N/A Airport
Aircraft Accident/Incident Report

Aurora, Utah 84654
Sunday, November 25, 2012 13:00 MST

NTSB Narrative Summary Released at Completion of Accident

Family members reported to the Federal Aviation Administration that the airplane was overdue on the cross-country flight. One week after the initial notification, the wreckage was located in the upper end of a canyon about 11 nautical miles west of the departure airport at an elevation of 8,992 feet mean sea level (msl) in a grove of trees. A ridge, which was located directly in front of and on the airplane’s flightpath about 950 feet from the wreckage site, was measured at 9,186 feet msl. Evidence at the accident site indicated that the airplane initially impacted the trees on a southeasterly heading in a level attitude and that its left wing subsequently impacted a tree. The impact rotated the airplane counter-clockwise, and it subsequently came to rest upright on a northwesterly heading about 150 feet from the first point of impact. The airplane was found relatively intact except for the separation of the left wing. A postcrash fire consumed the cabin and cockpit areas; the pilot had refueled before departure. Postaccident examination of the airframe and engine revealed no mechanical anomalies that would have precluded normal operation. Although no hazardous weather conditions were reported in the area at the time of the accident, unexpected turbulent conditions can occur in mountain canyons. Further, the density altitude was calculated to be 9,663 feet, which would have adversely affected the airplane’s performance. A family member, who was a pilot, reported that, before the accident pilot departed on the first leg of the three-leg flight, he assisted him in calculating the airplane’s weight and balance for each leg. He reported that, for each calculation, he used the estimated weight of each passenger, the baggage, the two dogs, a rifle, and full fuel and that, although the airplane was right at its maximum gross takeoff weight for each leg, it was within its weight and balance limits. He stated that the accident pilot had made this same cross-country flight three or four times previously but that he did not know the extent of the pilot’s mountain-flying experience. The pilot’s decision to fly in a canyon in high-density altitude conditions near the airplane’s maximum gross weight likely contributed to the accident. The airplane was likely equipped with a 121.5/243-MHz emergency locator transmitter (ELT). Due to fire damage, it could not be determined whether the ELT switch was in the armed position or whether the ELT activated immediately after impact. Regardless, the 121.5-MHz signal would only have been detected by other aircraft flying in the remote area because satellite monitoring for 121.5-MHz ELT signals ceased in February 2009. Search and Rescue (SAR) operations, which commenced the day following the accident, took 7 days. During this time period, the Civil Air Patrol from three states flew a total of 86 missions, and local law enforcement agencies conducted additional SAR missions. SAR operations were protracted due to the lack of flight following services, ELT signal and radar data, and a digital emergency signal from a 406-MHz ELT or other satellite emergency notification device and the fact that the white airplane crashed and fragmented in a snowy, forested area, which made visual detection difficult. Two passengers initially survived the accident. They were found at the accident site wearing t-shirts and jeans; however, they were observed with warm weather coats before their departure on the day of the accident. It could not be determined whether any survival equipment was on board the airplane, but none was observed at the accident site; any survival gear may have been consumed by the postcrash fire. No evidence indicated that the survivors attempted to make an overnight shelter. The temperatures at the accident site, which was in a snow-covered area, were reportedly in the high teens to low 20s the night of the accident. The autopsy for both passengers indicated that the cause of death included hypothermia. Therefore, the two passengers did not survive the first night after the accident due to exposure to the cold temperature and the generally inclement weather conditions. It is not known whether an immediate 406-MHz ELT signal would have allowed SAR responders to reach the scene of the accident before the deaths of the two passengers; however, such a signal detection would have initiated an immediate search and greatly enhanced the opportunity for the accident site to be located more quickly.

NTSB Probable Cause Narrative

The pilot's failure to maintain clearance with terrain while maneuvering in a remote mountainous region. Contributing to the accident was the pilot's improper decision to traverse the remote mountainous area in high-density altitude conditions with the airplane near its maximum gross weight. Contributing to the delay in the search and rescue (SAR) was the lack of a 406-MHz ELT signal, which would have allowed SAR responders to initiate a more timely search and find the accident site more quickly.

Event Information

Type of Event Accident
Event Date 11/25/2012
Event Day of the Week Sunday
Time of Event 1300
Event Time Zone Mountain Standard Time
Event City Aurora
Event State UTAH
Event Country --
Zipcode of the event site 84654
Event Date Year 2012
Event Date Month 11
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 385714N
Event Location Longitude 1120728W
Event Location Airport N/A
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 11
Degrees magnetic from airport 90
Airport Elevation 4985
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1259 Mountain Standard Time
Direction of event from weather observation facility (degrees) 270
Weather Observation Facility ID FOM
Elevation of weather observation facility 4985
Distance of event from weather observation facility (units?) 11
Time Zone of the weather observation MST
Lighting Conditions Day
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) 12
Dew Point at event time (in degress fahrenheit) -3
Wind Direction (degrees magnetic) 290
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) 30.02
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 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 32830
NTSB Notification Source SEA Regional Operations Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Jul 2 2014 5:24PM
User who most recently changed record stam
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N8314E
NTSB Number WPR13FA061
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name PIPER
Aircraft Model PA28
Aircraft Series Identifier 181
Aircraft Serial Number 28-8390016
Certified Max Gross Weight 2550
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 2
Cabin Crew Seats --
Passenger Seats 2
Total number of seats on the aircraft 4
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Oct 6 2012 12:00AM
Airframe hours since last inspection --
Airframe Hours 3916
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name Matthew W Ahrens
Aircraft Owner Street Address --
Aircraft Owner City Gillette
Aircraft Owner State WY
Aircraft Owner Country USA
Aircraft Owner Zipcode 82716
Operator is an individual? No
Operator Name Matthew W Ahrens
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Gillette
Operator State WY
Operator Country USA
Operator Zip code 82716
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 Yes
Departure Point Same as Event No
Departure Airport Code FOM
Departure City Fillmore
Departure State UT
Departure Country USA
Departure Time 1245
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code GCC
Destination City Gillette
Destination State WY
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jul 2 2014 4:57PM
User who most recently changed record stam
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 --