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Accidents · NTSB WPR22FA054 · Final report

Beech V35 accident near Visalia, California, December 5, 2021

On December 5, 2021 at about 2:40 am local time, a 1966 Beech V35, registered N7933M, was substantially damaged in an accident during initial climb near Visalia, California (Visalia Muni airport). It was a personal flight under general aviation rules (Part 91). 4 people were killed. The weather was instrument conditions (cloud, fog or low visibility).

The NTSB's probable cause their words, unchanged

The pilot’s loss of control due to spatial disorientation shortly after takeoff. Contributing to the accident was the pilot’s decision to depart into night instrument meteorological conditions.

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

What the record shows

Date
December 5, 2021 · about 2:40 am local time
Place
Visalia, California · Visalia Muni · map
Type
Accident
Injuries
4 people were killed.
Weather
instrument conditions (cloud, fog or low visibility)
Aircraft
Beech V35, built 1966 · all V35s on the register
Registration
N7933M · no longer on the register · serial D-8265
Damage
Substantial damage
Flight
Personal flight · general aviation rules (Part 91)

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

The instrument-rated pilot and three passengers departed on a night cross-country flight into instrument meteorological conditions (IMC). Automatic dependent surveillance-broadcast (ADS-B) flight track information indicated that the pilot departed and climbed the airplane to 495 ft mean sea level (msl), about 200 ft above ground level, before initiating a left turn. The airplane reached an altitude of 620 ft msl, then began a descent as the left turn continued. ADS-B data ended at an altitude of 395 ft about 660 ft northwest of the accident site. The airplane impacted flat, open terrain about 1 mile southwest of the departure end of the runway. The wreckage was fragmented and distributed in a manner consistent with a high-energy impact with terrain. All major structural components of the airplane were located at the accident site. Examination of the airframe and engine revealed no evidence of any preexisting anomalies that would have precluded normal operation. Review of weather information at the time of the accident indicated low cloud ceilings and restricted visibility due to mist, with ceilings near 300 ft above ground level and tops near 2,000 ft msl. The pilot obtained a weather briefing before departure. The night IMC present at the time of the accident were conducive to the development of spatial disorientation and would have made control of the airplane by visual references difficult, especially if the pilot encountered restrictions to visibility, such as clouds, during the transitional phase of flight after takeoff and initial climb. The left turn initiated at low altitude, the pilot’s failure to maintain the climb, the tightening, descending turn, and the subsequent high-energy impact are all consistent with the known effects of spatial disorientation. Therefore, it is likely that the pilot was experiencing the effects of spatial disorientation when the accident occurred. Postaccident toxicology testing revealed varying levels of ethanol in the pilot’s liver, kidney, and muscle tissue; a second lab did not report any ethanol in his muscle tissue. The ethanol concentration found in liver tissue was higher than the detected ethanol concentrations in kidney and muscle tissue. Isopropanol was also detected in liver tissue. Given the differing ethanol tissue concentrations, the state the body was recovered, and the presence of isopropanol in liver tissue, it is likely that the identified ethanol was from sources other than ingestion and did not contribute to this accident.

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. VFR encounter with IMC during initial climb defining event
  2. Collision with terrain or object (not controlled flight into terrain) during maneuvering (low-alt flying)

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
  • Personnel issues › Action/decision › Info processing/decision › Decision making/judgment › Pilot
  • Environmental issues › Conditions/weather/phenomena › Light condition › Dark › Effect on personnel

Pilot

  • Certificate: private
  • Ratings: single-engine land; instrument: airplane
  • Flight time: 2,428.1 hours in all; 2,302.3 as pilot in command
  • Medical certificate: BasicMed (with waivers/limitations)
  • Seat: unk
  • Injury: fatal

Passenger

  • Seat: unk
  • Injury: fatal

Passenger

  • Seat: unk
  • Injury: fatal

Passenger

  • Seat: unk
  • Injury: fatal

The aircraft

  • Airframe total time: 6,916.4 hours
  • Last inspection: annual inspection, May 20, 2021
  • Maximum gross weight: 3,400 lb
  • Seats: 6
  • Landing gear: retractable
  • Engine: Continental IO-550-B (6) (piston); 564 hours total

The flight

  • Destination: KSAC Sacramento CA
  • Flight plan: none
  • Runway 30, 6,562 ft by 150 ft

Weather at the time

  • Light: night
  • Wind: from 280° at 5 knots
  • Visibility: 2.5 statute miles
  • Sky: broken clouds at 300 ft
  • Temperature: 46°F (8°C), dew point 46°F (8°C)
  • Altimeter: 30.24 inHg
  • Observation at 6:30 pm from KVIS

Weather report (METAR): SPECI KVIS 050230Z AUTO 28005KT 2 1/2SM BR BKN003 08/08 A3024 RMK AO2=

Injuries

FatalSeriousMinorNone
Flight crew1
Passengers3

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

14 documents, released by the NTSB on April 26, 2023. 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 Record of Phone Conversation PDF, 1 page · our copy View Download
2 Meteorology Specialist's Factual Report PDF, 9 pages · our copy View Download
3 Recording of Flight Services Weather Briefing audio · our copy View Download
4 ADS-B radar Track map file · our copy Download
5 ADS-B Raw Data spreadsheet · our copy Download
6 Statement of No ATC Services Provided PDF, 1 page · our copy View Download
7 Accident Site Examination PDF, 10 pages · our copy View Download
8 Airframe and Engine Examination PDF, 13 pages · our copy View Download
9 Textron Tech Report PDF, 9 pages · our copy View Download
10 Photo Array PDF, 4 pages · our copy View Download
11 Toxicological Report PDF, 1 page · our copy View Download
12 Medical Factual PDF, 2 pages · our copy View Download
13 Statement of Party Representatives to NTSB Investigation PDF, 1 page · our copy View Download
14 Wreckage Release Form PDF, 1 page · 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.