4 fatalities

2013-10-10: Cessna 340 (N4TK) — Stephen George — Hampton Roads-Executive, United States of America

Hampton Roads-Executive, United States of AmericaLanding (descent or approach)

On October 10, 2013, a Cessna 340 (registration N4TK) operated by Stephen George was involved in an aviation accident near Hampton Roads-Executive, United States of America during landing or approach. 4 people were killed. Investigators recorded the probable cause as: The pilot's failure to maintain airplane control due to spatial disorientation in low-visibility conditions while maneuvering during a missed approach. Contributing to the accident was the pilot's ineffective use of the onboard GPS equipment. This summary draws on records from the Bureau of Aircraft Accidents Archives (B3A).

Sourcesthe Bureau of Aircraft Accidents Archives (B3A)Primary reportUpdated 1781193940Data APIEditorial standards

An instrument-rated pilot on a cross-country flight lost control during a missed approach, with radar data showing erratic flight path and altitude deviations. No preimpact mechanical issues found; spatial disorientation due to low visibility and ineffective GPS use contributed.

Flight History

An instrument-rated pilot was conducting a cross-country flight. According to air traffic control records, a controller provided the pilot with vectors to an intersection for a GPS approach. Federal Aviation Administration radar data indicated that the airplane deviated from the assigned intersection by 6 nautical miles and descended 800 feet below its assigned altitude before correcting toward the initial approach fix. Subsequently, the aircraft crossed the final approach fix 400 feet below the minimum crossing altitude and continued to the minimum descent altitude, where the pilot initiated a missed approach.

The missed approach procedure required a climbing right turn to 2,500 feet mean sea level (msl) while navigating southwest back to the intersection. However, radar data showed the airplane flying southeast, with multiple ascents and descents before leveling at 2,800 feet msl. The airplane then entered a right 360-degree turn and nearly completed another circle before descending into terrain.

Weather Conditions

The recorded weather at the destination airport around the time of the accident included a cloud ceiling of 400 feet above ground level and visibility of 3 miles. The pilot reported to an air traffic controller that adverse weather was causing the airplane to lose "tremendous" amounts of altitude. However, weather radar did not indicate any convective activity or heavy rain at the airplane's location.

Pilot Experience and Equipment

On his most recent medical application, the pilot reported over 4,000 total flight hours. The investigation could not corroborate those reported hours or document any recent or overall actual instrument experience. Additionally, it could not be determined whether the pilot had experience using the onboard GPS system, which had been installed approximately six months before the accident. The accident flight track is indicative of the pilot not using the GPS effectively, possibly due to a lack of proficiency or familiarity with the equipment.

Investigation Findings

Examination of the wreckage revealed no evidence of any preimpact mechanical malfunctions or failures. Toxicological tests detected ethanol and other volatiles in the pilot's muscle, consistent with postmortem production. The restricted visibility and precipitation, combined with maneuvering during the missed approach, would have been conducive to the development of spatial disorientation. The variable flightpath off the intended course was consistent with loss of airplane control due to spatial disorientation.

Probable cause

The pilot's failure to maintain airplane control due to spatial disorientation in low-visibility conditions while maneuvering during a missed approach. Contributing to the accident was the pilot's ineffective use of the onboard GPS equipment.