Aircraft Accident/Incident Report

Brewster, Massachusetts 02631
Sunday, January 15, 2012 10:05 EST

NTSB Narrative Summary Released at Completion of Accident

The pilot was practicing instrument approaches with a flight instructor. While in a holding pattern, an air traffic controller contacted the pilot after observing his erratic altitude control. The pilot responded, “there’s smoke in the cabin.” About 24 seconds later, the pilot stated that “we’ve cleared the smoke” and that they would continue the flight. This was the last transmission received from the pilot, and it was cut off, and radar contact was then lost. The airplane subsequently crashed into Cape Cod Bay. General fragmentation of the wreckage indicated a high-energy impact with the water. Examination of the wreckage did not reveal any evidence of an in-flight fire or other anomaly or malfunction that would have precluded normal operation. Examinations of several electrical components, including avionics, wires, and circuit breakers revealed no evidence of overheating or fire. A study of weather data revealed that, at the time of the accident, the airplane was in instrument meteorological conditions with snow. The National Weather Service Current Icing Product indicated a greater than 50 percent chance of icing at 2,000 feet, which was near the altitude of the airplane before the accident. However, the pilot did not mention icing conditions to the controller. The pilot tested positive for several medications during postaccident specimen analysis, including diazepam, nordiazepam, tramadol, and warfarin. Since the blood samples obtained were collected from a body cavity, the assessment of pilot impairment was not reliable due to concerns with postmortem redistribution of drugs. The pilot had not reported these medications on his latest third-class medical certificate application. The pilot and flight instructor both tested negative for carbon monoxide and cyanide.

NTSB Probable Cause Narrative

The flight crew’s loss of airplane control.

Event Information

Type of Event Accident
Event Date 1/15/2012
Event Day of the Week Sunday
Time of Event 1005
Event Time Zone Eastern Standard Time
Event City Brewster
Event State MASSACHUSETTS
Event Country --
Zipcode of the event site 02631
Event Date Year 2012
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 414636N
Event Location Longitude 0700659W
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 1012 Eastern Standard Time
Direction of event from weather observation facility (degrees) 130
Weather Observation Facility ID CQX
Elevation of weather observation facility 63
Distance of event from weather observation facility (units?) 8
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 1800
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) 2
Air Temperature at event time (in degrees celsius) -8
Dew Point at event time (in degress fahrenheit) -13
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 11
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 19
Altimeter Setting at event time (in. Hg) 30.21
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) 31125
NTSB Notification Source FAA New England ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Mar 21 2013 4:15PM
User who most recently changed record kenj
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N7648P
NTSB Number ERA12LA145
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 PIPER
Aircraft Model PA-24-180
Aircraft Series Identifier --
Aircraft Serial Number 24-2862
Certified Max Gross Weight 2550
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 Jul 2 2011 12:00AM
Airframe hours since last inspection 65
Airframe Hours 5049
ELT Installed Unknown
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name JOHNSTON MARGARET M
Aircraft Owner Street Address --
Aircraft Owner City EAST FALMOUTH
Aircraft Owner State MA
Aircraft Owner Country USA
Aircraft Owner Zipcode 02536-7737
Operator is an individual? No
Operator Name Robert Walker
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City EAST FALMOUTH
Operator State MA
Operator Country USA
Operator Zip code 02536-7737
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) Instructional
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code MVY
Departure City Vineyard Haven
Departure State MA
Departure Country USA
Departure Time 920
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code HYA
Destination City Hyannis
Destination State MA
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Mar 21 2013 4:09PM
User who most recently changed record kenj
Since inspection or accident Time of Accident
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --