Piper PA46-500TP accident near Steamboat Springs, Colorado, December 11, 2021
On December 11, 2021 at about 1:09 am local time, a Piper PA46-500TP, registered N744Z, was substantially damaged in an accident during approach (IFR missed approach) near Steamboat Springs, Colorado (Steamboat Springs/Bob Adams Fl airport). It was a personal flight under general aviation rules (Part 91). 1 person was killed. The weather was instrument conditions (cloud, fog or low visibility).
The NTSB's probable cause their words, unchanged
The pilot’s failure to adhere to the published instrument approach procedure, which resulted in controlled flight into terrain.
Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.
What the record shows
- Date
- December 11, 2021 · about 1:09 am local time
- Place
- Steamboat Springs, Colorado · Steamboat Springs/Bob Adams Fl · map
- Type
- Accident
- Injuries
- 1 person was killed.
- Weather
- instrument conditions (cloud, fog or low visibility)
- Aircraft
- Piper PA46-500TP · all PA46-500TPs on the register
- Registration
- N744Z · no longer on the register · serial 4697134
- 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 solo night cross-country flight in low visibility through mountainous terrain. The pilot was then cleared by an air traffic controller to conduct a RNAV (GPS)-E instrument approach into the destination airport. After passing the final approach fix and before the missed approach point, the pilot, for an unknown reason, executed a left turn, consistent with the missed approach procedure. During the turn toward the holding waypoint, the airplane did not climb. Shortly thereafter, the airplane impacted steep rising terrain The local weather at the time of the accident indicated a cloud ceiling of 1,200 ft above ground level and 1 statute mile visibility, which was below the weather minimums for the approach. Data retrieved from the onboard avionics revealed that although the pilot flew the published route in accordance with the instrument approach procedure, the minimum required altitudes were not adhered to. A review of the ForeFlight weather briefing data indicated that a route weather briefing had been generated by the pilot with the filing of the instrument flight rules (IFR) flight plan. While no weather imagery was reviewed during the period, the pilot had checked METARs for the destination and another nearby airport before departure and viewed the RNAV (GPS)-E approach procedure at the destination airport. A review of the data that was presented to the pilot indicated that visual flight rules conditions prevailed at the destination with light snow in the vicinity at the time it was generated. Based on the preflight weather briefing the pilot obtained, he was likely unaware of the IFR conditions and below minimum weather conditions at the destination until he descended into the area and obtained the current local weather during the flight. It is probable that, based upon the weather and flight track information, as the pilot was on the instrument approach, he became aware of the below minimum weather conditions and elected to initiate the missed approach, as evident by the turn away from the airport similar to the missed approach procedure and the flaps and landing gear being in transition. This investigation was unable to determine why the missed approach procedure was prematurely initiated and why the airplane failed to climb. Additionally, there were no preimpact mechanical malfunctions or anomalies found during a postaccident examination that would have precluded normal operation.
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
- Controlled flight into terrain or object (CFIT) during approach (IFR missed approach) defining event
The NTSB's findings
- Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot
- Personnel issues › Action/decision › Info processing/decision › Identification/recognition › Pilot
- Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Below approach minima › Decision related to condition
- Environmental issues › Operating environment › Air traffic/operating proc › Missed approach procedure › Compliance w/ procedure
- Environmental issues › Operating environment › Air traffic/operating proc › Instrument approach procedure › Compliance w/ procedure
Pilot
- Certificate: private
- Ratings: single-engine land; instrument: airplane
- Flight time: 581 hours in all
- Medical certificate: Class 3 (with waivers/limitations)
- Seat: left
- Injury: fatal
The aircraft
- Seats: 6
- Landing gear: retractable
- Engine: Pratt And Whitney Canada PT6A-42A (turboprop); 0 hours total
The flight
- Departed from: COD Cody WY at 5:00 pm
- Destination: SBS Steamboat Springs CO
- Flight plan: IFR
Weather at the time
- Light: night
- Wind: from 260° at 5 knots
- Visibility: 1 statute miles
- Sky: overcast at 1,200 ft
- Temperature: 16°F (-9°C), dew point 16°F (-9°C)
- Altimeter: 29.95 inHg
- Observation at 5:55 pm from KSBS, 7 miles away
Weather report (METAR): KSBS 110055Z AUTO 26005KT 1SM OVC012 M09/M09 A2995 RMK AO1 T10921092
Injuries
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Flight crew | 1 |
Documents from the investigation the NTSB's docket: the evidence folder behind the report
19 documents, released by the NTSB on June 8, 2023. 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.
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.
