Crash of a Cessna 414A Chancellor in Jackson Hole

Date & Time: Oct 17, 1990 at 0930 LT
Type of aircraft:
Registration:
N26853
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Jackson Hole - Las Vegas
MSN:
414A-0316
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1392
Captain / Total hours on type:
1095.00
Circumstances:
The pilot initiated a takeoff with snow and ice on the aircraft. During takeoff roll the aircraft became airborne, settled back onto the runway and the pilot attempted to abort the takeoff. The aircraft departed the end of the runway, impacted navigation antennas and rough terrain. All four occupants escaped uninjured.
Probable cause:
The pilot's inadequate preflight preparation of the aircraft, his failure to remove snow and ice from the aircraft before takeoff, and his delay in attempting to abort the takeoff.
Final Report:

Crash of a Cessna 414 Chancellor in Sitka: 2 killed

Date & Time: Aug 28, 1990 at 1216 LT
Type of aircraft:
Registration:
N8180K
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Sitka – Anchorage
MSN:
414-0080
YOM:
1970
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3500
Aircraft flight hours:
2867
Circumstances:
The pilot received a weather briefing and filed an IFR flight plan from Sitka to Anchorage, Alaska. During takeoff from runway 11 at Sitka, he provided a pirep to the flight service station, saying that he had entered the cloud bases at 700 feet msl. While departing, a left turn was made, and the airplane crashed on Mt Verstovia at the 1420 feet level, approximately 3 miles east of the airport. An on-scene investigation revealed the airplane struck wooded terrain while climbing on a heading of 359°. Several tree limbs had been clean cut (by the propellers); wreckage was spread over a 516 feet area. A standard instrument departure (Sitka 5 sid) was available which would have provided terrain clearance with a right turn-out from runway 11 to an initial climb heading of 280°.
Probable cause:
Improper planning/decision by the pilot, and his failure to follow IFR procedures and maintain clearance from mountainous terrain.
Final Report:

Crash of a Cessna 414 Chancellor in Ramona

Date & Time: Mar 16, 1990 at 1440 LT
Type of aircraft:
Registration:
N711AG
Flight Type:
Survivors:
Yes
Schedule:
Carlsbad - Ramona
MSN:
414-0016
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2300
Captain / Total hours on type:
50.00
Circumstances:
The pilot reported that the aircraft landed normally and during the landing roll a loud 'bang' was heard and the right main landing gear collapsed. An investigation was conducted by an FAA airworthiness inspector. During this investigation, it was noted that a washer in the right main landing gear assembly failed. Subsequent investigation, including a review of the aircraft maintenance records, revealed that cessna aircraft service information letter number ME83-37, dated november 23, 1983 had not been complied with. This service letter recommended replacement of the original washers with a new washer, Cessna part number S1450-5H12-063. (Old part number 5045018-2)
Probable cause:
Right main gear scissors assembly becoming disconnected during landing roll, allowing the right run landing gear to collapse; scissor assembly washers not being replaced as recommended in cessna aircraft service bulletin ME83-37.
Final Report:

Crash of a Cessna 414A Chancellor near Wonthaggi

Date & Time: Oct 27, 1989 at 0833 LT
Type of aircraft:
Operator:
Registration:
VH-SDV
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Melbourne – Port Welshpool
MSN:
414A-0261
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The pilot reported that whilst enroute from Essendon to Wonthaggi he descended to the lowest safe altitude of 3600 feet above sea level, lowered the landing gear, reduced power and airspeed to counter the effect of turbulence and entered a holding pattern to the south south west of the Wonthaggi navigation aid. During the holding pattern the aircraft descended until it collided with trees that were 865 feet above sea level. The weather at the time included gale force winds, rain and low cloud. There were no thunderstorms or microbursts in the area, however, other aircraft reported a very low cloud base and severe turbulence. A few minutes prior to the accident ground witnesses, south south west of the accident site, reported an aircraft matching the description of VH-SDV, flying below a low, misty, ragged cloud base. There was no record of another aircraft in the area at the time. Information was available which indicated that the aircraft had descended below 3600 feet during the approach to Wonthaggi. The passengers reported that the pilot gave no indication of any problem or danger. Until the impact, they believed the aircraft was descending normally for a landing at Port Welshpool.
Probable cause:
No aircraft defects were found which may have been factors in the accident. The investigation indicates that the pilot attempted to fly under the low cloud base, in order to reach the Port Welshpool destination where weather conditions were earlier reported to have been partially sunny. Port Welshpool is not serviced by an approved navigation aid. The pilot attempted to descend below the cloud base, hoping to achieve visual flight conditions to continue to his destination.
Final Report:

Crash of a Cessna 414 Chancellor in Pleasanton: 1 killed

Date & Time: Jan 9, 1989 at 1124 LT
Type of aircraft:
Operator:
Registration:
N1672T
Flight Type:
Survivors:
No
Site:
Schedule:
Santa Ana - Oakland
MSN:
414-0465
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
471
Captain / Total hours on type:
149.00
Circumstances:
During arrival, the pilot was cleared for an ILS runway 27R approach to the metro Oakland Intl Airport. As she began the approach, the ATC controller noted the aircraft had descended thru 2,900 feet msl. He provided a low altitude alert to the pilot and warned her the aircraft should be at 3,300 feet. The pilot acknowledged by saying 'thank you.' The ATC controller suggested the pilot climb to 3,300 feet immediately, then he canceled the clearance and told the pilot to climb immediately to 3,300 feet. Subsequently, the aircraft crashed approximately 15 miles east of the airport. Impact occurred with a 1,500 feet ridge at about the 1,000 feet level. No preimpact part failure or malfunction of the aircraft was found. The pilot, sole on board, was killed.
Probable cause:
Failure of the pilot to properly follow the IFR (instrument flight rules) procedures by not maintaining the minimum descent altitude for that segment of the approach. The weather conditions and mountainous terrain were considered to be related factors.
Occurrence #1: in flight collision with terrain/water
Phase of operation: approach - iaf to faf/outer marker (ifr)
Findings
1. (c) ifr procedure - improper - pilot in command
2. (f) weather condition - low ceiling
3. (f) weather condition - fog
4. (f) terrain condition - mountainous/hilly
5. (c) minimum descent altitude - not maintained - pilot in command
Final Report:

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

Date & Time: Dec 22, 1988 at 2030 LT
Type of aircraft:
Registration:
N84UM
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Pontiac - West Palm Beach
MSN:
414A-0825
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1336
Aircraft flight hours:
1987
Circumstances:
Approximately 2 minutes after the flight (N84UM) had climbed and leveled at FL290, the ARTCC controller noticed there was no return from the aircraft's transponder. The controller transmitted an advisory, but got no reply. He made several more radio calls and received 2 replies. Later, a review of the radio transcript indicated the pilot's 1st reply was something about 'ice.' In his 2nd response to an inquiry from the controller about 'how do you hear me,' he replied 'good.' After that there was no further contact with the flight. Wreckage from the aircraft was found scattered over a 6 miles area, indicating an in-flight breakup. Pieces from the horizontal stabilizers were found from 2 to 6 miles from the main wreckage. The right wing was found 2 miles from the main wreckage and the left outboard wing panel was found about 1 mile from the right wing. During a preflight briefing, the pilot was advised of turbulences and icing conditions; he was told to expect light to moderate rime icing in clouds thru 15,000 feet, but the aircraft was equipped for flight in icing conditions. A check of the pilot's liver fluid showed a benzoylecgonine (cocaine metabolite) level of 0.136 mg/l. Both occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: climb
Findings
1. Light condition - dark night
2. (f) weather condition - clouds
3. (f) weather condition - icing conditions
----------
Occurrence #2: loss of control - in flight
Phase of operation: cruise
Findings
4. (c) aircraft control - not maintained - pilot in command
5. (f) impairment (drugs) - pilot in command
----------
Occurrence #3: airframe/component/system failure/malfunction
Phase of operation: descent - uncontrolled
Findings
6. (c) design stress limits of aircraft - exceeded - pilot in command
7. Horizontal stabilizer surface - overload
8. Horizontal stabilizer surface - separation
9. Wing - overload
10. Wing - separation
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna 414 Chancellor in Erie: 2 killed

Date & Time: Dec 22, 1988 at 0838 LT
Type of aircraft:
Operator:
Registration:
N244RM
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Erie - Erie
MSN:
414-0823
YOM:
1975
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1712
Captain / Total hours on type:
154.00
Aircraft flight hours:
4521
Circumstances:
Before takeoff, the crew indicated the flight would be for 'check rides' and that they planned to 'shoot approaches' and proceed to the practice area to do some airwork. ATC advised the pilots that the cloud bases were at 3,500 feet msl. Elevation of the terrain (where the aircraft subsequently crashed) was 1,225 feet. Prior to the accident, witnesses saw the aircraft circling in a steep turn at low altitude. One witness reported it was circling as if to land. Subsequently, it impacted in a steep nose down, slight left wing low, attitude. Several witnesses reported that one or both engines sputtered before the aircraft crashed; however, an exam of the engines revealed no indication of a preimpact malfunction or failure. An exam of the airframe revealed the landing gear was in the extended position when the aircraft crashed. Exam of the props indicated that both engines were producing an equal amount of power. The airwork to be completed included steep turns, stalls, and flight at minimum control airspeed. Both occupants were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: maneuvering
Findings
1. Weather condition - clouds
2. (c) maneuver - improper - pilot in command
3. (f) altitude - inadequate - pilot in command
4. (f) supervision - inadequate - check pilot
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: maneuvering
Final Report:

Crash of a Cessna 414 Chancellor in Pontiac

Date & Time: Dec 19, 1988 at 2010 LT
Type of aircraft:
Operator:
Registration:
N414CM
Flight Type:
Survivors:
Yes
Schedule:
Detroit - Pontiac
MSN:
414-0035
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1023
Captain / Total hours on type:
98.00
Aircraft flight hours:
5916
Circumstances:
While on final approach to land at night, the left engine lost power due to fuel starvation. Attempts to restart the engine were not successful. While the pilot was attempting a restart, the aircraft drifted to the right of the runway centerline and toward the proximity of hangars. The pilot stated that due to the power loss and wind conditions, he elected to land on airport property. Gear extension was delayed until just before landing. The aircraft touched down before the right main landing gear was fully extended and locked. Subsequently, the right main gear collapsed and the aircraft skidded about 500 feet before coming to rest. An examination revealed the nacelle and main fuel tanks were empty, but fuel was still remaining in the auxiliary tanks.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: approach
Findings
1. 1 engine
2. (c) fluid, fuel - starvation
3. (c) fuel tank selector position - improper - pilot in command
----------
Occurrence #2: gear not extended
Phase of operation: landing - flare/touchdown
Findings
4. (f) light condition - dark night
5. (f) weather condition - gusts
6. (f) weather condition - crosswind
7. (c) compensation for wind conditions - improper - pilot in command
8. Precautionary landing - initiated - pilot in command
9. (c) gear down and locked - delayed - pilot in command
----------
Occurrence #3: main gear collapsed
Phase of operation: landing
Final Report:

Crash of a Cessna 414A Chancellor near Big Pine: 1 killed

Date & Time: Jul 31, 1988 at 1217 LT
Type of aircraft:
Registration:
N414YV
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Bishop - San Diego
MSN:
414A-0529
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3500
Circumstances:
The pilot-owner decided to overfly a glacier which was located in the Sierra Nevada Mountains. The glacier was located near the 12,000 foot msl base of a 14,000 foot msl mountain near the head of a box canyon. Witnesses reported clearly observing the aircraft enter the canyon area. When the aircraft was nearly over the glacier the aircraft was observed to commence a course reversal. During the turn the aircraft stalled, descended rapidly and crashed into rocky 40° upsloping terrain whereupon it burned. The pilot, sole on board, was killed.
Probable cause:
The pilot intentionally flew over an area of high terrain in which he failed to maintain the proper altitude and he delayed his decision to reverse course. A contributing factor was the pilot's improper inflight decision.
Findings:
Occurrence #1: loss of control - in flight
Phase of operation: maneuvering - turn to reverse direction
Findings
1. Terrain condition - blind/box canyon
2. Terrain condition - high terrain
3. (c) remedial action - delayed - pilot in command
4. (f) in-flight planning/decision - improper - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
5. (c) proper altitude - not maintained - pilot in command
6. (c) stall - inadvertent - pilot in command
Final Report: