Aircraft Accident/Incident Report

North Las Vegas, Nevada 89032
Thursday, October 14, 1999 19:46 PDT

NTSB Narrative Summary Released at Completion of Accident

The airplane collided with mountainous terrain during climb to cruise on a night departure. The pilot of the on-demand cargo flight was brought in off reserve to replace the scheduled pilot who was ill. The flight was behind schedule because the cargo was late. When the instrument flight release created further delay, the pilot opted to depart into the clear, dark night under visual flight rules (VFR) with the intention of picking up his instrument clearance when airborne. When clearing the flight for takeoff, the tower controller issued a suggested heading of 340 degrees, which headed the aircraft toward mountainous terrain 11 miles north of the airport. The purpose of the suggested heading was never stated to the pilot as required by FAA Order 7110.65L. After a frequency change to radar departure control, the controller asked the pilot 'are you direct [the initial (route) fix] at this time?' and the pilot replied, 'we can go ahead and we'll go direct [the initial fix].' A turn toward the initial fix would have headed the aircraft away from high terrain. The controller then diverted his attention to servicing another VFR aircraft and the accident aircraft continued to fly heading 340 degrees until impacting the mountain. ATC personnel said the 340-degree heading was routinely issued to departing aircraft to avoid them entering Class B airspace 3 miles from the airport. The approach control supervisor said this flight departs daily, often VFR, and routinely turns toward the initial fix, avoiding mountainous terrain. When the pilot said that he would go to the initial fix, the controller expected him to turn away from the terrain. Minimum Safe Altitude Warning (MSAW) was not enabled for the flight because the original, instrument flight plan did not route the aircraft through this approach control's airspace and the controller had not had time to manually enter the flight data. High terrain was not displayed on the controller's radar display and no safety alert was issued.

NTSB Probable Cause Narrative

The failure of the pilot-in-command to maintain separation from terrain while operating under visual flight rules. Contributing factors were the improper issuance of a suggested heading by air traffic control personnel, inadequate flight progress monitoring by radar departure control personnel, and failure of the radar controller to identify a hazardous condition and issue a safety alert.

Event Information

Type of Event Accident
Event Date 10/14/1999
Event Day of the Week Thursday
Time of Event 1946
Event Time Zone Pacific Daylight Time
Event City NORTH LAS VEGAS
Event State NEVADA
Event Country --
Zipcode of the event site 89032
Event Date Year 1999
Event Date Month 10
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 Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 1947 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 160
Weather Observation Facility ID VGT
Elevation of weather observation facility 2203
Distance of event from weather observation facility (units?) 11
Time Zone of the weather observation PDT
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) 10
Air Temperature at event time (in degrees celsius) 28
Dew Point at event time (in degress fahrenheit) -7
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Variable
Wind Speed (knots) 0
Wind Velocity Indicator Calm
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 1847
NTSB Notification Source --
NTSB Notification Date Oct 14 1999 12:00AM
NTSB Notification Time 2030
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Apr 9 2001 8:55AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1024B
NTSB Number LAX00FA014
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
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 31-7652107
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 AAIP
Date of Last Inspection Sep 30 1999 12:00AM
Airframe hours since last inspection 26
Airframe Hours 14048
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name AMERIFLIGHT, INC.
Aircraft Owner Street Address 4700 EMPIRE AVE.
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 Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Cargo
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code VGT
Departure City
Departure State NV
Departure Country
Departure Time 1941
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code SAC
Destination City SACRAMENTO
Destination State CA
Destination Country
Specific Phase of Flight Climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 9 2001 8:55AM
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 --