ATL94IA055

NTSB incident investigation · Cessna 421B · Lagrange, GA · February 28, 1994

Incident · No injuriesIncident investigationFinal report
Date
February 28, 1994, 15:15 local (20:15 UTC)
Place
Lagrange, GA
Injuries
2 uninjured
Damage
Minor damage
Phase of flight
Taxi
Aircraft
N421HACessna 421B
Weather
Visual (VMC) · Day
Status
Completed · report April 12, 1995
Report
Approved by Office Director
FAA report
19940228005279I
Case key
3311

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

On this page

Probable cause

The pilot's intentional swerve off the taxiway to avoid a ground collision. A factor in the incident was an undetermined malfunction of the airplane's normal brake system.

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.

Airframe/component/system failure/malfunctionTaxi
Landing gear,normal brake system - undeterminedFactor
On ground/water collision with objectTaxi
Evasive maneuver - performedPilot in commandCause
Ground loop/swerve - intentionalPilot in commandCause
Object - taxiway light

Analysis

While the pilot was taxiing for another takeoff after completing a full stop landing, the passenger reported he was asked to check the right brake. He then pumped the brake but it did not respond. At this point the pilot applied left braking and swerved the airplane off the taxiway to avoid, according to the pilot, what he felt was an imminent collision with another taxiing airplane. During the swerve maneuver one of the left propeller blades struck a taxiway light. This action was taken when the pilot believed that the right wheel brake was not fully operational and capable of stopping the aircraft. The distance between the two approaching airplanes was in excess of 300 ft. subsequent examination of the brake assembly failed to disclose a mechanical problem. The director of maintenance stated that there had not been any other pilot reports of braking problems with the airplane before or after the occurrence.

Factual narrative

On February 28, 1994, at 1515 eastern standard time, a Cessna 421, N421HA, collided with a taxiway light at the LaGrange/Callaway Airport, LaGrange, Georgia. The Federal Aviation Administration (FAA) Inspector's proficiency flight operated under 14 CFR Part 91, with no flight plan filed. Visual weather conditions prevailed at the time of the incident. The airplane sustained minor damage to one propeller blade; the two FAA Inspectors were not injured. The flight departed Atlanta, Georgia, at 1415 hours.

The pilot had completed a full stop landing on runway 13, and was back taxing on taxiway "A" for a takeoff. As the airplane approached taxiway "T", the passenger reported that he was asked by the pilot to check the right brake. The passenger pumped the brake, and it did not respond (see attached passenger statement). At this point, the pilot applied left braking and swerved the airplane off of the taxiway. According to the pilot, the collision with the taxiway light occurred while attempting to avoid, what he felt was, an imminent collision with another airplane taxing southeast on taxiway"A". The pilot elected to exit taxiway "A" 325 feet short of the centerline of taxiway "T". As the airplane rolled across the grass, one of the left propeller blades struck a taxiway light. The approaching aircraft turned left on taxiway "T", and continued to the terminal ramp (see attached airport layout).

The subsequent examination of the brake assembly failed to disclose a mechanical problem with the brake system. During the functional check of the brake assembly, both left and right pedals were applied from a static position. During this phase of functional check, the right brake assembly required more pressure than the left. During the dynamic check, the airplane was taxied at different speeds. At each speed range braking was smooth and positive. The visual examination showed normal brake pad wear, and there was no air detected in the brake fluid system.

During a subsequent telephone conversation with the Director Of Maintenance, he stated that there had not been any other pilot reports of braking problems with N412HA before and since this account. Additionally, there has not been any additional maintenance performed on the brake system since the on site examination.

Aircraft

Registration
N421HA
Reported as
Cessna 421B
Category
Airplane
Serial number
421B0939
Airframe hours
2,147
Engine
Continental GTSIO-520-H, 375 horsepower, reciprocating
Damage
Minor damage
Flight
Instructional · Part 91
Operator
Federal Aviation Admin
Registered owner
Hill Aviation Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · February 18, 1994 · 12 hours before
Departed
FTY · Atlanta, GA
Airport
LGC · Lagrange-Callaway, runway 13, 5,600 × 150 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
44
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
4,000 total · 500 in this make and model · 60 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
80° at 6 knots
Visibility
10 statute miles
Lowest ceiling
2,500 ft broken
Temperature
46 °F, dew point 25 °F
Altimeter
30.00 inHg
Observed at
LGC

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.