Loss of Control in Flight · NTSB LAX08FA047

Beechcraft V35B — Selma, CA

1 fatal High-time pilot
DateJanuary 18, 2008
LocationSelma, CA
AircraftBeechcraft V35B
Purpose of flightPersonal
ConditionsDay · Visual Meteorological Cond
Phase / occurrenceEnroute-cruise Loss of control in flight
Pilot age78
Pilot total time8,000 hrs · High time
Time in typeUnknown
Fatalities1

Probable cause

The pilot's failure to maintain control resulting in the in-flight break-up of the airplane due to aerodynamic overload. Contributing factors included the pilot's impairment due to multiple medical conditions and due to recent use of alcohol.

NTSB findings

  • Aircraft-Aircraft structures-(general)-(general)-Failure - C
  • Aircraft-Aircraft oper/perf/capability-Performance/control parameters-(general)-Not attained/maintained - C
  • Personnel issues-Physical-Impairment/incapacitation-Illness/injury-Pilot - F
  • Personnel issues-Physical-Impairment/incapacitation-Alcohol-Pilot - F
  • Organizational issues-Support/oversight/monitoring-Oversight-Oversight of personnel-FAA/Regulator

What happened

The airplane was on an IFR cross-country flight in clear VFR conditions. The radar track was consistent with the flight's ATC clearance to the south-southeast in a steady 900-foot-per-minute climb. About 4 minutes after departure the pilot requested to leave the frequency for 1 minute, which the controller approved. The airplane vanished from radar 4 minutes later and entered a 5,400-foot-per-minute or greater rate of descent. A witness saw the airplane "disintegrate" in flight. The airplane wreckage was distributed along a 1,541-foot-long north-south debris field in the vicinity of the last radar return. Examination of the wreckage did not reveal any evidence of a pre-existing airframe, engine, or flight control anomaly. The pilot had a history of episodic incapacitating pain, diabetes requiring insulin, the use of multiple potentially impairing medications, and a history of alcohol abuse. The pilot had not noted the pain, the diabetes, or the medications used to treat these conditions on his most recent application for airman medical certificate. The pilot's FAA medical records did note a history of driving while intoxicated in 1992, but the FAA had not requested any additional details surrounding the pilot's alcohol use. The pilot had been drinking alcohol within hours of the flight, and the forensic toxicology report was consistent with a blood alcohol level of approximately 0.07 percent at the time of the accident, sufficient to have resulted in impairment. The toxicology report also was consistent with the use of multiple prescription medications that are potentially impairing, but no blood was available for evaluation and it was therefore not possible to estimate when the medications might have been most recently used or whether the pilot may have been impaired by the medication use or by interactions between those medications and/or alcohol.

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 →