Aircraft Accident/Incident Report

Baker, Nevada 89311
Saturday, August 8, 1998 11:49 PDT

NTSB Narrative Summary Released at Completion of Accident

The pilot had filed an instrument flight rules (IFR) flight plan for 25,000 feet mean sea level (MSL), and he amended it to 27,000 feet MSL en route. About 36 minutes after the altitude change to 27,000 feet, the pilot advised air traffic control (ATC) that he had lost cabin pressurization and needed an immediate descent. About 20 seconds later he was cleared to 25,000 feet, then 15 seconds later to 15,000 feet. Shortly after the pilot acknowledged the lower altitudes, the radio communications deteriorated to microphone clicks with no carrier. The aircraft started a shallow descent with slight heading changes, then was observed to make a rapid descent into desert terrain. About 10 months prior to the accident the aircraft had been inspected in accordance with the Piper Cheyenne Progressive Inspection 100-hour Cycle, event No. 1. According to the servicing agency, the aircraft inspection was completed and the aircraft was returned to service with a 12,500 feet MSL altitude restriction due to unresolved oxygen system issues. The last oxygen bottle hydrostatic check noted on the bottle was October 1989. The oxygen system was in need of required maintenance and the masks were in a rotted condition. The pilot failed to report his severe coronary artery disease condition, medications, and other conditions to his FAA medical examiner for the required flight physical.

NTSB Probable Cause Narrative

the pilot's failure to comply with a 12,500-foot altitude restriction placed on the aircraft by an FAA approved maintenance facility due to unresolved oxygen system issues. Contributing to the accident was the pilot's failure to divulge his true physical condition and need for medication during his application for an Airman Medical Certificate.

Event Information

Type of Event Accident
Event Date 8/8/1998
Event Day of the Week Saturday
Time of Event 1149
Event Time Zone Pacific Daylight Time
Event City BAKER
Event State NEVADA
Event Country --
Zipcode of the event site 89311
Event Date Year 1998
Event Date Month 8
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 Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1153 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 300
Weather Observation Facility ID ELY
Elevation of weather observation facility 6255
Distance of event from weather observation facility (units?) 45
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 29
Dew Point at event time (in degress fahrenheit) 3
Wind Direction (degrees magnetic) 210
Variable Wind Indicator Unknown
Wind Speed (knots) 14
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 18
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 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 1913
NTSB Notification Source --
NTSB Notification Date Aug 8 1998 12:00AM
NTSB Notification Time 1427
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 11 2000 11:42AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N6JM
NTSB Number LAX98FA260
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-T1
Aircraft Series Identifier PA-31-T1
Aircraft Serial Number 31T-7904011
Certified Max Gross Weight 8700
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 8
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Nov 1 1997 12:00AM
Airframe hours since last inspection --
Airframe Hours 4821
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name GRAY LEASING INC.
Aircraft Owner Street Address P.O. BOX 9198
Aircraft Owner City SEARCY
Aircraft Owner State AR
Aircraft Owner Country
Aircraft Owner Zipcode 72145
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
Owner has at least one certificate None
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) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code STS
Departure City SANTA ROSA
Departure State CA
Departure Country
Departure Time 1045
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code ICT
Destination City WICHITA
Destination State KS
Destination Country
Specific Phase of Flight Cruise
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
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 --