Merced Regional/Macready Field Airport
Aircraft Accident/Incident Report

Merced, California 95340
Tuesady, April 27, 2010 11:35 PDT

NTSB Narrative Summary Released at Completion of Accident

The 88-year-old pilot, who was a property appraiser, departed for the short local flight in the multiengine airplane to perform aerial property observation. Although family members and associates reported normal behavior that morning, witnesses stated that at the airport, he appeared pale, listless, and slightly confused as he attempted to remove his airplane from the hangar. Unable to muster the strength to move the airplane, he enlisted the help of an employee at the fixed base operator. Airport security video captured the airplane’s ground roll and departure; the airplane took twice the normal distance to take off than was required; however, video and radar track data recorded a normal departure from the pattern. The airplane leveled off shortly after takeoff, and continued to fly at a constant airspeed and appropriate altitude for ground observation. Shortly thereafter, the airplane initiated a descent and made a left turn back toward the airport. The airplane continued to descend during the first portion of the return leg, and the pilot reported over the common traffic advisory frequency that he was experiencing “all kinds of trouble/problems in the cockpit” and that he was returning to the airport. The airplane leveled off about 50 feet above ground level as it approached the traffic pattern. It subsequently struck a wooden communications pole 3 miles short of the runway and then collided with a highway embankment. A postaccident examination did not reveal any anomalies with the airframe or engine that would have precluded normal operation. The airplane was not configured for landing, and the cockpit controls were not set to any positions that would have indicated that an emergency situation existed. The pilot had successfully completed a flight review the day before the accident. The flight instructor, who performed the review, stated that the pilot had lost a considerable amount of weight within the last 30 days since he had last seen him and that, although he met the minimum acceptable standards, there was an appreciable degradation in his performance since his flight review the previous year. In particular, the pilot experienced difficulty applying sufficient brake pedal pressure and exhibited symptoms of mild confusion during the taxi and run-up. The pilot had been diagnosed with prostate cancer 5 years before the accident and non-insulin-dependent diabetes 2 years later. In the few months before the accident flight, his cancer had grown and spread, and was unresponsive to treatment. He had not reported these diagnoses during his FAA medical examinations. Following the accident, the pilot was initially semi-conscious but in cardiac arrest by the time emergency medical personnel arrived. The autopsy concluded that he died from blunt force trauma but did not identify a traumatic injury which would have resulted in his cardiac arrest. The autopsy confirmed that his prostate cancer had in fact spread. Additionally, large quantities of fluid were removed from his chest cavity during the resuscitation attempt and the subsequent autopsy. The fluid buildup was most likely due to a preexisting condition related to his cancer, rather than from a traumatic injury. Laboratory analysis from the hospital also revealed that he had mild diabetic ketoacidosis. The cumulative effect of the pilot’s medical conditions would have left him with decreased motor strength, shortness of breath, and declining cognitive function, which would have impaired his ability to cope with any urgent or emergent situations. This, and his advanced age, likely also contributed to his death from injuries that might otherwise have been survivable.

NTSB Probable Cause Narrative

Pilot incapacitation due to the combined effect of multiple unreported medical conditions.

Event Information

Type of Event Accident
Event Date 4/27/2010
Event Day of the Week Tuesday
Time of Event 1135
Event Time Zone Pacific Daylight Time
Event City Merced
Event State CALIFORNIA
Event Country --
Zipcode of the event site 95340
Event Date Year 2010
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 371711n
Event Location Longitude 1202716w
Event Location Airport Merced Regional/Macready Field
Event Location Nearest Airport ID MCE
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 3
Degrees magnetic from airport --
Airport Elevation 155
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1153 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 270
Weather Observation Facility ID MCE
Elevation of weather observation facility 155
Distance of event from weather observation facility (units?) 3
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 6500
Lowest Non-Ceiling Height 5000
Sky/Lowest/Cloud Conditions Few
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) 19
Dew Point at event time (in degress fahrenheit) 7
Wind Direction (degrees magnetic) 240
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.9
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 31517
NTSB Notification Source FAA WPR Comm CTR
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jun 18 2013 3:36PM
User who most recently changed record coos
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N847DE
NTSB Number WPR10FA217
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-30
Aircraft Series Identifier --
Aircraft Serial Number 30-1634
Certified Max Gross Weight 3600
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 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Apr 21 2010 12:00AM
Airframe hours since last inspection 2
Airframe Hours 2544
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type C91-A
Aircraft Owner Name 775P RECREATIONAL CORP
Aircraft Owner Street Address --
Aircraft Owner City MERCED
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 95348
Operator is an individual? Yes
Operator Name Dwight M Ewing
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Merced
Operator State CA
Operator Country USA
Operator Zip code 95348
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 Yes
Departure Airport Code MCE
Departure City Merced
Departure State CA
Departure Country USA
Departure Time 1127
Departure Time Zone PDT
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code MCE
Destination City Merced
Destination State CA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jun 18 2013 3:36PM
User who most recently changed record coos
Since inspection or accident Last Inspection
Event Location Runway Number and Location 30
Runway Length 5914
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --