Key West International Airport
Aircraft Accident/Incident Report

Key West, Florida 33040
Thursday, November 4, 2004 19:27 EST

NTSB Narrative Summary Released at Completion of Accident

The airplane departed with an IFR clearance from Runway 9, and after takeoff turned to a heading of 180 degrees and climbed to 1,900 feet. Approximately 25 seconds before the last radar target was recorded, the flight was cleared to turn right to a heading of 360 degrees. The recorded radar targets occurred every 12 seconds; there was no report of a failure or malfunction of the radar site at or after the last recorded radar target. There was no distress call made by the pilot. The airplane crashed into the Straits of Florida; the wreckage was located approximately .55 nautical mile and 278 degrees from the last recorded radar target. The fuselage and both wings were fragmented. No evidence of preimpact failure or malfunction was noted to the airframe, engine, or flight instruments. Additionally, no heat or fire damage was noted to any recovered piece of the wreckage. The airplane was equipped with a standby electrically controlled vacuum pump, and also a standby electrically operated attitude indicator installed on the co-pilot's side of the instrument panel. The pilot's and co-pilot's attitude indicators each powered by a separate source both depicted postaccident the airplane in a steep nose-down attitude and right bank angle of approximately 60 degrees. The turn coordinator also indicated a bank angle greater than standard rate. The tachometer and airspeed indications both exceeded maximum limitations. The instrument rated pilot had accumulated a total flight time of 829 hours, 16 hours of which were accumulated on the accident airplane from April to November of 2004. The pilot's most recent logbook could not be located and no information was obtained regarding the pilot's currency on flying by instruments. According to the aircraft logbook, a new engine-driven vacuum pump was installed in July 2003. Altimeter, automatic pressure altitude reporting system, and static pressure system inspections, as well as transponder inspections and tests due every 24 calendar months, were last recorded as occurring in October 2002. The airplane was scheduled for an annual inspection 4 days after the accident. Dark night conditions existed in the area where the airplane was lost from radar.

NTSB Probable Cause Narrative

The pilot's failure to maintain aircraft control as a result of spatial disorientation. A related factor was the dark, night conditions.

Event Information

Type of Event Accident
Event Date 11/4/2004
Event Day of the Week Thursday
Time of Event 1927
Event Time Zone Eastern Standard Time
Event City Key West
Event State FLORIDA
Event Country --
Zipcode of the event site 33040
Event Date Year 2004
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 242907N
Event Location Longitude 0814685W
Event Location Airport Key West International
Event Location Nearest Airport ID KEYW
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 5.13
Degrees magnetic from airport --
Airport Elevation 3
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1940 Eastern Standard Time
Direction of event from weather observation facility (degrees) 19
Weather Observation Facility ID KEYW
Elevation of weather observation facility 3
Distance of event from weather observation facility (units?) 4
Time Zone of the weather observation EST
Lighting Conditions Night/Dark
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 27
Dew Point at event time (in degress fahrenheit) 21
Wind Direction (degrees magnetic) 90
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 5
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30
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 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 20647
NTSB Notification Source U.S. Coast Guard
NTSB Notification Date Nov 4 2004 12:00AM
NTSB Notification Time 2159
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Nov 29 2006 12:45PM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office Miami, Florida

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1905S
NTSB Number MIA05FA024
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name SOCATA
Aircraft Model TB 20
Aircraft Series Identifier --
Aircraft Serial Number 1905
Certified Max Gross Weight 3086
Aircraft Category Airplane
Aircraft Registration Class --
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 Nov 1 2003 12:00AM
Airframe hours since last inspection 145.04
Airframe Hours 680.5
ELT Installed Yes
ELT Activated --
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Megapede USA, Inc.
Aircraft Owner Street Address 1209 Orange Street
Aircraft Owner City Wilmington
Aircraft Owner State DE
Aircraft Owner Country USA
Aircraft Owner Zipcode 19801
Operator is an individual? No
Operator Name Marc Paquin
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 2 North Tamiami Trail
Operator City Sarasota
Operator State FL
Operator Country USA
Operator Zip code 34238
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 Yes
Departure Airport Code KEYW
Departure City Key West
Departure State FL
Departure Country USA
Departure Time 1923
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code KSRQ
Destination City Sarasota
Destination State FL
Destination Country USA
Specific Phase of Flight Descent
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Sep 25 2006 3:30PM
User who most recently changed record KENJ
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --