Diamond Aircraft Ind INC DA 40 accident near West Palm Beach, Florida, March 6, 2023
On March 6, 2023 at about 2:25 am local time, a 2003 Diamond Aircraft Ind INC DA 40, registered N804ER, was substantially damaged in an accident during maneuvering (low-alt flying) near West Palm Beach, Florida (Palm Beach County Park airport). It was a personal flight under general aviation rules (Part 91). 2 people were killed. The weather was visual conditions (good weather).
The NTSB's probable cause their words, unchanged
The pilots’ exceedance of the airplane’s critical angle of attack following a go-around/low pass over the runway, which resulted in a loss of control and impact with terrain.
Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.
What the record shows
- Date
- March 6, 2023 · about 2:25 am local time
- Place
- West Palm Beach, Florida · Palm Beach County Park · map
- Type
- Accident
- Injuries
- 2 people were killed.
- Weather
- visual conditions (good weather)
- Aircraft
- Diamond Aircraft Ind INC DA 40 NO SERIES, built 2003
- Registration
- N804ER · registry record · serial 40.311
- Damage
- Substantial damage
- Flight
- Personal flight · general aviation rules (Part 91)
The NTSB's narrative final · quoted from the NTSB record
The right-seat pilot, who held a flight instructor certificate, and the left-seat pilot, who held a private pilot certificate, arrived at the destination airport in night visual meteorological conditions. Two witnesses who were at the airport waiting to meet the accident pilots reported that the airplane descended on final approach to 20 to 30 ft above the runway. They then observed a go-around, which the pilots did not announce on the airport’s common traffic advisory frequency (CTAF). The witnesses reported that the airplane flew above the runway and did not climb any higher than 200 to 250 ft above ground level. Upon reaching the departure end of the runway, the airplane banked to the right, stalled, and rolled inverted before impacting the ground. The witnesses did not report hearing any engine discrepancy during the approach or go-around, but one witness reported the engine did not seem to the operating at full power during the go-around. Videos of the airplane taken by one of the witnesses captured a portion of the go-around and the moments just before the accident. Analysis of the videos determined that the engine rpm was about 2,400 before the right turn, after which engine rpm decreased slightly to around 2,300. Examination of the airplane revealed that the wing flaps were retracted, and there was no preimpact failure or malfunction of the flight controls. Examination of the engine powertrain, air induction, exhaust, and ignition systems revealed no evidence of preimpact failure or malfunction. One fuel injector nozzle and an attached fuel line was separated from its cylinder; however, this was likely the result of impact damage. The witnesses did not report anything unusual about the approach that would have required a go-around, nor was there any communication from the pilots on the CTAF or to either witness about a go-around. It is possible that the go-around and subsequent low pass were performed for the benefit of the witnesses, who were known by at least one occupant of the airplane to be waiting for the airplane’s arrival. Although the engine was operating just below full power before the in-flight loss of control, and the throttle control was found separated, the throttle control system was equipped with a spring that would have moved the throttle control full forward in the event of separation of the throttle control cable. Thus, the reduced power setting was likely an intentional setting by the pilots rather than a separation of the throttle control cable or an engine malfunction. Toxicology testing revealed that the left-seat pilot had used a product containing delta-8-THC, which has the potential to alter perception and cause impairment; however, the measured delta-8-THC levels in his cavity blood and urine could not be used to determine whether or to what degree he may have experienced associated impairing effects. With the non-psychoactive metabolite of delta- 9-THC detected, and no delta-9-TCH or psychoactive metabolite of delta-9-THC detected, it is unlikely that delta-9-THC use contributed to the accident. While the flight instructor did not hold an FAA medical certificate, no significant natural disease was found at autopsy and there was no evidence that his previously reported obstructive sleep apnea contributed to the accident. The circumstances of the accident are consistent with the pilots’ exceedance of the airplane’s critical angle of attack while maneuvering after a go-around/low pass, which resulted in an aerodynamic stall, loss of control, and impact with terrain.
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
- Abrupt maneuver during approach (VFR go-around)
- Loss of control in flight during maneuvering (low-alt flying) defining event
- Collision with terrain or object (not controlled flight into terrain) during uncontrolled descent
- Fire/smoke (post-impact) during post (impact)
The NTSB's findings
- Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
- Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Airspeed › Not attained/maintained
- Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Angle of attack › Not attained/maintained
Pilot
- Certificate: private, remote
- Ratings: single-engine land; rotorcraft: unmanned (suas)
- Flight time: 176 hours in all; 3.2 in this make and model; 11.6 in the last 90 days; 0 in the last 30 days; 71.6 as pilot in command
- Last flight review: July 19, 2022
- Medical certificate: Class 1 (without waivers/limitations)
- Seat: left
- Injury: fatal
Pilot
- Certificate: flight instructor, commercial pilot
- Ratings: single-engine land; single-engine sea; instructor: airplane single-engine; instructor: instrument airplane; instrument: airplane
- Flight time: 711 hours in all; 189 in this make and model; 156 in the last 90 days; 49 in the last 30 days; 510 as pilot in command; 176 on instruments
- Last flight review: October 26, 2022
- Medical certificate: Class 1 (with waivers/limitations)
- Seat: rgt
- Injury: fatal
The aircraft
- Airframe total time: 3,126.2 hours
- Last inspection: annual inspection, February 24, 2023; 8 hours since
- Maximum gross weight: 2,535 lb
- Seats: 4
- Landing gear: fixed
- Engine: Lycoming IO-360-M1A (piston); 0 hours total
- Fire on the ground
- Operator: Aamro Aviation
The flight
- Departed from: X60 Williston FL
- Flight plan: none
- Runway 10, 3,489 ft by 75 ft
- A second pilot was aboard
Weather at the time
- Light: night
- Wind: from 110° at 5 knots
- Visibility: 10 statute miles
- Sky: a few clouds at 4,000 ft
- Temperature: 75°F (24°C), dew point 68°F (20°C)
- Altimeter: 30.10 inHg
- Observation at 8:53 pm from KPBI, 6 miles away
Weather report (METAR): KPBI 060153Z 11005KT 10SM FEW040 24/20 A3010 RMK AO2 SLP192 T02440200 $
Injuries
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Flight crew | 2 |
Documents from the investigation the NTSB's docket: the evidence folder behind the report
20 documents, released by the NTSB on April 24, 2025. 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.
