Aircraft Accident/Incident Report

Guide Rock, Nebraska 68942
Monday, August 12, 1991 12:41 CDT

NTSB Narrative Summary Released at Completion of Accident

THE PILOT WHO WAS NOT INSTRUMENT RATED WAS TRYING TO REMAIN VFR ON TOP WHEN HE ENCOUNTERED IMC AT 17,500 FEET. AIRCRAFT ENTERED AN UNCONTROLLED DESCENT AFTER THE PILOT TRIED TO MANEUVER TO REMAIN IN VMC. THE RIGHT WING SEPARATED FROM THE AIRCRAFT DURING DESCENT. THE PILOT WAS ABOVE 14,000 FEET FOR ONE HOUR. THE AIRCRAFT WAS NOT OXYGEN EQUIPPED, AND NO EVIDENCE OF PORTABLE OXYGEN WAS FOUND. THERE WAS NO RECORD OF A PRELFIGHT WEATHER BRIEFING. THE PILOT GOT AN INFLIGHT WEATHER BRIEFING 1.5 HOURS BEFORE THE CRASH IN WHICH VFR WAS NOT RECOMMENDED, AND A ROUTE OF FLIGHT TO AVOID THE WEATHER WAS SUGGESTED. A SECOND INFLIGHT WEATHER BRIEFING WAS OBSTAINED 20 MINUTES BEORE THE CRASH IN WHICH A ROUTE OF FLIGHT TO AVOID THE WEATHER WAS AGAIN SUGGESTED. PILOT CONTINUED UNTIL HE WAS IMC.

NTSB Probable Cause Narrative

SPATIAL DISORIENTATION, AND EXCEEDING THE DESIGN LIMITS OF THE AIRCRAFT. FACTORS RELATED TO THE ACCIDENT ARE INADEQUATE PREFLIGHT PLANNING, VFR FLIGHT INTO IMC, FLIGHT WEATHER AVOIDANCE ASSISTANCE NOT FOLLOWED, EXCESSIVE ALTITUDE, PHYSICAL IMPAIRMENT (ANOXIA/HYPOXIA), AND LACK OF TOTAL INSTRUMENT TIME.

Event Information

Type of Event Accident
Event Date 8/12/1991
Event Day of the Week Monday
Time of Event 1241
Event Time Zone Central Daylight Time
Event City GUIDE ROCK
Event State NEBRASKA
Event Country --
Zipcode of the event site 68942
Event Date Year 1991
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 0
Degrees magnetic from airport 0
Airport Elevation --
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1254 Central Daylight Time
Direction of event from weather observation facility (degrees) 350
Weather Observation Facility ID HSI
Elevation of weather observation facility 1954
Distance of event from weather observation facility (units?) 30
Time Zone of the weather observation CDT
Lighting Conditions Day
Lowest Ceiling Height 4000
Lowest Non-Ceiling Height 500
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
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) 18
Dew Point at event time (in degress fahrenheit) 17
Wind Direction (degrees magnetic) 190
Variable Wind Indicator Unknown
Wind Speed (knots) 4
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) --
Intensity of Precipitation Light
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) 1589
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 45241
Date of most recent change to record Dec 12 2000 10:38AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N5145P
NTSB Number CHI91FA259
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name PIPER
Aircraft Model PA-24-250
Aircraft Series Identifier PA-24-250
Aircraft Serial Number 24-161
Certified Max Gross Weight 2800
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 4
Number of Engines 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Mar 20 1991 12:00AM
Airframe hours since last inspection 20
Airframe Hours 2441
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name THOMAS K. PHELPS
Aircraft Owner Street Address RR1 BOX 191
Aircraft Owner City SILOAM SPRINGS
Aircraft Owner State AR
Aircraft Owner Country
Aircraft Owner Zipcode 72761
Operator is an individual? --
Operator Name THOMAS K. PHELPS
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address RR1 BOX 191
Operator City SILOAM SPRINGS
Operator State AR
Operator Country
Operator Zip code 72761
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 SPF
Departure City SPEARFISH
Departure State SD
Departure Country
Departure Time 900
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code FYV
Destination City FAYETTEVILLE
Destination State AR
Destination Country
Specific Phase of Flight Maneuvering
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:35AM
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 --