Crash of a Cessna 411 in Fallon: 1 killed

Date & Time: Sep 3, 1990 at 1244 LT
Type of aircraft:
Operator:
Registration:
N7321U
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Fallon - Carson City
MSN:
411-0021
YOM:
1963
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2398
Captain / Total hours on type:
88.00
Aircraft flight hours:
2720
Circumstances:
The aircraft had recently been returned to service after 5 years in storage. On this flight, it was being used to transport two political candidates on their campaign itinerary. During takeoff from runway 03, the right engine lost power on the initial climb and the aircraft descended and crashed about 2 miles southeast of the airport. The pilot did not complete the emergency procedure for an engine failure. There was evidence that he did not feather the propeller, did not bank into the good engine, and did not close the cowl flaps on the inoperative engine. An exam of the right engine disclosed overheating and erosion of the #1 & #4 pistons, which resulted in holes in the top edges of the pistons. Also, there were clogged fuel injectors, contamination and corrosion of the fuel injector pump, and contamination and partial obstruction of the manifold valve. Additionally, the absolute pressure control of the turbocharger was found to be incorrectly adjusted. The pilot's medical certificate was dated 8/13/86.
Probable cause:
Failure of the pilot to perform emergency procedures for loss of engine power (including his failure to feather the propeller of the affected engine). Factors related to the accident were: inadequate maintenance, contamination in the fuel system, and overheat failure of the #1 and #4 pistons in the right engine (from preignition or detonation).
Final Report:

Crash of a Cessna 411 in Venetie: 1 killed

Date & Time: Jan 27, 1988 at 0947 LT
Type of aircraft:
Registration:
N235UV
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Venice - West Palm Beach
MSN:
411-0052
YOM:
1965
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1500
Circumstances:
Witnesses stated that the aircraft was climbing and just after takeoff, the left wing dropped, the aircraft then leveled off, climbed approximately 75 more feet. The aircraft then abruptly turned hard left and went straight in, striking a wall surrounding a swimming pool, burst into flames and was consumed by post crash fire. Examination of the left engine revealed evidence that suggests that water was ingested into the cylinders prior to impact. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: loss of engine power (partial) - nonmechanical
Phase of operation: takeoff - initial climb
Findings
1. (c) 1 engine - failure, partial
2. (f) propeller feathering - not performed - pilot in command
3. (c) fluid, fuel - water
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
4. (c) airspeed (vmc) - not maintained - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna 411 in Oshawa

Date & Time: Dec 16, 1986
Type of aircraft:
Operator:
Registration:
C-GQSP
Flight Type:
Survivors:
Yes
Site:
MSN:
411-0141
YOM:
1965
Location:
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On approach to Oshawa Airport, the twin engine aircraft stalled and crashed in a house. Both pilots were seriously injured while both persons into the house were unhurt.

Crash of a Cessna 411A in Shreveport: 6 killed

Date & Time: May 8, 1986 at 1540 LT
Type of aircraft:
Operator:
Registration:
N49DD
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Shreveport - Baton Rouge
MSN:
411-0266
YOM:
1967
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
1554
Captain / Total hours on type:
164.00
Aircraft flight hours:
4609
Circumstances:
The pilot reportedly did an unusual amount of engine run-up before pulling onto the runway. He then performed another run-up before departing. This is evidence that he was aware of a problem with his aircraft. The engine(s) were popping and puffing black smoke during the ground run. Yet, the takeoff was continued. The popping and smoke puffing continued after liftoff. A noticeable loss of airspeed occurred during the climbout. The aircraft started the third roll (into the bad engine) before finally going inverted. The aircraft's allowable gross weight was exceeded by at least 205 pounds at takeoff, however, the center of gravity remained within its specified limits. Internal examination of the right engine exhibited evidence that it had operated at sometime on a mixture of gasoline and jet fuel. All six occupants were killed.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. (c) operation with known deficiencies in equipment - intentional - pilot in command
2. (c) engine assembly, piston - burned
3. (c) fluid, fuel grade - improper
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
4. (c) airspeed - not maintained - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
----------
Occurrence #4: fire
Phase of operation: other
Final Report:

Crash of a Cessna 411 in Bloomington

Date & Time: Apr 5, 1986 at 1530 LT
Type of aircraft:
Registration:
N3213R
Flight Type:
Survivors:
Yes
Schedule:
Nashville - Bloomington
MSN:
411-0213
YOM:
1966
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
889
Captain / Total hours on type:
63.00
Aircraft flight hours:
2262
Circumstances:
The pilot reported that while on final approach to runway 35, the aircraft encountered 'extreme windshift' and was blown about 550 feet right of course with a 30 knot loss of airspeed (from 130 to 100 knots). He stated the aircraft lost about 300 feet, then was blown back on course with an additional loss of altitude. Subsequently, the aircraft touched down hard on the approach end of the runway. During touchdown, the right main tire blew out, the right propeller struck the runway 9 times and the right wing was damaged. The surface wind was reported to be from 240° at 10 knots with no gusts. All four occupants escaped uninjured.
Probable cause:
Occurrence #1: hard landing
Phase of operation: landing - flare/touchdown
Findings
1. (f) weather condition - crosswind
2. (f) weather condition - tailwind
3. (f) weather condition - windshear
4. (c) weather condition - unfavorable wind
5. (c) compensation for wind conditions - inadequate - pilot in command
6. Flare - not attained
Final Report:

Crash of a Cessna 411A in Matamoros: 1 killed

Date & Time: Oct 18, 1984
Type of aircraft:
Operator:
Registration:
N12PS
Flight Phase:
Flight Type:
Survivors:
No
MSN:
411-0298
YOM:
1969
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Crashed following an engine failure at takeoff. The pilot, sole on board, was killed.
Probable cause:
Engine failure for unknown reasons.

Crash of a Cessna 411A in Gainesville

Date & Time: Jan 12, 1984 at 1830 LT
Type of aircraft:
Registration:
N4500Q
Flight Type:
Survivors:
Yes
Schedule:
Conroe - Gainesville
MSN:
411-0300
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft crashed while on an ILS approach to the Gainsville Airport. Investigation revealed that the pilot had advised approach control that he was 'low on fuel.' After two missed approaches the pilot radioed that he was 'out of fuel.' The pilot did not have charts or approach plates aboard the aircraft, however ATC was not aware of this factor. Attempts to acquire additional information from the pilot have been unsuccessful. All three occupants escaped with minor injuries.
Probable cause:
Occurrence #1: loss of engine power(total) - nonmechanical
Phase of operation: approach - faf/outer marker to threshold (IFR)
Findings
1. (f) fluid,fuel - exhaustion
2. (c) preflight planning/preparation - improper - pilot in command
3. (c) fuel system - inadequate - pilot in command
4. (c) in-flight planning/decision - improper - pilot in command
----------
Occurrence #2: forced landing
Phase of operation: landing - flare/touchdown
Final Report:

Crash of a Cessna 411 in Fort Lauderdale

Date & Time: Sep 10, 1983 at 0759 LT
Type of aircraft:
Registration:
N256EL
Flight Type:
Survivors:
Yes
Schedule:
Fort Lauderdale - Atlantic
MSN:
411-0242
YOM:
1967
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7200
Captain / Total hours on type:
500.00
Aircraft flight hours:
2439
Circumstances:
The aircraft crashed while maneuvering at low airspeed and altitude right after takeoff. The pilot said the left engine started losing power intermittently at 90 knots. The pilot had rotated the aircraft and tried to continue the takeoff. He was cleared to land on any runway and in attempting a turn with landing gear and partial flaps extended control was lost and a crash occurred. The aircraft flight manual states that if an engine fails below 105 mph the takeoff should be aborted. An on scene examination revealed no evidence to suggest a pre-impact failure or malfunction. Both propellers showed evidence of torsional overload damage. When the engines were further examined the left engine fuel strainer was partially clogged with dirt. During a run-up test the left engine would not develop more than 23 inches hg. At 2,750 rpm and magneto rpm drop was erratic. The engine would not run with the aux fuel boost pump off. The reason for the low power output was a disconnected pressure line for the turbocharger which appeared to have been disconnected for some time. All five occupants were injured, two of them seriously.
Probable cause:
Occurrence #1: loss of engine power (partial) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. (c) fuel system, strainer - blocked (partial)
2. (c) exhaust system, turbocharger - disconnected
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff - initial climb
Findings
3. (c) flight controls - improper use of - pilot in command
4. (c) throttle/power control - improper use of - pilot in command
5. (c) abort - not performed - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: maneuvering

Crash of a Cessna 411 in Olbia: 4 killed

Date & Time: Sep 2, 1983
Type of aircraft:
Operator:
Registration:
I-LYRA
Flight Phase:
Survivors:
Yes
Schedule:
Olbia - Cagliari
MSN:
411-0178
YOM:
1966
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
Shortly after takeoff from Olbia-Costa Smeralda Airport, while in initial climb, the twin engine airplane stalled and crashed in a field. The pilot and a passenger were injured while four other occupants were killed.

Crash of a Cessna 411 in Aiken: 2 killed

Date & Time: Nov 20, 1982 at 1817 LT
Type of aircraft:
Operator:
Registration:
N544JW
Flight Type:
Survivors:
No
Schedule:
Oxford - Aiken
MSN:
411-0039
YOM:
1964
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
800
Circumstances:
The pilot requested an instrument approach to the airport and advised approach control (a/c) that he did not have an approach plate for the airport. A/c cleared the aircraft for an NDB approach to runway 24 and read the approach information to the pilot. When the pilot reported procedure turn inbound a/c advised the pilot he was approx 4 miles south of the final approach course and gave him a new heading to correct back to the airport. Radar contact was then lost over the airport but reappeared approx 1/2 mile west of the airport and appeared to be making a turn back to the airport. The wreckage was found about 4 miles west of the airport. Both occupants were killed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: missed approach (IFR)
Findings
1. (f) preflight planning/preparation - inadequate - pilot in command
2. (f) preflight briefing service - not obtained - pilot in command
3. (f) weather condition - fog
4. (f) weather condition - low ceiling
5. (c) IFR procedure - improper - pilot in command
6. (c) missed approach - not followed - pilot in command
Final Report: