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ERA15FA144 · Mooney M20F

4 Mar 2015 · Norfolk, VA, United States

Mooney M20F · Accident: controlled flight into terrain/object (CFIT) on approach

From Palatka Municipal - Lt. Kay Larkin Field (28J) to Suffolk Executive Airport (SFQ)

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Event

NTSB case
ERA15FA144
Event typeAccident: someone killed or seriously injured, or the aircraft substantially damaged (NTSB definition). Incident: an occurrence that affected or could have affected safety, short of that. Glossary
Accident
InvestigationHow far the investigation had got when the record was published: preliminary, ongoing, final or completed. Unknown where the source does not say. Glossary
Completed
API-reported fatalities
3 · all aircraft and ground
Ground fatalities
Unknown
OperationWhat kind of flying it was, grouped by the rules it flew under: airline (US Part 121), air taxi and commuter (Part 135), general aviation (Part 91 and similar), military or government. Glossary
General aviation
WeatherVisual meteorological conditions (VMC): good enough to fly by looking outside. Instrument conditions (IMC): cloud or low visibility, flying by instruments. Glossary
Instrument Meteorological Cond

Mooney M20F

Aircraft type
Mooney M20
Category
Airplane
RegistrationThe aircraft's tail number, such as N12345 or G-ABCD. Registrations are reissued, so the same one years apart can be a different aircraft. Glossary
N66BB
Operator
Unknown
Onboard fatalities
Unknown
Route
From Palatka Municipal - Lt. Kay Larkin Field (28J), Palatka, FLTo Suffolk Executive Airport (SFQ), Suffolk, VA
Aircraft age
About 40 years (built 1975)
Flight rulesThe regulations the flight operated under: in the US, Part 91 (general aviation), Part 121 (airlines), Part 135 (air taxi and commuter) and others; for flights abroad, the NTSB's coarser commercial or non-commercial code. Glossary
Part 91: General Aviation
Phase of flightThe stage of the flight when things started to go wrong: standing, taxi, takeoff, initial climb, en route, maneuvering, approach or landing. Glossary
Approach · IFR final approach
Defining eventThe single coded event the NTSB judges best describes what happened (records from 2008 on). Older records name the first occurrence in the sequence instead. Glossary
Controlled flight into terrain/object (CFIT)
DamageDestroyed: beyond practical repair. Substantial: damage that affects the structure, performance or handling and normally needs major repair. Minor: less than that. Glossary
Substantial

Cause areas

  • Aircraft › Aircraft oper/perf/capability
  • Personnel issues › Task performance

Approximate · Coordinates as recorded by the NTSB; no uncertainty radius is established.

NTSB narrative

In preparation for the night cross-country flight from southern Florida to Virginia, the private pilot contacted flight service to file instrument flight rules (IFR) flight plans for each of the two planned legs. The pilot was advised that instrument meteorological conditions (IMC), moderate turbulence, and possible low-level wind shear would prevail for the second leg of the trip (the accident flight). Although the pilot indicated to the briefer that he was aware of these conditions, the extent to which he had familiarized himself with the forecast weather could not be determined because there was no record of a complete weather briefing from an official, access-controlled source.

The first leg of the flight departed about 2030 and landed uneventfully about 2240. After obtaining fuel, the pilot and his two passengers departed on the accident flight about 2353. The airplane reached the destination airport about 0300. The airport was under low IFR weather conditions, and the pilot requested an RNAV GPS instrument approach, even though the airplane was only equipped with a handheld GPS receiver. During the approach, the air traffic controller twice noted that the pilot was having difficulty maintaining alignment with the final approach course. When asked about this by the controller, the pilot first attributed the issue to problems displaying the instrument approach charts on his GPS receiver and second to the wind correction angle necessary to hold the course. At the conclusion of the unsuccessful approach, the pilot failed to comply with the published missed approach procedure and descended to an estimated 100 ft above ground level (agl) before subsequently climbing. When asked by the controller to fly the published missed approach procedure, the pilot responded that he was unable to do so because he was "off course."

With the assistance of air traffic controllers, the pilot diverted to a nearby airport equipped with an instrument landing system (ILS) even though similar weather conditions prevailed. The pilot was provided radar vectors for an ILS approach, but he again had difficulty maintaining the approach's prescribed altitudes and courses, and the controller cancelled the approach clearance. About 0400, during the pilot's second attempted approach to the diversion airport, the airplane descended to within 1 mile of the runway and about 200 ft agl. About that time, the pilot reported that he had the airport in sight, consistent with the airplane descending below the cloud ceiling. A plot of the airplane's GPS-derived ground track and the recorded air traffic control radio transmissions showed that, about the time the pilot reported the airport in sight, the airplane was about 1/4 mile offset from the localizer but tracking toward the runway. However, instead of continuing its track toward the runway, moments later, the airplane made an abrupt, 90-degree right turn before turning left back toward the approach runway several seconds later. During the final 9 seconds of the flight, the airplane descended at a calculated descent rate of 900 ft per minute to ground impact. The airplane's maneuvering and its final descent occurred over a relatively unlit area of water and forest. The diminished lighting conditions likely provided the pilot with limited external cues to draw from in his attempt to maintain control of the airplane and complete the visual portion of the landing approach.

Postaccident examination of the airframe and engine revealed no evidence of any preimpact mechanical malfunctions or failures. A technical performance assessment of the diversion airport's ILS equipment revealed no discrepancies associated with the systems in use by the pilot during the attempted approach.

Throughout the approaches to both airports, the pilot repeatedly described the extreme nature of the turbulence and the high wind velocity that the airplane was encountering. Forecast and observed weather were consistent with this assessment. The pilot also described that he was having difficulty maintaining a heading due to precession of the airplane's gyroscopic heading indicator. Detailed examination of the vacuum-system-driven gyroscopic heading indicator revealed no anomalies, and a functional test displayed no abnormal precession. It is most likely that the gyroscopic precession cited by the pilot was directly attributable to the turbulence.

The pilot's personal flight logs were not recovered, and neither his recent flight experience nor instrument flight currency could be determined; however, his inability to maintain assigned headings and altitudes and to fly navigational courses indicated that his level of proficiency in flying the airplane in IMC was inadequate for the flight, particularly given the extremely challenging nature of the weather conditions that prevailed on the night of the accident. Additionally, the pilot decided to conduct the flight using a handheld GPS receiver, which was not suitable for IFR navigation and instrument approaches.

Although toxicological testing revealed the presence of amphetamine in the pilot's blood and urine, the investigation was unable to determine whether the pilot's use of amphetamine or the effects of any underlying condition contributed to the accident.

Probable cause

The pilot's failure to properly execute the instrument approach procedure. Contributing to the accident were the pilot's improper preflight planning and his decision to conduct the flight in instrument meteorological conditions at night into forecast moderate turbulence and with inadequate avionics equipment for the planned flight.

Verbatim NTSB analysis and probable cause from the NTSB dataset

Sources

NTSB record ERA15FA144
Event ID
20150304X81814
Case number
ERA15FA144
Dataset
full-current
Source SHA-256
5cf380f0061817c0331a6b2d8cc7e0ee3a79bea469a1001dc5c10e56f35f5ab3
Source notes (4)
  • Unreviewed is an editorial label, not an investigation status. API-sourced is not report-checked or human-reviewed. Explicit event totals are used without summing aircraft injury tables; onboard allocation is withheld. Unknown values remain unknown. The operation category is mapped from the NTSB-reported FAR part and has not been reviewed.
  • Filled from the NTSB case API where the bulk record had no value: investigation status. Values present in the bulk record are kept.
  • The date is the local date, which is the same as the UTC date the NTSB stores.
  • API snapshot SHA-256: 3fc83c3c7ce4b6aaa0cabe7bd1319239a04b21af440328bfaea9b2b43dc13ab6; retrieved 2026-09-14T17:32:42.229Z.