Primary finding
Probable cause
The pilot’s loss of situational awareness while maneuvering under a cloud layer and failure to maintain sufficient clearance from mountainous terrain.
Investigator assessment
Analysis narrative
The pilot was on a cross-country flight near mountainous terrain when he encountered clouds along the flight path. A comparison of recorded radar data and weather reports in the local area indicated that the pilot was maneuvering near the cloud bases in an area with low visibility and ceilings. Based on the erratic and circling flight path, it is likely that the pilot was having difficulty determining his location and desired flight track when the airplane collided with terrain. Postaccident examination of the airframe and engine revealed no mechanical failures or malfunctions that would have precluded normal operation.
Source record
Factual narrative
HISTORY OF FLIGHT On January 18, 2010, about 1508 Pacific standard time, a Cessna 340, N2217B, collided with terrain near Lytle Creek, California. The pilot/owner was operating the airplane under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The certified private pilot and one passenger sustained fatal injuries; the airplane sustained substantial damage from impact forces. The cross-country personal flight departed Henderson, Nevada, about 1303, with a planned destination of Compton, California. Visual meteorological conditions prevailed, and no flight plan had been filed. The pilot was scheduled to return to Compton on Monday, January 18, but his family reported that it was not unusual for him to stay an extra day. The Federal Aviation Administration (FAA) issued a family concerned alert notice (ALNOT) on January 20. The Civil Air Patrol (CAP) launched a search mission at 1750, and discovered the wreckage later that evening. A review of recorded radar data depicted a target with a secondary 1200 (VFR) beacon code at a mode C reported altitude of 5,600 feet mean sea level (msl) that was 5 nm south of Henderson at 1304:26. The ensuing 1200 beacon code radar target return matched the projected flight path of the accident airplane. It climbed to 10,500 feet, and maintained that altitude about 40 minutes. It flew southwest until 1345:31 at 11,200 msl when target contact was lost. Contact of 1200 was reestablished in the vicinity at 1356:20 at 13,300 feet. The target maneuvered in a westward direction, completing several 360-degree turns until 1450:16 when the target contact was lost at 4,800 feet approximately 8 nm north northwest of the accident site in an area of mountainous terrain. Recorded radar data from Southern California Terminal Radar Approach Control (SCT) indicated a target at 1454:32 at 2,500 feet msl (500 agl). The target began maneuvering with left and right turns and a circular flight path. The mode C reported altitude varied between 2,400 and 5,700 feet msl. The flight track ended at 1507 at 4,600 feet msl in the vicinity of the accident site. A witness, who was a certified glider pilot, was heading southbound on the I-15 freeway in his car; he was just past the I-215 junction. He estimated that the time was about 1500, and noted that the visibility was bad. He observed a low flying airplane; he estimated that it was about 200 feet above ground level (agl), and just below the cloud cover. The airplane was a white, low wing twin with four windows, and it had pontoons on the end of the wings. He heard a roar as it went over him with the sound increasing as it approached him and decreasing as it moved away. He thought that the airplane was under full power without distress. He observed no smoke or vapors coming from the airplane. He estimated the speed at 160 knots. At first the airplane was level; then it was pulling up a little bit, and it made a slight left bank. PERSONNEL INFORMATION A review of Federal Aviation Administration (FAA) airman records revealed that the 47-year-old pilot held a private pilot certificate with ratings for airplane single-engine land and multiengine land. He did not possess an instrument rating. He also possessed a mechanic's certificate with ratings for airframe and powerplant. The pilot held a third-class medical certificate issued on February 24, 2006. It had no limitations or waivers. In the wreckage, investigators found portions of a pilot’s logbook that were torn and fragmented; the remnants were the outer half of the books' pages. One side contained data columns for date, aircraft make and model, aircraft identification, points of departure and arrival, and the left portion of the remarks column. The last page recovered began on April 12, 2009; it had 10 entries for 2009, and the latest entry was on May 8. It had one entry after that, which was dated January 10. The opposing pages recovered contained data columns for dual received, pilot-in-command (PIC) time, total flight time, and a portion of instrument time. The page with the lowest flight time recorded 303.5 hours total time; 204.1 PIC; 110.3 dual received; 10.6 simulated instrument time; and 3.6 actual instrument time. The pages continued with sequential total flight times of 319.9, 354.7, 374.1, 393.1, and 412.3, which also indicated 261.2 total PIC time and 163.0 dual received. The next completed page’s entries were not totaled; for this page, the IIC computed 34.7 hours total time, 33.2 PIC, and 1.5 dual received. The last page contained 11 entries; for this page, the IIC computed the total time as 27.3 hours, which were all PIC time. Total time as of the last entry was about 474 hours with 321 hours as PIC. A biennial proficiency check flight could not be identified. AIRCRAFT INFORMATION The airplane was a Cessna 340, serial number 340-0532. A review of the airplane’s logbooks revealed that the airplane had an annual inspection on May 2, 2009. Total airframe time was 3,105 hours at that inspection; the Hobbs hour meter read 1,831. The last maintenance recorded in the airframe logbook was replacement of the wing locker fuel transfer pump on October 7, 2009, at a Hobbs time of 1,883.3 hours. The left engine was a Teledyne Continental Motors TSIO-520-NcJ, serial number R-514510. Total time recorded on the engine at the last annual inspection was 367.7 hours since a rebuild by Western Skyways, Inc., Montrose, Colorado, on August 31, 2000. The engine was installed on N2217B on March 10, 2005. The last maintenance recorded was an oil and filter change on September 29, 2009, at a Hobbs time of 1,883.3 hours. The right engine was a Teledyne Continental Motors TSIO-520-KcJ, serial number R-504251. Total time recorded on the engine at the last annual inspection was 3,157.3 hours. Time since major overhaul was 1,401 hours. The last maintenance recorded was an oil and filter change on September 29, 2009, at a Hobbs time of 1,883.3 hours. Fueling records at Henderson Executive Airport established that the airplane was last fueled on January 16, 2010, with the addition of 73.9 gallons of 100-octane low lead aviation fuel. The receipt indicated tips only per customer request; on the Cessna 340, the wingtip fuel tanks are the main fuel tanks. METEOROLOGICAL INFORMATION Investigators found no evidence that the pilot obtained a preflight weather brief, and no flight plan was filed. The closest official weather observation station was San Bernardino International Airport (KSBD), San Bernardino, California, which was 11 nautical miles (nm) southeast of the accident site. The elevation of the weather observation station was 1,159 feet mean sea level (msl). An aviation routine weather report (METAR) for KSBD was issued at 1453 PDT. It stated: winds from 150 degrees at 19 knots gusting to 31 knots; visibility 2 miles in rain and mist; skies 2,200 feet scattered, 5,000 feet broken, 6,500 feet overcast; temperature 12/54 degrees Celsius/Fahrenheit; dew point 11/52 degrees Celsius/Fahrenheit; altimeter 29.66 inches of mercury; and 94 percent relative humidity. Ontario, California (KONT), was 12 nm southwest of the accident site. The elevation of the weather observation station was 944 feet mean sea level (msl). An aviation routine weather report (METAR) for KONT was issued at 1453 PDT. It stated: winds from 220 degrees at 9 knots; visibility 3 miles; skies 600 feet scattered, 1,300 feet broken, 2,500 feet overcast; temperature 13/55 degrees Celsius/Fahrenheit; dew point 12/54 degrees Celsius/Fahrenheit; altimeter 29.69 inches of mercury. WRECKAGE AND IMPACT INFORMATION Investigators from the NTSB, the FAA, Cessna Aircraft Company, and Teledyne Continental Motors (TCM) examined the wreckage on scene. The first identified point of contact (FIPC) was a ground scar near the upper end of a draw, which opened up and went downhill to the north-northwest. The debris fie