescription medication for the treatment of anxiety) and its metabolite, nordiazepam, were detected in the liver. It is likely the combined effects of chlordiazepoxide and ethanol significantly impaired the pilot's executive functioning, judgment, and decision-making, leading to his decision to fly in weather that he was unprepared to manage.

An editorial "what led to it / how to avoid it" analysis for this accident is generated separately and will appear here.

View the official NTSB docket →