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Atlas / NTSB / WPR23LA236

NTSB CAROL · Event

Event WPR23LA236

2023-03-24 Springfield, Kentucky, United States None 1 aircraft Status: Completed

Registry · N146MS

FAA Aircraft Registry record.

Make / Model

PIPER PA-46-310P

Year of manufacture

1984 · 39 years old at event

Engine

CONT MOTOR TSIO-520 SER (300 hp)

Seats / Engines

6 seats · 1 engine

Last airworthiness date

19840330

ADS-B equipped

Yes — Mode-S A0BA1E

Registrant of record

MAGNOLIA PARTNERS AVIATION LLC

Source: FAA Aircraft Registry (releasable master file).

Aircraft involved

Probable cause & findings

The pilot’s failure to activate the pitot heat in a timely manner during flight into icing conditions, which resulted in a temporary failure of the flight instruments and a subsequent loss of control.

Factual narrative

The pilot reported that light rain and trace clear air icing were forecast along his intended route of flight, and he encountered those conditions during climb out. As the airplane was climbing through 14,000 ft mean sea level (msl) in instrument meteorological conditions, he noticed the airspeed had decreased 10-15 knots. He checked the wings for ice and did not notice any accumulation but activated the pitot heat at that time as a precaution. After the pitot heat was activated the Primary Flight Display (PFD) and Multi-Function Display (MFD) displayed a red X and went black. Subsequently, the autopilot commanded the airplane to descend. The pilot reported that he was unable to read his standby instruments due to the violent shaking of the airplane during the descent. As the airplane emerged into VMC conditions, the airplane was in an unusual attitude. He disconnected the autopilot and was able to recover the airplane to a level attitude. At this time, the PFD and MFD operation returned. An air traffic controller reported to the pilot that he had lost about 5,000 ft in altitude and airspeed had increased over 200 kts. The pilot responded that his avionics were working again, and that the aircraft was operating normally. He continued with the flight and landed without further incident. Substantial damage was discovered to both wings following the flight. The airplane’s “Before Takeoff checklist” calls for the pitot heat to be activated for flight into icing conditions when visible moisture below +5° C, is anticipated or encountered. A Federal Aviation Administration inspector examined the airplane after the event and verified the pitot heat was operational. The circumstances of the accident are consistent with the pilot failing to activate the pitot heat in a timely manner, which allowed ice to accumulate on the pitot static system. The PFD, MFD, and autopilot subsequently malfunctioned and the pilot lost control of the airplane. 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-Use of equip/system-Pilot
  • Aircraft-Aircraft systems-Ice/rain protection system-Pitot/static anti-ice-Incorrect use/operation

Verbatim from NTSB's published report. Source file NTSB_2023_WPR23LA236.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 (icing, loss of control, autopilot). 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 ↗