Aircraft Accident/Incident Report

Humbird, Wisconsin 54746
Sunday, June 7, 2009 17:45 CDT

NTSB Narrative Summary Released at Completion of Accident

The non-instrument-rated private pilot obtained two weather briefings before departing on the visual flight rules (VFR) cross-country flight. During the weather briefings he was advised that VFR flight was not recommended because of an active weather advisory for widespread instrument meteorological conditions that encompassed his planned route. The weather advisory was for occasional cloud ceilings below 1,000 feet above ground level (agl) and surface visibilities less than 3 miles with light precipitation/mist. The forecast weather was for ceilings 1,500 to 2,500 feet agl with widely scattered light rain showers and isolated thunderstorms. Approximately 1 hour after departure, several witnesses located near the accident site reported hearing an airplane overfly their position. These witnesses noted that because of a low cloud ceiling, fog, and light precipitation they could not see the airplane. The witnesses reported hearing the sound of an airplane engine operating at a high speed. Several witnesses noted that the loudness of the airplane's engine increased and decreased several times, as if the airplane was turning, before they heard a ground impact. The distribution of the wreckage was consistent with an airplane that experienced a loss of control and an in-flight breakup at low altitude and high airspeed. The challenging visibility conditions were conducive to the onset of pilot spatial disorientation and the airplane's rapid, near-vertical descent is consistent with the pilot's loss of control of the airplane because of spatial disorientation. The postaccident investigation revealed no preexisting mechanical malfunctions or anomalies that would have prevented the normal operation of the airplane or its systems.

NTSB Probable Cause Narrative

The pilot's decision to attempt a visual flight rules flight into an area of known instrument meteorological conditions, which resulted in a loss of control due to spatial disorientation.

Event Information

Type of Event Accident
Event Date 6/7/2009
Event Day of the Week Sunday
Time of Event 1745
Event Time Zone Central Daylight Time
Event City Humbird
Event State WISCONSIN
Event Country --
Zipcode of the event site 54746
Event Date Year 2009
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 443114N
Event Location Longitude 0910002W
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 1756 Central Daylight Time
Direction of event from weather observation facility (degrees) 317
Weather Observation Facility ID KEAU
Elevation of weather observation facility 913
Distance of event from weather observation facility (units?) 30
Time Zone of the weather observation CDT
Lighting Conditions Day
Lowest Ceiling Height 1700
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 12
Dew Point at event time (in degress fahrenheit) 8
Wind Direction (degrees magnetic) 90
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.96
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 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 28455
NTSB Notification Source NTSB - Communications Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jul 18 2011 9:38AM
User who most recently changed record broda
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N448DM
NTSB Number CEN09FA340
Missing Aircraft Indicator --
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 Gulfstream American Corp
Aircraft Model AA-5B
Aircraft Series Identifier --
Aircraft Serial Number AA5B0976
Certified Max Gross Weight 2400
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 Annual
Date of Last Inspection Jul 3 2008 12:00AM
Airframe hours since last inspection 53
Airframe Hours 1110
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name David P. Holtrop
Aircraft Owner Street Address --
Aircraft Owner City Sheboygan
Aircraft Owner State WI
Aircraft Owner Country USA
Aircraft Owner Zipcode 53081-7701
Operator is an individual? Yes
Operator Name David P. Holtrop
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City Sheboygan
Operator State WI
Operator Country USA
Operator Zip code 53081-7701
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 21D
Departure City Lake Elmo
Departure State MN
Departure Country USA
Departure Time 1643
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code KSBM
Destination City Sheboygan
Destination State WI
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jul 18 2011 9:38AM
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 --