Woodbine Municipal Airport
Aircraft Accident/Incident Report

Dennisville, New Jersey 08270
Saturday, November 14, 2009 10:50 EST

NTSB Narrative Summary Released at Completion of Accident

The non-instrument-rated private pilot/owner of the airplane had longstanding arrangements for the trip to his destination, which was about 500 miles east of where he lived and based his airplane. He originally planned to depart on Thursday morning, but instrument meteorological conditions (IMC) at the airport prevented him from leaving on Thursday or Friday. On Saturday morning, IMC still prevailed. Several witnesses observed the pilot and his son at the fuel dock, and all assumed that he would then taxi back to his hangar since the ceilings were between 200 and 400 feet above ground level. Instead, the airplane departed and disappeared from view into the overcast clouds. The pilot initially squawked the visual flight rules (VFR) code of 1200 on his transponder, but then contacted an air traffic controller for flight advisories. The controller assigned a discrete transponder code, and instructed the pilot to maintain VFR. For the next 7 minutes, multiple witnesses on and near the airport heard the airplane in their vicinity. All reported that it sounded like the airplane was continuously changing speed, direction, or both. Several witnesses then heard the airplane impact the ground. Airplane components were found in two locations: at the main wreckage site and along a debris path that consisted of the outboard portions of the left wing and left stabilator. Physical evidence indicated that the wing failed in the positive direction due to airloads and not due to any preseparation mechanical deficiencies. No other evidence of any preimpact component deficiencies or failures was discovered and examination of the wreckage and ground scars indicated that the engine was developing power at impact. Discussions with the pilot's wife revealed that he occasionally flew into or through clouds, albeit usually for short durations, in order to begin or complete his flights. In the case of the accident flight, the pilot had already delayed his departure 2 days, so he was highly motivated to begin the trip. Although the departure airport conditions were IMC, the pilot was aware that the forecast called for improved conditions towards his destination. In addition to his prior VFR operations into IMC, he did not hold a valid medical certificate and no current record of a required transponder inspection was located. Ground-based radar and onboard global positioning system (GPS) data revealed that the airplane flew a ground track that included about eight 360-degree turns and three 180-degree turns, and that its altitude varied continuously between 200 feet and 1,600 feet above mean sea level. The GPS and radar data clearly indicated that the pilot became disoriented and was unable to methodically and safely extract himself from his predicament. FAA guidance regarding VFR flight into IMC cautioned pilots to minimize attitude changes and obtain appropriate assistance, including use of the autopilot.

NTSB Probable Cause Narrative

The non-instrument-rated pilot's decision to depart into known instrument meteorological conditions, which resulted in his spatial disorientation and overcontrol of the airplane and the subsequent in-flight structural failure. Contributing to the accident was the pilot's failure to use all available resources, including the autopilot and the air traffic controller.

Event Information

Type of Event Accident
Event Date 11/14/2009
Event Day of the Week Saturday
Time of Event 1050
Event Time Zone Eastern Standard Time
Event City Dennisville
Event State NEW JERSEY
Event Country --
Zipcode of the event site 08270
Event Date Year 2009
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 381305N
Event Location Longitude 0744725W
Event Location Airport Woodbine Municipal Airport
Event Location Nearest Airport ID OBI
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 1
Degrees magnetic from airport --
Airport Elevation 42
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1050 Eastern Standard Time
Direction of event from weather observation facility (degrees) 90
Weather Observation Facility ID OBI
Elevation of weather observation facility 42
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 300
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) 3
Air Temperature at event time (in degrees celsius) 14
Dew Point at event time (in degress fahrenheit) 14
Wind Direction (degrees magnetic) 20
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 7
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.85
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) 28703
NTSB Notification Source FAA Eastern ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Aug 15 2011 3:07PM
User who most recently changed record kenj
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4499T
NTSB Number ERA10FA062
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 PIPER
Aircraft Model PA-28R-200
Aircraft Series Identifier --
Aircraft Serial Number 28R-7235054
Certified Max Gross Weight 2650
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 Sep 12 2009 12:00AM
Airframe hours since last inspection 9
Airframe Hours 2387
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site No
ELT Type C91
Aircraft Owner Name LAZOWSKI THADDEUS W
Aircraft Owner Street Address 32 SISKIN LN
Aircraft Owner City CAPE MAY C H
Aircraft Owner State NJ
Aircraft Owner Country USA
Aircraft Owner Zipcode 08210-1102
Operator is an individual? Yes
Operator Name LAZOWSKI THADDEUS W
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 32 SISKIN LN
Operator City CAPE MAY C H
Operator State NJ
Operator Country USA
Operator Zip code 08210-1102
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 OBI
Departure City Woodbine
Departure State NJ
Departure Country USA
Departure Time 1035
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code BMG
Destination City Bloomington
Destination State IN
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 15 2011 3:07PM
User who most recently changed record kenj
Since inspection or accident Time of Accident
Event Location Runway Number and Location 31
Runway Length 3073
Runway Width 75
Sight Seeing flight No
Air Medical Flight No
Medical Flight --