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VFR into IMC fatal for pilot

By NTSB · January 6, 2017 ·

The commercial pilot was in the process of purchasing a block of flight time with the intent of building time toward an additional rating.

According to the operator, she did not complete the mandatory checkout.

However, she possessed the keys to the Cessna 152 since she had flown the previous day with an instructor, but he did not approve her for solo flight because he believed she required additional practice landing the airplane with an instructor onboard.

On the day of the accident, she flew an undetermined number of solo flights near New Smyrna Beach, Florida, without the knowledge of the operator.

The accident flight was initiated at night, presumably with the intent of operating in the local airport traffic pattern. About seven minutes into the flight, she likely encountered instrument meteorological conditions (IMC) and requested assistance from air traffic control.

An air traffic controller attempted to provide her with radar vectors to a nearby airport, however, she was unable to visually acquire that airport.

The controller then observed the airplane on radar at 600 feet and descending and directed the pilot to climb and turn.

A short time later, radar and radio contact were lost; the airplane had crashed. The pilot died in the crash.

The level of damage and fragmentation of the wreckage was consistent with ground impact at a high velocity.

The flight was conducted on a dark, moonless night, under an overcast ceiling, and the final portion of the flight was over the ocean. These factors would have reduced the pilot’s ability to perceive the natural horizon and increased her risk of spatial disorientation.

Although the pilot held an instrument rating and had recently completed an instrument proficiency check, on the night of the accident, she did not demonstrate the skills necessary to control an airplane in IMC.

She also did not display the ability to adequately communicate her situation to the controller, nor did she seem to understand or comply with the assistance offered to her.

During the sequence of events leading up to the accident, the pilot communicated with two air traffic controllers. She described that she was operating in conditions that limited her ability to navigate and potentially affected her ability to control the airplane under visual flight rules (VFR).

Although the actions of the controllers did not directly contribute to the pilot’s loss of control while attempting to fly under VFR in IMC, the controllers did not act in accordance with FAA guidance that dictates how to assist pilots experiencing this type of emergency.

Specifically, the controllers did not ascertain if the pilot was qualified and capable of IFR flight nor did they attempt to locate and direct the pilot toward the nearest areas reporting visual meteorological conditions.

Further, a controller assisting the accident controller had the opportunity to solicit a pilot report from another pilot in a nearby airplane to ascertain if that airplane was operating above the reported IMC, but did not do so.

During post-accident interviews, the air traffic controllers indicated that they had not received FAA-required evidence-based simulation training on emergencies and described the computer-based emergency training that they received as poor quality.

The NTSB determined the probable cause as the pilot’s failure to maintain control of the airplane while operating under visual flight rules (VFR) in night, instrument meteorological conditions, likely due to spatial disorientation. Contributing to the outcome was the radar controller’s failure to follow published guidance for providing assistance to VFR pilots having difficulty flying in instrument conditions.

NTSB Identification: ERA15FA099

This January 2015 accident report is provided by the National Transportation Safety Board. Published as an educational tool, it is intended to help pilots learn from the misfortunes of others.

About NTSB

The National Transportation Safety Board is an independent federal agency charged by Congress with investigating every civil aviation accident in the United States and significant events in the other modes of transportation, including railroad, transit, highway, marine, pipeline, and commercial space. It determines the probable causes of accidents and issues safety recommendations aimed at preventing future occurrences.

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Comments

  1. Rod Beck says

    February 15, 2017 at 7:11 am

    Does ANYONE here remember the “Weekly Reader”? Silly and immature? (Hint!)

  2. Brian says

    February 14, 2017 at 11:14 pm

    Uh, commercial rating…
    In what, a balloon?

  3. Remo 182 says

    January 25, 2017 at 6:41 am

    Bradley where is the audio available

  4. Remo says

    January 25, 2017 at 6:39 am

    Bradley where is the audio available at

  5. Rod Beck says

    January 12, 2017 at 3:34 pm

    A quote from one of many “Dirty Harry” films: “man’s (and woman) got’s to know his limitations”!???

  6. MrBill says

    January 9, 2017 at 2:09 pm

    Several years ago I flew from New Jersey to Florida in a C-172. Refueled in Fayetteville, N.C. Got an updated weather report with clear sky’s to Kissimmee Fl. Just passed New Brunswick, Georgia at night went into clouds. I notified ATC as I had requested Flight following, that I had entered IMC, and if they knew the ceiling of the cloud layer. He asked if I was IFR Rated and when I told him I wasn’t he paused a few seconds than handed me off to another controller, who was unaware of my problem. I had taken IFR lessons but had not taken the flight test, so I was able to remain in control of the plane. Another pilot who heard my plight told me the skies were clear at 7500 feet. I climbed and stayed there with no trouble.

    My experience was that the controllers were either there just to collect a paycheck and not to help a pilot who needed help, or that they had no idea what to do to help a pilot.

    • CK says

      January 14, 2017 at 4:05 pm

      As a retired controller, I can tell you that the FAA top dogs developed a training program in the early 2000 era called CBI. Computer Based Instruction. Rather than have a training specialist on staff and required on duty training days, controllers are now required to sit in front of a computer, sign in, and complete the coarse of the month. Being old school, I never liked this training because there was no interaction, no discussion, click on the answer and move on. It, in my mind, was a cya move by the FAA. “The controller has the training. See here? He signed into this program and passed the test. Not our fault.”

  7. Andy says

    January 6, 2017 at 8:23 am

    Commercial pilot with an instrument rating, and trouble landing a 152?? Something is amiss, here….

    • Bradley says

      January 6, 2017 at 10:03 am

      There is audio available. It doesn’t match typical a commercial pilot. All over the place.

      • Bradley says

        January 6, 2017 at 10:06 am

        Umm, I’ll try that again… I should proof read.

        There is audio available. It doesn’t match a typical commercial pilot…or anyone who has passed any checkride for anything. It was all over the place.

    • Tom says

      January 16, 2017 at 11:07 am

      A Cessna 152 does NOT have ILS or GPS most of the.time they are steam gauges. Sounds like.something a cocky STUDENT pilot might try but not an IFR rated Commerical pilot. Strange

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