Air
1985-JUL-19 · Erie, Pennsylvania

North Coast Aviation — Flight Air Ohio 21

An Air Ohio charter flight, operating as Flight 21, crashed into Lake Erie after the pilot became unresponsive to Air Traffic Control instructions for approximately 40 minutes. The aircraft maintained a constant altitude and heading until it disappeared from radar, suggesting the pilot had fallen asleep or was otherwise incapacitated due to extreme fatigue. Investigators determined the pilot had not slept for approximately 30 hours prior to the loss of communication.

Aircraft
Smith, Ted Aerostar Aerostar 601
Registration
N71MA
Phase
Cause
Souls on Board
2
Fatalities
2
Origin → Dest
Louisville Standiford Field (SDF), KY → Cleveland, OH
Report

Investigation Summary

The flight was a non-scheduled air taxi operation conducted under Part 135, departing Louisville at midnight local time. During the cruise phase under IFR (Instrument Flight Rules), the pilot ceased responding to all ATC communications. For the next 40 minutes, the Aerostar 601 continued on a steady course without deviation, a behavior consistent with an aircraft flying on autopilot while the crew is incapacitated. The flight eventually overflew its destination and continued over Lake Erie until the discrete radar target was lost. The investigation highlighted a severe lack of rest, noting the pilot had been awake for 30 consecutive hours. Although the aircraft was destroyed upon impact with the water, the environmental conditions were reported as clear (VMC) with no obscurations, pointing directly to human factors rather than weather or mechanical failure as the primary catalyst for the uncontrolled descent.

Final Conclusions

The National Transportation Safety Board determined the probable cause of the accident was the pilot's failure to maintain radio communications and follow ATC instructions due to fatigue resulting from a lack of sleep. The aircraft subsequently underwent an uncontrolled descent and impacted the rough waters of Lake Erie.

Video Analysis

No video analysis linked for this case file yet.

Airframe & Maintenance

Airframe Hours
2,475
Last Major Check
1985-05-23
Engines
Lycoming IO-540-S1AS

Crew Experience

Captain

Total hours
3,200
On type
22
Duty time
30 hours

Pilot had 3 hours of flight time in the 24 hours preceding the accident.

Systems & Failure Modes

i

Autopilot

The aircraft's ability to maintain a constant heading and altitude for 40 minutes without pilot input suggests the autopilot was engaged during the period of pilot unresponsiveness.

i

Radio Communications

The pilot failed to maintain required two-way radio contact with Air Traffic Control during the cruise phase.

Interesting Facts

  • 01The pilot had not slept for approximately 30 hours prior to the accident.
  • 02The aircraft flew for 40 minutes without any pilot response to ATC.
  • 03The pilot had only 22 hours of experience in the Aerostar 601 make and model.
  • 04Meteorological conditions were clear with 10 miles of visibility at the time of the accident.
  • 05The aircraft was destroyed by impact with water; both occupants were killed.

Safety Actions & Advisories

Pilot Fatigue Awareness

The investigation emphasized the dangers of pilot fatigue in Part 135 on-demand operations, particularly the risks associated with long periods of wakefulness (30 hours in this case) despite meeting legal rest requirements on paper.

Location

NO VERIFIED COORDINATES · This position predates coordinate provenance tracking. Treat it as an approximate marker for the area, not the accident site. No map is shown, because a marker here would imply a precision the record does not have.

Reported location: Erie, Pennsylvania

Case File History

  1. CorrectionUpdated safety actions.

Related Cases

Case ID · air-ohio-21-1985Last updated · Filed

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