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Accidents · NTSB ERA11FA258 · Final report

Cessna 210D accident near Altavista, Virginia, April 23, 2011

On April 23, 2011 at about 1:46 am local time, a Cessna 210D, registered N3963Y, was substantially damaged in an accident during approach (IFR initial approach) near Altavista, Virginia (Lynchburg Regional 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 loss of airplane control due to spatial disorientation. Contributing to the accident was the pilot’s lack of experience in actual night instrument conditions.

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

What the record shows

Date
April 23, 2011 · about 1:46 am local time
Place
Altavista, Virginia · Lynchburg Regional · map
Type
Accident
Injuries
1 person was killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Cessna 210D · all 210Ds on the register
Registration
N3963Y · no longer on the register · serial 21058463
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 an instrument flight rules flight during night, instrument meteorological conditions. About 15 minutes into the flight, the air traffic controller observed that the pilot was not flying assigned headings. When queried, the pilot responded that he was "…a little disoriented…" The pilot continued to deviate from assigned headings as he was vectored to the airport for the approach. During his first attempt at the instrument landing system (ILS) approach, the pilot executed a missed approach, citing problems with his engine monitor. Following the missed approach, the air traffic controller issued a low altitude alert to the pilot. On his second attempt at an ILS approach, the pilot unknowingly deviated well right of the localizer course and was instructed to climb immediately due to another low altitude alert. The pilot was then vectored to an intersection south of the airport and was offered a global positioning system (GPS) approach. The pilot continued to have difficulty with heading and altitude control, receiving an additional low altitude alert from the air traffic controller. The pilot subsequently informed the controller that he had "complete gyro failure" and needed assistance with heading and altitude monitoring. When asked if he was tracking a navigational aid, the pilot responded that he was "…a little dizzy…" The pilot asked for an altitude check at 5,200 feet mean sea level (msl) and the controller confirmed that altitude on his radar. The controller subsequently issued another altitude alert to the pilot at 1,400 feet msl, and the pilot did not acknowledge the call. At that point, radar and radio contact was lost. Radar, GPS, and witness information confirmed that the airplane collided with the ground during a right, descending spiral. The wreckage was highly fragmented, including the engine. Propeller signatures indicated high engine power at impact. The landing gear and flaps were retracted. Not all of the cockpit instruments could be identified or located due to the impact damage. Data recovered from the engine monitor showed that the engine, vacuum system, and electrical system were operating normally during the flight. The pilot received his instrument rating about six weeks prior to the accident and had not logged any actual instrument time at night. The pilot was an insulin-dependent diabetic and was required to monitor his blood glucose level before and during the flight; however, the investigation was unable to determine if the pilot’s glucose level affected his performance. Although the pilot reported problems with his cockpit instrumentation, physical evidence of an in-flight instrument failure was inconclusive. The environmental conditions that existed during the flight and the pilot's actions and responses indicate that he likely experienced significant spatial disorientation.

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. Loss of control in flight during approach (IFR initial approach) defining event
  2. Collision with terrain or object (not controlled flight into terrain) during uncontrolled descent

The NTSB's findings

  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low ceiling › Contributed to outcome
  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low visibility › Contributed to outcome
  • Environmental issues › Conditions/weather/phenomena › Light condition › Dark › Contributed to outcome
  • cause Personnel issues › Psychological › Perception/orientation/illusio › Spatial disorientation › Pilot
  • factor Personnel issues › Experience/knowledge › Experience/qualifications › Total instrument experience › Pilot

Pilot

  • Certificate: private
  • Ratings: single-engine land; instrument: airplane
  • Flight time: 295 hours in all
  • Last flight review: March 9, 2011
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: unk
  • Injury: fatal

The aircraft

  • Airframe total time: 6,911 hours
  • Last inspection: annual inspection, September 28, 2010
  • Maximum gross weight: 3,100 lb
  • Seats: 4
  • Landing gear: retractable
  • Engine: Cont Motor IO 520 SERIES (piston); 0 hours total

The flight

  • Departed from: OKV Winchester VA at 11:56 pm
  • Destination: LYH Lynchburg VA
  • Flight plan: IFR

Weather at the time

  • Light: night, dark
  • Wind: from 030° at 3 knots
  • Visibility: 3 statute miles
  • Sky: overcast at 600 ft
  • Temperature: 46°F (8°C), dew point 46°F (8°C)
  • Altimeter: 30.29 inHg
  • Observation at 1:54 am from LYH, 13 miles away

Injuries

FatalSeriousMinorNone
Flight crew1

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

30 documents, released by the NTSB on March 14, 2012. 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.

#DocumentWhat it is
1 Materials Laboratory 15 - Factual Report 11-090 (5 Images) PDF, 3 pages View Download
2 Toxicological Report - Digiulio PDF, 1 page View Download
3 Weather Data PDF, 6 pages View Download
4 FAA Personnel Statements (ATC) PDF, 3 pages View Download
5 ATC Transcript - Potomac Tracon PDF, 5 pages View Download
6 ATC Transcript 1 - Roanoke ATC Tower PDF, 9 pages View Download
7 ATC Transcript 2 - Roanoke ATC Tower PDF, 26 pages View Download
8 radar Track - N3963Y PDF, 1 page View Download
9 Selected Data Fields - MVP-50P Engine Monitor PDF, 11 pages View Download
10 Data Graph 1 from MVP-50P Engine Monitor PDF, 1 page View Download
11 Data Graph 2 from MVP-50P Engine Monitor PDF, 1 page View Download
12 Excerpts - Pilot Logbook PDF, 5 pages View Download
13 FAA Medical History Information PDF, 4 pages View Download
14 Excerpts from Maintenance Logbooks PDF, 3 pages View Download
15 Written Statement - Bryant PDF, 1 page View Download
16 NTSB Record of Conversation - Bryant PDF, 1 page View Download
17 NTSB Record of Conversation - Hagood PDF, 1 page View Download
18 NTSB Record of Conversation - Monroe PDF, 1 page View Download
19 NTSB Record of Conversation - Neal PDF, 1 page View Download
20 Release of Aircraft Wreckage, NTSB Form 6120.15 PDF, 1 page View Download
21 Evidence Control PDF, 4 pages View Download
22 Statement of Party Representatives to NTSB Investigation PDF, 15 pages View Download
23 Photo 1: Initial Impact Area (FAA Digital Photo) PDF, 1 page View Download
24 Photo 2: Main Wreckage Area (FAA Digital Photo) PDF, 1 page View Download
25 Photo 3: Fuselage (FAA Digital Photo) PDF, 1 page View Download
26 Photo 4: Engine (FAA Digital Photo) PDF, 1 page View Download
27 Photo 5: Propeller Hub and Blade (FAA Digital Photo) PDF, 1 page View Download
28 Photo 6: Propeller Blade (FAA Digital Photo) PDF, 1 page View Download
29 Photo 7: Cut Wood Found in Wreckage Path (Continental Motors Digital Photo) PDF, 1 page View Download
30 Photo 8: Cut Wood Found in Wreckage Path (Continental Motors Digital Photo) PDF, 1 page View Download

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.