Aircraft Accident/Incident Report

San Jose, California 95138
Saturday, December 23, 1995 PST

NTSB Narrative Summary Released at Completion of Accident

The aircraft impacted mountainous terrain in controlled flight during hours of darkness and marginal VFR conditions. The flight was being vectored for an instrument approach during the pilot's 14 CFR Part 135 instrument competency check flight. The flight was instructed by approach control to maintain VFR conditions, and was assigned a heading and altitude to fly which caused the aircraft to fly into another airspace sector below the minimum vectoring altitude (MVA). FAA Order 7110.65, Section 5-6-1, requires that if a VFR aircraft is assigned both a heading and altitude simultaneously, the altitude must be at or above the MVA. The controller did not issue a safety alert, and in an interview, said he was not concerned when the flight approached an area of higher minimum vectoring altitudes (MVA's) because the flight was VFR and 'pilots fly VFR below the MVA every day.' At the time of the accident, the controller was working six arrival sectors and experienced a surge of arriving aircraft. The approach control facility supervisor was monitoring the controller and did not detect and correct the vector below the MVA.

NTSB Probable Cause Narrative

The failure of the air traffic controller to comply with instructions contained in the Air Traffic Control Handbook, FAA Order 7110.65, which resulted in the flight being vectored at an altitude below the minimum vectoring altitude (MVA) and failure to issue a safety advisory. In addition, the controller's supervisor monitoring the controller's actions failed to detect and correct the vector below the MVA. A factor in the accident was the flightcrew's failure to maintain situational awareness of nearby terrain and failure to challenge the controller's instructions.

Event Information

Type of Event Accident
Event Date 12/23/1995
Event Day of the Week Saturday
Time of Event 19
Event Time Zone Pacific Standard Time
Event City SAN JOSE
Event State CALIFORNIA
Event Country --
Zipcode of the event site 95138
Event Date Year 1995
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Partial - limited by pilot
Investigator's weather source Weather Observation Facility
Time of the weather observation 2359 Pacific Standard Time
Direction of event from weather observation facility (degrees) 275
Weather Observation Facility ID OAK
Elevation of weather observation facility 6
Distance of event from weather observation facility (units?) 25
Time Zone of the weather observation PST
Lighting Conditions Night/Dark
Lowest Ceiling Height 1500
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 5
Air Temperature at event time (in degrees celsius) 8
Dew Point at event time (in degress fahrenheit) 7
Wind Direction (degrees magnetic) 40
Variable Wind Indicator Unknown
Wind Speed (knots) 11
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 1996
NTSB Notification Source --
NTSB Notification Date Dec 23 1995 12:00AM
NTSB Notification Time 305
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 7 2000 4:52PM
User who most recently changed record dbo
Basic weather conditions Unknown
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N27954
NTSB Number LAX96FA078
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-31-350
Aircraft Series Identifier PA-31-350
Aircraft Serial Number 31-7952062
Certified Max Gross Weight 7000
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 2
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Dec 19 1995 12:00AM
Airframe hours since last inspection 12
Airframe Hours 9840
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name AMERIFLIGHT, INC.
Aircraft Owner Street Address 4700 EMPIRE AVENUE, HANGAR #1
Aircraft Owner City BURBANK
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 91505
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code JIKA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Instructional
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code OAK
Departure City OAKLAND
Departure State CA
Departure Country
Departure Time 2320
Departure Time Zone PST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --