Piper PA-28-161 N21480 accident near Johns Island, South Carolina

Mar 25, 2023 · NTSB number ERA23FA164 · Final report

Probable cause

The pilot’s decision to continue flight under visual flight rules into instrument meteorological conditions, which resulted in the pilot’s spatial disorientation and loss of control. Contributing to the accident was the pilot’s degraded judgement and performance due to fatigue.

NTSB analysis

The non-instrument-rated pilot was on his second day of a long cross-country flight. The first night of his trip he slept in a pilot lounge at an en route airport. He departed the following morning and made one stop for fuel. During the fuel stop, pilot spoke with an airport employee, who said the pilot appeared tired. The pilot said he had been fighting a strong headwind the entire trip. The pilot checked the airport’s automated weather observation system (AWOS) and told the employee that he might stay the night and wait out the approaching weather; however, he ultimately decided to continue his flight.

After takeoff, the pilot climbed to 1,600 ft mean sea level (msl) and told air traffic control that he wanted to stay low to maintain visual flight rules (VFR) and avoid any clouds. A short while later, the controller observed the airplane in a descending right turn, and asked the pilot if he was maneuvering to stay below the clouds. The pilot responded, “Mayday Mayday…in the clouds…I’m going down.” The airplane impacted swampy terrain in a nose-down attitude.

Postaccident examination of the airplane revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation of the engine or airframe.

A review of archived information revealed the pilot did not obtain a documented weather briefing on the day of the accident. However, he was aware that the weather conditions along his route of flight would deteriorate and expressed that he may have to delay the trip. A postaccident review of weather information indicated the pilot encountered an area of clouds with tops about 3,500 ft msl.

The pilot decided to continue with the flight, and based on available evidence, was unable to maintain visual conditions and entered a cloud layer, losing visual reference to his surroundings. As such, the pilot likely became spatially disoriented and lost control of the airplane. It is also possible that the pilot was experiencing some level of fatigue at the time of the accident due to the long flights over the preceding days and the less-than-optimal sleeping conditions the night before. Fatigue has been shown to reduce one’s judgement and degrade performance, and it is likely that fatigue contributed to the pilot’s decision to continue the flight into deteriorating weather conditions.

Text from the NTSB. Open the NTSB docket for ERA23FA164 for the full record.

Event

Date
Mar 25, 2023
Type
Accident
Place
Johns Island, South Carolina
Highest injury
Fatal
Fatal injuries
1
Weather
Visual (VMC)
Light
Day

Piper PA-28-161

N-number
N21480
Category
Airplane
Year built
1978
Damage
Substantial
Operating rule
Part 91 (general aviation)
Purpose of flight
Personal

From the NTSB aviation accident database: N-registered aircraft, events since 2008, data through Oct 28, 2026. The file is published monthly, so the latest weeks are incomplete and recent records can change. The official source is the NTSB aviation investigation search. CheckAero is independent and not affiliated with the NTSB.