St. Augustine Airport
Aircraft Accident/Incident Report

St. Augustine, Florida 32095
Wednesday, February 6, 2008 19:55 EST

NTSB Narrative Summary Released at Completion of Accident

The airplane departed on runway 6 at St. Augustine (SGJ) Airport, St. Augustine, FL, and proceeded off the end of the runway into the marshy waters of the Intracoastal Waterway. According to the pilot, "The air traffic controller told me that I was good there and gave me clearance to depart 31. I understood that to mean I was on [runway] 31 and clear for departure so I completed my pre-takeoff checklist and began my ground roll. Then I noticed I was on the wrong runway and tried to stop, but was too late and the momentum carried me into the marsh." According to the FAA's preliminary report, the student solo pilot arrived from Deland, Florida and requested to taxi back to the active runway for departure. The controller instructed the pilot to make a left turn on B2 then taxi to runway 31 via taxiway B, and hold short of runway 31 at taxiway B4. The pilot acknowledged the clearance. The pilot taxied past taxiway B4 and went onto runway 6/24. While on runway 6/24 and short of runway 31, the pilot requested progressive taxi instructions from the tower controller. The controller advised the pilot, "You're fine where you're at. Are you ready to go?" The pilot stated that he was ready to depart. The controller instructed "Zero foxtrot tango, runway 31 at runway six intersection, cleared for takeoff left turn southbound." The pilot read back "cleared for takeoff." According to the preliminary report, the tower controller observed the aircraft make a turn onto runway 31 at runway 6 intersection and then returned to do administrative duties, (the hourly weather). The pilot had departed straight ahead on runway 6 from the intersection of runway 6/31 with approximately 200 feet of runway remaining. A short time later the pilot buzzed the tower door and advised the controller that he had ran off the runway into the Intracoastal Waterway.

NTSB Probable Cause Narrative

The pilot's failure to adhere to the controller's takeoff instruction. Contributing to the incident was the controller's failure to properly monitor the flight, and the controller's decision to perform lesser duty priorities during the takeoff roll.

Event Information

Type of Event Incident
Event Date 2/6/2008
Event Day of the Week Wednesday
Time of Event 1955
Event Time Zone Eastern Standard Time
Event City St. Augustine
Event State FLORIDA
Event Country --
Zipcode of the event site 32095
Event Date Year 2008
Event Date Month 2
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 295755N
Event Location Longitude 0812063W
Event Location Airport St. Augustine
Event Location Nearest Airport ID SGJ
Indicates whether the acc/inc occurred off or on an airport --
Distance from airport in statute miles 0
Degrees magnetic from airport --
Airport Elevation 10
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1955 Eastern Standard Time
Direction of event from weather observation facility (degrees) 60
Weather Observation Facility ID KSGJ
Elevation of weather observation facility 10
Distance of event from weather observation facility (units?) 0
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) 24
Dew Point at event time (in degress fahrenheit) 13
Wind Direction (degrees magnetic) 230
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.97
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 1
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 23730
NTSB Notification Source FAA
NTSB Notification Date Feb 7 2008 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jun 30 2008 11:48AM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office HQ

Aircraft Involved

Aircraft #1

Aircraft Registration Number --
NTSB Number OPS08IA006
Missing Aircraft Indicator --
Federal Aviation Reg. Part --
Type of Flight Plan filed VFR
Flight plan Was Activated? No
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Piper
Aircraft Model PA-28-161
Aircraft Series Identifier --
Aircraft Serial Number 2842T81
Certified Max Gross Weight --
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 --
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection --
Date of Last Inspection --
Airframe hours since last inspection --
Airframe Hours --
ELT Installed --
ELT Activated --
ELT Aided Location of Event Site --
ELT Type --
Aircraft Owner Name --
Aircraft Owner Street Address --
Aircraft Owner City Deland
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 32720
Operator is an individual? Yes
Operator Name --
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City York
Operator State ME
Operator Country USA
Operator Zip code 03909
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 --
Departure Point Same as Event Yes
Departure Airport Code SGJ
Departure City St. Augustine
Departure State FL
Departure Country USA
Departure Time 1955
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code KDED
Destination City Deland
Destination State FL
Destination Country USA
Specific Phase of Flight Takeoff - roll/run
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 9 2008 12:50PM
User who most recently changed record ROWS
Since inspection or accident --
Event Location Runway Number and Location 06
Runway Length 2701
Runway Width 60
Sight Seeing flight No
Air Medical Flight No
Medical Flight --