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:

Crash of a Cessna 414 Chancellor near Pandamatenga

Date & Time: Mar 1, 2000 at 1620 LT
Type of aircraft:
Operator:
Registration:
ZS-MDT
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Gaborone - Maun
MSN:
414-0096
YOM:
1970
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
En route from Gaborone to Maun, an oil leak occurred on the left engine. The pilot shut down the left engine and feathered its propeller. Unable to maintain a safe altitude, he elected to make an emergency landing but eventually crash landed in a wooded area located about 128 km southwest of Pandamatenga. All five occupants were injured and the aircraft was destroyed. It was reported that the left engine oil pressure dropped while its temperature increased.

Crash of a Cessna 414 Chancellor in Oklahoma

Date & Time: Jan 26, 2000 at 1100 LT
Type of aircraft:
Operator:
Registration:
N7VS
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Oklahoma City – El Paso
MSN:
414-0276
YOM:
1972
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
14432
Captain / Total hours on type:
1350.00
Circumstances:
The pilot reported that light snow was falling, with approximately 2 inches already on the ground, and the runway had been plowed approximately one hour prior to his departure. About 20 minutes had elapsed since the airplane had been towed from the '68 degree F' hangar. During the takeoff, the airplane accelerated 'normally' and became airborne after traveling about 2,160 feet down the 3,240-foot runway. After liftoff, the airplane did not climb above 25 or 30 feet agl. The airplane impacted an embankment at the end of the runway, continued across railroad tracks, and through a fence coming to rest in a brick storage yard about 800-1,000 feet from the departure end of the runway. The pilot stated that someone told him that the airport did not have any deicing equipment, therefore, he did not deice the airplane. The weather facility, located 5 miles from the accident site, reported the wind from 100 degrees at 7 knots, visibility 1/2 mile with snow and freezing fog, temperature 27 degrees F.
Probable cause:
The failure of the pilot to deice the airplane prior to departure.
Final Report:

Crash of a Cessna 414 Chancellor in Monterrey: 2 killed

Date & Time: Dec 22, 1999 at 1830 LT
Type of aircraft:
Operator:
Registration:
XB-EXF
Flight Type:
Survivors:
No
Schedule:
San Antonio - Monterrey
MSN:
414-0827
YOM:
1975
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Following an uneventful flight from San Antonio, the pilot started a night approach to Monterrey-Del Norte. On final in good weather conditions, the twin engine aircraft crashed in unknown circumstances few km from the airfield. Both occupants were killed.

Crash of a Cessna 414 Chancellor in Alpine

Date & Time: Aug 28, 1999 at 1021 LT
Type of aircraft:
Operator:
Registration:
N67JM
Flight Phase:
Survivors:
Yes
Schedule:
Alpine - Lajitas
MSN:
414-0066
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
383
Captain / Total hours on type:
24.00
Aircraft flight hours:
5581
Circumstances:
The pilot had the main and auxiliary fuel tanks filled and performed an abbreviated preflight prior to departing the Alpine Airport. The pilot did not perform an engine run-up prior to takeoff. The pilot stated that while the airplane was climbing through 100 feet agl, the left engine 'started to surge.' The pilot reported that he knew the airplane would not be able to climb at field elevation with one engine inoperative. The pilot switched the left engine's boost pump from low to high; however, the left engine continued to surge while the airplane lost altitude. The pilot initiated a forced landing with the landing gear and flaps retracted and the left propeller unfeathered. The airplane impacted the ground left wing tip first and a fire erupted, which damaged the left wing and left side of the fuselage. The left engine's spark plugs were found covered with thick black soot. The left engine's magnetos were rotated using an electric hand-held drill, and the left magneto did not produce any spark and the right magneto produced a spark in three of its six distributor cap posts. The left magneto's primary winding resistance and capacitor leakage were found to be beyond the manufacturer's specified limits. The internal components of both magnetos were covered in a dark oil and debris. The maximum takeoff weight for the accident airplane was 6,350 pounds; however, the takeoff weight at the time of the accident was calculated to be 6,509 pounds. The aircraft's single engine performance charts indicated that the airplane would obtain a 29 fpm climb at maximum gross weight with the inoperative engine feathered. The pilot operating handbook's supplement section indicated that the auxiliary fuel pump should only be used when the engine-driven fuel pump failed. A caution statement states in bold print, 'If the auxiliary fuel pump switches are placed in the HIGH position with the engine-driven fuel pump(s) operating normally, total loss of engine power may occur.'
Probable cause:
The pilot's improper use of the emergency fuel boost pump, which resulted in excessive fuel flow to the engine and subsequent total loss of left engine power. Factor's were the high density altitude, the pilot exceeding the airplane's weight and balance, the partial loss of left engine power as a result of the faulty magnetos, and the pilot's inadequate preflight inspection by not performing an engine run-up.
Final Report:

Crash of a Cessna 414 Chancellor in Monrovia: 6 killed

Date & Time: Aug 10, 1999 at 2005 LT
Type of aircraft:
Registration:
N373BC
Survivors:
No
Schedule:
Harper - Monrovia
MSN:
414-0411
YOM:
1973
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The twin engine aircraft departed Harper on a charter flight to Monrovia, carrying five police officers and one pilot. On a night approach to Monrovia-Roberts Airport, the aircraft crashed in unknown circumstances 4 km short of runway. The aircraft was destroyed and all six occupants were killed.

Crash of a Cessna 414 Chancellor in Orland

Date & Time: May 21, 1999 at 1725 LT
Type of aircraft:
Registration:
N8153Q
Flight Type:
Survivors:
Yes
Schedule:
San Jose – Redding
MSN:
414-0053
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12000
Captain / Total hours on type:
480.00
Aircraft flight hours:
4471
Circumstances:
The pilot refueled the auxiliary tanks of the airplane at a different airport 1 month prior to the accident, and had not flown on the auxiliary tanks since that time. He was repositioning the airplane back to home base after a series of revenue flights when the accident occurred. About 20 minutes after takeoff he positioned the left and right engines to their respective auxiliary fuel tanks, and then returned to the mains 30 minutes later. The right engine began to surge and subsequently stopped running. Turning on the fuel boost pump restarted the engine. Five minutes later the engine quit and he secured it after unsuccessful restart attempts. Then the left engine began to surge and was developing only partial power. He diverted to an alternate airport with decaying altitude and power in the remaining engine. Crossing the airport, he saw he was too high to land with a tailwind so he circled to land into the wind. On the base leg he made the decision to land straight ahead in a field due to power lines in his path, rapidly decaying altitude, and power. During the landing roll, the airplane collided with a ditch. The left and right main fuel filters contained a foreign substance, which upon laboratory examination, was found to be a polyacrylamide. This is a manmade synthetic polymer that is used as an agricultural soil amendment that aids in reducing soil erosion. Distribution of the polymer is typically not done by aircraft. Inspection of the fueling facility revealed that the employees who do refueling did not have any formal or on-the-job training. There was no record that the delivery system filters had been examined or changed. The maintenance to the truck, delivery system, and storage facility are done by the employees on an as needed, time permitted basis. The fuel truck was found to be improperly labeled, and the fuel nozzle was lying in a compartment amid dirt, gravel, and other contaminates with no caps or covers for protection.
Probable cause:
A loss of engine power in both engines due to fuel contamination, which resulted from the fueling facilities improper quality control procedures.
Final Report:

Crash of a Cessna 414A Chancellor off Mattapoisett: 1 killed

Date & Time: Nov 20, 1998 at 1220 LT
Type of aircraft:
Operator:
Registration:
N6820J
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Hyannis - New Bedford
MSN:
414A-0671
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3458
Aircraft flight hours:
2675
Circumstances:
The airplane was level at 2,000 feet, in instrument meteorological conditions, when the pilot reported 'we've just lost our ahh artificial horizon.' About 5 minutes later, air traffic control lost radar contact, and communications with the airplane. A witness about 1 mile north of the accident site stated he heard the sound of engine noise coming from the water and he described the sound as loud and constant. The sound lasted for about 30 seconds and was followed by an 'explosive collision/impact sound.' He further stated he walked to the shore and attempted to locate the source of the sound, but 'because of the fog, I couldn't see anything at all.' The airplane was located in about 25 feet of water, and was scattered over a 150 to 200 foot area. The recovered wreckage consisted of both engines, parts of the airplane's left wing, empennage, fuselage, seats, and interior. The airplane's attitude indicator was not recovered. A faint needle impression was found on the face of the airplane's vertical speed indicator between minus 2,500 and 3,000 feet per minute. Examination of the left and right vacuum pumps did not reveal any malfunctions or failures.
Probable cause:
The pilot's failure to maintain control of the airplane after an undetermined failure of the airplane's attitude indicator. A factor in this accident was fog.
Final Report:

Crash of a Cessna 414 Chancellor in Monroe

Date & Time: Nov 17, 1998 at 1855 LT
Type of aircraft:
Operator:
Registration:
N30ML
Flight Phase:
Survivors:
Yes
Schedule:
Monroe - Dallas
MSN:
414-0005
YOM:
1969
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
313
Captain / Total hours on type:
54.00
Aircraft flight hours:
6415
Circumstances:
The airplane impacted terrain during takeoff initial climb in dark night conditions with a 100 ft ceiling and 1/4 mile visibility in fog. The instrument rated private pilot sustained serious injuries and does not recall the flight. No discrepancies were found with the aircraft, flight instruments, or engines that would have contributed to the accident. A weather briefing was obtained and an IFR flight plan was filed. The pilot had 312.8 hrs total time (54.2 hrs in this aircraft), 61 hrs night flight time (36.9 hrs in this aircraft) and 26.8 hrs actual instrument time (19.6 hrs in this aircraft). Toxicological findings were positive for benzoylecgonine (metabolite of cocaine), ethanol, and cocaethylene (substance formed when cocaine and alcohol are simultaneously ingested) in a urine sample subpoenaed by the NTSB from the hospital that treated the pilot. Benzoylecgonine can be found in urine for 3 to 5 days after cocaine use. Since blood was not available for analysis, it could not be determined how much of each substance was ingested and when they were ingested. The pilot stated that he was not under the influence of cocaine or alcohol on the day of the crash.
Probable cause:
The pilot's spatial disorientation which resulted in a loss of aircraft control. Factors were fog, low ceilings, and dark night conditions.
Final Report: