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Accidents · NTSB ERA23FA181 · Final report

Piper PA32R accident near Venice, Florida, April 6, 2023

On April 6, 2023 at about 1:37 am local time, a 1976 Piper PA32R, registered N635BD, was destroyed in an accident during initial climb near Venice, Florida (Venice Municipal airport). It was a personal flight under general aviation rules (Part 91). 4 people were killed. The weather was visual conditions (good weather).

The NTSB's probable cause their words, unchanged

The pilot’s decision to initiate a visual flight rules flight into dark night conditions, which resulted in spatial disorientation during the initial climb and subsequent steep banking descent into water.

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

What the record shows

Date
April 6, 2023 · about 1:37 am local time
Place
Venice, Florida · Venice Municipal · map
Type
Accident
Injuries
4 people were killed.
Weather
visual conditions (good weather)
Aircraft
Piper PA32R 300, built 1976 · all PA32Rs on the register
Registration
N635BD · registry record · serial 32R-7680233
Damage
Destroyed
Flight
Personal flight · general aviation rules (Part 91)

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

After flying into a coastal airport and having dinner, the instrument-rated commercial pilot conducted a night visual flight rules (VFR) departure over an oceanic basin. Witnesses reported seeing the airplane take off; shortly after takeoff, the airplane entered a right turn before it descended into the water. ADS-B track data indicated that the airplane took off and climbed on the runway heading to an altitude of about 300 ft as it maintained a ground speed of about 103 knots. The airplane then began to turn to the right and began to descend. The last data depicted the airplane at 100 ft, with a ground speed of about 136 knots and a vertical descent rate of 3,008 feet per minute. At the time of departure, dark night conditions prevailed, the winds were calm, and there was 10 miles of visibility with clear skies. Astronomical data indicated that, although the moon was full and moonrise had occurred, the moon was low on the eastern horizon, behind and to the left of the airplane, and there would not have been any visible horizon over the water. Examination of the wreckage revealed no evidence of preimpact mechanical malfunctions or failures with the airplane or instruments. The airplane was equipped with an autopilot with an attitude recovery function; however, the autopilot was limited to operations over 500 ft above ground level which was about 200 ft higher than the airplane’s peak altitude. The autopilot On/Off switch was found in the Off position. Due to the pilot’s heart disease, the pilot was at an increased risk of a sudden distracting, impairing, or incapacitating cardiac event, including angina, arrhythmia, or heart attack. However, there was no forensic evidence that such an event occurred. Ethanol was detected in the pilot’s cavity blood at a very low level and was not detected in vitreous fluid. Some or all of the detected ethanol may have been from postmortem production. It is unlikely that ethanol effects contributed to the accident. The pilot had diabetes and the postmortem vitreous level of glucose was elevated, as was the hemoglobin A1c (HbA1c). The pilot’s elevated HbA1c was consistent with uncontrolled diabetes over the previous several months. Short-term effects of high blood sugar may include decreased cognitive performance, including slower informational processing speed and decreased executive function and attention. Chronic high blood glucose levels can lead to vision complications and an increased risk of cardiovascular disease. Whether the pilot’s uncontrolled diabetes caused such symptoms or contributed to the accident could not be determined. Based upon track, meteorological, and astronomical data, the pilot initiated a VFR flight into known dark night conditions, without a visible horizon, which would have prevented reliable control of the airplane using only external visual cues. The turning and rapidly descending flight track were consistent with a pilot who was experiencing spatial disorientation, which resulted in a loss of control in flight and an impact with water. The pilot’s instrument and night currency could not be determined.

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

The NTSB's findings

  • Personnel issues › Psychological › Perception/orientation/illusion › Spatial disorientation › Pilot
  • Personnel issues › Task performance › Use of equip/info › Aircraft control › Pilot
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › (general) › Not attained/maintained
  • Environmental issues › Conditions/weather/phenomena › Light condition › Dark › Response/compensation
  • Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot

Pilot

  • Certificate: commercial pilot
  • Ratings: single-engine land; instrument: airplane
  • Flight time: 1,566 hours in all; 15 in this make and model
  • Last flight review: August 29, 2021
  • Medical certificate: BasicMed
  • Seat: left
  • Injury: fatal

Passenger

  • Seat: rgt
  • Injury: fatal

Passenger

  • Seat: rgt
  • Injury: fatal

Passenger

  • Seat: left
  • Injury: fatal

The aircraft

  • Airframe total time: 5,307.3 hours
  • Last inspection: annual inspection, September 15, 2022
  • Maximum gross weight: 3,600 lb
  • Seats: 6
  • Landing gear: retractable
  • Engine: Lycoming IO-540-K1G5 (piston); 2,335 hours total

The flight

  • Departed from: VNC Venice FL at 1:36 am
  • Destination: SPG St. Petersburg FL
  • Flight plan: none
  • Runway 23, 5,000 ft by 150 ft
  • A second pilot was aboard

Weather at the time

  • Light: night
  • Visibility: 10 statute miles
  • Sky: clear
  • Temperature: 79°F (26°C), dew point 72°F (22°C)
  • Altimeter: 30.13 inHg
  • Observation at 9:35 pm from KVNC, 1 miles away

Weather report (METAR): KVNC 060135Z AUTO 00000KT 10SM CLR 26/22 A3013 RMK AO2

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers3

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

20 documents, released by the NTSB on May 14, 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.

#DocumentWhat it is
1 Witness Statements and Interview Summaries PDF, 8 pages · our copy View Download
2 Excerpts from Trio Avionics Pro Pilot Operating Manual PDF, 3 pages · our copy View Download
3 N635BD - Flight Path (ADS-B Track) PDF, 1 page · our copy View Download
4 N635BD - Flight Path (ADS-B Tabular Data) data file · our copy Download
5 Kvnc - Sectional Chart Rendering PDF, 1 page · our copy View Download
6 Kvnc - Airport Diagram PDF, 1 page · our copy View Download
7 Kvnc Recommended Noise Abatement Procedures PDF, 1 page · our copy View Download
8 Kvnc - Please Fly Friendly Document PDF, 1 page · our copy View Download
9 Investigation Photographs PDF, 36 pages · our copy View Download
10 Memorandum for Record - Wreckage Examination PDF, 3 pages · our copy View Download
11 Toxicological Report PDF, 1 page · our copy View Download
12 Medical Factual Memorandum of Record PDF, 4 pages · our copy View Download
13 Engine Data Monitor - Specialist's Factual Report PDF, 8 pages · our copy View Download
14 Attachment 1 to Engine Data Monitor - Specialist's Factual Report data file · our copy Download
15 Security Video Study (Email) PDF, 1 page · our copy View Download
16 Security Camera Video - Venice Airport Festival Grounds video · our copy View Download
17 Security Camera Video - Venice Fishing Pier 180 video · our copy View Download
18 Security Camera Video - Venice Fishing Pier Ptz video · our copy View Download
19 Statement of Party Representatives to NTSB Investigation PDF, 2 pages · our copy View Download
20 Wreckage Release and Evidence Control PDF, 4 pages · our copy View Download

The same 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.