CEN14LA120

NTSB accident investigation · Cessna 414A · Ashland, MO · January 23, 2014

Accident · No injuriesLimited investigationFinal report
Date
January 23, 2014, 14:30 local (20:30 UTC)
Place
Ashland, MO
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N414CJCessna 414A
Defining event
Enroute-descent: Fuel contamination
Weather
Visual (VMC) · Day
Status
Completed · report September 24, 2014
Report
Approved by Office Director
NTSB office
Central Region
Parties
Continental Motors, Federal Aviation Administration, Cessna Aircraft
FAA report
20140123000889A
Case key
88708

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

On this page

Probable cause

The in-flight failure of both engines due to water contamination.

Findings · 1

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Fluids: fuelAircraft › Fluids/misc hardware · Fluid conditionCessna 414A: 1 caseAll aircraft: 1,695 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that, during the descent to the destination airport, the airplane's left engine experienced a partial loss of power and that he attempted to troubleshoot the issue. Unable to restore the engine power, he secured the left engine, feathered the propeller, and advised air traffic control of the situation. Shortly after, the right engine experienced a partial loss of power and eventually only produced idle power. Unable to reach the destination airport, the pilot conducted a forced landing to a field. A postaccident examination of the airplane revealed ice buildup in the fuel manifold valves, the fuel strainer bowls, and the fuel strainer screens. The left fuel strainer bowl contained a 1 3/8-inch thick piece of ice. Fuel samples from both of the airplane's fuel tanks and from the fuel supplier at the airport used to the fuel the airplane earlier in the day were tested, and no water contamination was found; the source of the water contamination could not be determined. It is likely that the loss of engine power resulted from water contamination and subsequent ice buildup in the fuel system.

Factual narrative

On January 23, 2014, about 1430 central standard time, a Cessna 414A airplane, N414CJ, experienced a loss of engine power near Ashland, Missouri. The pilot and two passengers were not injured. The airplane sustained substantial damage. The airplane was registered to and operated by Alelco, Inc., under the provisions of 14 Code of Federal Regulations Part 91 as a business flight. Visual meteorological conditions prevailed at the time of the accident and an instrument flight rules (IFR) flight plan was filed. The flight originated from the Council Bluffs Municipal Airport (KCBF), Council Bluffs, Iowa, at 1326 and was destined for the Jefferson City Memorial Airport (KJEF), Jefferson City, Missouri. The pilot report, at 0700 on the morning of the accident flight the pilot completed a preflight inspection. During the inspection no anomalies were noted and no water was observed in the fuel sumps. The pilot flew from KJEF to KCBF at 6,000 feet mean sea level (msl) where the outside air temperature (OAT) was about negative 11 degrees Celsius (C). No anomalies were noted during the flight. While on the ground at KCBF about 1030, the airplane was filled with 74 gallons of 100LL aviation fuel. The OAT at KCBF was negative 4 degrees C. At 1130 the pilot stared both engines and let them run for about 10 minutes to prevent cold soaking. This process was repeated again at 1300. With the absence of another preflight inspection, the pilot and two passengers departed for KJEF about 1330. During cruise flight at 15,000 feet msl, where the OAT was negative 19 degrees C, the pilot noticed "a very quick/short miss" in one of the engines but could not identify a specific problem. This happened again during the initial descent. During the descent to KJEF, about 7,000 feet msl, the pilot noted that engines got out of sync and the airplane yawed as if an engine had lost power. The left engine then began to lose power so the pilot attempted to troubleshoot the issue. When he was unable to remedy the issue, he secured the left engine, feathered the propeller, and advised air traffic control (ATC) of the situation. Then the right engine began to lose power and eventually would only produce idle power. Unable to maintain altitude and reach the intended airport, the pilot elected to conduct a forced landing into a field. A postaccident examination was conducted by the responding Federal Aviation Administration (FAA) inspector and representatives from the engine and airframe manufacturers. The examination revealed substantial damage to the fuselage. The fuel manifold valves on both engines contained pieces of ice. The fuel strainers bowls both contained significant amounts of ice. The ice in the left fuel strainer bowl measured 1 3/8 inches thick. Also, the fuel strainer screen contained ice. The fuel from both fuel tanks was sampled and tested and was negative for water contamination. Fuel samples taken from the fuel supply at KCBF were negative for water contamination.

Aircraft

Registration
N414CJ
Reported as
Cessna 414A
Category
Airplane
Serial number
414A0432
Built
1979
Engines
Continental Motors TSIO-520, 325 horsepower, reciprocatingContinental Motors TSIO-520, 325 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Alelco Inc
Registered owner
Alelco Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 15, 2013
Departed
CBF · Council Bluffs, IA
Destination
JEF · Jefferson City, MO
Flight plan
IFR
Airport
COU · Columbia Rgnl
Equipment
Auto-pilot, Electronic multifunction display

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
47
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
September 23, 2013
Seat
Left
Restraint
3-point
Flight hours
11,000 total · 250 in this make and model · 9,000 as pilot in command · 60 in the last 90 days · 20 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
320° at 11 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
14 °F, dew point -8 °F
Altimeter
30.70 inHg
Observed at
KCOU, 4 nm away

Docket · 11

The files NTSB released with the investigation on April 15, 2014, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.4 MB in all.

FAA reports on this event · 1

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