Santa Rosa - Wichita

The pilot had filed an instrument flight rules (IFR) flight plan for 25,000 feet mean sea level (MSL), and he amended it to 27,000 feet MSL en route. About 36 minutes after the altitude change to 27,000 feet, the pilot advised air traffic control (ATC) that he had lost cabin pressurization and needed an immediate descent. About 20 seconds later he was cleared to 25,000 feet, then 15 seconds later to 15,000 feet. Shortly after the pilot acknowledged the lower altitudes, the radio communications deteriorated to microphone clicks with no carrier. The aircraft started a shallow descent with slight heading changes, then was observed to make a rapid descent into desert terrain. About 10 months prior to the accident the aircraft had been inspected in accordance with the Piper Cheyenne Progressive Inspection 100-hour Cycle, event No. 1. According to the servicing agency, the aircraft inspection was completed and the aircraft was returned to service with a 12,500 feet MSL altitude restriction due to unresolved oxygen system issues. The last oxygen bottle hydrostatic check noted on the bottle was October 1989. The oxygen system was in need of required maintenance and the masks were in a rotted condition. The pilot failed to report his severe coronary artery disease condition, medications, and other conditions to his FAA medical examiner for the required flight physical.

Flight / Schedule

Santa Rosa - Wichita

Registration

N6JM

MSN

31-7904011

Year of Manufacture

1979

Operator

Gray Leasing

Date

August 8, 1998 at 11:49 AM

Type

CRASH

Flight Type

Private

Flight Phase

Flight

Crash Site

Plain, Valley

Crash Location

Baker Nevada

Region

North America • United States of America

Coordinates

39.0122°, -114.1233°

Crash Cause

Human factor

Narrative Report

On August 8, 1998 at 11:49 AM, Santa Rosa - Wichita experienced a crash involving Piper PA-31 Cheyenne, operated by Gray Leasing, with the event recorded near Baker Nevada.

The flight was categorized as private and the reported phase was flight at a plain, valley crash site.

3 people were known to be on board, 3 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: 2, passenger fatalities: 2, other fatalities: 0.

The listed crash cause is human factor. The pilot had filed an instrument flight rules (IFR) flight plan for 25,000 feet mean sea level (MSL), and he amended it to 27,000 feet MSL en route. About 36 minutes after the altitude change to 27,000 feet, the pilot advised air traffic control (ATC) that he had lost cabin pressurization and needed an immediate descent. About 20 seconds later he was cleared to 25,000 feet, then 15 seconds later to 15,000 feet. Shortly after the pilot acknowledged the lower altitudes, the radio communications deteriorated to microphone clicks with no carrier. The aircraft started a shallow descent with slight heading changes, then was observed to make a rapid descent into desert terrain. About 10 months prior to the accident the aircraft had been inspected in accordance with the Piper Cheyenne Progressive Inspection 100-hour Cycle, event No. 1. According to the servicing agency, the aircraft inspection was completed and the aircraft was returned to service with a 12,500 feet MSL altitude restriction due to unresolved oxygen system issues. The last oxygen bottle hydrostatic check noted on the bottle was October 1989. The oxygen system was in need of required maintenance and the masks were in a rotted condition. The pilot failed to report his severe coronary artery disease condition, medications, and other conditions to his FAA medical examiner for the required flight physical.

Aircraft reference details include registration N6JM, MSN 31-7904011, year of manufacture 1979.

Geospatial coordinates for this crash are approximately 39.0122°, -114.1233°.

Fatalities

Total

3

Crew

1

Passengers

2

Other

0

Crash Summary

The pilot had filed an instrument flight rules (IFR) flight plan for 25,000 feet mean sea level (MSL), and he amended it to 27,000 feet MSL en route. About 36 minutes after the altitude change to 27,000 feet, the pilot advised air traffic control (ATC) that he had lost cabin pressurization and needed an immediate descent. About 20 seconds later he was cleared to 25,000 feet, then 15 seconds later to 15,000 feet. Shortly after the pilot acknowledged the lower altitudes, the radio communications deteriorated to microphone clicks with no carrier. The aircraft started a shallow descent with slight heading changes, then was observed to make a rapid descent into desert terrain. About 10 months prior to the accident the aircraft had been inspected in accordance with the Piper Cheyenne Progressive Inspection 100-hour Cycle, event No. 1. According to the servicing agency, the aircraft inspection was completed and the aircraft was returned to service with a 12,500 feet MSL altitude restriction due to unresolved oxygen system issues. The last oxygen bottle hydrostatic check noted on the bottle was October 1989. The oxygen system was in need of required maintenance and the masks were in a rotted condition. The pilot failed to report his severe coronary artery disease condition, medications, and other conditions to his FAA medical examiner for the required flight physical.

Cause: Human factor

Occupants & Outcome

Crew On Board

1

Passengers On Board

2

Estimated Survivors

0

Fatality Rate

100.0%

Known people on board: 3

Operational Details

Schedule / Flight

Santa Rosa - Wichita

Operator

Gray Leasing

Flight Type

Private

Flight Phase

Flight

Crash Site

Plain, Valley

Region / Country

North America • United States of America

Aircraft Details

Registration

N6JM

MSN

31-7904011

Year of Manufacture

1979