2 fatalities

2016-06-16: Piper PA-31-310 Navajo (N3591P) — Aero National — State College-University Park, United States of America

State College-University Park, United States of AmericaLanding (descent or approach)

On June 16, 2016, a Piper PA-31-310 Navajo (registration N3591P) operated by Aero National was involved in an aviation accident near State College-University Park, United States of America during landing or approach. 2 people were killed. Investigators recorded the probable cause as: The pilot's decision to continue an unstabilized instrument approach in instrument meteorological conditions, which resulted in controlled flight into terrain. This summary draws on records from the Bureau of Aircraft Accidents Archives (B3A).

Sourcesthe Bureau of Aircraft Accidents Archives (B3A)Primary reportUpdated 1781192360Data APIEditorial standards

A commercial pilot on an IFR air taxi flight continued an unstabilized precision approach in instrument meteorological conditions, descending into densely-wooded terrain. Radar data showed the aircraft was significantly above the glideslope and exceeded the company's maximum descent rate for a stabilized approach.

Accident Overview

A commercial pilot was completing an instrument flight rules (IFR) air taxi flight on a route he had flown numerous times. Radar and voice communication data revealed that the airplane was vectored to the final approach course for a precision approach and was given a frequency change to the destination airport control tower. The tower controller issued a landing clearance, which the pilot acknowledged; there were no further communications.

Weather and Radar Data

Weather conditions at the airport at the time of the accident included an overcast ceiling at 300 ft with 1 mile visibility in mist. The wreckage was located in densely-wooded terrain. A radar performance study revealed that, as the airplane crossed the precision final approach fix 6.7 nautical miles (nm) from the runway threshold, the airplane was 800 ft above the glideslope. At the outer marker, 5.5 nm from the runway threshold, the airplane was 500 ft above the glideslope. When radar contact was lost 3.2 nm from the threshold, the airplane was about 250 ft above the glideslope. Although the airplane remained within the lateral limits of the approach localizer, its last two recorded radar returns would have correlated with a full downward deflection of the glideslope indicator in the cockpit, indicating an unstabilized approach.

Pilot Decision

Interpolation of radar data revealed that, during the last 2 minutes of the accident flight, the airplane's rate of descent increased from 400 ft per minute (fpm) to greater than 1,700 fpm, likely as a result of pilot inputs. During the final minute of the flight, the rate decreased briefly to 1,000 fpm before radar contact was lost. The company's standard operating procedures stated that, if a rate of descent greater than 1,000 fpm was encountered during an instrument approach, a missed approach should be performed. The airplane's relative position to the glideslope and its rapid changes in descent rate after crossing the outer marker suggest that the airplane never met the operator's stabilized approach criteria. Rather than executing a missed approach procedure as outlined in the company's operating procedures, the pilot chose to continue the unstabilized approach, which resulted in a descent into trees and terrain.

Probable Cause

The official probable cause is the pilot's decision to continue an unstabilized instrument approach in instrument meteorological conditions, which resulted in controlled flight into terrain.