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Crash of a Piper PA-46-350P Malibu Mirage in Shreveport: 2 killed

Date & Time: Feb 28, 2019 at 1039 LT
Operator:
Registration:
N428CD
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Shreveport - Vernon
MSN:
46-36232
YOM:
1999
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1393
Captain / Total hours on type:
323.00
Aircraft flight hours:
1901
Circumstances:
The instrument-rated private pilot and passenger departed into instrument meteorological conditions with a 600-ft cloud ceiling in an airplane that was about 550 lbs over gross weight. Air traffic control data showed the airplane in a climbing left turn that continued beyond the assigned heading. After reaching 1,400 ft msl, the airplane continued turning left and its altitude and speed began to vary. The airplane continued in a left spiral, completing more than two full circles, then decelerated in a right turn and rapidly descended until impact with terrain. Examination of the flight control system revealed no evidence of mechanical malfunctions and downloaded engine data indicated normal engine operation. Downloaded data from the autopilot system revealed three in-flight error codes. The first error code, which likely occurred about 1 minute after takeoff, would have resulted in the autopilot, if it was engaged at the time, disengaging. The subsequent error codes likely occurred during the erratic flight profile, with the autopilot disengaged. Before the accident flight, the pilot had informed a mechanic, who is also a pilot, of intermittent issues with the autopilot system and that these issues were unresolved. The mechanic had flown with the accident pilot previously and assessed his instrument flying skills as weak. The flight instructor who provided initial flight training for the turbine engine transition stated the pilot's instrument flying proficiency was poor when he was hand flying the airplane. Toxicology testing revealed that the pilot had used marijuana, and his girlfriend stated the pilot would take a marijuana gummy before bedtime to sleep more soundly. However, given that no psychoactive compounds were found in blood specimens, it is unlikely that the pilot was impaired at the time of the accident. The instrument conditions at the time of the accident, the airplane's erratic flightpath, and the pilot's reported lack of instrument proficiency when flying by hand support the likelihood that the pilot experienced spatial disorientation sometime after takeoff. In addition, given the reports of the intermittently malfunctioning autopilot that had not been fixed, it is likely the pilot experienced an increased workload during a critical phase of flight that, in combination with spatial disorientation, led to the pilot's loss of airplane control.
Probable cause:
The pilot's conduct of a departure into instrument meteorological conditions (IMC), which resulted in spatial disorientation and subsequent loss of airplane control. Contributing to the accident was the pilot's poor instrument flying skills and his decision to depart into IMC with an unresolved autopilot maintenance issue.
Final Report:

Crash of a Cessna 411A in Shreveport: 6 killed

Date & Time: May 8, 1986 at 1540 LT
Type of aircraft:
Operator:
Registration:
N49DD
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Shreveport - Baton Rouge
MSN:
411-0266
YOM:
1967
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
1554
Captain / Total hours on type:
164.00
Aircraft flight hours:
4609
Circumstances:
The pilot reportedly did an unusual amount of engine run-up before pulling onto the runway. He then performed another run-up before departing. This is evidence that he was aware of a problem with his aircraft. The engine(s) were popping and puffing black smoke during the ground run. Yet, the takeoff was continued. The popping and smoke puffing continued after liftoff. A noticeable loss of airspeed occurred during the climbout. The aircraft started the third roll (into the bad engine) before finally going inverted. The aircraft's allowable gross weight was exceeded by at least 205 pounds at takeoff, however, the center of gravity remained within its specified limits. Internal examination of the right engine exhibited evidence that it had operated at sometime on a mixture of gasoline and jet fuel. All six occupants were killed.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. (c) operation with known deficiencies in equipment - intentional - pilot in command
2. (c) engine assembly, piston - burned
3. (c) fluid, fuel grade - improper
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Occurrence #2: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
4. (c) airspeed - not maintained - pilot in command
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Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
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Occurrence #4: fire
Phase of operation: other
Final Report: