Piper PA23 accident near Ellensburg, Washington, January 17, 2019
On January 17, 2019, a 1972 Piper PA23, registered N14372, was destroyed in an accident during enroute (cruise) near Ellensburg, Washington. 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 instrument rated pilot’s loss of control due to spatial disorientation.
Source: NTSB aviation accident database, copy made October 5, 2026. Docket and reports at the NTSB.
What the record shows
- Date
- January 17, 2019
- Place
- Ellensburg, Washington · map
- Type
- Accident
- Injuries
- 1 person was killed.
- Weather
- visual conditions (good weather)
- Aircraft
- Piper PA23 250, built 1972 · all PA23s on the register
- Registration
- N14372 · no longer on the register · serial 27-7304961
- Damage
- Destroyed
- Flight
- Personal flight · general aviation rules (Part 91)
The NTSB's narrative final · quoted from the NTSB record
The instrument rated pilot departed into marginal visual flight rules conditions between sunset and the end of civil twilight. Shortly after takeoff, he contacted air traffic control and stated that he was in the clouds at 5,000 ft mean sea level (msl) and requested an instrument landing system approach at the destination airport. The controller issued the airplane a discrete transponder code and asked the pilot if he wanted an IFR clearance; however, the pilot did not respond, and no further communications were received from the airplane. Radar data showed that the airplane entered a descending left turn before radar contact was lost about 3,050 ft msl. Witnesses and surveillance video indicated that the airplane descended out of the clouds in a steep, nose-low attitude and impacted terrain. The extensive fragmentation of the wreckage precluded a thorough examination of the airplane's flight controls, instruments, and other systems; however, no anomalies were noted during examination of the engines. AIRMETs for instrument flight rules (IFR), mountain obscuration, turbulence, and icing conditions were all valid for the area of the accident site at the time of the accident. Both the departure and destination airports reported overcast ceilings below 2,000 ft above ground level about the time of the accident, with surface temperatures just above freezing. An atmospheric sounding indicated a high potential for light rime icing and moderate turbulence at 5,000 ft in the vicinity of the accident site, and radar imagery suggested clouds and potential light icing conditions. There was no evidence that the pilot obtained a weather briefing before departure. Although impact damage precluded a thorough examination of the airplane's flight instruments, the restricted visibility and lighting conditions present at the time were conducive to the development of spatial disorientation, and the airplane's descending turn and high-energy impact are consistent with the known effects of spatial disorientation.
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 (cruise) defining event
- Collision with terrain or object (not controlled flight into terrain) 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
- Environmental issues › Conditions/weather/phenomena › Ceiling/visibility/precip › Below VFR minima › Effect on operation
Pilot
- Certificate: commercial pilot
- Ratings: multi-engine land; single-engine land; instrument: airplane
- Flight time: 1,935 hours in all; 4 in the last 90 days
- Medical certificate: Class 2 (with waivers/limitations)
- Seat: unk
- Injury: fatal
The aircraft
- Airframe total time: 4,795.5 hours
- Last inspection: annual inspection, November 6, 2018
- Seats: 6
- Landing gear: retractable
- Engine 1: Lycoming TIO-540 (piston); 0 hours total
- Engine 2: Lycoming TIO-540 (piston); 0 hours total
The flight
- Departed from: KELN Ellensburg WA
- Destination: YKM Yakima WA
- Flight plan: none
Weather at the time
- Light: dusk
- Wind: from 140° at 4 knots
- Visibility: 4 statute miles
- Sky: overcast at 1,500 ft
- Temperature: 36°F (2°C), dew point 32°F (0°C)
- Altimeter: 29.70 inHg
Injuries
| Fatal | Serious | Minor | None | |
|---|---|---|---|---|
| Flight crew | 1 |
Documents from the investigation the NTSB's docket: the evidence folder behind the report
15 documents, released by the NTSB on December 2, 2020. 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.
| # | Document | What it is | |
|---|---|---|---|
| 1 | Engine Data Monitor - Specialist's Factual Report | PDF, 4 pages | View Download |
| 2 | Factual Report - Meteorology | PDF, 25 pages | View Download |
| 3 | Witness Statements | PDF, 3 pages | View Download |
| 4 | Wreckage Diagrams | PDF, 2 pages | View Download |
| 5 | Air Traffic Control - Flight Track | PDF, 2 pages | View Download |
| 6 | ATC - Raw radar Data | data file | Download |
| 7 | Memo for Record - FAA ATC Findings | PDF, 2 pages | View Download |
| 8 | ATC Controller Statement | PDF, 1 page | View Download |
| 9 | Engine Examination Notes | PDF, 4 pages | View Download |
| 10 | Memo for Record - Pilot Records | PDF, 1 page | View Download |
| 11 | Reports from Local Agencies | PDF, 8 pages | View Download |
| 12 | Statement of Party Representatives to NTSB Investigation | PDF, 2 pages | View Download |
| 13 | Release of Aircraft Wreckage, NTSB Form 6120.15 | PDF, 2 pages | View Download |
| 14 | Toxicological Report | PDF, 2 pages | View Download |
| 15 | Video File | video | View Download |
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.
