Loss of Control in Flight · NTSB ERA17FA118

CESSNA 421 — Canton, GA

1 fatal Low-time pilotNightBase-to-final turn
DateMarch 4, 2017
LocationCanton, GA
AircraftCESSNA 421
Purpose of flightPersonal
ConditionsNight · Visual Meteorological Cond
Phase / occurrenceApproach-VFR pattern final Collision with terr/obj (non-CFIT)
Pilot age69
Pilot total time12 hrs · Student / very low time
Time in type12 hrs
Fatalities1

Probable cause

The pilot's failure to maintain control of the airplane during a night visual landing approach. Contributing to the accident was the pilot's impairment due to his use of a combination of medications.

NTSB findings

  • Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Pitch control-Not attained/maintained - C
  • Personnel issues-Physical-Impairment/incapacitation-Prescription medication-Pilot - F
  • Personnel issues-Physical-Impairment/incapacitation-OTC medication-Pilot - F
  • Environmental issues-Conditions/weather/phenomena-Light condition-Dark-Effect on operation

What happened

The 69-year-old commercial pilot was making a personal cross-country flight in the newly-purchased airplane. When the airplane was on final approach to the destination airport in night visual meteorological conditions, airport surveillance video showed it pitch up and roll to the right. The airplane then descended in a nose-down attitude to impact in a ravine on the right side of the runway. During the descent over the ravine the right wing came in contact with a powerline that briefly cut power to the airport. Postaccident examination of the airframe, engines, and their components revealed no evidence of mechanical anomalies or malfunctions that would have precluded normal operation.

The pilot's toxicology findings identified five different impairing medications: clonazepam, temazepam, hydrocodone, nortriptyline, and diphenhydramine. Although the results were from cavity blood and may not accurately reflect antemortem levels, the hydrocodone, temazepam, and diphenhydramine levels were high enough to likely have had some psychoactive effects. While the exact effects of these drugs in combination are not known, it is likely that the pilot was impaired to some degree by his use of this combination of medications, which likely contributed to his failure to maintain control of the airplane.

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 →