Lynchburg Regional Airport
Aircraft Accident/Incident Report

Altavista, Virginia 24517
Friday, April 22, 2011 21:46 EDT

NTSB Narrative Summary Released at Completion of Accident

The pilot was conducting an instrument flight rules flight during night, instrument meteorological conditions. About 15 minutes into the flight, the air traffic controller observed that the pilot was not flying assigned headings. When queried, the pilot responded that he was "…a little disoriented…" The pilot continued to deviate from assigned headings as he was vectored to the airport for the approach. During his first attempt at the instrument landing system (ILS) approach, the pilot executed a missed approach, citing problems with his engine monitor. Following the missed approach, the air traffic controller issued a low altitude alert to the pilot. On his second attempt at an ILS approach, the pilot unknowingly deviated well right of the localizer course and was instructed to climb immediately due to another low altitude alert. The pilot was then vectored to an intersection south of the airport and was offered a global positioning system (GPS) approach. The pilot continued to have difficulty with heading and altitude control, receiving an additional low altitude alert from the air traffic controller. The pilot subsequently informed the controller that he had "complete gyro failure" and needed assistance with heading and altitude monitoring. When asked if he was tracking a navigational aid, the pilot responded that he was "…a little dizzy…" The pilot asked for an altitude check at 5,200 feet mean sea level (msl) and the controller confirmed that altitude on his radar. The controller subsequently issued another altitude alert to the pilot at 1,400 feet msl, and the pilot did not acknowledge the call. At that point, radar and radio contact was lost. Radar, GPS, and witness information confirmed that the airplane collided with the ground during a right, descending spiral. The wreckage was highly fragmented, including the engine. Propeller signatures indicated high engine power at impact. The landing gear and flaps were retracted. Not all of the cockpit instruments could be identified or located due to the impact damage. Data recovered from the engine monitor showed that the engine, vacuum system, and electrical system were operating normally during the flight. The pilot received his instrument rating about six weeks prior to the accident and had not logged any actual instrument time at night. The pilot was an insulin-dependent diabetic and was required to monitor his blood glucose level before and during the flight; however, the investigation was unable to determine if the pilot’s glucose level affected his performance. Although the pilot reported problems with his cockpit instrumentation, physical evidence of an in-flight instrument failure was inconclusive. The environmental conditions that existed during the flight and the pilot's actions and responses indicate that he likely experienced significant spatial disorientation.

NTSB Probable Cause Narrative

The pilot’s loss of airplane control due to spatial disorientation. Contributing to the accident was the pilot’s lack of experience in actual night instrument conditions.

Event Information

Type of Event Accident
Event Date 4/22/2011
Event Day of the Week Friday
Time of Event 2146
Event Time Zone Eastern Daylight Time
Event City Altavista
Event State VIRGINIA
Event Country --
Zipcode of the event site 24517
Event Date Year 2011
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 370651N
Event Location Longitude 0791828W
Event Location Airport Lynchburg Regional
Event Location Nearest Airport ID LYH
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 16
Degrees magnetic from airport --
Airport Elevation 938
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 2154 Eastern Daylight Time
Direction of event from weather observation facility (degrees) 20
Weather Observation Facility ID LYH
Elevation of weather observation facility 938
Distance of event from weather observation facility (units?) 13
Time Zone of the weather observation EDT
Lighting Conditions Night/Dark
Lowest Ceiling Height 600
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) 8
Dew Point at event time (in degress fahrenheit) 8
Wind Direction (degrees magnetic) 30
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) 30.29
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) 29708
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 Apr 13 2012 1:52PM
User who most recently changed record broda
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N3963Y
NTSB Number ERA11FA258
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 210D
Aircraft Series Identifier --
Aircraft Serial Number 21058463
Certified Max Gross Weight 3100
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 28 2010 12:00AM
Airframe hours since last inspection --
Airframe Hours 6911
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name DI GIULIO ROBERT H
Aircraft Owner Street Address --
Aircraft Owner City LYNCHBURG
Aircraft Owner State VA
Aircraft Owner Country USA
Aircraft Owner Zipcode 24503-3241
Operator is an individual? No
Operator Name DI GIULIO ROBERT H
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City LYNCHBURG
Operator State VA
Operator Country USA
Operator Zip code 24503-3241
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 OKV
Departure City Winchester
Departure State VA
Departure Country USA
Departure Time 1956
Departure Time Zone EDT
Destination Same as Local Flt --
Destination Airport Code LYH
Destination City Lynchburg
Destination State VA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 14 2012 3:09PM
User who most recently changed record kenj
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --