ATL90FA179

NTSB accident investigation · Cessna 421B · Jefferson, GA · September 25, 1990

Accident · FatalField investigationFinal report
Date
September 25, 1990, 12:30 local (16:30 UTC)
Place
Jefferson, GA
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N316MHCessna 421B
Weather
Visual (VMC) · Day
Status
Completed · report March 5, 1993
Report
Approved by Office Director
FAA report
19900925042319A
Case key
8149

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

Failure of the pilot to perform the correct emergency procedures, when confronted with a loss of engine power, and his failure to maintain minimum control speed (VMC), which resulted in a loss of aircraft control.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

Loss of engine powerTakeoff - initial climb
Reason for occurrence undeterminedFactor
Fuel system
Maintenance,service bulletin/letter - not followed
Ignition system,spark plug - fouled
Loss of control - in flightTakeoff
Emergency procedure - not attainedPilot in commandCause
Gear retraction - not attainedPilot in command
Propeller feathering - not attainedPilot in command
Airspeed(vmc) - not maintainedPilot in commandCause
Aircraft control - not maintainedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Shortly after takeoff, the acft was seen flying low ovr trees, flwd by a rapid roll to the left & a collision with wooded trrn. One witness rprtd seeing gray smoke trailing the left eng bfr the crash. An inspn of the wreckage revealed the left engine spark plugs were black & heavily sooted. Neither prop had been feathered bfr the acdnt. The lndg gear was fnd in an extended psn. Further investigation revealed that Cessna multi-eng svc bulletin (sb) 88-3 was not complied with. This sb modified the fuel sys to provide for drct plt (rather than automatic) actuation of the output pressure of the auxiliary fuel pumps. Both engs ran satisfactorily on a test stand flwg the acdnt. No otr evidence of mech failure or malfunction was fnd.

Aircraft

Registration
N316MH
Reported as
Cessna 421B
Category
Airplane
Serial number
421B0327
Airframe hours
3,004
Engine
Continental GTSIO-520, 375 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Executive/Corporate · Part 91
Registered owner
Texfi Industries Inc.
Last inspection
Annual · July 9, 1990 · 134 hours before
Departed
19A
Destination
GSP · Greer, SC
Flight plan
IFR
Airport
19A · Jackson County, runway 16, 4,108 × 75 ft, asphalt

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
3,800 total

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 7 knots
Visibility
20 statute miles
Lowest ceiling
None
Temperature
72 °F, dew point 48 °F
Altimeter
30.00 inHg
Observed at
AHN, 16 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.