Key West International Airport
Aircraft Accident/Incident Report

Key West, Florida 33040
Thursday, February 23, 2012 20:36 EST

NTSB Narrative Summary Released at Completion of Accident

Earlier on the day of the accident, the private pilot and his pilot-rated passenger had departed an airport in the Bahamas to return the airplane to an airport near Miami, Florida, where they had rented the airplane; it was due back at the fixed base operator's facility the following day. While enroute, they diverted to Key West, Florida, as a visit to the Miami area by the President of the United States was occurring and a temporary flight restriction (TFR) was in effect. Later that evening, when the TFR was cancelled, they departed on a night visual flight rules (VFR) flight to their original destination. Witness statements and a review of radar data revealed that after departure, the airplane's flight path became erratic before it entered a descent and impacted the water. Examination of the wreckage did not reveal any evidence of preimpact mechanical malfunctions or failures with the airplane or engine that would have precluded normal operation. Dark night visual conditions existed at the time of the accident. Because the airport was surrounded by water, the moon had already set, and no ground lighting existed in the area of the accident, it is unlikely that a discernable horizon was present. Examination of the airplane's maneuvers immediately after it departed were consistent with the pilot experiencing spatial disorientation, which Federal Aviation Administration guidance indicates can occur when there is no natural horizon or surface reference, such as a night flight in sparsely populated areas similar to that of the accident area. Further, spatial disorientation is more likely to occur if a pilot lacks proficiency in instrument flying. The pilot's private pilot certificate was issued on the basis of his Polish private pilot license, which did not authorize VFR night flights (his FAA certificate required him to comply with all restrictions and limitations of his Polish private pilot license). A review of his rental checkout form indicated that he had not received a checkout for night operations. The pilot-rated passenger's certificate did authorize him for night VFR flights, but the lack of a discernable horizon would have required him to reference the airplane's flight instruments to maintain attitude. Since he was not instrument-rated, was seated in the right front seat of the airplane, and did not have flight instruments mounted in the panel in front of him, it is unlikely that he could have positively influenced the outcome of the flight.

NTSB Probable Cause Narrative

The non-night-qualified pilot's improper decision to depart in dark night visual meteorological conditions, which resulted in his subsequent spatial disorientation, loss of control, and impact with water.

Event Information

Type of Event Accident
Event Date 2/23/2012
Event Day of the Week Thursday
Time of Event 2036
Event Time Zone Eastern Standard Time
Event City Key West
Event State FLORIDA
Event Country --
Zipcode of the event site 33040
Event Date Year 2012
Event Date Month 2
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 243608N
Event Location Longitude 0814502W
Event Location Airport Key West International
Event Location Nearest Airport ID EYW
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 3
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 2053 Eastern Standard Time
Direction of event from weather observation facility (degrees) 225
Weather Observation Facility ID EYW
Elevation of weather observation facility 3
Distance of event from weather observation facility (units?) 3
Time Zone of the weather observation EST
Lighting Conditions Night/Dark
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 23
Dew Point at event time (in degress fahrenheit) 21
Wind Direction (degrees magnetic) 100
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.01
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) 32015
NTSB Notification Source FAA SROCC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Nov 4 2013 1:49PM
User who most recently changed record gots
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N53589
NTSB Number ERA12FA193
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 CESSNA
Aircraft Model 172S
Aircraft Series Identifier --
Aircraft Serial Number 172S9408
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 Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Jan 15 2012 12:00AM
Airframe hours since last inspection --
Airframe Hours 4624
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name DEAN AND BLAYLOCK INC
Aircraft Owner Street Address 12019 SW 39TH TER
Aircraft Owner City MIAMI
Aircraft Owner State FL
Aircraft Owner Country USA
Aircraft Owner Zipcode 33175-3515
Operator is an individual? No
Operator Name Dean International Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 12019 SW 39TH TER
Operator City MIAMI
Operator State FL
Operator Country USA
Operator Zip code 33175-3515
Operator Code --
Owner has at least one certificate Yes - certificate holder
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 Yes
Departure Point Same as Event Yes
Departure Airport Code EYW
Departure City Key West
Departure State FL
Departure Country USA
Departure Time 2033
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code TMB
Destination City Miami
Destination State FL
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Nov 4 2013 1:50PM
User who most recently changed record gots
Since inspection or accident Last Inspection
Event Location Runway Number and Location 09
Runway Length 4801
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --