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Accidents · NTSB WPR19FA146 · Final report

Aviat A1 accident near Santa Ynez, California, May 15, 2019

On May 15, 2019 at about 8:39 pm local time, a 2006 Aviat A1, registered N236AM, was destroyed in an accident during enroute (cruise) near Santa Ynez, California. 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 failure to maintain clearance from mountainous terrain during cruise flight in low visibility and mountainous obscuration conditions.

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

What the record shows

Date
May 15, 2019 · about 8:39 pm local time
Place
Santa Ynez, California · map
Type
Accident
Injuries
1 person was killed.
Weather
visual conditions (good weather)
Aircraft
Aviat A1 B, built 2006
Registration
N236AM · no longer on the register · serial 2360
Damage
Destroyed
Flight
Personal flight · general aviation rules (Part 91)

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

Before the accident flight, the private pilot had flown to a ranch. The ranch owner reported that, after the pilot decided to return home and once, they had walked about halfway back (about 100 yards) to the airplane, the pilot sat down and told him that he was “kind of tired today.” A few minutes later, they continued walking to the airplane. Subsequently, the ranch owner watched the pilot board the airplane, taxi out, and take off. According to local law enforcement personnel, concerned friends and family notified them that the pilot had not returned. Shortly after, the Federal Aviation Administration issued an alert notice. A law enforcement air unit found the airplane wreckage the following morning on steep, rising, mountainous terrain about 8.8 miles northeast of the intended destination. Recorded radar data showed a radar target consistent with the accident airplane about 6 miles west of the ranch on a west-northwesterly heading for about 6 minutes. The airplane then turned right to a northwesterly heading and began descending. The airplane continued along this heading for about 2 minutes until the last recorded radar target, which showed the airplane was about 0.2 mile south of the accident site at 2,725 ft mean sea level. Satellite imagery around the time of the accident showed an extensive cloud layer that obscured the departure and intended destination areas. The imagery also showed that a broken layer of low stratiform-type clouds obscured the accident site and the lower terrain west of the site around the time of the accident. A TAF issued 4 minutes before the accident forecast scattered clouds at 2,500 ft above ground level at the destination airport. At the time of the accident, AIRMET Sierra was valid for mountain obscuration near the accident site. Examination of the airplane and engine revealed no preaccident mechanical malfunctions or failures that would have precluded normal operation. Therefore, based on the evidence, it’s likely that the pilot encountered reduced visibility and mountain obscuration conditions, which likely led him to turn the airplane away from his intended destination and subsequently collide with mountainous terrain. Toxicology tests detected zolpidem, which is used for the short-term treatment of insomnia and is impairing, in the pilot’s specimens. The pilot’s wife reported that her husband was taking blood pressure medication and that he suffered from insomnia. However, despite the ranch owner’s statement that the pilot felt tired and the pilot’s history of insomnia and use of zolpidem, the available medical evidence was insufficient to determine whether he was impaired by inadequate sleep, an acute medical condition, or his use of zolpidem.

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. Controlled flight into terrain or object (CFIT) during enroute (cruise) defining event

The NTSB's findings

  • Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Obscuration › Contributed to outcome
  • Aircraft › Aircraft oper/perf/capability › Performance/control parameters › Altitude › Not attained/maintained
  • Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot
  • Environmental issues › Physical environment › Terrain › Mountainous/hilly terrain › Effect on operation

Pilot

  • Certificate: private
  • Ratings: multi-engine land; single-engine land; single-engine sea; instrument: airplane
  • Flight time: 4,033 hours in all
  • Medical certificate: Class 3 (with waivers/limitations)
  • Seat: left
  • Injury: fatal

The aircraft

  • Last inspection: inspection type not recorded
  • Maximum gross weight: 2,200 lb
  • Seats: 2
  • Landing gear: fixed
  • Engine: Lycoming O-360-A1P (piston); 0 hours total

The flight

  • Departed from: Montecito CA at 8:22 pm
  • Destination: KIZA Santa Ynez CA
  • Flight plan: none

Weather at the time

  • Light: daylight
  • Wind: from 230° at 6 knots
  • Visibility: 10 statute miles
  • Sky: scat at 2,500 ft
  • Temperature: 68°F (20°C), dew point 54°F (12°C)
  • Altimeter: 29.92 inHg
  • Observation at 3:35 am from KIZA, 8 miles away

Injuries

FatalSeriousMinorNone
Flight crew1

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

10 documents, released by the NTSB on September 29, 2021. 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.