CHI01MA011

NTSB accident investigation · Cessna 335 · Hillsboro, MO · October 17, 2000

Accident · FatalClass 1 · MajorFinal report
Date
October 16, 2000, 19:33 local (Oct 17, 2000, 00:33 UTC)
Place
Hillsboro, MO
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N8354NCessna 335
Weather
Instrument (IMC) · Night
Status
Completed · report June 5, 2002
Report
Board-adopted at Board Meeting
Investigation class
Class 1
Parties
Missouri State Highway Patrol, Cessna Aircraft Company, NTSB, Al Lebo, Sigma-Tek, Continental Motors, FBI, FAA AAI-100, FAA AAI-100, FAA, Parker Hannifin, NATCA
FAA report
20001016015359A
Case key
50473

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 pilot's failure to control the airplane while maneuvering because of spatial disorientation. Contributing to the accident were the failure of the airplane's primary attitude indicator and the adverse weather conditions, including turbulence.

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/malfunctionCruise - normal
Flight/nav instruments,attitude gyro - failureFactor
Weather condition - rainFactor
Weather condition - turbulence in cloudsFactor
Loss of control - in flightCruise - normal
Spatial disorientationPilot in commandCause
Aircraft control - not maintainedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The board's full report is available at http://www.ntsb.gov/Publictn/publictn.htm

Factual narrative

The Board's full report is available at http://www.ntsb.gov/Publictn/publictn.htm

On October 16, 2000, at 1933 central daylight time, a Cessna 335, N8354N, crashed near Hillsboro, Missouri. The pilot and two passengers were killed, and the airplane was destroyed. The airplane was being operated under the provisions of 14 Code of Federal Regulations Part 91 from the St. Louis Downtown Airport (CPS), Cahokia, Illinois, to County Memorial Airport, New Madrid, Missouri. Instrument meteorological conditions prevailed for the flight, which departed CPS about 1915 on an instrument flight rules flight plan.

Aircraft

Registration
N8354N
Reported as
Cessna 335
Category
Airplane
Serial number
335-0063
Airframe hours
2,257
Engines
Continental TSIO-520-EB8, 300 horsepower, reciprocatingContinental TSOI-520-EB8, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Business · Part 91
Operator
Roger Carnahan, doing business as Executive Services
Registered owner
Carnahan, Carnahan & Hickle LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 21, 2000
Departed
CPS · Cahokia, IL
Destination
EIW · New Madrid, MO
Flight plan
IFR

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
Injuries
Fatal
Certificate
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
1,830 total · 513 in this make and model · 94 in the last 90 days · 38 in the last 30 days

Weather

Conditions
Instrument (IMC) · Night
Wind
40° at 11 knots
Visibility
2 statute miles
Lowest ceiling
800 ft broken
Temperature
57 °F, dew point 57 °F
Altimeter
30.00 inHg
Observed at
SUS, 17 nm away

Docket · 296

The files NTSB released with the investigation on February 1, 2002, on NTSB’s docket system: statements, records, photos and specialists’ reports.

Operations Factual ReportItem 1 · .PDF · 660 KBOperations Factual Report - Attachment A - Security Personnel StatementsItem 2 · .PDF · 625 KBOperations Factual Report - Attachment B - Insurance Application FormItem 3 · .PDF · 137 KBOperations Factual Report - Attachment C - Pilot LogbooksItem 4 · .PDF · 8.0 MBOperations Factual Report - Attachment D - Summary of Flight TimeItem 5 · .PDF · 1.4 MBOperations Factual Report - Attachment E - Archer and Debonair Flight LogsItem 6 · .PDF · 4.2 MBOperations Factual Report - Attachment F - Excerpts from the Twin Cessna Flyer Systems & Operational Procedures Training ManualItem 7 · .PDF · 1.7 MBOperations Factual Report - Attachment G - FAR 61.65 & 61.57Item 8 · .PDF · 1.0 MBOperations Factual Report - Attachment H - Instrument Airplane Rating Practical Test StandardsItem 9 · .PDF · 2.0 MBOperations Factual Report - Attachment I - Excerpts from Aircraft and Engine Maintenance RecordsItem 10 · .PDF · 1.8 MBOperations Factual Report - Attachment J - SB ME99-19 and SB MEB00-5Item 11 · .PDF · 995 KBOperations Factual Report - Attachment K - Interview SummariesItem 12 · .PDF · 593 KBAir Traffic Control Factual ReportItem 13 · .PDF · 573 KBAir Traffic Control Factual Report - Attachment 1 - FAA Report of Aircraft AccidentItem 14 · .PDF · 190 KBAir Traffic Control Factual Report - Attachment 2 - Chronological Summary of Flight from East St. Louis ATCTItem 15 · .PDF · 81 KBAir Traffic Control Factual Report - Attachment 3 - Chronological Summary of Flight from St. Louis AFSSItem 16 · .PDF · 76 KBAir Traffic Control Factual Report - Attachment 4 - St. Louis TRACON MemorandumItem 17 · .PDF · 30 KBAir Traffic Control Factual Report - Attachment 5 - East St. Louis ATCT MemorandumItem 18 · .PDF · 32 KBAir Traffic Control Factual Report - Attachment 6 - St. Louis TRACON Daily Record of Facility OperationItem 19 · .PDF · 65 KBAir Traffic Control Factual Report - Attachment 7 - TRACON Position LayoutItem 20 · .PDF · 100 KBAir Traffic Control Factual Report - Attachment 8 - Flight Progress StripItem 21 · .PDF · 28 KBAir Traffic Control Factual Report - Attachment 9 - St. Louis TRACON TranscriptItem 22 · .PDF · 626 KBAir Traffic Control Factual Report - Attachment 10 - Controller Personnel StatementsItem 23 · .PDF · 345 KBAir Traffic Control Factual Report - Attachment 11 - East St. Louis (Downtown Parks) Tower, Flight Data TranscriptItem 24 · .PDF · 54 KBAir Traffic Control Factual Report - Attachment 12 - East St. Louis (Downtown Parks) Tower, Ground Control TranscriptItem 25 · .PDF · 77 KBAir Traffic Control Factual Report - Attachment 13 - East St. Louis (Downtown Parks) Tower, Local Control PositionItem 26 · .PDF · 70 KBMeteorological Factual ReportItem 27 · .PDF · 1.2 MBMeteorological Factual Report List of AttachmentsItem 28 · .PDF · 51 KBMeteorological Factual Report - Attachment 1 - NWS Surface Analysis Chart 0000Z October 17, 2000Item 29 · .PDF · 42 KBMeteorological Factual Report - Attachment 2 - Springfield, Missouri Sounding For 0000Z on October 17, 2000 - Page 1Item 30 · .PDF · 51 KBMeteorological Factual Report - Attachment 2 - Springfield, Missouri Sounding For 0000Z on October 17, 2000 - Page 2 & 3Item 31 · .PDF · 231 KBMeteorological Factual Report - Attachment 3 - FAA NTAP DataItem 32 · .PDF · 461 KBMeteorological Factual Report - Attachment 4 - KLSX WSR-88D Composite Reflectivity at 0025ZItem 33 · .PDF · 54 KBMeteorological Factual Report - Attachment 5 - KLSX WSR-88D Composite Reflectivity at 0031ZItem 34 · .PDF · 53 KBMeteorological Factual Report - Attachment 6 - KLSX WSR-88D Base Refelectivity at 2355ZItem 35 · .PDF · 49 KBMeteorological Factual Report - Attachment 7 - KLSX WSR-88D Base Reflectivity at 0013ZItem 36 · .PDF · 43 KBMeteorological Factual Report - Attachment 8 - KLSX WSR-88D Base Reflectivity at 0019ZItem 37 · .PDF · 42 KBMeteorological Factual Report - Attachment 9 - KLSX WSR-88D Base Reflectivity at 0025ZItem 38 · .PDF · 42 KBMeteorological Factual Report - Attachment 10 - KLSX WSR-88D Base Reflectivity at 0031ZItem 39 · .PDF · 39 KBMeteorological Factual Report - Attachment 11 - KLSX Velocity Azimuth Display 0007Z-0107ZItem 40 · .PDF · 40 KBMeteorological Factual Report - Attachment 12 - NLDN Lightning PlotsItem 41 · .PDF · 132 KBMeteorological Factual Report - Attachment 13 - GOES-9 Infrared Satellite Image at 0045ZItem 42 · .PDF · 26 KBMeteorological Factual Report - Attachment 14 - AFSS Weather Briefing Transcript for 2311ZItem 43 · .PDF · 663 KBMeteorological Factual Report - Addendum 1Item 44 · .PDF · 186 KBStructures Group Chairman's Factual ReportItem 45 · .PDF · 421 KBStructures Group Chairman's Factual Report - Photo 1. Accident Site Terrain OverviewItem 46 · .PDF · 33 KBStructures Group Chairman's Factual Report - Photo 2. Accident Site Terrain OverviewItem 47 · .PDF · 58 KBStructures Group Chairman's Factual Report - Photo 3. Initial Tree Strikes Viewed From Impact CraterItem 48 · .PDF · 51 KBStructures Group Chairman's Factual Report - Photo 4. Initial Tree StrikesItem 49 · .PDF · 51 KBStructures Group Chairman's Factual Report - Photo 5. Left Hand EngineItem 50 · .PDF · 30 KBStructures Group Chairman's Factual Report - Photo 6. Portion of Left Hand Engine Lodged in Tree Left Hand EngineItem 51 · .PDF · 77 KBStructures Group Chairman's Factual Report - Photo 7. 2-D Reconstruction Looking AftItem 52 · .PDF · 40 KBStructures Group Chairman's Factual Report - Photo 8. 2-D Reconstruction View Looking FWDItem 53 · .PDF · 42 KBStructures Group Chairman's Factual Report - Photo 9. Left Hand Horizontal & ElevatorItem 54 · .PDF · 27 KBStructures Group Chairman's Factual Report - Photo 10. Right Hand Horizontal & ElevatorItem 55 · .PDF · 27 KBStructures Group Chairman's Factual Report - Wreckage DiagramItem 56 · .PDF · 793 KBStructures Group Chairman's Factual Report - Addendum - Tree ModelingItem 57 · .PDF · 318 KBPowerplant Group Chairman's Factual ReportItem 58 · .PDF · 511 KBPowerplant Group Chairman's Factual Report - Photo 1. Left Engine Stuck in a TreeItem 59 · .PDF · 52 KBPowerplant Group Chairman's Factual Report - Photo 2. Cylinder Found Along Wreckage PathItem 60 · .PDF · 59 KB
All 296 files on NTSB’s docket

FAA reports on this event · 1

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