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NTSB Releases Probable Cause Report From 2012 SR22 Accident

Two Florida Residents Fatally Injured When Plane Went Down In Indiana

The NTSB has released a probable cause report for an accident which occurred in October, 2012 that resulted in the fatal injury of two people on board a Cirrus SR22. The report cites both the pilot and Air Traffic Control as contributing to the accident.

According to the report, the pilot was flying an RNAV/GPS approach into Gary/Chicago International Airport (KGYY), in Gary, IN. The pilot and passenger, both resident of St. Augustine, FL, were fatally injured and the airplane was destroyed from ground impact and post-impact fire.

The NTSB found that the air traffic controller did not provide approach clearance to the accident airplane until it was inside the final approach fix (FAF) and 1,000 feet above the FAF crossing altitude. The controller also issued a late turn to intercept the approach course, and he did not issue a descent clearance because his attention was directed to resolving a separation conflict involving two other aircraft.

According to data recorded by the airplane’s primary flight display, the pilot disconnected the autopilot after receiving the approach clearance, and the airplane then began a rapid descent. About 40 seconds later, the airplane rolled left and tracked left of the approach course. The airplane’s ground proximity warning alert activated, and the airplane subsequently rapidly reversed roll and pitch directions consistent with an attempt by the pilot to correct the airplane’s hazardous flight path. The airplane continued to roll right and pitch to a nose-high attitude before rapidly transitioning to a nose-down attitude of more than 85 degrees. As the airplane descended below a 900-foot cloud layer, the pilot rolled the airplane to wings level and made a high g-force pullup until ground impact. Given the pilot’s high workload due to deficient approach control services and possible distraction while operating in instrument meteorological conditions and the subsequent loss of airplane control, it is likely that the pilot experienced spatial disorientation.

Examination of the airframe and engine did not reveal any preimpact failures or malfunctions that would have precluded normal operation. Toxicology testing indicated the pilot used cocaine, hydrocodone, and marijuana at some point in the recent past. However, the use of the cocaine and hydrocodone likely did not affect the pilot’s performance at the time of the accident, and the effect of the marijuana use could not be determined from the available evidence.

The National Transportation Safety Board determines the probable cause(s) of this accident to be the pilot’s loss of control during an instrument approach due to spatial disorientation. Contributing to the accident were deficient approach control services and the pilot's loss of positional awareness.

(SR22 pictured in file photo. Not accident airplane)

FMI: www.ntsb.gov

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