ERA23LA165
2023-03-26 · St. Augustine, Florida, United States · Minor · 1 aircraft · Status: Completed
Airport SGJ
Current FAA registration · N541SP
- Make / Model
- PIPER PA-28-151
- Seats / Engines
- 4 seats · 1 engine
- ADS-B equipped
- Yes — Mode-S A6DD41
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
The pilot’s failure to maintain directional control during the landing roll in gusting crosswind conditions, which resulted in a runway excursion and an impact with a ditch.
Factual narrative
The pilot reported that following a local flight, the approach to landing and touchdown were normal, however, as he applied wheel brakes, the airplane veered to the right. He attempted to correct with left rudder and brake application but was unable to stop the right veer. Subsequently, the airplane exited the runway to the right and impacted a drainage ditch about 175 ft from the runway’s edge, which resulted in substantial damage to the fuselage and engine mounts. The pilot reported that this was the first landing of the flight, and no anomalies were noted with the brakes or flight controls prior to the landing. He recalled that during the runway excursion, shortly before impacting the ditch, the airplane straightened out and stopped the right turn. Shortly after the accident, the wings were removed for recovery which prevented the investigation from determining whether air was present in the brake lines. Photographs of the main landing gear wheels, brakes, and brake lines revealed no evidence of catastrophic mechanical failures or evidence that brake lines had become disconnected. Review of maintenance records found no evidence of recent brake work, and the endorsements showed that the brake fluid reservoir was serviced routinely. The operator and pilot both submitted a National Transportation Safety Board Aircraft Accident Incident Report (6120.1) and neither party reported that there were mechanical malfunctions or failures with the airplane. About the time of the accident, the automated weather observing system reported wind 220° at 9 knots, gusting to 15 knots, which was a direct crosswind for the landing runway 13. It is likely that the airplane encountered a crosswind gust during the landing roll, which resulted in the airplane veering right toward the direction of the crosswind. This conclusion is further supported by the pilot’s report that the airplane straightened out, once the crosswind became a headwind, shortly before its collision with the ditch. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
FAA avdata. C = Cause, F = Factor.
- — Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot
- — Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Directional control-Not attained/maintained
- — Environmental issues-Conditions/weather/phenomena-Wind-Crosswind-Response/compensation
Verbatim from NTSB's published report. Source file
NTSB_2023_ERA23LA165.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
Search this event elsewhere
External sources are reported, not agency: signal that something happened, not fact about what happened.
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Related research
Matched on aircraft type or causal vocabulary (runway excursion, maintenance). All research papers
- Embry-Riddle Scholarly Commons 2026 · Journal article (IJAAA) From Reactive to Predictive: A hybrid Trust-Mediated Adoption Framework for Data-Driven Maintenance in Distributed-Authority Aviation Environments
Modern aviation maintenance operates within increasingly data-intensive technological environments, yet the operational integration of predictive maintenance into routine decision-making remains incon…
- Semantic Scholar 2026 · Article (Reliability Engineering & System Safety) Understanding human error in military aviation maintenance: The role of Performance shaping factors, cognitive workload and error orientation
- Semantic Scholar 2025 · Article (Applied Sciences) Decision-Making Framework for Aviation Safety in Predictive Maintenance Strategies
The implementation of predictive maintenance (PM) in aviation presents unique challenges due to strict safety requirements, complex operational environments, and regulatory constraints.
- Semantic Scholar 2024 · Article (Defence Science Journal) Modelling of Human Factors in Aviation Maintenance Using HFACS ME Human Factors Analysis and Classification System Maintenance Extension and Bayesian Network
Aircraft maintenance is a complex task involving a skilled human workforce, spare parts, and various other resources. Human factors are an inherent element of the human workforce.
- SKYbrary (Eurocontrol) 2024 · SKYbrary article Runway Excursion — SKYbrary Knowledge Base
SKYbrary runway excursion review — RE-OE (overruns) + RE-LO (lateral). Risk drivers: long landing, high approach speed, contaminated surface, tailwind, mis-set autobrakes.
- Embry-Riddle Scholarly Commons 2024 · Journal article (JAAER) A New Trajectory in UAV Safety: Leveraging Reinforcement Learning for Distance Maintenance Under Wind Variations
In the field of aviation, safety is a critical cornerstone, and the operation of Unmanned Aerial Vehicle (UAV) systems is deeply connected with this principle.