Cirrus Design Corporation SR22 accident near Woodruff, Wisconsin, September 12, 2008
On September 12, 2008, a Cirrus Design Corporation SR22, registered N193BS, was substantially damaged in an accident during approach (IFR missed approach) near Woodruff, Wisconsin (Lakeland Airport/Noble F. Lee). It was flown under charter and air-taxi rules (Part 135). 3 people were killed. The weather was instrument conditions (cloud, fog or low visibility).
The NTSB's probable cause their words, unchanged
The pilot’s failure to maintain airspeed during a missed approach leading to the inadvertent stall. Contributing to the accident were the pilot’s lack of experience in the type of operation conducted, the certificate holder’s loss of operational control, and the lack of adequate oversight of the operation by the Federal Aviation Administration.
Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.
What the record shows
- Date
- September 12, 2008
- Place
- Woodruff, Wisconsin · Lakeland Airport/Noble F. Lee · map
- Type
- Accident
- Injuries
- 3 people were killed.
- Weather
- instrument conditions (cloud, fog or low visibility)
- Aircraft
- Cirrus Design Corporation SR22 · all SR22s on the register
- Registration
- N193BS · no longer on the register · serial 22-2761
- Damage
- Substantial damage
- Flight
- Flight · charter and air-taxi rules (Part 135)
The NTSB's narrative final · quoted from the NTSB record
The pilot was attempting a non-precision instrument approach at dusk in instrument meteorological conditions (IMC) that were below the required approach minimums without an alternate airport. Near the missed approach point, the airplane entered a climb and the airspeed decreased. The airplane gave a stall warning and it subsequently crashed. Recorded flight data revealed that pilot was utilizing the autopilot intermittently and then about two minutes before the accident he turned it off, indicating that he was either not proficient in flying in IMC in the accident airplane make and model and/or utilizing its autopilot. This was further supported by the pilot previously failing his initial airman examination flight and his lack of experience in non precision approaches in such conditions. Furthermore, the postaccident investigation determined that the Part 135 certificate holder had used an unapproved airplane training program paid for by the airplane owner and had falsified air carrier records in order to meet air carrier flight training requirements. The assignment of the flight shows a loss of operational control due to the attempted approach in below approach minimums; the lack of an alternate airport; the assignment of a pilot that lacked proficiency and/or experience in the weather conditions that were encountered during the flight; and pilot’s lack of explicit authorization for use of an autopilot in lieu of a second-in-command, which was due to the Federal Aviation Administration (FAA) Principal Operation Inspector's (POI) failure to complete the appropriate form. Additionally, the airplane’s registered owner had placed their airplanes on a previous Part 135 certificate but that certificate holder removed those airplanes from the certificate after the owner improperly exercised operational control instead of the certificate holder. The airplanes were then placed on the current certificate holder’s certificate during which time there are indications that the airplane owner was exercising operation control. At least one inspector from the FAA’s Flight Standard District Office (FSDO) was aware of the history of improper exercise of operational control of flights by the airplane owner (not the certificate holder) and no action was taken to stop this practice. Additionally, the FAA FSDO surveillance records revealed that the certificate holder was rated as satisfactory with no comments noted, although throughout the investigation numerous discrepancies were found that within the company that did not comply with Part 135 operations. A postaccident examination revealed no mechanical anomalies that would have precluded normal airplane 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
- Loss of control in flight during approach (IFR missed approach) defining event
- Collision with terrain or object (not controlled flight into terrain) during uncontrolled descent
The NTSB's findings
- cause Organizational issues › Management › Culture › (general) › Operator
- cause Organizational issues › Management › Culture › Pressures/demands › Other institution/organization
- cause Organizational issues › Support/oversight/monitoring › Training › (general) › Operator
- cause Personnel issues › Experience/knowledge › Experience/qualifications › Recent experience w/ equipment › Pilot
- factor Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Clouds › Contributed to outcome
Pilot
- Certificate: commercial pilot, private
- Ratings: single-engine land; single-engine sea; instrument: airplane
- Flight time: 2,212 hours in all; 85 in this make and model; 185 in the last 90 days; 56 in the last 30 days; 2,083 as pilot in command
- Last flight review: July 23, 2008
- Medical certificate: Class 2 (without waivers/limitations)
- Seat: left
- Injury: fatal
The aircraft
- Airframe total time: 297.4 hours
- Last inspection: 100-hour inspection, August 6, 2008
- Maximum gross weight: 3,400 lb
- Seats: 4
- Landing gear: fixed
- Engine: Teledyne Continental IO-550-N (piston); 0 hours total
The flight
- Departed from: MKE Milwaukee WI at 10:45 pm
- Destination: ARV Minocqua/Woodru WI
- Flight plan: IFR
- Runway 36, 5,150 ft by 100 ft
Weather at the time
- Light: dusk
- Wind: from 200° at 5 knots
- Visibility: 3 statute miles
- Sky: overcast at 200 ft; clear
- Temperature: 64°F (18°C), dew point 61°F (16°C)
- Altimeter: 29.87 inHg
Injuries
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Flight crew | 1 | |||
| Passengers | 2 |
Documents from the investigation the NTSB's docket: the evidence folder behind the report
The docket, the folder of records gathered during an investigation (maintenance records, photographs, witness statements, examinations), has not been read from the NTSB for this case yet; the list appears here once it has. Open the docket at the NTSB.
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.
