Hot Springs/Memorial Field Airport
Aircraft Accident/Incident Report

Hot Springs, Arkansas 71901
Friday, July 2, 2004 10:43 CDT

NTSB Narrative Summary Released at Completion of Accident

The 1,765-hour instrument rated private pilot was executing the ILS RWY 5 instrument approach when he over flew the airport, then made a left turn and collided with mountainous terrain approximately five miles northeast of the airport. A witness was in her home when she heard the sound of an airplane "flying really low." She said the engine sounded normal, and then the sound of the engine stopped very "abruptly." The pilot was vectored by air traffic control (ATC) to intercept the localizer course for the ILS RWY 5 approach. A review of ATC communications and radar data revealed at 1035:53, when the airplane was approximately 5.5 miles southwest of HOSSY intersection, an approach controller instructed the pilot to, "fly heading 020 degrees intercept the localizer and maintain 3,000 feet until established." The pilot acknowledged, and began a right turn towards the airport. Over the next two minutes, the airplane tracked a 020 degree heading but remained south of the final approach course. At 1038:10, the airplane was just southeast of HOSSY at an altitude of 3,000 feet msl. At this point, the airplane was 700 feet above the published approach altitude, which was 2,300 feet msl, and the pilot had not reported established on the final approach course. At 1039:25, the approach controller conducted a position relief briefing and discussed the airplane's approach with the relief controller. The controller stated to the relief controller, "he's probably going to miss...I turned him on too late probably gonna miss yeah he's too high he's missed it now." At 1039:25, the pilot reported established on the final approach course. The airplane was 2.5 miles past HOSSY and three miles from the runway at an altitude of 3,000 feet msl. The relief controller responded, "roger change to advisory approved report your arrival time this frequency." The pilot acknowledged. The relief controller then replied, "well just make sure you got this approach you are cleared for the i l s runway five approach and change to advisory approved report your arrival time this frequency." The pilot responded, "two three romeo cleared for the i l s runway five I'll report to you when I am down." No further transmissions were received from the pilot. Both controllers acknowledged the pilot's abnormal approach and failed to provide known information that may have assisted the pilot in determining whether to continue with the approach or take alternate action as required per FAA Order 7110.65, "Air Traffic Control" paragraph 5-9-2, Final Approach Course Interception. Examination of the airplane and engine revealed no mechanical deficiencies.

NTSB Probable Cause Narrative

The pilot's failure to fly a stabilized, published instrument approach procedure, which resulted in a collision with mountainous terrain. Factors were the clouds and the air traffic controllers' failure to provide known information that may have assisted the pilot in determining whether to continue with the approach or take alternate action.

Event Information

Type of Event Accident
Event Date 7/2/2004
Event Day of the Week Friday
Time of Event 1043
Event Time Zone Central Daylight Time
Event City Hot Springs
Event State ARKANSAS
Event Country --
Zipcode of the event site 71901
Event Date Year 2004
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 343136N
Event Location Longitude 0930129W
Event Location Airport Hot Springs/Memorial Field
Event Location Nearest Airport ID HOT
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 5
Degrees magnetic from airport 45
Airport Elevation 540
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1043 Central Standard Time
Direction of event from weather observation facility (degrees) 45
Weather Observation Facility ID HOT
Elevation of weather observation facility 540
Distance of event from weather observation facility (units?) 5
Time Zone of the weather observation CST
Lighting Conditions Day
Lowest Ceiling Height 1300
Lowest Non-Ceiling Height 800
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 7
Air Temperature at event time (in degrees celsius) 25
Dew Point at event time (in degress fahrenheit) 23
Wind Direction (degrees magnetic) 220
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.03
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
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) 17729
NTSB Notification Source SWR CC
NTSB Notification Date Jul 2 2004 12:00AM
NTSB Notification Time 1645
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jun 8 2005 12:51PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Little Rock. Arkansas

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4123R
NTSB Number FTW04FA172
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-32-300
Aircraft Series Identifier --
Aircraft Serial Number 32-40441
Certified Max Gross Weight 3400
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 1
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jan 2 2004 12:00AM
Airframe hours since last inspection --
Airframe Hours 4339
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name Larry D. Sanders
Aircraft Owner Street Address 3203 Batter Sea Lane
Aircraft Owner City Alexandria
Aircraft Owner State VA
Aircraft Owner Country USA
Aircraft Owner Zipcode 22309
Operator is an individual? No
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? --
Certified for Part 133 or 137 Operation --
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 6I2
Departure City Springfield
Departure State KY
Departure Country USA
Departure Time 700
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code HOT
Destination City Hot Springs
Destination State AR
Destination Country USA
Specific Phase of Flight Maneuvering
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record --
User who most recently changed record --
Since inspection or accident Last Inspection
Event Location Runway Number and Location 5
Runway Length 6595
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --