Piper PA-28-161 accident near Johns Island, South Carolina, March 25, 2023
On March 25, 2023 at about 4:51 pm local time, a 1978 Piper PA-28-161, registered N21480, was substantially damaged in an accident during enroute near Johns Island, South Carolina. It was a personal flight under general aviation rules (Part 91). 1 person was killed. The weather was visual conditions (good weather).
The NTSB's probable cause their words, unchanged
The pilot’s decision to continue flight under visual flight rules into instrument meteorological conditions, which resulted in the pilot’s spatial disorientation and loss of control. Contributing to the accident was the pilot’s degraded judgement and performance due to fatigue.
Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.
What the record shows
- Date
- March 25, 2023 · about 4:51 pm local time
- Place
- Johns Island, South Carolina · map
- Type
- Accident
- Injuries
- 1 person was killed.
- Weather
- visual conditions (good weather)
- Aircraft
- Piper PA-28-161, built 1978 · all PA-28-161s on the register
- Registration
- N21480 · no longer on the register · serial 28-7916043
- Damage
- Substantial damage
- Flight
- Personal flight · general aviation rules (Part 91)
The NTSB's narrative final · quoted from the NTSB record
The non-instrument-rated pilot was on his second day of a long cross-country flight. The first night of his trip he slept in a pilot lounge at an en route airport. He departed the following morning and made one stop for fuel. During the fuel stop, pilot spoke with an airport employee, who said the pilot appeared tired. The pilot said he had been fighting a strong headwind the entire trip. The pilot checked the airport’s automated weather observation system (AWOS) and told the employee that he might stay the night and wait out the approaching weather; however, he ultimately decided to continue his flight. After takeoff, the pilot climbed to 1,600 ft mean sea level (msl) and told air traffic control that he wanted to stay low to maintain visual flight rules (VFR) and avoid any clouds. A short while later, the controller observed the airplane in a descending right turn, and asked the pilot if he was maneuvering to stay below the clouds. The pilot responded, “Mayday Mayday…in the clouds…I’m going down.” The airplane impacted swampy terrain in a nose-down attitude. Postaccident examination of the airplane revealed no evidence of any preimpact mechanical malfunctions or failures that would have precluded normal operation of the engine or airframe. A review of archived information revealed the pilot did not obtain a documented weather briefing on the day of the accident. However, he was aware that the weather conditions along his route of flight would deteriorate and expressed that he may have to delay the trip. A postaccident review of weather information indicated the pilot encountered an area of clouds with tops about 3,500 ft msl. The pilot decided to continue with the flight, and based on available evidence, was unable to maintain visual conditions and entered a cloud layer, losing visual reference to his surroundings. As such, the pilot likely became spatially disoriented and lost control of the airplane. It is also possible that the pilot was experiencing some level of fatigue at the time of the accident due to the long flights over the preceding days and the less-than-optimal sleeping conditions the night before. Fatigue has been shown to reduce one’s judgement and degrade performance, and it is likely that fatigue contributed to the pilot’s decision to continue the flight into deteriorating weather conditions.
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 enroute defining event
- VFR encounter with IMC during uncontrolled descent
The NTSB's findings
- Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
- Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
- Personnel issues › Physical › Alertness/Fatigue › (general) › Pilot
Pilot
- Certificate: private
- Ratings: single-engine land
- Flight time: 740 hours in all
- Medical certificate: Class 3 (with waivers/limitations)
- Seat: left
- Injury: fatal
The aircraft
- Airframe total time: 3,792.9 hours
- Last inspection: annual inspection, March 16, 2023
- Seats: 4
- Landing gear: fixed
- Engine: Lycoming O-320-03G (piston); 379,288 hours total
The flight
- Departed from: HYW Conway SC at 4:10 pm
- Destination: 28J Palatka FL
- Flight plan: none
Weather at the time
- Light: daylight
- Wind: from 200° at 12 knots, gusting 18
- Visibility: 10 statute miles
- Sky: overcast at 1,300 ft
- Temperature: 72°F (22°C), dew point 64°F (18°C)
- Altimeter: 29.98 inHg
- Observation at 12:55 pm from KJZI, 2 miles away
Weather report (METAR): KJZI 251655Z AUTO 20012G18KT 180V240 10SM OVC013 22/18 A2998
Injuries
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Flight crew | 1 |
Documents from the investigation the NTSB's docket: the evidence folder behind the report
17 documents, released by the NTSB on September 5, 2024. 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.
