CEN15LA418

NTSB accident investigation · Cessna 421B · Platteville, WI · September 21, 2015

Accident · Minor injuriesLimited investigationFinal report
Date
September 21, 2015, 10:40 local (15:40 UTC)
Place
Platteville, WI
Injuries
2 minor
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N813CACessna 421B
Defining event
Takeoff-rejected takeoff: Runway excursion
Weather
Visual (VMC) · Day
Status
Completed · report November 6, 2019
Report
Approved by Office Director
NTSB office
Central Region
Parties
FAA, Textron Aviation, Continental Motors
FAA report
20150921017819A
Case key
92032

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

The partial loss of right engine power for undetermined reasons with insufficient runway remaining for the aborted takeoff.

Findings · 4

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.

Not determinedNot determined › Not determined · Unknown/Not determinedCessna 421B: 4 casesAll aircraft: 2,247 casesProbable cause
Airport facilities/design: runway/landing area lengthEnvironmental issues › Operating environment · Decision related to conditionCessna 421B: 1 caseAll aircraft: 34 casesProbable cause
Airport facilities/design: runway/landing area lengthEnvironmental issues › Operating environment · Contributed to outcomeCessna 421B: 1 caseAll aircraft: 34 casesProbable cause
Engine indicating system: manifold pressure (MP)Aircraft › Aircraft power plant · Related operating infoCessna 421B: 1 caseAll aircraft: 1 case

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 commercial pilot reported that he completed the pretakeoff checklist, which included a run-up of each engine; no anomalies were noted. During the takeoff roll, the pilot noticed a decrease in manifold pressure in the right engine and felt a power reduction. He attempted to abort the takeoff with about 1,000 ft of runway pavement remaining. However, the airplane was traveling at 85 knots at the time of his decision, and the airplane would have needed about 2,400 ft of runway to stop. The airplane departed the runway surface, continued through a grassy area, and came to a stop in an adjacent field, which resulted in substantial damage to the nose and wing. During the postaccident examination of the right engine, the engine was successfully test run, and no anomalies were found during the run that would have precluded normal operation or production of rated horsepower. The circumstances of the accident are consistent with the pilot choosing to abort the takeoff with inadequate runway distance remaining after a reported loss of engine power. The exact magneto timing was not determined, and although it could have affected the engine performance, the reason for the loss of engine power could not be determined based on the available evidence.

Factual narrative

On September 21, 2015, about 1040 central daylight time, a Cessna 421B airplane, N813CA, sustained substantial damage after a loss of engine power and runway excursion at Platteville Municipal Airport (PBV), Platteville, Wisconsin. The commercial-rated pilot and passenger were not injured. The airplane was registered to Blue Hansa LLC and operated by a private individual under the provisions of 14 Code of Federal Regulations Part 91 as a personal flight. Visual meteorological conditions prevailed at the time of the accident and an instrument flight rules flight plan was filed. The flight was originating at the time of the accident. The pilot reported he completed a preflight inspection of the airplane per the checklist and checked the weather. He taxied to the end of runway 15 and completed the pre-takeoff checklist, which included an engine run-up for each engine. There were no anomalies noted during the pre-flight or pre-takeoff checklists. He taxied onto the runway and advanced both throttles full forward. At 85 knots, just before the runway 7/25 crossing, he started rotation and noticed the right engine manifold pressure decrease and felt a power reduction. He aborted the takeoff; he pulled back both throttles and applied the brakes "hard." The airplane continued on the runway for about 1,000 ft then off of the runway into the grass and a soybean field where it came to rest. The responding Federal Aviation Administration (FAA) inspector documented the witness marks left from the accident airplane on the runway and grass surfaces. There were airplane tire skid marks on the last 1,000 ft of runway pavement and tire marks in the grass for 290 ft off the end of the runway where the terrain slopes downward. The tire marks were not present for about 90 ft consistent with the airplane becoming airborne until the airplane impacted the ground again and the gear collapsed. The witness marks in the grass continued for another 90 ft where the airplane came to rest in a soybean field. Runway 15/33 at PVB is 3,999 ft in length. The intersection of runway 7/25 is about 3,000 ft from the beginning of runway 15; the remaining runway distance from the intersection to the departure end of runway 15 is about 1,000 ft. According to Cessna 421B operating manual, the distance needed during an accelerated stop with a decision speed of 85 knots is about 2,400 ft. The right engine was sent to Continental Motors, Inc (CMI) in Mobile, Alabama for examination and an engine test run, which were completed on January 4 and 5, 2015. The right engine was received intact with no signs of significant impact damage. The cylinders were borescoped; the cylinders, piston faces, and valve heads displayed normal operating and combustion signatures. The magneto-to-engine timing was checked, the exact timing was not determined because it was about 5º past the specified timing scale visible from the engine timing plug. The right engine was mounted on a test stand for functionaltesting. The engine started normally, on the first attempt with no signs of hesitation in RPM. The propeller was out of track because the propeller flange was bent. Shims were placed between the propeller flange and hub to bring the propeller back in track. The engine was restarted, and the engine RPM was advanced in steps for warm-up in preparation for full power operation; the engine run time was limited due to the damage to the propeller flange. Throughout the test phase, the engine accelerated normally without any hesitation or interruption in power and demonstrated the ability to produce rated horsepower.

Aircraft

Registration
N813CA
Reported as
Cessna 421B (B)
Category
Airplane
Serial number
421B0894
Airframe hours
3,844.7
Engines
Continental GTSIO-520 H1B, 375 horsepower, reciprocatingContinental GTSIO-520 H2B, 375 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 1, 2015
Departed
PVB · Platteville, WI
Destination
DAY · Dayton, OH
Flight plan
IFR
Airport
PVB · Platteville Muni, runway 15, 3,999 × 75 ft, asphalt
Equipment
Stall warning system, Satellite tracking device, Onboard weather, Auto-pilot, ADS-B

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
66
Injuries
None
Certificates
Private, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
September 27, 2013
Seat
Left
Flight hours
1,478 total · 194 in this make and model · 1,478 as pilot in command · 27 in the last 90 days · 4 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 8 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
64 °F, dew point 52 °F
Altimeter
30.12 inHg
Observed at
KPVB

Docket · 5

The files NTSB released with the investigation on April 30, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.3 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.