Spatial disorientation during instrument approach leads to ground impact

2 fatalities • Mendoza, United States of America • Landing (descent or approach)

An aircraft impacted the ground during a descent and turn sequence while the pilot was transitioning from visual to instrument conditions.

What happened

While operating in visual meteorological conditions above a cloud layer, the pilot was established on the localizer portion of an instrument landing system approach. During the approach, the pilot was positioned outside the final approach fix. An air traffic controller issued a series of vectors that directed the aircraft away from the localizer course. These instructions included a 90-degree turn to the left, a descent, and a subsequent 180-degree right turn intended to bring the aircraft back toward the localizer.

As the aircraft performed the right-hand turn and descent, the pilot entered cloud cover. During this maneuver, the aircraft continued to turn with an increasing bank angle, eventually resulting in a ground impact.

Findings

Investigations into the accident identified several contributing factors. The transition from visual flight to instrument conditions, occurring simultaneously with descending turns, created an environment highly conducive to spatial disorientation. The instructions provided by air traffic control involved rapid and large-magnitude heading changes which, when paired with the descent clearance, likely exacerbated the pilot's loss of orientation.

Additionally, toxicological analysis of the pilot revealed the presence of diphenhydramine. While the specific impact of this medication at the time of the event could not be definitively measured, the drug is known to potentially impair physical and mental functions and may have played a role in the development of the pilot's spatial disorientation.

Probable cause

The pilot experienced spatial disorientation due to rapid heading changes and a descent while transitioning from visual to instrument meteorological conditions.

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Frequently asked questions

What happened in the 2009-12-07 Piper PA-46 (Malibu/Meridian/Mirage/Matrix/M-Class) accident near Mendoza, United States of America?

An aircraft impacted the ground during a descent and turn sequence while the pilot was transitioning from visual to instrument conditions.

Were there any fatalities in the 2009-12-07 Piper PA-46 (Malibu/Meridian/Mirage/Matrix/M-Class) accident?

The accident was fatal, resulting in 2 fatalities.

What aircraft was involved and where did it happen?

The accident on 2009-12-07 involved a Piper PA-46 (Malibu/Meridian/Mirage/Matrix/M-Class), registration N600YE, operated by Riley W. Kent, at Mendoza, United States of America.

What was the probable cause of the accident?

The pilot experienced spatial disorientation due to rapid heading changes and a descent while transitioning from visual to instrument meteorological conditions.

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