Crash of a Cessna 421C Golden Eagle III in Humberside: 1 killed

Date & Time: Mar 29, 2003 at 1229 LT
Registration:
G-SAIR
Flight Type:
Survivors:
Yes
Schedule:
Humberside - Humberside
MSN:
421C-0471
YOM:
1978
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2250
Captain / Total hours on type:
1850.00
Copilot / Total flying hours:
20000
Copilot / Total hours on type:
600
Circumstances:
About 50 minutes into the flight, the aircraft returned to Humberside circuit and was cleared by ATC for a touch-and-go landing on Runway 21. The landing was firm but otherwise uneventful and witnesses heard the power being applied as it accelerated for takeoff. Just before rotation two large "puffs of smoke" were seen to come from the vicinity of the mainwheels as both propellers struck the runway. The aircraft then lifted off and almost immediately began to yaw and roll to the left. The left bank reached an estimated maximum of 90° but reduced just before the left wing tip struck the ground. The aircraft then cartwheeled across the grass to the south of the runway and burst into flames. The owner in the left pilot's seat and the pilot in the right pilot's seat escaped from the wreckage, but the flight examiner, who was occupying a seat in the passenger cabin, was unable to vacate the aircraft and subsequently died of injuries sustained in the post impact fire. An engineering investigation found no fault with the aircraft that might have caused the accident. The investigation concluded that the most probable cause was an inadvertent retraction of the landing gear whilst the aircraft was still on the ground.
Probable cause:
An engineering investigation found no fault with the aircraft that might have caused the accident. The investigation concluded that the most probable cause was an inadvertent retraction of the landing gear whilst the aircraft was still on the ground. The confusion over individual roles would have been resolved if the examiner had given a pre-flight briefing in line with the guidance contained in the FAA Designated Examiners' Handbook, but both pilots have stated that this briefing did not take place. In any event, the FAA Handbook and FARs are unclear on who should be the commander of the flight although FAR 61.47 states the examiner is not normally to be the Pilot in Command except by prior agreement with the applicant or other person who would normally be acting as Pilot in Command. Nevertheless, it is clear that the instructor should have been briefed that he was fulfilling the safety pilot role and was responsible for "protect(ing) the overall safety of the flight to whatever extent is necessary". If the instructor had clearly understood this responsibility, he might have monitored the owner's actions more closely during the touch-and-go and might have intervened earlier. Notwithstanding the confusion, the instructor took control when he considered that the owner was not taking appropriate action to control the aircraft, although the actual moment that he took control is in dispute. Given the owner's belief that the instructor was the commander and that the instructor was in any case by far the more experienced pilot, it is not surprising that he relinquished control even though, unknowingly, he had a more complete understanding of the aircraft's predicament. The flight time from the propeller strikes to the next ground impact was only a few seconds. Once the aircraft became airborne with a significant amount of power applied and a badly damaged left propeller, the situation was well beyond any emergency for which either pilot might have trained. The options for action were very limited and would have required a full appreciation of the circumstances, plus extremely rapid analysis and reactions if those actions were to be successful.
Final Report:

Crash of a Cessna 421C Golden Eagle III near Tajique: 1 killed

Date & Time: Dec 3, 2002 at 2035 LT
Registration:
N3855C
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Alamogordo – Albuquerque
MSN:
421C-0121
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2500
Aircraft flight hours:
8539
Circumstances:
Prior to departing on the first leg of the flight, the dispatcher advised the pilot that he needed him to check the weather. After advising the pilot that he would be flying an additional leg, the
dispatcher again advised the pilot that he needed him to check the weather, which the pilot did, as observed by the dispatcher. After reaching 14,500 feet at 2028 the pilot contacted Albuquerque Approach Control, advising the controller that he had information "Yankee" and was requesting a lower altitude. The controller instructed the pilot to proceed via his own navigation and to descend at pilot's discretion. The pilot replied "Roger." From 2034 to 2041 the controller made four attempts to contact the pilot, each without success. At 2039 and 2042 the controller asked two other aircraft in the area to try establishing radio communication with the pilot; neither were successful. At 2033:19 the last radar return with altitude information was received from the aircraft, with a reported altitude of 10,200 feet MSL. A primary radar contact, with no transponder or altitude information, was received at 2033:32, 2.2 nautical miles southeast of the accident site, putting it on a straight line between the last radar contact and destination airport. The accident site was located at the 9,012 foot level of a mountain range, 19 nautical miles southeast of the destination airport. Post-accident examination revealed no anomalies with the airframe or engines which would have prevented normal operations. At 1956, the weather observation facility located at the destination airport reported a few clouds at 800 feet, scattered clouds at 2,500 feet, and overcast clouds at 4,200 feet. The remarks section stated rain ended at 35 minutes past the hour, and mountains obscured northeast to southeast. At 2024, the same weather facility reported scattered clouds at 600 feet and overcast clouds at 4,200 feet.
Probable cause:
The pilot's failure to maintain terrain clearance. Factors contributing to the accident were the high mountains, mountain obscuration, the dark night condition, and the pilot's improper inflight planning/decision making.
Final Report:

Crash of a Cessna 421C Golden Eagle III off Westerland

Date & Time: Jun 12, 2002 at 1113 LT
Operator:
Registration:
D-IJJJ
Flight Type:
Survivors:
Yes
Schedule:
Hamburg - Westerland
MSN:
421C-1012
YOM:
1980
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
370
Captain / Total hours on type:
24.00
Aircraft flight hours:
2883
Circumstances:
The pilot, sole on board, was completing a flight from Hamburg to Westerland. At a distance of 30 km southeast from Westerland-Sylt Airport, at an altitude of 1,300 feet, the pilot was cleared for an approach to runway 24. Few seconds later, both engines lost power. The pilot declared an emergency and was cleared for a straight-in approach to runway 33. Due to the situation, the pilot attempted to ditch the aircraft two km offshore. Rescue teams arrived on site about 45 minutes later and the pilot was rescued while the aircraft sank. The pilot added 250 litres of fuel at Hamburg Airport and a total of about 400 litres were found in all tanks after the wreckage was recovered, dismissing the possibility of a fuel exhaustion. Traces of corrosion were found on several engine parts.

Crash of a Cessna 421C Golden Eagle III in Nassau

Date & Time: Jan 17, 2002
Operator:
Registration:
DF-1001
Flight Type:
Survivors:
Yes
Schedule:
Acklins Island - Nassau
MSN:
421C-1206
YOM:
1982
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Nassau-Lynden Pindling Airport, the crew encountered engine problems. The aircraft lost height and crashed in the Lake Killarney near the airport. All five occupants were rescued while the aircraft was damaged beyond repair.

Crash of a Cessna 421C Golden Eagle III in Hunt: 1 killed

Date & Time: Aug 24, 2000 at 1549 LT
Registration:
N421NT
Flight Type:
Survivors:
No
Schedule:
Pecos – San Antonio
MSN:
421C-1098
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
18185
Aircraft flight hours:
4499
Circumstances:
Approximately 8 months prior to the accident, during a cross country flight, the owner shutdown the left engine due to low oil pressure and diverted from his intended destination to a nearby airport. During descent, the right alternator failed, and the owner performed the emergency gear extension procedure. Following an emergency gear extension, the landing gear of this model airplane cannot be retracted until the system has been ground serviced. A mechanic reported that about 7 months prior to the accident, with the owner present, he removed the oil filter from the left engine, found it packed with metal shavings and told the owner that the engine needed overhaul. Two other mechanics reported that approximately three weeks before the accident, they installed an oil filter on the left engine, changed the oil, and cleaned the oil pressure regulator. They ground ran both engines with no discrepancies noted. One of the mechanics reported that following the engine run, the left engine oil filter was removed, examined, and no metal was found. The landing gear was not serviced. According to the owner, the pilot was "hired" by one of the two mechanics to ferry the airplane with the gear extended to a location where the gear could be serviced. While en route, the pilot reported a loss of power on the left engine, that he was having trouble feathering the engine, that the airplane would not maintain altitude and he was looking for a place to land. Witnesses observed the airplane flying low, wheels down and losing altitude. They further observed it roll into a steep left bank, hit trees and a fence, catch fire, come to rest inverted on a road and burn. Post accident examination of the left engine revealed a hole in the right crankcase half over the #3 cylinder attach point. Disassembly of the left engine revealed that the #3 connecting rod was separated from the crankshaft, and the rod bolts, rod cap, and top of the rod were deformed. The #5 piston pin had one cap missing. Scoring was noted on the crankshaft journals, and the main bearings exhibited discoloration and deformation consistent with oil starvation. The cylinders exhibited deformation, scoring in the barrels, and deposits on the domes. The camshaft exhibited discoloration and scoring on the camshaft lobes. Disassembly of the left propeller revealed that it was in the vicinity of low pitch/latch position and not rotating at impact. The disassembly of the right engine and propeller did not reveal any discrepancies that would have precluded operation prior to impact. Estimates of the airplane's climb performance indicated that with the landing gear down and the left propeller stopped, it was not capable of sustained flight.
Probable cause:
The loss of left engine power as a result of the owner's failure to overhaul the engine before further flight after the lubrication system was found contaminated with metal. Contributing factors were the pilot's decision to fly the aircraft with a non-operating landing gear system, which resulted in a forced landing, and the lack of suitable terrain for the forced landing.
Final Report:

Crash of a Cessna 421C Golden Eagle III in La Paz: 4 killed

Date & Time: Apr 1, 2000 at 0950 LT
Operator:
Registration:
FAB-014
Flight Type:
Survivors:
No
Schedule:
La Paz - Santa Cruz
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
The twin engine aircraft departed La Paz-El Alto Airport on a flight to Santa Cruz, carrying two pilots and two technicians. After takeoff, the crew declared an emergency after the right engine failed during initial climb and was cleared to return. On final, the aircraft crashed 500 metres short of runway, bursting into flames. All four occupants were killed.
Probable cause:
Failure of the right engine during initial climb for unknown reasons.