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Accidents · NTSB ERA17FA108 · Final report

Piper PA28R accident near Cedar Key, Florida, February 12, 2017

On February 12, 2017 at about 4:06 pm local time, a 1975 Piper PA28R, registered N4504X, was destroyed in an accident during enroute (descent) near Cedar Key, Florida. It was a personal flight under general aviation rules (Part 91). 3 people were killed. The weather was instrument conditions (cloud, fog or low visibility).

The NTSB's probable cause their words, unchanged

The non-instrument-rated pilot's improper decision to continue visual flight rules flight into instrument meteorological conditions, which resulted in spatial disorientation and a loss of airplane control.

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

What the record shows

Date
February 12, 2017 · about 4:06 pm local time
Place
Cedar Key, Florida · map
Type
Accident
Injuries
3 people were killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Piper PA28R 200, built 1975 · all PA28Rs on the register
Registration
N4504X · no longer on the register · serial 28R-7635065
Damage
Destroyed
Flight
Personal flight · general aviation rules (Part 91)

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

The non-instrument rated private pilot departed in the airplane in visual meteorological conditions, which prevailed along most of the route of the over-water cross-country flight. However, about 20 miles from the destination airport, the airplane encountered an area of instrument meteorological conditions (IMC) that consisted of overcast clouds with bases about 400 ft above the water. According to GPS data, when the airplane reached this area, it began to descend from a cruising altitude of 2,400 ft. About 7 minutes later, at an altitude of about 1,000 ft, the airplane began a left, descending, 180° turn during which the altitude fluctuated until the data ended about 600 ft above the water near the accident site. The airplane continued to descend until it impacted the water. Examination of the wreckage did not reveal any evidence of preimpact mechanical malfunctions that would have precluded normal operation. The pilot had logged only 4.6 hours of simulated instrument experience and had no documented actual instrument experience. No evidence was found indicating that the pilot obtained an official weather briefing before the flight. If he had obtained such a briefing, he would have been told that visual flight rules (VFR) flight was not recommended due to IMC near the destination airport. Given the instrument conditions in the destination area and the pilot's limited instrument flying experience, it is likely that the pilot attempted to continue VFR flight into IMC, experienced spatial disorientation, and lost control of the airplane.

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 enroute (descent) defining event
  2. Collision with terrain or object (not controlled flight into terrain) during uncontrolled descent

The NTSB's findings

  • cause Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot
  • cause Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
  • cause Aircraft › Aircraft oper/perf/capability › Performance/control parameters › (general) › Not attained/maintained
  • cause Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
  • cause Personnel issues › Experience/knowledge › Experience/qualifications › Total instrument experience › Pilot
  • cause Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Low ceiling › Decision related to condition
  • cause Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Below VFR minima › Decision related to condition
  • cause Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Below VFR minima › Ability to respond/compensate

Pilot

  • Certificate: private
  • Ratings: single-engine land
  • Flight time: 606 hours in all; 300 in this make and model; 3 in the last 90 days
  • Last flight review: August 13, 2016
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 2,806.2 hours
  • Last inspection: annual inspection, May 1, 2016; 14 hours since
  • Maximum gross weight: 2,600 lb
  • Seats: 4
  • Landing gear: retractable
  • Engine: Lycoming IO-360-C1C (piston); 0 hours total
  • Operator: Flying Arrow LLC

The flight

  • Departed from: BKV Brooksville FL at 3:37 pm
  • Destination: CDK Cedar Key FL
  • Flight plan: none

Weather at the time

  • Light: daylight
  • Wind: from 240° at 5 knots
  • Visibility: 10 statute miles
  • Sky: overcast at 400 ft
  • Temperature: 66°F (19°C), dew point 64°F (18°C)
  • Altimeter: 30.25 inHg
  • Observation at 3:55 pm from KCTY, 36 miles away

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers2

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

8 documents, released by the NTSB on December 6, 2018. 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.