Aircraft Accident/Incident Report

Incline Village, Nevada 89451
Thursday, August 7, 2008 21:30 PDT

NTSB Narrative Summary Released at Completion of Accident

The student pilot initiated a 160-nautical-mile night cross-country flight without approval from his flight instructor for the intended purpose of gambling at a casino. Radar data and wreckage distribution were consistent with the airplane making a gradual controlled descent from cruise flight and impacting mountainous terrain on a direct course toward the intended destination. No preimpact anomalies were noted during examination of the airframe and engine. The pilot's total flight time was approximately 97 hours, of which 19 hours were solo. His total night flight time was 1.8 hours dual instruction, which took place during a single flight on the night before the accident. He had made solo cross-country flights to airports less than 50 nautical miles from his home airport, but had not yet received training in cross-country flight planning. Toxicological testing revealed that the pilot, a physician diagnosed with substance dependence, had been using cocaine and taking two prescription medications (lamotrigine and quetiapine) often used in the treatment of bipolar disorder, as well as a prescription antidepressant (fluoxetine), though the levels detected indicated he had not used cocaine within 24 hours of the accident and had likely recently discontinued use of the medications. Additionally, the testing detected buprenorphine, a prescription narcotic medication, at a level consistent with the chronic use of the medication for treating opioid dependence. The pilot had been treated on multiple occasions for substance dependence and abuse. The relatively recent use of a stimulant (cocaine), recent discontinuation of prescription medications, gambling, and the apparent intent to fly cross-country at night while a student pilot without approval from his instructor all are actions consistent with the pilot being in a manic episode of bipolar disorder at the time of the accident. It is also possible that he was experiencing some cognitive impairment as a result of his use of buprenorphine for the treatment of substance dependence.

NTSB Probable Cause Narrative

The pilot's decision to initiate a flight for which he was neither approved nor qualified and his failure to maintain terrain clearance during the flight. Contributing to the accident were the dark night, the mountainous terrain, and the pilot's medical condition.

Event Information

Type of Event Accident
Event Date 8/7/2008
Event Day of the Week Thursday
Time of Event 2130
Event Time Zone Pacific Daylight Time
Event City Incline Village
Event State NEVADA
Event Country --
Zipcode of the event site 89451
Event Date Year 2008
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 391616N
Event Location Longitude 1195953W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 2055 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 45
Weather Observation Facility ID RNO
Elevation of weather observation facility 4415
Distance of event from weather observation facility (units?) 17
Time Zone of the weather observation PDT
Lighting Conditions Night
Lowest Ceiling Height --
Lowest Non-Ceiling Height 14000
Sky/Lowest/Cloud Conditions Scattered
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) 5
Wind Direction (degrees magnetic) 280
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 12
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 18
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 25317
NTSB Notification Source FAA ROC
NTSB Notification Date Aug 8 2008 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Apr 9 2009 4:16PM
User who most recently changed record coos
Basic weather conditions Visual Meteorological Cond
FAA District Office Reno, NV

Aircraft Involved

Aircraft #1

Aircraft Registration Number N15963
NTSB Number LAX08FA261
Missing Aircraft Indicator Y
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 172S
Aircraft Series Identifier --
Aircraft Serial Number 17259904
Certified Max Gross Weight 2550
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 Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Jun 10 2008 12:00AM
Airframe hours since last inspection 74
Airframe Hours 1259
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type C91-A
Aircraft Owner Name Advantage Aviation Inc.
Aircraft Owner Street Address --
Aircraft Owner City Palo Alto
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode --
Operator is an individual? No
Operator Name Advantage Aviation Inc.
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City Palo Alto
Operator State CA
Operator Country USA
Operator Zip code --
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? No
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 PAO
Departure City Palo Alto
Departure State CA
Departure Country USA
Departure Time 2010
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code RNO
Destination City Reno
Destination State NV
Destination Country USA
Specific Phase of Flight Unknown
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 9 2009 4:15PM
User who most recently changed record coos
Since inspection or accident Time of Accident
Event Location Runway Number and Location --
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --