Piper PA-34-200T accident near Avalon, California, December 24, 2003

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

The twin-engine airplane impacted mountainous terrain during a VOR-B approach in actual instrument weather conditions. The commercial pilot (first pilot) and airline transport pilot (owner/second pilot), were conducting an aircraft checkout flight. The VOR is located on top of a mountain at an elevation of 2,090 feet. The VOR/DME-B approach consists of tracking the 352-degree radial inbound to the VOR from the north descending from 3,200 feet down to the minimum descent altitude of 2,100 feet prior to the Initial Approach Fix (IAF). The IAF is 2.2 nm from the Missed Approach Point (MAP). The MAP is 1.0 nm north of the airport runway and 2.8 nm from the VOR. The published missed approach procedure consists of a climb from 2,100 feet to 3,200 feet direct to the VOR on the 352 radial, then hold at the VOR. Review of the recorded radar data disclosed that while executing the VOR-B approach, the airplane appeared to fly the published approach procedure normally with the exception of paralleling the final approach course (352-degree radial) about 1 mile to the east. The pilots had told the controllers that they were flying the approach with the intentions of executing the missed approach procedure. Once the airplane passed the missed approach point (MAP), the pilots failed to execute the climb portion of the missed approach procedures. The airplane continued to track towards the VOR at the minimum descent altitude until impacting the mountain just below the VOR.

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.