CEN24LA329

NTSB accident investigation · Cessna 414 · Leadville, CO · July 4, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
July 4, 2024, 10:30 local (16:30 UTC)
Place
Leadville, CO · airport
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N1652TCessna 414
Defining event
Landing-landing roll: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Central Region
Parties
FAA Flight Standards
FAA report
20240704008949I
Case key
195014

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

A loss of brake fluid for reasons that could not be determined, which resulted in a loss of braking effectiveness during landing.

Findings · 2

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.

Landing gear system: brakeAircraft › Aircraft systems · Damaged/degradedCessna 414: 1 caseAll aircraft: 297 casesProbable cause
FluidsAircraft › Fluids/misc hardware · Fluid levelCessna 414: 1 caseAll aircraft: 11 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 the airplane’s brake system operated normally during the startup, taxi, and takeoff; however, while landing at the destination airport, he attempted to apply the brakes; however, there was no pressure on the brake pedals and no braking was available. There was also no pressure available on the co-pilot’s brake pedals. The airplane rolled the length of the runway. The pilot attempted to turn onto the perpendicular taxiway at the end of the runway, but the airplane departed the pavement and the nose landing gear collapsed. The nose landing gear trunnion and wheel well structure sustained substantial damage during the accident sequence. An examination of the brake system revealed that the left brake master cylinder was nearly empty and no pressure from the brake pedal to the wheel caliper was available. The right brake master cylinder contained about 1/4-inch of fluid remaining. Pressure to the wheel caliper was obtained with about three-quarter deflection of the brake pedal. The brake lines and calipers did not exhibit any evidence of leakage, and free movement of the caliper pistons was observed. Both the left and right brake linings exhibited minimal remaining thickness with signs of overheating. Airplane maintenance records noted that the landing gear was worked on during the most recent annual inspection, which was completed about two months before the accident. The pilot reported that the airplane had flown about 40 hours since the inspection. The mechanic who conducted the annual inspection reported that the brakes were inspected and no anomalies were observed at that time. Although the runway excursion was a result of the loss of brake fluid, the exact reason for the loss of brake fluid during the flight could not be determined.

Factual narrative

On July 4, 2024, about 1030 mountain daylight time, a Cessna 414 airplane, N1652T, was substantially damaged when it was involved in an accident at Lake County Airport (LXV), Leadville, Colorado. The pilot and passenger were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. The pilot reported that the airplane’s brake system operated normally during the startup, taxi, and takeoff. The initial landing approach at the destination terminated in a go-around due to another airplane back-taxiing on the runway. The second approach was normal, and the airplane touched down about 1,500 ft from the runway threshold. He attempted to apply the brakes after touchdown; however, there was no pressure on the brake pedals and no braking was available. There was also no pressure available on the co-pilot’s brake pedals. The airplane rolled the length of the runway. The pilot attempted to turn onto the perpendicular taxiway at the end of the runway, but the airplane departed the pavement, and the nose landing gear collapsed. The nose landing gear trunnion and wheel well structure sustained substantial damage during the accident sequence. An examination of the brake system revealed that the left brake master cylinder was nearly empty and no pressure from the brake pedal to the wheel caliper was available. The right brake master cylinder contained about 1/4-inch of fluid. Pressure to the wheel caliper was obtained with about three-quarter deflection of the brake pedal. The brake lines and calipers did not exhibit any evidence of leakage, and free movement of the caliper pistons was observed. Both the left and right brake linings exhibited minimal remaining thickness with signs of overheating. Airplane maintenance records noted that the landing gear was worked on during the most recent annual inspection, which was completed about two months before the accident. The pilot reported that the airplane had flown about 40 hours since the inspection. The mechanic who conducted the annual inspection reported that the brakes were inspected and no anomalies were observed at that time.

Aircraft

Registration
N1652T
Reported as
Cessna 414
Category
Airplane
Serial number
414-0432
Built
1973
Airframe hours
4,697.5
Engines
Continental TSIO-520-NB, 325 horsepower, reciprocatingContinental TSIO-520-NB, 325 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 5, 2024
Departed
ALS · Alamosa, CO
Destination
LXV · Leadville, CO
Airport
LXV · Lake County, runway 34, 6,400 × 75 ft, asphalt
Equipment
Electronic multifunction display, Electronic flight bag or handheld device, Auto-pilot, ADS-B, Stall warning system, Electronic primary flight 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
64
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, With waivers/limitations
Last flight review
May 24, 2024
Seat
Left
Restraint
3-point
Flight hours
2,732 total · 696 in this make and model · 2,308 as pilot in command · 141 in the last 90 days · 66 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Variable at 5 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 19 °F
Altimeter
30.49 inHg
Observed at
KLXV, 1 nm away
METAR
METAR KLXV 041653Z AUTO VRB05KT 10SM CLR 17/M07 A3049

Docket · 5

The files NTSB released with the investigation on November 14, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 25.1 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.

Other investigations on N1652T · 1

Matched to the same aircraft by N-number and date.