Loss of control Accident Piper PA-46-310P Malibu N9103N,
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ASN Wikibase Occurrence # 87103
 
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Date:Thursday 30 December 2010
Time:09:58
Type:Silhouette image of generic PA46 model; specific model in this crash may look slightly different    
Piper PA-46-310P Malibu
Owner/operator:Teemark Corp
Registration: N9103N
MSN: 4608021
Year of manufacture:1986
Total airframe hrs:2466 hours
Engine model:Continental TSIO-520-C(1)
Fatalities:Fatalities: 2 / Occupants: 2
Aircraft damage: Substantial
Category:Accident
Location:Near Milaca, Minnesota -   United States of America
Phase: En route
Nature:Private
Departure airport:Aitkin, MN (KAIT)
Destination airport:Beaumont, TX (BMT)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
About 20 minutes after departing on a cross-country flight, the pilot acknowledged the air traffic controller’s clearance to climb to 17,000 feet mean sea level (msl). Radar data indicated that the airplane reached a maximum altitude of 16,800 feet msl. The airplane then entered a right descending turn followed by a left descending turn. While in the left turn, the pilot informed the controller, “I lost my autopilot; I’m in an unusual attitude.” The pilot stated this same information two more times in response to transmissions by the controller. The pilot’s last transmission was that he was busy trying to recover the airplane. Witnesses heard the airplane flying overhead for several minutes, but they could not see it due to the low ceiling.

A postaccident examination of the airplane did not reveal any preaccident mechanical malfunctions or failures with the engine that would have precluded normal operation. Examination of the autopilot system revealed a loose screw inside the pitch servo housing. The screw was one of two that secured the high wattage resistor to the solenoid housing. Observed corrosion within the screw threads was consistent with the threads not being engaged in a nut or other internally threaded feature. No mechanical damage or arcing was visible on the screw. The operational impact of the loose screw is unknown.

The pilot’s instrument flying proficiency could not be determined. According to log records, the pilot last flew 4.5 months before the accident. The airplane was in instrument meteorological conditions when the pilot stated that he was trying to recover from the unusual attitude. The pilot did not follow prescribed procedures for an autopilot malfunction. Weather data indicates that the airplane most likely encountered turbulence and icing conditions during the flight; however, the airplane was equipped with an ice protection system. Although ethanol was found during the toxicology tests, the levels varied greatly among the tissue/fluid samples. The investigation was unable to determine if the presence of ethanol was from ingestion or from postmortem production or contamination. The detected level of diphenhydramine, an over-the-counter sedating antihistamine used to treat allergies, was above therapeutic levels and likely contributed to the pilot’s inability to recover from the unusual attitude.
Probable Cause: The pilot did not recover from an unusual attitude while operating in instrument meteorological conditions following a disconnect of the autopilot system for undetermined reasons. Contributing to the accident were the pilot’s lack of recent flight experience and impairment due to diphenhydramine.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: CEN11FA133
Status: Investigation completed
Duration: 1 year and 4 months
Download report: Final report

Sources:

NTSB
http://www.reuters.com/article/idUSTRE6BT4JD20101230
https://flightaware.com/live/flight/N9103N
https://www.twincities.com/2010/12/29/2-killed-when-small-plane-crashes-in-central-minnesota/

Location

Revision history:

Date/timeContributorUpdates
31-Dec-2010 01:12 slowkid Added
31-Dec-2010 01:18 slowkid Updated [Source, Narrative]
31-Dec-2010 01:31 Alpine Flight Updated [Damage]
16-Jan-2011 03:57 Anon. Updated [Narrative]
21-Dec-2016 19:25 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
26-Nov-2017 18:43 ASN Update Bot Updated [Operator, Other fatalities, Departure airport, Destination airport, Source, Narrative]
19-Dec-2021 10:17 harro Updated [Departure airport, Source]

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