6 fatalities

1992-03-05: Mitsubishi MU-2 Marquise (N303CA) — Stephen R. Neece — New Castle, United States of America

New Castle, United States of AmericaFlight

On March 5, 1992, a Mitsubishi MU-2 Marquise (registration N303CA) operated by Stephen R. Neece was involved in an aviation accident near New Castle, United States of America in flight. 6 people were killed. Investigators recorded the probable cause as: An unintentional stall occurred during an instrument approach with the autopilot engaged, exacerbated by the pilot's impairment from a prescription medication. This summary draws on records from the Bureau of Aircraft Accidents Archives (B3A).

Sourcesthe Bureau of Aircraft Accidents Archives (B3A)Primary reportUpdated 1781211185Data APIEditorial standards

An aircraft crashed into mountainous terrain while performing a LOC/DME approach, resulting in the deaths of all six people on board.

What happened

During an instrument approach using LOC/DME procedures, an aircraft struck mountainous terrain roughly 10.5 dme from the airfield. At the time of the impact, the aircraft was in a landing configuration. Investigation of the wreckage revealed that the elevator trim jackscrew was positioned approximately 18 degrees in a nose-up attitude. The altitude preselect, which was integrated with the Sperry autopilot system, had been set to 9,500 feet. This setting matched the minimum descent altitude required until reaching the final approach fix, which is situated at 9.3 dme.

Findings

Investigators recovered twenty-four different prescription and nonprescription medications from the cabin. A toxicology analysis of the pilot's liver fluid revealed a concentration of 0.206 (ug/ml, ug/g) of chlorpheniramine, an antihistamine. An FAA flight surgeon estimated this level would correspond to roughly .034 ug/ml in the blood, which falls within the therapeutic range of .01 to .04 ug/ml. However, this specific medication is considered contraindicated for flight operations because it can induce drowsiness. This substance was a known component of Comtrex, one of the medications found on board. The accident resulted in six fatalities.

The pilot's impairment from antihistamine use contributed to an inadvertent stall while the autopilot was active during the approach.

Probable cause

An unintentional stall occurred during an instrument approach with the autopilot engaged, exacerbated by the pilot's impairment from a prescription medication.