Gainesville Regional Airport
Aircraft Accident/Incident Report

Gainesville, Florida 32609
Friday, November 7, 2008 2:46 EST

NTSB Narrative Summary Released at Completion of Accident

The pilot of the multiengine airplane was flying two passengers at night on an instrument-flight-rules flight plan. One of the passengers had been on an organ recipient waiting list and his wife was accompanying him. A viable matched organ was available at a distant hospital and the passenger had to arrive on short notice for surgery the following morning. All radio communications during the flight between the pilot and air traffic control (ATC), a flight service station (FSS), and a fixed-based operator (FBO) were routine. The pilot was aware of the weather at the destination airport, and had commented to ATC about 75 miles from the destination that the weather was "going up and down…like a real thin fog layer.” Additionally, better weather conditions prevailed at nearby suitable airports. The pilot mentioned one of those airports to ATC in the event he decided to divert. According to an employee at an FBO located at the destination airport, the pilot contacted him via radio and asked about the current weather conditions. The employee replied that the visibility was low due to fog and that he could not see the terminal lights from the FBO. The pilot then asked which of the two alternate airports was closer and the employee stated that he did not know. The employee then heard the pilot “click” the runway lights and contact the local FSS. About 5 miles from runway 29, just prior to the initial approach fix, the pilot radioed on the common traffic advisory frequency and reported a 5-mile final leg for runway 29. The FSS reported that the current weather was automated showing an indefinite ceiling of 100 feet vertical visibility and 1/4 mile visibility in fog. The pilot acknowledged the weather information. The weather was below the minimum published requirements for the instrument-landing-system (ILS) approach at the destination airport. Radar data showed that the flight intercepted and tracked the localizer, then intercepted the glideslope about 1 minute later. There were a few radar targets without altitude data due to intermittent Mode C transponder returns. The last recorded radar target with altitude indicated the airplane was at 600 feet, on glideslope and heading for the approach; however, the three subsequent and final targets did not show altitude information. The last recorded radar target was about 1.4 miles from the runway threshold. The airplane flew below glideslope and impacted 100-foot-tall trees about 4,150 feet from the runway 29 threshold. On-ground facility checks and a postaccident flight check of the ILS runway 29 approach conducted by the Federal Aviation Administration did not reveal malfunctions with the ILS. The cabin and cockpit area, including the NAV/COMM/APP, equipment were consumed by a postimpact fire which precluded viable component testing. Detailed examination of the wreckage that was not consumed by fire did not reveal preimpact mechanical malfunctions that may have contributed to the accident. Given that the pilot was aware of the weather conditions before and during the approach, it is possible that the pilot’s goal of expeditiously transporting a patient to a hospital for an organ transplant may have affected his decision to initiate and continue an instrument approach while the weather conditions were below the published minimum requirements for the approach.

NTSB Probable Cause Narrative

The pilot's failure to maintain the proper glidepath during an instrument-landing-system (ILS) approach. Contributing to the accident were the pilot's decision to initiate the ILS approach with weather below the published minimums, and the pilot's self-induced pressure to expeditiously transport an organ recipient to a hospital.

Event Information

Type of Event Accident
Event Date 11/7/2008
Event Day of the Week Friday
Time of Event 246
Event Time Zone Eastern Standard Time
Event City Gainesville
Event State FLORIDA
Event Country --
Zipcode of the event site 32609
Event Date Year 2008
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 294102N
Event Location Longitude 0821459W
Event Location Airport Gainesville Regional Airport
Event Location Nearest Airport ID GNV
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 1
Degrees magnetic from airport --
Airport Elevation 152
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 253 Eastern Standard Time
Direction of event from weather observation facility (degrees) 290
Weather Observation Facility ID GNV
Elevation of weather observation facility 152
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation EST
Lighting Conditions Night
Lowest Ceiling Height 100
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Indefinite (V V)
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 0
Air Temperature at event time (in degrees celsius) 11
Dew Point at event time (in degress fahrenheit) 10
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Calm
Wind Gust Indicator --
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.02
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) 26407
NTSB Notification Source FAA Southern Region ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Mar 22 2010 9:48PM
User who most recently changed record lema
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N681KW
NTSB Number ERA09FA039
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name PARTENAVIA SPA
Aircraft Model P.68C
Aircraft Series Identifier --
Aircraft Serial Number 273
Certified Max Gross Weight 4500
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 2
Cabin Crew Seats --
Passenger Seats 5
Total number of seats on the aircraft 7
Number of Engines 2
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Sep 19 2008 12:00AM
Airframe hours since last inspection --
Airframe Hours 6971
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name Robert A Valle
Aircraft Owner Street Address --
Aircraft Owner City St Croix
Aircraft Owner State --
Aircraft Owner Country USA
Aircraft Owner Zipcode 00822
Operator is an individual? No
Operator Name Florida Aero Charter Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Key West
Operator State FL
Operator Country USA
Operator Zip code 33040
Operator Code F33A
Owner has at least one certificate Yes - certificate holder
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 Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code EYW
Departure City Key West
Departure State FL
Departure Country USA
Departure Time 37
Departure Time Zone EST
Destination Same as Local Flt crash at destination city
Destination Airport Code GNV
Destination City Gainesville
Destination State FL
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Dec 11 2009 12:43PM
User who most recently changed record kenj
Since inspection or accident Last Inspection
Event Location Runway Number and Location 29
Runway Length 7504
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --