VFR into IMC · NTSB ERA21LA101

BEECH F33 — Columbia, SC

1 fatal High-time pilotIMC
DateJanuary 13, 2021
LocationColumbia, SC
AircraftBEECH F33
Purpose of flightPersonal
ConditionsDay · Instrument Meteorological Cond
Phase / occurrenceApproach-IFR missed approach Collision with terr/obj (non-CFIT)
Pilot age62
Pilot total time1,869 hrs · Experienced
Time in typeUnknown
Fatalities1

Probable cause

The pilot's in-flight loss of airplane control due to spatial disorientation during a missed approach in instrument meteorological conditions.

NTSB findings

  • Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Pilot
  • Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Below approach minima-Effect on personnel
  • Personnel issues-Psychological-Perception/orientation/illusion-Spatial disorientation-Pilot
  • Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Below VFR minima-Effect on personnel
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Directional control-Not attained/maintained
  • Personnel issues-Task performance-Communication (personnel)-Lack of communication-ATC personnel

What happened

The instrument-rated commercial pilot departed on a visual flight rules flight plan but requested and received an instrument flight rules clearance while en route to the destination airport. During the flight, the air traffic controller instructed the pilot to advise when he had obtained the reported weather conditions at the destination airport and asked the pilot about the type of instrument approach he was requesting to the destination. The pilot requested an area navigation (RNAV) approach, and the controller acknowledged; however, the controller did not confirm if the pilot had the weather conditions at the destination airport, nor did he provide that information to him. The pilot then asked the controller for the approach minimums at the destination airport and if any pilot reports (PIREPs) had been received. The controller responded that he received an unsolicited PIREP 45 minutes earlier from a pilot who had attempted to land at the same destination airport, but was unable to do so. About that time, and continuing through the time of the accident, the reported weather conditions at the airport included 1/4-mile visibility in fog and 200 ft vertical visibility.

The accident pilot continued the approach, subsequently declared a missed approach, and the controller responded with heading and climb instructions. The pilot asked if the change in heading involved a left turn, and the controller confirmed that it did. The pilot read back the instructions correctly and then asked about the weather at a nearby airport. The controller provided the pilot with the weather conditions; however, the pilot did not respond, and radar contact was lost shortly thereafter.

Flight track data indicate that, throughout the approach, the airplane remained about 3/4 mile left of course until the airplane was about 1 1/4 mile from the approach end of the runway. At that time, the airplane made a right turn, descended to an altitude of 325 ft mean sea level, then made a climbing left turn to 800 ft mean sea level before descending and impacting terrain in a residential neighborhood. A postcrash fire ensued.

The witness descriptions of the engine sounds as the airplane maneuvered during the final moments of the flight, as well as the tip curling and chordwise scratching observed on the propeller blades after the accident, indicated that the engine was producing power at the time of the accident. Postaccident examination of the airframe and engine revealed no anomalies that would have precluded normal operation.

Given the instrument meteorological conditions at the time of the accident, which included restricted visibility, and the pilot’s maneuvering off of the instrument approach course both laterally and vertically, it is likely that the pilot became spatially disoriented during the approach, which led to a loss of airplane control and a subsequent spiraling descent.

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 →