Laughlin Bullhead Airport
Aircraft Accident/Incident Report

Bullhead City, Arizona 86430
Friday, November 1, 1991 20:22 MST

NTSB Narrative Summary Released at Completion of Accident

DRG AN APCH TO A NEW RWY (34) AT NGT, THE ACFT DSCNDD INTO TRRN ABT 4000' SHORT OF THE RWY. THE OLD RWY (17/35) HAD RECENTLY BEEN CLOSED. THE NEW RWY (16/34) WAS APRX 1400' EAST OF THE OLD RWY & ABT 145' HIGHER. THE ARPT OPERATOR HAD NOTIFIED THE FAA OF THE ELEV CHG. THE FAA NOTAM ISSUED FOR THE NEW RWY DID NOT INCLUDE THE ALT CHG DUE TO PROC POLICY. THE PLT HAD LNDD AT THE ARPT SVRL TIMES, BUT THIS WAS TO BE HIS 1ST LNDG ON THE NEW RWY. THE PLT'S LOGBOOK SHOWED A TOTAL OF 118 HRS OF NGT TIME, BUT THE LAST RECORDED NGT FLT WAS 12 YRS BFR THE ACDNT. TWO PLTS AWAITING TAKEOFF SAW THE APCH & INDCD THE ACFT APPEARED LOW ON DWNWND & BASE LEG. THE PLT'S PSN CALLOUTS SOUNDED NML. THE PLT WAS ON MEDICATION (MED) FOR DIABETES & HI BLOOD PRES, WHICH WAS PRESCRIBED BY HIS REGULAR PHYSICIAN. NONE OF THE PRESCRIBED MEDICATIONS WAS DETECTED IN THE PLT'S BLOOD. AN FAA RGNL FLT SURGEON STATED THAT IF THE PLT DISCONTINUED HIS MEDICATION, IT COULD HAVE CAUSED HYPERTENSION AND/OR HYPERGLYCEMIA, WITH A CORRESPONDING DEGREDATION IN HIS NGT VISUAL PERCEPTIVE ABILITY.

NTSB Probable Cause Narrative

THE PILOTS FAILURE TO MAINTAIN A PROPER DESCENT RATE AND TO ADEQUATELY JUDGE THE ABOVE GROUND ALTITUDE OF THE AIRCRAFT DURING THE APPROACH. FACTORS IN THE ACCIDENT WERE: 1) THE DARK NIGHT CONDITIONS, 2) THE PILOT'S DEGRADED VISUAL PERCEPTIVE ABILITY, AND 3) THE FAILURE OF THE FAA TO DISSEMINATE THE AIRPORT ELEVATION CHANGE INFORMATION IN A TIMELY MANNER.

Event Information

Type of Event Accident
Event Date 11/1/1991
Event Day of the Week Friday
Time of Event 2022
Event Time Zone Mountain Standard Time
Event City BULLHEAD CITY
Event State ARIZONA
Event Country --
Zipcode of the event site 86430
Event Date Year 1991
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport LAUGHLIN BULLHEAD
Event Location Nearest Airport ID P06
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 1
Degrees magnetic from airport 165
Airport Elevation 692
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1945 Mountain Standard Time
Direction of event from weather observation facility (degrees) 330
Weather Observation Facility ID P06
Elevation of weather observation facility 550
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation MST
Lighting Conditions Night/Dark
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 15
Air Temperature at event time (in degrees celsius) 20
Dew Point at event time (in degress fahrenheit) -18
Wind Direction (degrees magnetic) 360
Variable Wind Indicator Unknown
Wind Speed (knots) 10
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 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) 2112
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 46802
Date of most recent change to record Dec 12 2000 10:51AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1734M
NTSB Number LAX92FA033
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed VFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 337F
Aircraft Series Identifier 337F
Aircraft Serial Number 33701334
Certified Max Gross Weight 4630
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 6
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jan 11 1991 12:00AM
Airframe hours since last inspection 35
Airframe Hours 3264
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name JEROME MARCUS TRUSTEE
Aircraft Owner Street Address 272 TAVA LANE
Aircraft Owner City PALM DESERT
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 92260
Operator is an individual? --
Operator Name JEROME MARCUS
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 272 TAVA LANE
Operator City PALM DESERT
Operator State CA
Operator Country
Operator Zip code 92260
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 Yes
Departure Point Same as Event No
Departure Airport Code PSP
Departure City PALM SPRINGS
Departure State CA
Departure Country
Departure Time 1754
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code P06
Destination City BULLHEAD CITY
Destination State AZ
Destination Country
Specific Phase of Flight Landing
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 34
Runway Length 7500
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --