The U.S. aircraft register, updated daily
Accidents · NTSB ANC19FA033 · Final report

Piper PA 24-180 accident near Ketchikan, Alaska, July 11, 2019

On July 11, 2019 at about 10:19 pm local time, a 1959 Piper PA 24-180, registered N5840P, was substantially damaged in an accident during maneuvering near Ketchikan, Alaska (Ketchikan Intl airport). It was a personal flight under general aviation rules (Part 91). 1 person was killed. The weather was conditions the NTSB did not record.

The NTSB's probable cause their words, unchanged

The pilot’s decision to continue visual flight rules into instrument meteorological conditions, which resulted in spatial disorientation and a loss of control.

Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.

What the record shows

Date
July 11, 2019 · about 10:19 pm local time
Place
Ketchikan, Alaska · Ketchikan Intl · map
Type
Accident
Injuries
1 person was killed.
Weather
conditions the NTSB did not record
Aircraft
Piper PA 24-180 Undesignat, built 1959 · all PA 24-180s on the register
Registration
N5840P · no longer on the register · serial 24-921
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

The NTSB's narrative final · quoted from the NTSB record

The pilot was conducting a visual flight rules cross-country flight. He filed a flight plan before departure but declined a formal weather briefing. Although the weather information he gathered about the flight could not be determined, he indicated to his spouse before departure that the weather at his intended fuel stop was “not good,” but that he had sufficient fuel onboard to continue to the destination airport without refueling. GPS data showed that the airplane proceeded directly toward the airport where he intended to refuel, and while approaching the airport for landing the pilot reported via radio that he was “hung up” and would maneuver for a left downwind. There were no further radio communications from the pilot. GPS data revealed that, about the time the pilot made the final radio call, the airplane was about 500 ft above ground level; it then banked left and rapidly descended into rising terrain. The wreckage was located on a hillside about 4 nautical miles southeast of the airport. The distribution of the wreckage was consistent with a high speed impact. Examination of the airframe, engine, and associated systems revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation. Although the pilot held an instrument rating, his instrument currency could not be determined, and his wife, who flew with him often, stated that he rarely filed or flew instrument flight rules flights. Weather camera images revealed the presence of low cloud layers and limited visibility in the area of the accident site around the time of the accident. Despite his apparent awareness of forecast marginal visual flight rules conditions and temporary instrument meteorological conditions, the pilot chose to depart and continue into an area of low cloud ceilings and rising terrain. It is likely that, while maneuvering at low altitude toward the airport, the pilot's in-flight visibility was limited by the cloud conditions, which resulted in spatial disorientation and a loss of control. The pilot had a history of high blood pressure and diabetes, and toxicology revealed medications that were consistent with appropriate medical treatment and were not considered impairing. The pilot’s downloaded glucometer readings during the flight had no indications of an adverse diabetic event; therefore, the pilot’s diabetes and use of diabetes medication did not contribute to the accident. The coronary artery disease observed during the autopsy was below that generally considered significant. Although the pilot’s medical conditions placed him at increased risk for a sudden impairing or incapacitating cardiovascular event, there is insufficient evidence to determine whether such an event occurred.

The complete narrative as the NTSB published it. The NTSB's docket holds the report as a PDF and any photographs, statements and other documents from the investigation.

The factual record from the NTSB's investigation tables, in plain English

What happened, in order

  1. VFR encounter with IMC during maneuvering
  2. Loss of control in flight during maneuvering defining event

The NTSB's findings

  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low visibility › Decision related to condition
  • Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
  • Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low visibility › Effect on operation
  • Aircraft › Aircraft oper/perf/capability › (general) › (general) › Not attained/maintained

Pilot

  • Certificate: airline transport pilot, flight instructor, commercial pilot
  • Ratings: multi-engine land; single-engine land; single-engine sea; instructor: airplane single-engine; instructor: instrument airplane; instrument: airplane
  • Flight time: 12,580 hours in all; 400 in this make and model
  • Medical certificate: None
  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 4,724.3 hours
  • Last inspection: annual inspection, July 10, 2019; 4.1 hours since
  • Maximum gross weight: 2,550 lb
  • Seats: 4
  • Landing gear: fixed
  • Engine: Lycoming O-360-A1A (piston); 4,724 hours total

The flight

  • Departed from: FHR Friday Harbor WA at 5:10 pm
  • Destination: KTN Ketchikan AK
  • Flight plan: VFR
  • Runway 11, 7,500 ft by 150 ft

Weather at the time

  • Light: daylight
  • Wind: from 110° at 13 knots
  • Visibility: 10 statute miles
  • Sky: broken clouds at 1,400 ft; scat at 900 ft
  • Temperature: 63°F (17°C), dew point 61°F (16°C)
  • Altimeter: 30.09 inHg
  • Observation at 9:53 pm from PAKT, 4 miles away

Injuries

FatalSeriousMinorNone
Flight crew1

Documents from the investigation the NTSB's docket: the evidence folder behind the report

8 documents, released by the NTSB on June 15, 2021. View them here, or download them; the NTSB redacts some personal details before release, and this site shows the NTSB's own titles rather than its file names.

The same docket at the NTSB · documents without a copy here are fetched from the NTSB when you open them.

Everything on this page comes from the NTSB's public records. The narrative, probable cause and findings are the NTSB's own words; the coded tables behind the report are written out in plain English, with pilots' ages, home towns and medical details left out. The documents and photographs are the NTSB's docket, shown as the NTSB released them. This site's own text never names anyone involved. A preliminary report can change; the final report usually follows one to two years later, and the page is refreshed when it does.