Lakeland Airport
Aircraft Accident/Incident Report

Woodruff, Wisconsin 54568
Thursday, September 23, 2010 20:13 CDT

NTSB Narrative Summary Released at Completion of Accident

The accident occurred during a night cross-country flight in instrument meteorological conditions with reported moderate turbulence. Review of air traffic control data indicated that the instrument-rated pilot had difficulty navigating from the initial approach fix to the final approach fix. Radar track data showed that the pilot initially turned the wrong direction and ultimately made several course reversals that were not in accordance with the published approach procedure. Radar data also indicated that the pilot had difficulty maintaining an altitude appropriate for the segment of the approach; the airplane's altitude increased and decreased in excess of 500 feet. In addition, on several instances, the pilot allowed the airplane to descend below the prescribed minimum altitudes for the approach. The airplane eventually impacted a river in an uncontrolled descent about ½ mile north of the final approach fix. A postaccident examination of the airplane revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. During a recent checkout in the accident airplane, the pilot demonstrated a lack of instrument flight proficiency, and following the checkout, he was authorized to rent the accident airplane for visual flight rules (VFR) flights only. The flight instructor who provided the checkout flight reported that the pilot had difficulty maintaining situational awareness and aircraft control when flying only by reference to the flight instruments.

NTSB Probable Cause Narrative

The pilot's decision to attempt an instrument approach in turbulent night instrument meteorological conditions with a recently-identified deficiency with his instrument flight proficiency, which resulted in a loss of airplane control as a result of spatial disorientation.

Event Information

Type of Event Accident
Event Date 9/23/2010
Event Day of the Week Thursday
Time of Event 2013
Event Time Zone Central Daylight Time
Event City Woodruff
Event State WISCONSIN
Event Country --
Zipcode of the event site 54568
Event Date Year 2010
Event Date Month 9
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 460129N
Event Location Longitude 0894420W
Event Location Airport Lakeland Airport
Event Location Nearest Airport ID ARV
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 6
Degrees magnetic from airport 360
Airport Elevation 1629
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 2015 Central Daylight Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID ARV
Elevation of weather observation facility 1629
Distance of event from weather observation facility (units?) 6
Time Zone of the weather observation CDT
Lighting Conditions Night
Lowest Ceiling Height 900
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 5
Air Temperature at event time (in degrees celsius) 21
Dew Point at event time (in degress fahrenheit) 20
Wind Direction (degrees magnetic) 210
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 14
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 20
Altimeter Setting at event time (in. Hg) 29.51
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) 32702
NTSB Notification Source Federal Aviation Administratio
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record May 21 2014 4:11AM
User who most recently changed record foxt
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N570ER
NTSB Number CEN10FA557
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name PIPER
Aircraft Model PA-44-180
Aircraft Series Identifier --
Aircraft Serial Number 4496146
Certified Max Gross Weight 3800
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 Aug 17 2010 12:00AM
Airframe hours since last inspection 68.9
Airframe Hours 5312.9
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type C91-A
Aircraft Owner Name JA Aero, Inc.
Aircraft Owner Street Address --
Aircraft Owner City Sugar Grove
Aircraft Owner State IL
Aircraft Owner Country USA
Aircraft Owner Zipcode 60554
Operator is an individual? No
Operator Name JA Aero, Inc.
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City Sugar Grove
Operator State IL
Operator Country USA
Operator Zip code 60554
Operator Code --
Owner has at least one certificate None
Other Operator of large aircraft? --
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 ARR
Departure City Sugar Grove
Departure State IL
Departure Country USA
Departure Time 1819
Departure Time Zone CDT
Destination Same as Local Flt crash at destination city
Destination Airport Code ARV
Destination City Woodruff
Destination State WI
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record May 21 2014 4:12AM
User who most recently changed record foxt
Since inspection or accident Time of Accident
Event Location Runway Number and Location 18
Runway Length 5150
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --