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NTSB investigation record

ERA11FA070

Completed

Piper Pa46-350P· N548C

Date
November 24, 2010
Location
Destin, FL
Conditions
IMC
Record
Published September 25, 2020

Primary finding

Probable cause

Controlled flight into water due to the pilot's improper descent below the published minimum descent altitude.

Investigator assessment

Analysis narrative

The instrument-rated pilot was executing a night instrument approach when the airplane impacted the water. The published approach minimums for the area navigation/global positioning system approach were 460-foot ceiling and one-mile visibility. Recorded air traffic control voice and radar data indicated that prior to the approach the pilot had turned to an approximately 180-degree heading and appeared to be heading in the direction of another airport. The controller reassigned the pilot a heading in order to intercept the final approach. The airplane was located in the water approximately 5,000 feet from the runway threshold. A postaccident examination of the airplane revealed that the left main landing gear was in the retracted position and the right main and nose landing gear were in the extended position. Examination of the left main landing gear actuator revealed no mechanical anomalies. The pilot had likely just commanded the landing gear to the down position and the landing gear was in transit. It is further possible that, as the gear was in transit, the airplane impacted the water in a left-wing and nose-down attitude and the left gear was forced to a gear-up position.

Source record

Factual narrative

HISTORY OF FLIGHT On November 23, 2010, about 1930 central standard time, a Piper PA-46-350P (Malibu Mirage), N548C, was substantially damaged when it impacted water during an approach to Destin/Ft.Walton Beach Airport (DTS), Destin, Florida. The airplane had departed Lake Front Airport (NEW), New Orleans, Louisiana about 1820. Night instrument meteorological conditions prevailed and an instrument flight rules (IFR) flight plan had been filed. The certificated private pilot and two passengers were fatally injured. The personal flight was conducted under the provisions of 14 Code of Federal Regulations Part 91. The accident flight departed NEW about 1820 and flew at a cruise altitude of 13,000 feet mean sea level (msl). According to the Eglin Radar Control Facility, recordings and radar data indicated that prior to the approach the pilot had turned to an approximate 180 degree heading and appeared to be heading in the direction of another airport. The controller reassigned the pilot a heading in order to intercept the final approach for the RNAV/GPS 14 approach. The airplane was cleared for the RNAV/GPS 14 approach to DTS, then approximately 200 feet msl, radar contact went into Coast mode followed by a loss of radar contact. A search of the local airports and ground environment began and the aircraft was located in the Choctawhachee Bay, in the water, about 2024. The last two recorded transmissions from the airplane were about two minutes apart and both were recorded on the Destin Unicom frequency. The last transmission was about 1929 and was "destin traffic mirage five four eight charlie is on a three and half mile final on the uh rnav one four." No transmission was recorded indicating a malfunction with the airplane. According to Lockheed Martin Flight Service records, the accident pilot received a weather briefing at 1547. Airport records indicated that the airplane was fueled the day of the accident at DTS and received 68.6 gallons of 100LL aviation fuel. The fuel invoice indicated a time of 1508 which coincided with family statements that the pilot departed around 1500 after requesting the fuel to be "topped off." According to a phone conversation with a representative of the family, the pilot played golf during the morning of the accident, had a conference call about 1300, departed for NEW with one of the passengers, picked up the other passenger at NEW, and was returning to DTS at the time of the accident. PERSONNEL INFORMATION The pilot, age 47, held a private pilot certificate with a rating for airplane single-engine land and instrument airplane. His most recent application for a Federal Aviation Administration (FAA) third-class medical certificate was issued on February 18, 2009. The pilot's flight time log book was recovered and the last entry was dated November 20, 2010. At that time, his total flight experience was 407.5 hours; of which, 33.7 hours were in the same make and model as the accident airplane. According to documentation, the pilot had completed a flight review and instrument competency review on November 6, 2010. AIRCRAFT INFORMATION The airplane was manufactured in 2001 and was issued an FAA airworthiness certificate on December 11, 2001. It was equipped with a Lycoming TIO-540-AE2A engine. According to the airplane's maintenance logbooks, two annual inspections were completed within the 12 months prior to the accident. The most recent annual inspection was completed on September 14, 2010; however, the logbook entry was not signed by an FAA licensed airframe and powerplant (A&P) with inspection authorization (IA) mechanic. At the time of the inspection, the reported aircraft total time was 717.5 hours. A signed annual inspection was conducted by an FAA A&P IA on May 21, 2010 and the reported aircraft total time was 711.5 total hours. The tachometer was located in the wreckage and indicated 760.7 hours. According to FAA records, the airplane was purchased by the accident pilot on October 29, 2010. METEOROLOGICAL INFORMATION The 1953 recorded weather observation at DTS, located approximately 1 mile to the south of the accident location, included winds from 140 degrees at 3 knots, visibility 1/4 mile due to fog, vertical visibility of 100 feet, temperature 19 degrees C, dew point 19 degrees C, and altimeter 30.11 inches of mercury. The closest Terminal Area Forecasts (TAF) were issued for Eglin Air Force Base (VPS) located 5 miles northwest and Hurlburt Field (HRT) located 10 miles west. Both forecasts issued at 1654 CST (2254Z) expected 1/2 mile (0800 meters) in fog, with a ceiling or vertical visibility of 100 feet at the time of the accident. AIRPORT INFORMATION The airport was equipped with a single runway oriented northwest to southeast and designated as 14/32. The runway was 4,999-feet-long and 100-feet-wide, constructed of asphalt, was equipped with a 4-light precision approach path indicator (PAPI) on the left side of the runway, and had a displaced threshold of 200 feet on both ends of the runway. The airport did not have an air traffic control tower. Communication was accomplished utilizing a common traffic advisory frequency; however, it was not recorded. The airport was served by two RNAV approaches. The accident flight had been cleared for the RNAV runway 14 approach. The approach required a minimum of 1 mile of visibility and a ceiling no lower than 460 feet msl. The inbound course for the approach was 143 degrees. The approach had two step down fixes, the first was located 10 nautical miles (NM) from the runway threshold and was 2,000 feet msl, the second was 4.8 NM from the runway threshold and was 1,600 feet msl. After the second fix the flight could descend down to the minimum descent altitude of 460 feet, the altitude required to be maintained until the runway was visually acquired or the missed approach point, which was the runway 14 threshold. WRECKAGE AND IMPACT INFORMATION The airplane was found inverted in the water and the right wing, cabin, and cockpit area remained attached. The main wreckage was located 512 yards (approximately 1,500 feet) from the shore and approximately 5,000 feet from the runway 14 threshold. The engine was impact separated and located approximately 30 feet northwest of the main wreckage. The left wing was located approximately 80 feet to the south of the main wreckage. The tail section was located approximately 25 feet from the main wreckage. The airplane was recovered and transported to the Destin Coast Guard Station. Examination of the airplane indicated that the right main and nose landing gear were in the down and locked position. The left main landing gear was in the retracted position and the landing gear door was not recovered. Examination of the landing gear revealed no anomalies; the left landing gear was moved to the down position, by hand, and locked automatically. The landing gear actuator was removed for testing. The flaps were in the retracted, or zero degree position. The flap actuator was examined and indicated one exposed thread which correlated to zero degrees. The left wing had impact crumpling on the wingtip and was bowed in the positive direction beginning approximately halfway spanwise on the wing and extended towards the wing tip. It was separated from the fuselage, the aileron was fractured, and the outboard section remained attached; the inboard section and counter weight had separated and were recovered. The wing skins had become separated causing a breach in the integrated fuel system. The fuel cap remained secured and in place. The right wing had impact crumpling on the wingtip and remained attached to the fuselage, the aileron was impact damaged, and the flap remained attached. The fuel cap was secured and in place; however, the retractable handle was extended. The empennage was separated, at the cabin door area, from the forward cabin section. The vertical stabilizer and rudder remained

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