General Edward Lawrence Logan Airport
Aircraft Accident/Incident Report

South Easton, Massachusetts 02375
Tuesady, August 12, 2008 10:17 EDT

NTSB Narrative Summary Released at Completion of Accident

The instrument rated pilot was a volunteer pilot for a charity organization that connects pilots and aircraft owners with individuals in need of transportation primarily for medical purposes. The pilot was not instrument current. In addition, the charity did not verify instrument currency of volunteer pilots nor were they required to. After takeoff, the flight proceeded towards the destination airport on an instrument flight rules clearance and was vectored onto the downwind and base legs for sequencing. The pilot made two errors related to incorrect heading changes both of which were not immediately detected by the controller, but neither were significant. While on the base leg and approximately 1.5 miles west of the final approach course for runway 4R, the controller instructed the pilot to fly heading 060 degrees to intercept the final approach course. Radar data depicted a large radius turn towards the left, and the airplane flying through the final approach course. When the flight was approximately 1.6 miles east of the final approach course, the controller advised the pilot he had passed through the course and instructed him to turn to a heading of 010 degrees to re-intercept. Radar depicted a tight radius turn past the assigned heading, while the airplane descended below the assigned altitude of 3,000 feet. The airplane then turned to the north, then southeast with altitude deviations descending so low the controller issued several low altitude alerts. The airplane then entered a final descent, immerged from the base of clouds, and impacted into a parking lot. Examination of the engine, airframe, and avionics did not reveal any preimpact failures or malfunctions.

NTSB Probable Cause Narrative

The pilot's failure to maintain control of the airplane while attempting to execute an instrument approach in instrument meteorological conditions. Contributing to the accident was the pilot's lack of instrument currency.

Event Information

Type of Event Accident
Event Date 8/12/2008
Event Day of the Week Tuesday
Time of Event 1017
Event Time Zone Eastern Daylight Time
Event City South Easton
Event State MASSACHUSETTS
Event Country --
Zipcode of the event site 02375
Event Date Year 2008
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 420129N
Event Location Longitude 0710834W
Event Location Airport General Edward Lawrence Logan
Event Location Nearest Airport ID BOS
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 24
Degrees magnetic from airport --
Airport Elevation 20
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1015 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 32
Weather Observation Facility ID BOS
Elevation of weather observation facility 20
Distance of event from weather observation facility (units?) 21
Time Zone of the weather observation EDT
Lighting Conditions Day
Lowest Ceiling Height 1100
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 8
Air Temperature at event time (in degrees celsius) 17
Dew Point at event time (in degress fahrenheit) 15
Wind Direction (degrees magnetic) 350
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 14
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 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 26443
NTSB Notification Source FAA Eastern ROC
NTSB Notification Date Aug 12 2008 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Feb 8 2010 1:42PM
User who most recently changed record johb
Basic weather conditions Instrument Meteorological Cond
FAA District Office Lexington, MA

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4615D
NTSB Number MIA08FA163
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 Ground
Aircraft Explosion --
Aircraft Manufacturer's Full Name BEECH
Aircraft Model G35
Aircraft Series Identifier --
Aircraft Serial Number D-4807
Certified Max Gross Weight 2775
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 Aug 9 2007 12:00AM
Airframe hours since last inspection 30
Airframe Hours 3740
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name KEENE JANET C
Aircraft Owner Street Address --
Aircraft Owner City BROOKFIELD
Aircraft Owner State CT
Aircraft Owner Country USA
Aircraft Owner Zipcode 06804-1535
Operator is an individual? No
Operator Name Joseph E. Baker
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Brookfield
Operator State CT
Operator Country USA
Operator Zip code 06804
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 FOK
Departure City Westhampton
Departure State NY
Departure Country USA
Departure Time 909
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code BOS
Destination City Boston
Destination State MA
Destination Country USA
Specific Phase of Flight Maneuvering
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Dec 10 2009 4:00PM
User who most recently changed record muzd
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --