Piper PA-23-250 accident near Burlington, VT

On November 22, 2005, a Piper PA-23-250 (airplane) was involved in an accident near Burlington, VT. 1 person died. Damage to the aircraft: substantial.

Date
November 22, 2005
Place
Burlington, VT
Aircraft
Piper PA-23-250 · Airplane
Injuries
1 fatal, 0 serious, 0 minor
Damage
Substantial
Position
44.427°N, 73.079°W
NTSB ID
20051218X01987

NTSB summary

HISTORY OF FLIGHT On November 22, 2005, about 1845 eastern standard time, a Piper PA-23-250, N26399, was substantially damaged when it impacted terrain during an instrument approach to Burlington International Airport (BTV), Burlington, Vermont. The certificated commercial pilot was fatally injured. Night instrument meteorological conditions prevailed, and an instrument flight rules (IFR) flight plan was filed for the flight. The personal flight, which originated at Hartford-Brainard Airport (HFD), Hartford, Connecticut, at 1730, was conducted under 14 CFR Part 91. According to recorded communication between the pilot and Burlington Air Traffic Control (ATC), the pilot made initial contact with the Arrival Controller (AR) at 1822:15, and advised he was at 7,000 feet. The AR issued the pilot vectors for the ILS RWY 33 approach, and at 1834:34, the AR controller instructed the pilot to fly heading 350 to join the localizer. Five seconds later, the AR controller said, "Aztec 399 you're three miles from NIDUQ [final approach fix], maintain 5,400 [feet] until crossing NIDUQ, cleared ILS/DME 33 approach." The pilot acknowledged the clearance. At 1839:25, the AR controller instructed the pilot to contact Burlington tower and the pilot acknowledged. At 1839:42, the pilot made initial contact with the BTV local controller (LC) who said, "Continue, wind 360 at 20, braking action reported poor recently by an Embraer." The pilot acknowledged. At 1841:24, the LC controller told the pilot that he was cleared to land on runway 33, and the pilot acknowledged. At the same time, the AR contr

Probable cause

The pilot's failure to follow the published instrument flight procedure, which resulted in an in-flight collision with terrain. Factors in the accident were the local air traffic controller's inadequate monitoring of the MSAW system, and his delayed instructions for the pilot to gain altitude.

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