Aircraft Accident/Incident Report

Rocksprings, Texas 78880
Sunday, December 14, 2008 15:00 CST

NTSB Narrative Summary Released at Completion of Accident

The pilot was cleared to 17,000 feet approximately 7 minutes after takeoff. After arriving at 17,000 feet, radar showed the airplane in a meandering flight path increasingly off course that continued through the end of the flight, even after several prompts from the controller. The pilot was cleared to flight level 240 (24,000 feet) after about 6 minutes at 17,000 feet, and about 2 minutes later, while passing through about 18,000 feet, he made his last radio transmission, acknowledging a corrected heading. About 6 minutes later, the airplane arrived at 24,000 feet and the pilot did not make any intelligible responses to controller inquiries for the remainder of the flight. At 1456, radar showed the airplane in a descent to 21,000 feet before beginning a rapid descent and continuing to impact. The airplane was substantially damaged by the impact forces and the pilot, who was the only occupant, was fatally injured. During the review of the air traffic control recordings, it was determined that none of the voice transmissions from N43KM sounded as if the pilot was speaking through an oxygen mask microphone. At the accident scene both bleed air switches were observed to be in the closed position and the airplane pressurization switch on the console was observed to be in the dump position. No other preimpact anomalies were observed that would have prevented the normal operation of the airplane.

NTSB Probable Cause Narrative

The pilot's failure to properly configure the pressurization controls, resulting in his impairment and subsequent incapacitation due to hypoxia.

Event Information

Type of Event Accident
Event Date 12/14/2008
Event Day of the Week Sunday
Time of Event 1500
Event Time Zone Central Standard Time
Event City Rocksprings
Event State TEXAS
Event Country --
Zipcode of the event site 78880
Event Date Year 2008
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 301014N
Event Location Longitude 1003518W
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 1451 Central Standard Time
Direction of event from weather observation facility (degrees) 60
Weather Observation Facility ID KJCT
Elevation of weather observation facility 1749
Distance of event from weather observation facility (units?) 47
Time Zone of the weather observation CST
Lighting Conditions Day
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) 9
Air Temperature at event time (in degrees celsius) 28
Dew Point at event time (in degress fahrenheit) 2
Wind Direction (degrees magnetic) 240
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.71
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report KDLF 142055Z AUTO 10008KT 10SM CLR 26/07 A2969 RMK
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) 27434
NTSB Notification Source SW Regional Operations Center,
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Dec 20 2010 12:58PM
User who most recently changed record lema
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N43KM
NTSB Number CEN09FA087
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed Unknown
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BEECH
Aircraft Model C90
Aircraft Series Identifier B
Aircraft Serial Number LJ-1345
Certified Max Gross Weight 10100
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 Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Oct 24 2008 12:00AM
Airframe hours since last inspection 13
Airframe Hours 3725
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type C91-A
Aircraft Owner Name Western Wings Corp
Aircraft Owner Street Address 2825 NW Aviation Dr
Aircraft Owner City Roseburg
Aircraft Owner State OR
Aircraft Owner Country USA
Aircraft Owner Zipcode 97470
Operator is an individual? No
Operator Name Western Wings Corp
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 2825 NW Aviation Dr
Operator City Roseburg
Operator State OR
Operator Country USA
Operator Zip code 97470
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) Business
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code KHDO
Departure City Hondo
Departure State TX
Departure Country USA
Departure Time 1425
Departure Time Zone CST
Destination Same as Local Flt --
Destination Airport Code KGYR
Destination City Goodyear
Destination State AZ
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Oct 22 2010 9:36AM
User who most recently changed record broda
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --