NTSB Identification: CHI91FA108.
The docket is stored on NTSB microfiche number 44060.
Accident occurred Sunday, March 17, 1991 in THIEF RIVER FLS, MN
Probable Cause Approval Date: 01/27/1993
Aircraft: PIPER PA-30, registration: N8290Y
Injuries: 4 Fatal.
NTSB investigators either traveled in support of this investigation or conducted a significant amount of investigative work without any travel, and used data obtained from various sources to prepare this aircraft accident report.
DURING ARRIVAL, THE PLT WAS ADZD THAT THE 1745 CST WX WAS 500' BKN, 1000' OVC, VIS 3-1/2 MI WITH FOG. HE MADE AN ILS RWY 31 APCH, BUT AT 1928 CST, HE RPRTD A MISSED APCH. HE STATED THAT HE HAD SEEN 'THE LIGHTS' & REQUESTED ANOTHER APCH. THE ACFT WAS VECTORED FOR A 2ND ILS. WHEN IT WAS ABOUT 5 MI FROM THE OUTER MARKER (FAF), THE PLT WAS CLRD FOR THE APCH & TO CHANGE TO AN ADZY FREQ. HOWEVER, ABOUT 3 MI SE OF THE FAF, THE ACFT FLEW INTO LEVEL TERRAIN, WHILE STILL ON A WESTERLY HDG. MIN DSCNT ALT (MDA) FOR THIS SEGMENT OF THE APCH WAS 2700' MSL; THE ARPT ELEV WAS 1116'). NO PREIMPACT PART FAILURE OR MALFUNCTION OF THE AIRFRAME OR ENG WAS FOUND. THE 1945 CST WX AT THE ARPT HAD DETERIORATED TO 200' OVC & 1/4 MI VIS WITH FOG.
The National Transportation Safety Board determines the probable cause(s) of this accident to be: IMPROPER IFR PROCEDURE OF THE PILOT, WHILE INTERCEPTING THE ILS LOCALIZER, BY NOT MAINTIANING THE MINIMUM DESCENT ALTITUDE (MDA) FOR THAT SEGMENT OF THE APPROACH.
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