Aircraft Accident/Incident Report

Adrian, Oregon 97901
Friday, August 7, 2009 12:00 PDT

NTSB Narrative Summary Released at Completion of Accident

The non-instrument rated pilot departed on the 530-mile cross-country flight and headed west toward mountainous terrain. Recorded data plots from the pilot's Global Positioning System (GPS) receiver disclosed that after following a river in the valley, he began to fly over mountainous terrain that comprised the western landscape. Shortly thereafter, the pilot made a 180-degree course reversal, which was presumably done in an effort to circumnavigate inclement weather conditions. After continuing northeast for about 13 miles, the pilot began to head west again over the mountains. The flight continued for 26 miles and the airplane made a steep right turn, creating a "hook" type flight path. The last radar plots show a sudden increase in elevation, which is likely where the airplane began to breakup in flight. The wreckage was located about 2,000 feet in front of the last radar hit and about 3,700 feet below the last recorded altitude; it was inside the hook-shaped flight path. A weather facility located about 13 miles from the accident site, reported overcast cloud conditions at 2,900 feet above ground level (agl) about 20 minutes prior to the accident. Satellite imagery depicted an extensive area of nimbostratus clouds over the accident site and the observations surrounding indicated light rain and mist were present. The wreckage debris was scattered over an estimated 1,000-foot area of hilly terrain. At the beginning of the debris field were large sections of the right wing, with the far north area containing the engine, in indication that the right wing likely departed the airplane first. A post accident examination revealed that the wings and tail section showed evidence of a positive overload deformation pattern, with indications of upward bending of the wings and downward bending of the horizontal stabilizer. There was no evidence of mechanical malfunction or failure with the engine or airframe.

NTSB Probable Cause Narrative

The pilot’s failure to maintain aircraft control while in cruise flight due to spatial disorientation, which resulted in an exceedence of the design stress limits of the aircraft and led to an in-flight structural failure.

Event Information

Type of Event Accident
Event Date 8/7/2009
Event Day of the Week Friday
Time of Event 1200
Event Time Zone Pacific Daylight Time
Event City Adrian
Event State OREGON
Event Country --
Zipcode of the event site 97901
Event Date Year 2009
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 432621N
Event Location Longitude 1170507W
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 1155 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 30
Weather Observation Facility ID EUL
Elevation of weather observation facility 2432
Distance of event from weather observation facility (units?) 5
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 2900
Lowest Non-Ceiling Height 2200
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) --
Air Temperature at event time (in degrees celsius) 13
Dew Point at event time (in degress fahrenheit) 9
Wind Direction (degrees magnetic) 280
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 3
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.98
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report METAR KEUL 071755Z AUTO 28003KT 10SM SCT022 OVC029
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) 27451
NTSB Notification Source FAA
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Nov 3 2010 9:23AM
User who most recently changed record johb
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4898K
NTSB Number WPR09FA391
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name NAVION
Aircraft Model NAVION A
Aircraft Series Identifier --
Aircraft Serial Number NAV-4-1898
Certified Max Gross Weight 2850
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 Dec 8 2008 12:00AM
Airframe hours since last inspection --
Airframe Hours 1490
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Jed Mingo
Aircraft Owner Street Address --
Aircraft Owner City Paul
Aircraft Owner State ID
Aircraft Owner Country USA
Aircraft Owner Zipcode 97448
Operator is an individual? Yes
Operator Name Jed Mingo
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City Paul
Operator State ID
Operator Country USA
Operator Zip code 97448
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 JER
Departure City Jerome
Departure State ID
Departure Country USA
Departure Time 1030
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code 7W1
Destination City Ilwaco
Destination State WA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Sep 15 2010 4:35PM
User who most recently changed record coos
Since inspection or accident --
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --