# NTSB ATL02FA031: Cessna 441, N441AW, Rio Grande, PR, January 5, 2002 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: January 5, 2002, 14:23 local (18:23 UTC) - Place: Rio Grande, PR - Coordinates: 18.317777, -65.767219 - Nearby events: https://openairdocs.org/map.md?lat=18.3178&lon=-65.7672&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 5 fatal - Status: Completed, report September 30, 2003 - Report: Approved by Office Director - Parties: San Juan FSDO-21, Honeywell, Cessna Aircraft Company, McCauley Propeller Systems - NTSB case key (mKey): 53987 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ATL02FA031 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/53987/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=53987 - Page: https://openairdocs.org/ntsb/ATL02FA031 ## Probable cause The pilot continued visual flight flight into instrument flight conditions resulting in an in-flight collision with terrain. Low clouds were a factor. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - In flight encounter with weather, cruise - weather condition - clouds - visual lookout - not maintained, pilot in command (cause) - vfr flight into imc - continued, pilot in command (cause) - In flight collision with terrain/water, cruise - terrain condition - mountainous/hilly ## Analysis The pilot was on a visual rules flight from Culebra, Puerto Rico to San Juan, Puerto Rico. No flight plan was filed and a weather briefing was not obtained. The pilot contacted San Juan Radar Approach Control 10 miles east of Fajardo, Puerto Rico and the controller stated the airplane was in radar contact 3 miles east of Farjardo airport. The pilot was instructed to enter a right downwind for runway 10 south of plaza Carolina. The pilot acknowledged the transmission and reported he was at 1,600 feet. Two minutes later the controller stated on the radio frequency, radar contact was lost. The airplane was located by ground personnel on the side of El Yunque Mountain. Review of weather data revealed a weak cold front extended over Puerto Rico. Satellite imagery at the time of the accident revealed a band of low clouds obscuring the accident site. A police helicopter pilot who attempted to reach the crash site reported instrument flight conditions. Examination of the airframe, flight controls, engine assemblies and accessories revealed no anomalies. ## Factual narrative HISTORY OF FLIGHT On January 5, 2002, about 1423 Atlantic Standard Time, a Cessna 441, N441AW, registered to Alexander Leasing LLC, operating as a 14 CFR Part 91 personal flight, crashed on El Yunque Mountain located in the vicinity of Rio Grande, Puerto Rico. Visual meteorological conditions prevailed and no flight plan was filed. The airplane was destroyed by impact forces and a post crash fire. The commercial pilot and four passengers were fatally injured. The flight was estimated to have departed from Culebra, Puerto Rico, at about 1400. A review of radio communication between San Juan Center Radar Approach Control East Control, and the pilot, revealed that contact was established about 10 miles east of Fajardo, Puerto Rico, at 1418:09. The pilot was given a transponder code, 0477, and stated that his destination was San Juan International Airport. At 14:19:54, radar contact was established three miles east of Fajardo Airport. The pilot was instructed to enter a right downwind for runway 10 south of plaza Carolina. The controller provided the pilot with the current automatic terminal information for San Juan and requested his altitude. The pilot reported that he was at 1,600 feet and would stay south at plaza Carolina. At 1420:19, the controller asked the pilot what type of Cessna he was, and the pilot stated that he was a Cessna 441. The controller replied at 1420:29, "rodger uh that's a uh golden eagle." The pilot replied, "no sir it is a Cessna conquest one alpha whiskey." There were no other recorded communications received from the pilot. At 1422:25, the controller reported that radar contact was lost. Numerous attempts by the controller to contact the pilot were unsuccessful. The controller asked several aircraft in the vicinity to attempt radio contact with the pilot, which were unsuccessful. At 1456: 37, a police helicopter pilot contacted the controller and report the possible notification of a downed aircraft and that he was going to inspect the scene in the Rio Grande area. The controller informed the police pilot that he would provide a vector direct to the area. The police pilot was given a 125 degree heading to fly for five miles." The police pilot replied, "rodger one two five I'm going to move out a little bit here for some weather and uh we'll come back into the area." At approximately the same time, two witnesses located near the crash site, stated they heard the engines of an airplane approaching their location and they could not see the airplane because of rain and fog. They heard an impact, sounds of falling trees, an explosion, and saw a ball of fire and smoke. One witness called 911 and the other witness went up the mountain to the accident site. A strong smell of fuel and oil was present at the accident sit. Another witness, whose house is located further downs slope from the accident site, stated he was in his garage when he heard an airplane approaching his location. He estimated that the airplane flew over his house 20 to 50 feet above the roof. The airplane was in straight and level flight and traveling very fast. He heard an explosion followed by the sounds of the airplane colliding with trees. The mountaintop was covered with clouds, fog, and there had been intermittent rain in the valley below throughout the day. PERSONNEL INFORMATION Review of information on file with the FAA Airman's Certification Division, Oklahoma City, Oklahoma, revealed the pilot was issued a commercial pilot certificate on April 24, 1990, with ratings for lighter than air free balloon limited to hot air balloons with an airborne heater, airplane single engine land, airplane multiengine land, and instrument airplane. The pilot held a third class medical certificate issued on April 5, 2000, with the restriction must wear corrective lenses for near and distant vision. The pilot reported on his application for the third class medical certificate that he had accumulated 3,609 total flight hours and he had flown 135 hours in the last six months According to the pilots wife, the pilot had flown 1,494 hours in the Cessna 441 as of January 5, 2002. Review of training records obtained from Pro Flight revealed the pilot successfully completed the required curriculum for Cessna Conquest II Recurrent Flight Training on December 10, 2001. The training consisted of 10 hours of classroom instruction, and four flight hours. The pilot completed a biennial flight review and was issued an instrument proficiency check. The pilot's logbook was not located. AIRCRAFT INFORMATION Review of the aircraft logbooks revealed the last recorded maintenance logbook total time was 5157.9 hours on September 21, 2001. The altimeter system, static pressure system, and transponder were inspected on March 22, 2001. Review of all fixed base operators refueling records at San Juan revealed that N441AW did not obtain any jet fuel from December 28, 2001 through January 5, 2002. METEOROLOGICAL INFORMATION The closest weather reporting location at the time of the accident was Roosevelt Field Naval Air Station, Roosevelt Roads, Puerto Rico. The 1355 surface weather observation was: wind 030-degrees at 14 knots, visibility greater than 6 knots, 2,000 scattered, 4,000 broken, 22,000 broken, temperature 80-degrees Fahrenheit, dew point temperature 75-degrees Fahrenheit, and altimeter 30.06. The National Weather Service reported a weak cold front extended over the island of Puerto Rico with a band of clouds and scattered rain showers. The Geostationary Operations Environmental Satellite imagery showed a band of low clouds obscuring the accident site. WRECKAGE AND IMPACT INFORMATION The wreckage of N441AW was located on the side of El Yunque Mountain in the El Younque National Park in a wooded area about 14.6 nautical miles east of Louis Marin Munoz International Airport, San Juan, Puerto Rico. El Yunque mountain field elevation is 3,378 feet. Examination of the crash site revealed the airplane collided with upslope terrain on a heading of 309-degrees magnetic in a nose-up right wing low attitude, west of road 191 located near Rio Grande, Puerto Rico. The up slope was estimated between 20 to 25 degrees, and the crash debris line extended 415 feet. The right wing outboard of the engine collided with 45-feet tall trees about 20 feet above the base of the trees. The right stub wing, station sustained extensive fire damage from the wing root extending outboard to the right engine nacelle. The leading edge of the wing separated in several segments outboard of the engine nacelle for about 10 feet 6 inches. A 38-inch section of the leading edge including the fuel filler cap was observed separated. The remainder of the wing tip was fragmented in several segments. The right main fuel tank was ruptured and browning of vegetation continued up the crash debris line. The right main landing gear and flaps were in the retracted position. The left wing collided with trees about 13 feet above the base of the trees. The left wing sustained extensive fire damage from the wing root outboard 13 feet 6 inches. The wing was intact from the wing tip inboard 10 feet. There was evidence of a tree strike 4 feet inboard from the wing tip. The left main landing gear and flaps were in the retracted position. The left main fuel tank was ruptured and browning of vegetation continued up the crash debris line. The airplane fuselage collided with a large rock and tree in a nose down left wing low attitude separating the right propeller from the propeller flange and all four propeller blades separated from the shattered propeller hub 230 feet from the initial point of impact. Fire consumed the fuselage from the radar dome aft to the aft pressure bulkhead. The pilot and four passengers were ejected to the left of the aircraft wreckage with seats attached, and were located 45 feet left of the cockpit. The tail section aft of the aft pressure bulkhead wa ## Aircraft - Registration: [N441AW](https://openairdocs.org/deregistered/N441AW-2002-04-09), registration cancelled 2002-04-09, S/N 441-0199, built 1981 (OpenAirDocs) - Reported make and model: Cessna 441 - Registry model: [Cessna 441](https://openairdocs.org/model/cessna-441) (registry code 2076020) (OpenAirDocs) - Registry engine: [AiResearch TPE331 series](https://openairdocs.org/engine/airesearch-tpe331-series) (registry code 01514, turbo-prop) (OpenAirDocs) - Category: Airplane - Serial number: 441-0199 - Airframe hours: 5200 - Engines: Garrett TPE331-10N 715 horsepower turbo prop - Damage: Destroyed - Fire: On-Ground - Flight: Personal, Part 91 - Operator: Alex F. Wojciechowicz - Registered owner: Alexander Leasing LLC - Airworthiness certificate: Standard, Normal - Last inspection: Continuous airworthiness, April 11, 2001, 42 hours before - Departed: CPX, Culebra, PR - Destination: SJU, San Juan, PR ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 63; injuries: fatal; commercial; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 3, valid medical--no waivers/lim.; last flight review December 10, 2001; seat: left; toxicology performed; flight hours: 3,609 total, 1,494 in this make and model ## Weather - Conditions: Visual (VMC), Day - Wind: 3° at 14 knots - Visibility: 6 statute miles - Lowest ceiling: 4,000 ft broken - Temperature: 81 °F, dew point 75 °F - Altimeter: 30.05 inHg - Observed at: TJNR, 8 nm away ## FAA reports on this event (1) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20020105001649A](https://openairdocs.org/incident/20020105001649A), Jan 5, 2002: Cessna 441, Riogrande, Puerto Rico, No damage, 5 fatal. (-23) On January 5, 2002, about 1423 atlantic standard time (ast), a Cessna 441, registered to alexander leasing LLC, operating as a 14 CFR part 91 personal… ## Docket (35 files) The files NTSB released with the investigation on July 28, 2003, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=53987. 25.9 MB in all. - Supplement A (item 1, .PDF, 155 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40175998&FileExtension=.PDF&FileName=Supplement%20A-Master.PDF - Supplement B (item 2, .PDF, 209 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40175999&FileExtension=.PDF&FileName=Supplement%20B-Master.PDF - Supplement S (item 3, .PDF, 44 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40176000&FileExtension=.PDF&FileName=Supplement%20S-Master.PDF - Witness Statements (item 4, .PDF, 157 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378326&FileExtension=.PDF&FileName=Witness%20Statements-Redacted.PDF - Statements (item 5, .PDF, 162 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378327&FileExtension=.PDF&FileName=Statements-Redacted.PDF - FAA Inspectors Statements (item 6, .PDF, 41 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378328&FileExtension=.PDF&FileName=FAA%20Inspectors%20Statements-Redacted.PDF - FAA San Juan CERAP Personnel Statements (item 7, .PDF, 115 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378329&FileExtension=.PDF&FileName=FAA%20San%20Juan%20CERAP%20Personnel%20Statements-Redacted.PDF - Honeywell Engine Teardown Report (item 8, .PDF, 2.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40176005&FileExtension=.PDF&FileName=Honeywell%20Engine%20Teardown%20Report-Master.PDF - NTSB Meteorology Factual Report (item 9, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378330&FileExtension=.PDF&FileName=NTSB%20Meteorology%20Factual%20Report-Redacted.PDF - McCauley Propeller Report (item 10, .PDF, 65 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378331&FileExtension=.PDF&FileName=McCauley%20Propeller%20Report-Redacted.PDF - Transcripts (item 11, .PDF, 268 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378332&FileExtension=.PDF&FileName=Transcripts-Redacted.PDF - CDR Radar Data (item 12, .PDF, 318 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40176009&FileExtension=.PDF&FileName=CDR%20Radar%20Data-Master.PDF - Extract WOJIE AIR N441AW Flight Log (item 13, .PDF, 253 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40176010&FileExtension=.PDF&FileName=Extract%20WOJIE%20AIR%20N441AW%20Flight%20Log-Master.PDF - Extract Pro Flight Record of Training Alex Wojciechowicz (item 14, .PDF, 88 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378333&FileExtension=.PDF&FileName=Extract%20Pro%20Flight%20Record%20of%20Training%20Alex%20Wojciechowicz-Redacted.PDF - Wreckage Diagram and Map (item 15, .PDF, 188 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40176012&FileExtension=.PDF&FileName=Wreckage%20Diagram%20and%20Map-Master.PDF - Extract N441AW Maintenance Records (item 16, .PDF, 1.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378334&FileExtension=.PDF&FileName=Extract%20N441AW%20Maintenance%20Records-Redacted.PDF - USDA Forest Service Report (item 17, .PDF, 622 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378335&FileExtension=.PDF&FileName=USDA%20Forest%20Service%20Report-Redacted.PDF - Puerto Rico Reports - Spanish (item 18, .PDF, 514 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378336&FileExtension=.PDF&FileName=Puerto%20Rico%20Reports%20-%20Spanish-Redacted.PDF - Toxicological Report (item 19, .PDF, 52 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378337&FileExtension=.PDF&FileName=Toxicological%20Report-Redacted.PDF - Release of Aircraft Wreckage, NTSB Form 6120.15 (item 20, .PDF, 154 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378338&FileExtension=.PDF&FileName=Release%20of%20Aircraft%20Wreckage,%20NTSB%20Form%206120.15-Redacted.PDF - Statement of Party Representatives to NTSB Investigation (item 21, .PDF, 66 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40378339&FileExtension=.PDF&FileName=Statement%20of%20Party%20Representatives%20to%20NTSB%20Investigation-Redacted.PDF - Photo 1 - View of inital right wing impact with tree (item 22, .PDF, 1.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177584&FileExtension=.PDF&FileName=Photo%201%20-%20View%20of%20inital%20right%20wing%20impact%20with%20tree-Master.PDF - Photo 2 - View of browning of vegetation along th crash debris line (item 23, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177585&FileExtension=.PDF&FileName=Photo%202%20-%20View%20of%20browning%20of%20vegetation%20along%20th%20crash%20debris%20line-Master.PDF - Photo 3 - View of terrain where N441AW bounced upward and collided with rocks and trees in a nose down, left wing low attitude about 230 feet from initial point of impact (item 24, .PDF, 1.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177586&FileExtension=.PDF&FileName=Photo%203%20-%20View%20of%20terrain%20where%20N441AW%20bounced%20upward%20and%20collided%20with%20rocks%20and%20trees%20in%20a%20nose%20down,%20left%20wing%20low%20attitude%20about%20230%20feet%20from%20initial%20point%20of%20impact-Master.PDF - Photo 4 - View of flight instruments recovered from N441AW (item 25, .PDF, 807 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177587&FileExtension=.PDF&FileName=Photo%204%20-%20View%20of%20flight%20instruments%20recovered%20from%20N441AW-Master.PDF - Photo 5 - View of N441AW layout after recovery (item 26, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177588&FileExtension=.PDF&FileName=Photo%205%20-%20View%20of%20N441AW%20layout%20after%20recovery-Master.PDF - Photo 6 - View of N441AW pilot and passenger seats (item 27, .PDF, 1.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177589&FileExtension=.PDF&FileName=Photo%206%20-%20View%20of%20N441AW%20pilot%20and%20passenger%20seats-Master.PDF - Photo 7 - View of N441AW aircraft layout looking from rear forward (item 28, .PDF, 1.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177590&FileExtension=.PDF&FileName=Photo%207%20-%20View%20of%20N441AW%20aircraft%20layout%20looking%20from%20rear%20forward-Master.PDF - Photo 8 - View of N441AW left side (item 29, .PDF, 1.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177591&FileExtension=.PDF&FileName=Photo%208%20-%20View%20of%20N441AW%20left%20side-Master.PDF - Photo 9 - View of N441AW right side and tail section (item 30, .PDF, 1.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177592&FileExtension=.PDF&FileName=Photo%209%20-%20View%20of%20N441AW%20right%20side%20and%20tail%20section-Master.PDF - Photo 10 - View of N441AW left propeller system (item 31, .PDF, 1.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177593&FileExtension=.PDF&FileName=Photo%2010%20-%20View%20of%20N441AW%20left%20propeller%20system-Master.PDF - Photo 11 - View of N441AW left engine assembly (item 32, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177594&FileExtension=.PDF&FileName=Photo%2011%20-%20View%20of%20N441AW%20left%20engine%20assembly-Master.PDF - Photo 12 - View of N441AW right side tail section (item 33, .PDF, 1.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177595&FileExtension=.PDF&FileName=Photo%2012%20-%20View%20of%20N441AW%20right%20side%20tail%20section-Master.PDF - Photo 13 - View of N441AW right propeller system (item 34, .PDF, 1.5 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177596&FileExtension=.PDF&FileName=Photo%2013%20-%20View%20of%20N441AW%20right%20propeller%20system-Master.PDF - Photo 14 - View of N441AW right propeller system (item 35, .PDF, 1.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40177597&FileExtension=.PDF&FileName=Photo%2014%20-%20View%20of%20N441AW%20right%20propeller%20system-Master.PDF From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.