Bellingham – Midland

About three hours and twenty minutes after departing Bellingham, Washington, for Midland, Texas, the pilot contacted Klamath Falls (Oregon) Tower and told the controller of his intention to land. About 10 minutes later, while about 30 miles north of Klamath Falls, the pilot reported he was low on fuel and was not able to find the city. The tower responded with instructions that would take the pilot south to the airport. But because the pilot seemed not to be following the instructions, but was instead continuing to the west, he was switched to Seattle Center. Center provided the pilot with a southeasterly heading direct to Klamath Falls, but less than a minute later radar and radio contact with the aircraft was lost. Other pilots overheard the pilot transmit that he had lost power in one engine, and later state that he had lost power in both. Soon thereafter the aircraft was seen to descend to about 200 to 300 feet above the surface of Lake of the Woods. The aircraft then began to slow and its nose began to rise. As it was slowing, one of the engines surged back to a high power setting, and the aircraft almost immediately rolled quickly to the side and dove nearly straight down into the lake. During the post-accident inspection of the airframe, the throttle for the right engine was found retarded to idle, but the throttle for the left engine was found in the full-forward (maximum power) position. A review of the Aerostar owner's manual revealed that the Engine Failure/Restart checklist called for the throttle for a failed engine (both engines in this case) to be retarded to the 'Cracked 1/2 inch open' position. Toxicological results indicate the presence in the pilot's blood of chlordiazepoxide and three of its active metabolites, norchlordiazepoxide, nordiazepam, and oxazepam. Chlordiazepoxide (Librium) is a tranquilizer often used to treat anxiety and tension. At sufficient levels it can have significant adverse effects on judgement, alertness, and performance. It is known to cause drowsiness, mental dullness, and euphoria. The results also indicate the presence of diphenhydramine in the pilot's blood. Diphenhydramine is a sedating antihistamine, and in sufficient quantities is known to produce drowsiness, impaired coordination, blurred vision, and reduced mental alertness.

Flight / Schedule

Bellingham – Midland

Registration

N30LL

MSN

61-0379-124

Year of Manufacture

1977

Date

April 27, 1997 at 12:45 PM

Type

CRASH

Flight Type

Private

Flight Phase

Flight

Crash Site

Lake, Sea, Ocean, River

Crash Location

Lake of the Woods Oregon

Region

North America • United States of America

Coordinates

42.3661°, -122.2146°

Crash Cause

Human factor

Narrative Report

On April 27, 1997 at 12:45 PM, Bellingham – Midland experienced a crash involving Piper PA-61 Aerostar (Ted Smith 601), operated by William Z. Williams, with the event recorded near Lake of the Woods Oregon.

The flight was categorized as private and the reported phase was flight at a lake, sea, ocean, river crash site.

1 people were known to be on board, 1 fatalities were recorded, 0 survivors were identified or estimated. This corresponds to an estimated fatality rate of 100.0%.

Crew on board: 1, crew fatalities: 1, passengers on board: 0, passenger fatalities: 0, other fatalities: 0.

The listed crash cause is human factor. About three hours and twenty minutes after departing Bellingham, Washington, for Midland, Texas, the pilot contacted Klamath Falls (Oregon) Tower and told the controller of his intention to land. About 10 minutes later, while about 30 miles north of Klamath Falls, the pilot reported he was low on fuel and was not able to find the city. The tower responded with instructions that would take the pilot south to the airport. But because the pilot seemed not to be following the instructions, but was instead continuing to the west, he was switched to Seattle Center. Center provided the pilot with a southeasterly heading direct to Klamath Falls, but less than a minute later radar and radio contact with the aircraft was lost. Other pilots overheard the pilot transmit that he had lost power in one engine, and later state that he had lost power in both. Soon thereafter the aircraft was seen to descend to about 200 to 300 feet above the surface of Lake of the Woods. The aircraft then began to slow and its nose began to rise. As it was slowing, one of the engines surged back to a high power setting, and the aircraft almost immediately rolled quickly to the side and dove nearly straight down into the lake. During the post-accident inspection of the airframe, the throttle for the right engine was found retarded to idle, but the throttle for the left engine was found in the full-forward (maximum power) position. A review of the Aerostar owner's manual revealed that the Engine Failure/Restart checklist called for the throttle for a failed engine (both engines in this case) to be retarded to the 'Cracked 1/2 inch open' position. Toxicological results indicate the presence in the pilot's blood of chlordiazepoxide and three of its active metabolites, norchlordiazepoxide, nordiazepam, and oxazepam. Chlordiazepoxide (Librium) is a tranquilizer often used to treat anxiety and tension. At sufficient levels it can have significant adverse effects on judgement, alertness, and performance. It is known to cause drowsiness, mental dullness, and euphoria. The results also indicate the presence of diphenhydramine in the pilot's blood. Diphenhydramine is a sedating antihistamine, and in sufficient quantities is known to produce drowsiness, impaired coordination, blurred vision, and reduced mental alertness.

Aircraft reference details include registration N30LL, MSN 61-0379-124, year of manufacture 1977.

Geospatial coordinates for this crash are approximately 42.3661°, -122.2146°.

Fatalities

Total

1

Crew

1

Passengers

0

Other

0

Crash Summary

About three hours and twenty minutes after departing Bellingham, Washington, for Midland, Texas, the pilot contacted Klamath Falls (Oregon) Tower and told the controller of his intention to land. About 10 minutes later, while about 30 miles north of Klamath Falls, the pilot reported he was low on fuel and was not able to find the city. The tower responded with instructions that would take the pilot south to the airport. But because the pilot seemed not to be following the instructions, but was instead continuing to the west, he was switched to Seattle Center. Center provided the pilot with a southeasterly heading direct to Klamath Falls, but less than a minute later radar and radio contact with the aircraft was lost. Other pilots overheard the pilot transmit that he had lost power in one engine, and later state that he had lost power in both. Soon thereafter the aircraft was seen to descend to about 200 to 300 feet above the surface of Lake of the Woods. The aircraft then began to slow and its nose began to rise. As it was slowing, one of the engines surged back to a high power setting, and the aircraft almost immediately rolled quickly to the side and dove nearly straight down into the lake. During the post-accident inspection of the airframe, the throttle for the right engine was found retarded to idle, but the throttle for the left engine was found in the full-forward (maximum power) position. A review of the Aerostar owner's manual revealed that the Engine Failure/Restart checklist called for the throttle for a failed engine (both engines in this case) to be retarded to the 'Cracked 1/2 inch open' position. Toxicological results indicate the presence in the pilot's blood of chlordiazepoxide and three of its active metabolites, norchlordiazepoxide, nordiazepam, and oxazepam. Chlordiazepoxide (Librium) is a tranquilizer often used to treat anxiety and tension. At sufficient levels it can have significant adverse effects on judgement, alertness, and performance. It is known to cause drowsiness, mental dullness, and euphoria. The results also indicate the presence of diphenhydramine in the pilot's blood. Diphenhydramine is a sedating antihistamine, and in sufficient quantities is known to produce drowsiness, impaired coordination, blurred vision, and reduced mental alertness.

Cause: Human factor

Occupants & Outcome

Crew On Board

1

Passengers On Board

0

Estimated Survivors

0

Fatality Rate

100.0%

Known people on board: 1

Operational Details

Schedule / Flight

Bellingham – Midland

Flight Type

Private

Flight Phase

Flight

Crash Site

Lake, Sea, Ocean, River

Region / Country

North America • United States of America

Aircraft Details

Registration

N30LL

MSN

61-0379-124

Year of Manufacture

1977