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Atlas / NTSB / ERA23LA165

NTSB CAROL · Event

Event ERA23LA165

2023-03-26 St. Augustine, Florida, United States Airport · SGJ Minor 1 aircraft Status: Completed

Registry · N541SP

FAA Aircraft Registry record.

Make / Model

PIPER PA-28-151

Seats / Engines

4 seats · 1 engine

ADS-B equipped

Yes — Mode-S A6DD41

Registrant of record

RED BARON RENTALS LLC

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

Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or 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 ↗.

Related research

What the literature says.

Academic papers and agency reports matching this event's aircraft type or causal vocabulary (runway excursion, maintenance). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.

Browse the full corpus — academia portal ↗