Colorado Aviation Accidents & Incidents

Learn from Colorado's accident history to fly safer in the Rockies

2310 Total Accidents 425 Fatal 816 Fatalities 1982-2026
← Back to all accidents

Steamboat Springs, Colorado

December 11, 2021 · NTSB CEN22FA069 · PIPER PA46-500TP (N744Z)
1 Fatal
Note: This analysis may be based on NTSB preliminary reports, which represent an initial, incomplete investigation. Facts can change as the investigation progresses, and preliminary findings should not be assumed to be accurate or final. For older events, a final NTSB report may have been issued β€” always consult the NTSB Aviation Query for the authoritative record.

NTSB Narrative

HISTORY OF FLIGHTOn December 10, 2021, about 1809 mountain standard time, a Piper PA46-500TP, N744Z, was substantially damaged when it was involved in an accident near Steamboat Springs, Colorado. The pilot and sole occupant was fatally injured. The airplane was operated under Title 14 Code of Federal Regulations (CFR) Part 91 as a personal flight.

A review of archived Federal Aviation Administration (FAA) automatic dependent surveillance-broadcast (ADS-B) data revealed that the airplane departed Cody, Wyoming (COD), about 1705 and was en route to Steamboat Springs/Bob Adams Field (SBS). FAA air traffic control data showed that the pilot was operating on an instrument flight rules flight plan and at 1757 was cleared by an air traffic controller to conduct the RNAV (GPS)-E instrument approach procedure at SBS (see figure 1).


Figure 1: Published Instrument Approach Procedure

For terrain clearance, the procedure required the airplane to cross the final approach fix PEXSA at or above 9,700 ft mean sea level (msl) and WAKOR, the next waypoint located 2.2 nm from runway 32 threshold, at or above 8,740 ft msl. The ADS-B data showed that the accident airplane crossed PEXSA about 9,100 ft msl and WAKOR about 8,200 ft msl respectively.

The procedure allowed for a descent to the minimum descent altitude of 8,140 ft msl or 1,258 ft above ground level after passing WAKOR. The missed approach point for the procedure was the runway 32 approach end, and then required a climbing left turn to 11,300 ft msl and indicated the pilot should proceed direct to the HABRO waypoint to enter a holding pattern. Immediately after passing WAKOR, the airplane made a left turn as shown in figure 2 and descended to an altitude of about 7,850 ft msl. The airplane subsequently began to climb, and the last ADS-B data point recorded at 1808:49 indicated an altitude of about 8,125 ft msl and was located about 3.5 miles north of the accident site.


Figure 2: A Google Earth plot showing the accident aiplane’s ground track in the vicinity of the KSBS terminal area. An FAA published approach plate for the RNAV (GPS)-E approach has been overlaid with a 50% opacity. A yellow pin has been added indicating the position of the wreckage. METEOROLOGICAL INFORMATIONA search of the FAA contract automated flight service station Leidos indicated that they had no contact with the pilot nor did any third-party vendors utilizing the Leidos Flight Service system on December 10 or 11, 2021. A search of ForeFlight indicated that they had an account with the pilot who filed an IFR flight plan through their system for the flight between COD to SBS. Before the accident flight the pilot did not view any weather imagery but did enter the flight route into the system, which generated a general route briefing. As a part of that briefing, the pilot was provided the current METAR for SBS, which indicated a broken cloud ceiling of 4,500 ft and 7 sm visibility. WRECKAGE AND IMPACT INFORMATIONThe airplane

Case Study & Lessons Learned

Generating educational case study...

NTSB Findings

  • Personnel issues-Action/decision-Info processing/decision-Decision making/judgment-Pilot
  • Personnel issues-Action/decision-Info processing/decision-Identification/recognition-Pilot
  • Environmental issues-Conditions/weather/phenomena-Ceiling/visibility/precip-Below approach minima-Decision related to condition
  • Environmental issues-Operating environment-Air traffic/operating proc-Missed approach procedure-Compliance w/ procedure
  • Environmental issues-Operating environment-Air traffic/operating proc-Instrument approach procedure-Compliance w/ procedure

Details

NTSB ReportCEN22FA069
AircraftPIPER PA46-500TP
RegistrationN744Z
DamageSUBS
FAR Part091
Location40.4599, -106.8573
Corporate Sponsor
Wings Over the Rockies Air & Space Museum
Wings Over the Rockies Air & Space Museum
All Classifieds Post an Ad