Crash of a Cessna 414 Chancellor in Linz

Date & Time: Feb 13, 2004 at 0615 LT
Type of aircraft:
Operator:
Registration:
OE-FRW
Flight Phase:
Survivors:
Yes
Schedule:
Linz - Stuttgart
MSN:
414-0825
YOM:
1975
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2527
Captain / Total hours on type:
830.00
Copilot / Total flying hours:
522
Copilot / Total hours on type:
250
Aircraft flight hours:
4463
Circumstances:
The twin engine aircraft departed Linz-Hörsching Airport on a taxi flight to Stuttgart with five passengers and two pilots on board. During the takeoff roll on runway 27, at a speed of 105 knots, the crew started the rotation. Immediately after liftoff, the aircraft adopted a high nose attitude with an excessive angle of attack. It rolled to the left, causing the left gear door and the left propeller to struck the runway surface, followed shortly later by the right propeller. After the speed dropped, the aircraft stalled and crash landed on the runway. It slid for few dozen metres and came to rest 2,752 metres past the runway threshold. All seven occupants were evacuated, one passenger suffered serious injuries. The aircraft was damaged beyond repair.
Probable cause:
The loss of control immediately after liftoff was the consequence of an aircraft contaminated with ice, resulting in an excessive weight, a loss of lift and a consequent stall. The following factors were identified:
- Poor flight preparation,
- The crew failed to follow the SOP procedures prior to takeoff,
- The aircraft has not been deiced prior to takeoff, increasing the total weight of the aircraft by 231 kilos, 8% above the MTOW,
- This situation caused the CofG to be out of the permissible limits,
- Poor judgment on part of the crew when the undercarriage were lowered.

Crash of a Cessna 414A Chancellor in Laupahoehoe: 3 killed

Date & Time: Jan 31, 2004 at 0140 LT
Type of aircraft:
Operator:
Registration:
N5637C
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Honolulu – Hilo
MSN:
414A-0118
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
8230
Captain / Total hours on type:
1037.00
Aircraft flight hours:
11899
Circumstances:
The airplane collided with trees and mountainous terrain at the 3,600-foot-level of Mauna Kea Volcano during an en route cruise descent toward the destination airport that was 21 miles east of the accident site. The flight departed Honolulu VFR at 0032 to pickup a patient in Hilo, on the Island of Hawaii. The inter island cruising altitude was 9,500 feet and the flight was obtaining VFR flight advisories. At 0113, just before the flight crossed the northwestern coast of Hawaii, the controller provided the pilot with the current Hilo weather, which was reporting a visibility of 1 3/4 miles in heavy rain and mist with ceiling 1,700 feet broken, 2,300 overcast. Recorded radar data showed that the flight crossed the coast of Hawaii at 0122, descending through 7,400 feet tracking southeast bound toward the northern slopes of Mauna Kea and Hilo beyond. The last recorded position of the aircraft was about 26 miles northwest of the accident site at a mode C reported altitude of 6,400 feet. At 0130, the controller informed the pilot that radar contact was lost and also said that at the airplane's altitude, radar coverage would not be available inbound to Hilo. The controller terminated radar services. A witness who lived in the immediate area of the accident site reported that around 0130 he heard a low flying airplane coming from the north. He alked outside his residence and observed an airplane fly over about 500 feet above ground level (agl) traveling in the direction of the accident site about 3 miles east. The witness said that light rain was falling and he could see a half moon, which he thought provided fair illumination. The area forecast in effect at the time of the flight's departure called for broken to overcast layers from 1,000 to 2,000 feet, with merging layers to 30,000 feet and isolated cumulonimbus clouds with tops to 40,000 feet. It also indicated that the visibility could temporarily go below 3 statute miles. The debris path extended about 500 feet along a magnetic bearing of 100 degrees with debris scattered both on the ground and in tree branches. Investigators found no anomalies with the airplane or engines that would have precluded normal operation. Pilots for the operator typically departed under VFR, even in night conditions or with expectations of encountering adverse weather, to preclude ground holding delays. The pilots would then pick up their instrument flight rules (IFR) clearance en route. The forecast and actual weather conditions at Hilo were below the minimums specified in the company Operations Manual for VFR operations.
Probable cause:
The pilot's disregard for an in-flight weather advisory, his likely encounter with marginal VFR or IMC weather conditions, his decision to continue flight into those conditions, and failure to maintain an adequate terrain clearance altitude resulting in an in-flight collision with trees and mountainous terrain. A contributing factor was the pilot's failure to adhere to the VFR weather minimum procedures in the company's Operations Manual.
Final Report:

Crash of a Cessna 414 Chancellor in Greeneville: 4 killed

Date & Time: Dec 11, 2003 at 1047 LT
Type of aircraft:
Operator:
Registration:
N1592T
Survivors:
Yes
Schedule:
Columbus – Greeneville
MSN:
414-0372
YOM:
1972
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
4845
Captain / Total hours on type:
160.00
Aircraft flight hours:
4989
Circumstances:
The pilot was on a circling approach for landing in instrument icing conditions. The landing gear were extended and the flaps were lowered to 15°. The alternate air induction system was not activated. The surviving passenger stated when the airplane came out of the clouds and the airplane started to buffet and shake. The pilot was heard to state on the UNICOM frequency by the fixed base operator and a lineman, "Emergency engine ice." The airplane was observed to make a 60-degree angle of bank and collided with trees and terrain. The Pilot's Operating Handbook states the airplane will stall at 129 miles per hour with the landing gear and flaps down at 15-degrees. The maximum landing weight for the Cessna 414 is 6,430 pounds. The total aircraft weight at the crash site was 6,568.52 pounds. Witnesses who knew the pilot stated the pilot had flown one other known flight in icing conditions before the accident flight.
Probable cause:
The pilot's failure to maintain airspeed while maneuvering in icing conditions on a circling approach for landing resulting in an inadvertent stall and collision with trees and terrain. A factor in the accident was a partial loss of engine power due to the pilot's failure to activate the alternate induction air system, and exceeding the maximum landing weight of the airplane.
Final Report:

Crash of a Cessna 414A Chancellor near Calgary: 1 killed

Date & Time: Sep 23, 2003 at 1936 LT
Type of aircraft:
Operator:
Registration:
C-GVZE
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Cranbrook – Calgary
MSN:
414A-0219
YOM:
1979
Location:
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4375
Captain / Total hours on type:
2780.00
Aircraft flight hours:
8377
Circumstances:
The Alta Flights Cessna 414A (registration C-GVZE, serial number 414A0219) departed Cranbrook, British Columbia, at approximately 1910 mountain daylight time (MDT) on a visual flight rules cargo flight to Calgary, Alberta. The aircraft disappeared from the Calgary area radar at 1936 MDT, at an indicated altitude of 9000 feet above sea level (asl) in the Highwood Range mountains, approximately 49 nautical miles southwest of Calgary. The aircraft wreckage was found on a mountain ridge at 8900 feet asl some 40 hours later. The flight was in controlled descent to Calgary when the impact occurred. There was a total break-up of the aircraft, and the pilot, the lone occupant, was fatally injured. There was a brief fireball at the time of impact.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The pilot lost situational awareness most likely believing he was over lower terrain.
2. The aircraft was very likely flown into cloud during a day VFR flight, which prevented the pilot from seeing and avoiding the terrain.
Findings as to Risk:
1. The aircraft was not required by regulation to have terrain avoidance equipment installed, leaving the pilot with no last defence for determining the aircraft's position relative to the terrain. This is a risk for all aircraft operated in similar conditions.
Other Findings:
1. The flight plan was prematurely closed by NAV CANADA, which caused the early stoppage of SAR activities and delayed the recommencement of those searches by two hours.
Final Report:

Crash of a Cessna 414 Chancellor in Fort Myers: 2 killed

Date & Time: Jun 26, 2003 at 1251 LT
Type of aircraft:
Registration:
N749AA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
West Palm Beach – Fort Myers
MSN:
414-0049
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
972
Captain / Total hours on type:
1.00
Aircraft flight hours:
1710
Circumstances:
The pilot reported visually checking the main fuel tanks during his preflight inspection of the airplane and later reported there was enough fuel for the intended flight which would be less than 1 hour, plus a 45-minute reserve amount of fuel. He estimated the fuel level in the main fuel tanks was 2-3 inches from the top. He also reported that before the accident flight he had never flown the accident make and model airplane, and that he had not had any flight training in the airplane. The passengers were boarded, the flight departed and climbed to between 4,500 and 6,500 feet msl. He leaned the mixture during cruise, and the flight continued. He began descending when the flight was 12 miles from the destination airport, and he performed the pre landing checks when the flight was 3 miles from the destination airport. The flight entered left downwind where he lowered the landing gear and turned on the fuel pumps. When abeam the landing point he reduced power, lowered the flaps 10 degrees, and turned onto base leg. During the base leg while rolling out of the turn and flying at 600 feet, "the right engine suddenly came to a stop...." He banked to the left to maintain zero sideslip, pushed the mixture, propeller, and throttle controls full forward, and identified the right engine had failed. He reportedly pulled the right propeller control to the feather position but during the postaccident investigation, the right propeller blades were not in the feather position and there was no evidence of preimpact failure or malfunction of the propeller. The pilot further reported that while pulling the right propeller control to the feather position, the airplane, "began to yaw right and simultaneously bank right...." He moved the left throttle control to idle, and they were on the ground in a span of 6 seconds from the time the right engine quit. No fuel leakage was noted at the scene, and no fuel contamination was noted in a nearby pond. Additionally, only residual fuel was noted in the fuel lines in each engine compartment. A total of 4.0 and 1.5 gallons of fuel were drained from the left and right auxiliary fuel tanks, respectively. No evidence of preimpact flight control failure or malfunction was noted. Neither propeller was at or near the feather range at the time of impact. Both engines were removed from the airplane, placed on a test stand with a "club" propeller, and both engines were noted to operate normally during the engine run. Examination of the right seat in the third row of the airplane revealed the seat frame was bent down on the left side, and all seat feet were in position but distorted; no fracture of the seat feet were noted. Examination of the seat of the passenger who sustained minor injuries (left seat in the third row) revealed the seatpan was compressed down, and the lapbelt was unbuckled. The inboard arm rest was bent inward, and the outboard arm rest was bent outward. The seat frame indicated displacement to the left. The seat back was twisted counter clockwise, and the left forward seat foot was in place. The seat and attach structure was certificated for a maximum forward g loading of 9 g's, and a maximum sideward g loading of 1.5 g's. This does not include a 1.33 margin of safety factor. The seat and attach structure was tested to ultimate loads in a combined forward, sideward, and upward directions in accordance with CAR 3.390-2. The same loads were also applied in a downward direction by itself. The empennage was separated just aft of the aft pressure bulkhead but remained secured by flight control cables. According to personnel from the airplane manufacturer, the tested load (150 percent limit) for the empennage in negative shear translates to 14.0 g loading. Based on Cessna Engineering rough calculations, they believe the empennage is capable of sustaining an additional 30 percent beyond what it was tested to, or an estimated 18.2 g's in negative shear loading.
Probable cause:
The failure of the pilot to maintain airspeed (Vs) following a total loss of engine power from the right engine due to fuel starvation, resulting in an inadvertent stall, uncontrolled descent, and in-flight collision with trees and terrain. Factors in the accident was the failure pilot to feather the right propeller following the total loss of engine power, and his lack of total experience in the accident make/model of aircraft.
Final Report:

Crash of a Cessna 414 Chancellor off Port Jefferson

Date & Time: May 26, 2003 at 1428 LT
Type of aircraft:
Operator:
Registration:
N1234
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Orlando – White Plains
MSN:
414-0525
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1250
Aircraft flight hours:
4259
Circumstances:
The commercial pilot/owner was on a cross-country flight from Orlando, Florida, to Salisbury, Maryland, on an instrument flight rules (IFR) flight plan. The pilot stated that all five fuel tanks were topped off and verified as full before departure. The fueler, in a written statement, reported that he added 100 gallons of fuel and that the fuel tank levels were topped off. In addition to the main tanks, the airplane was equipped with two large-capacity auxiliary tanks (31.5 gallons of useable fuel each) and a locker tank, and the airplane's total useable fuel capacity was 183 gallons. As the airplane approached Maryland, the pilot requested weather for White Plains, New York (HPN) and then changed his destination to HPN. As he approached the New York area at 21,000 feet, air traffic control (ATC) instructed the pilot to fly a published arrival procedure and to maintain an altitude of 16,000 feet. The pilot stated that, due to poor weather and air traffic congestion, he became concerned about possible delays and informed ATC that he had "minimal fuel." He did not declare an emergency. ATC then issued the pilot a descent clearance, and he reduced both throttles to idle. In preparation to level off at the new altitude, the pilot increased power on both throttles, and the right engine stopped producing power. The pilot was unable to maintain the assigned altitude and told the controller that he had "lost an engine, and needed vectors to the nearest runway." The left engine stopped producing power about 2 minutes later. The pilot ditched the airplane and exited the airplane before it sank. The airplane was not recovered. The pilot reported that there were no mechanical problems with the airplane before the flight.
Probable cause:
Loss of power to both engines for undetermined reasons.
Final Report:

Crash of a Cessna 414 Chancellor in Canton: 1 killed

Date & Time: Apr 10, 2003 at 1700 LT
Type of aircraft:
Operator:
Registration:
N822DB
Flight Type:
Survivors:
No
Site:
Schedule:
Rome – Canton
MSN:
414-0813
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4500
Captain / Total hours on type:
245.00
Aircraft flight hours:
5078
Circumstances:
The VFR repositioning flight departed Rome, Georgia en route to Canton, Georgia but never arrived. Late on the evening of April 10, 2003, the pilot's spouse contacted the local authorities when her husband did not arrive at home or call. The spouse stated that her husband flew out of Rome early Thursday morning headed to Augusta, Georgia to pick up an unknown number of passengers and fly them back to Rome, Georgia. The authorities confirmed that the passengers had arrived at their destination. The Civil Air patrol began a search and located the airplane on the side of "Bear Mountain" in Canton, Georgia, on April 11, 2003. The wreckage site was located 11.3 nautical miles west of Cherokee County Airport, Canton, Georgia, and 26 nautical miles east of Rome, Georgia on the west side of Bear Mountain. The mountains ridgeline runs northeast and southwest, near the town of Waleska, Georgia. The field elevation at the crash site was 1,750 feet above mean sea level (msl) and the peak of Bear Mountain was 2,268 feet msl. The upslope of the terrain at the site was estimated at 30-40 degrees. Examination of the airframe, flight controls, engine assembly and accessories revealed no anomalies.
Probable cause:
The pilot's failure to maintain clearance from terrain.
Final Report:

Crash of a Cessna 414A Chancellor in Hahn: 2 killed

Date & Time: Dec 17, 2002 at 1353 LT
Type of aircraft:
Registration:
D-IAFL
Survivors:
No
Schedule:
Egelsbach - Hahn
MSN:
414A-0256
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3233
Captain / Total hours on type:
550.00
Circumstances:
While descending to Hahn Airport, the pilot encountered marginal weather conditions with limited visibility due to clouds down to 500 feet. On approach, the twin engine aircraft collided with trees and crashed about 11 km from the runway 03 threshold. The aircraft was destroyed and both occupants were killed.
Probable cause:
Collision with trees on approach after the pilot continued under VFR mode in IMC conditions. Poor flight planning on part of the pilot who failed to take into consideration the poor visibility at destination due to low clouds. Insufficient and ambiguous communication between pilot and ATC was considered as a contributing factor.
Final Report:

Crash of a Cessna 414 Chancellor in Marshfield: 3 killed

Date & Time: Sep 29, 2001 at 1700 LT
Type of aircraft:
Operator:
Registration:
N414NG
Flight Type:
Survivors:
No
Schedule:
Wisconsin Rapids - Poplar Bluff
MSN:
414-0496
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The airplane was destroyed after an attempted landing following a reported partial power loss of the left engine while en route. The flight did not divert to the closest airport located about 27 nautical miles to the southwest while at an altitude of about 15,900 feet. This airport was a controlled field equipped with airport rescue and fire fighting (ARFF), and its longest runway was 9,005 feet. The flight diverted to the departure airport located about 93 nautical miles to the north. This airport was an uncontrolled field not equipped with ARFF, and its longest runway was 5,000 feet. No emergency was declared. The airplane was reported by a witness to be too high and too fast to land on runway 34 at the airport. The winds were from 140 degrees at 6 knots. The wreckage distribution was consistent with an impact resulting from a Vmc (minimum control speed with the critical engine inoperative) roll to the left. The pilot received a checkout from the right seat in the accident airplane by the airplane owner. The checkout was about 20 minutes in duration and did not include any single-engine flight maneuvers or emergency procedures. The owner did not hold a certified flight instructor certificate. The pilot had stopped flying for 12 years and just began giving flight instruction and flying in single-engine airplanes about a year prior to the accident. The pilot's recent multiengine flight experience was limited to a couple of non-revenue flights within the past year while seated in the right seat of a King Air. The King Air was used for commercial charter work which would involve one or two landings per flight. One landing was made on the day prior to the accident. The accident pilot asked the King Air pilot to accompany him along on the accident flight; the King Air pilot declined. A multiengine commercial rated pilot-rated passenger, who the accident pilot knew, was seated in the right front seat. Examination of the airplane's supplemental type certificate (STC) revealed that the airplane had undergone numerous inspections by different maintenance personnel. The left engine's variable absolute pressure controller had safety wire around its control arm, which precluded its normal operation and a pressure relief valve that was not called for in the STC drawings. At the time of issuance, Federal Regulation's did not require STC instructions for continued airworthiness. Reliance on the airplane and engine maintenance manuals would not have provided enough information for continued airworthiness in accordance with the STC and could have yielded a setting exceeding those for which the STC parts were originally certificated to and thus increasing Vmc speed. Examination of the left engine revealed a cylinder head separation on the number six cylinder assembly, which had accumulated an estimated time since installation of 240 hours. Visual inspection of the assembly revealed the presence of some undecipherable characters in its parts numbering. A cylinder head separation from another airplane was also examined. This cylinder assembly accumulated about 270 hours since installation. Both cylinder assembly examinations revealed the presence of additional material on the cylinder barrel threads and fatigue fracture on the cylinder head.
Probable cause:
The pilot's failure to maintain adequate airspeed (Vmc) which resulted in a loss of control. Contributing factors were the improper in-flight planning/decision not to land at a closer airport and the lack of recent experience in multiengine airplanes by the pilot-in-command, the cylinder head separation, the inadequate manufacturing process, and the lack of continued airworthiness instructions relating to the Riley Super-8 STC.
Final Report:

Crash of a Cessna 414 Chancellor near Monarch: 3 killed

Date & Time: May 31, 2000 at 1728 LT
Type of aircraft:
Operator:
Registration:
N5113G
Flight Phase:
Survivors:
No
Site:
Schedule:
Great Falls - Billings
MSN:
414-0952
YOM:
1977
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
8000
Aircraft flight hours:
7406
Circumstances:
During climbout, the airplane encountered an area of freezing rain resulting in rapid airframe ice accretion and loss of climb capability. The pilot informed ATC that he was unable to maintain altitude and requested and received clearance back to Great Falls, the departure airport. ATC radar showed that the airplane then began a right turn over mountainous terrain extending up to 8,309 feet prior to loss of radar contact (lower and relatively flat terrain, down to less than 5,000 feet, was located to the left of the aircraft's track.) During the last minute of radar contact, the aircraft was in a right turn at a descent rate of about 400 feet per minute; the aircraft passed less than 1/2 mile from the 8,309-foot mountain summit just prior to loss of radar contact, at an altitude of 8,400 to 8,500 feet. The aircraft crashed on the southwest flank of the 8,309-foot mountain about 1/2 mile south of the last recorded radar position. Wreckage and impact signatures at the crash site were indicative of an inverted, steep-angle, relatively low-speed, downhill impact with the terrain. The investigation revealed no evidence of any aircraft mechanical problems.
Probable cause:
The failure of the pilot-in-command to ensure adequate airspeed for flight during a forced descent due to airframe icing, resulting in a stall. Factors included: freezing rain conditions, airframe icing, an improper decision by the pilot-in-command to turn toward mountainous terrain (where a turn toward lower and level terrain was a viable option), mountainous terrain, and insufficient altitude available for stall recovery.
Final Report: