CHI05CA051

NTSB accident investigation · Cessna 414A · Harbor Springs, MI · January 9, 2005

Accident · No injuriesData collectionFinal report
Date
January 9, 2005, 18:00 local (23:00 UTC)
Place
Harbor Springs, MI
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N194JACessna 414A
Weather
Visual (VMC) · Night
Status
Completed · report March 30, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration; Grand Rapids FSDO
FAA report
20050109002479A
Case key
60904

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 pilot's inadequate preflight planning/preparation by his failure to remove the accumulated airframe ice which resulted in deteriorated aircraft takeoff performance. Airframe ice, the snow bank and the fence were contributing factors.

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.

OverrunTakeoff - aborted
Preflight planning/preparation - inadequatePilot in commandCause
Ice/frost removal from aircraft - not performedPilot in commandCause
Aborted takeoff - performedPilot in command
Aircraft performance,takeoff capability - deteriorated
On ground/water encounter with terrain/waterTakeoff - aborted
Terrain condition - snowbankFactor
Object - fenceFactor

Analysis

The airplane impacted a snow bank and fence during an aborted takeoff. The pilot landed about 15 minutes prior to the accident to pick-up his passengers. He stated that the airframe "encountered light ice" during his descent and he "activated the deice boots" during the instrument approach. The pilot reported that he performed a preflight inspection of the airplane prior to departing MGN. He stated that there was "no significant ice on the aircraft" during the preflight inspection. The pilot stated that when the airplane reached rotation speed during takeoff it "felt mushy" and he "immediately decided to abort the takeoff." The pilot stated that the aircraft slid on some snow at the departure end of the runway and impacted a snow bank and fence. Photos were taken by responding local law enforcement and FAA inspectors that show leading edge ice on the wings, horizontal stabilizer, and vertical stabilizer. An FAA inspector reported that the leading edge ice was about 1/4-inch thick. During preflight pilots should "remove all frost, snow, and ice from aircraft surfaces because even very small amounts may adversely affect the aerodynamic properties of a wing," according to a FAA publication. During preflight pilots should check the deice boots for "tears, abrasions, and cleanliness," according to the Cessna 414A Pilot Operating Handbook.

Factual narrative

On January 9, 2005, at 1800 eastern standard time, a Cessna 414A, N194JA, piloted by a commercial pilot, was substantially damaged during an aborted takeoff at Harbor Springs Airport (MGN), Harbor Springs, Michigan. The airplane impacted a snow bank and airport fence situated off the departure end of runway 28 (4,257 feet by 75 feet, asphalt). Visual meteorological conditions prevailed at the time of the accident. The business flight was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 91 with an instrument flight plan on file with the Federal Aviation Administration (FAA). The pilot and his four passengers were not injured. The flight was originating at the time of the accident and had the intended destination of Marion Municipal Airport (MNN), Marion, Ohio.

The pilot reported that he had landed at MGN around 1745 to pickup his passengers. He stated that the airframe "encountered light ice" during his descent into MGN and he "activated the deice boots" during the instrument approach.

The pilot reported that he performed a preflight inspection of the airplane prior to departing MGN. He stated that there was "no significant ice on the aircraft" during the preflight inspection. The pilot reported that at departure the airplane was about 300 pounds under maximum gross weight.

The pilot stated that when the airplane reached rotation speed during takeoff it "felt mushy" and he "immediately decided to abort the takeoff." He reported that he aborted the takeoff "slightly beyond" the halfway point of runway 28. The pilot stated that the aircraft slid on some snow at the departure end of the runway and impacted a snow bank and fence.

In a subsequent statement the pilot reported that there "was no ice on any leading edges or on top of [an] airfoil" during the aircraft preflight.

Emmet County Sheriff Department responded to the accident site. Photographs were taken by the responding officers that show ice accumulation on the leading edges of the wings and vertical stabilizer.

Federal Aviation Administration (FAA) inspectors examined the airplane on January 10, 2005. FAA photos show ice accumulation on the leading edges of the wings and the horizontal stabilizer. An FAA inspector reported that there was about 1/4-inch of leading edge ice on the horizontal stabilizer during their examination.

"The wing, when contaminated with ice, will ordinarily stall at a lower AOA [angle-of-attack], and thus at a higher airspeed," according to FAA publication "Pilot Guide - Flight in Icing Conditions." The publication states that "even small amounts of ice, particularly if rough" could affect the stalling AOA. The publication also states that during preflight pilots should "remove all frost, snow, and ice from aircraft surfaces because even very small amounts may adversely affect the aerodynamic properties of a wing."

During preflight pilots should check the deice boots for "tears, abrasions, and cleanliness," according to the Cessna 414A Pilot Operating Handbook.

Aircraft

Registration
N194JA
Reported as
Cessna 414A
Category
Airplane
Serial number
414A0837
Airframe hours
5,447.7
Engines
Teledyne Continental TSIO-520-NB, 325 horsepower, reciprocatingTeledyne Continental TSIO-520-NB, 325 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Registered owner
J A Investments
Airworthiness certificate
Standard, Normal
Last inspection
Annual · March 1, 2004 · 50 hours before
Departed
MGN · Harbor Springs, MI
Destination
MNN · Marion, OH
Flight plan
IFR
Airport
MGN · Harbor Springs Airport, runway 28, 4,157 × 75 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
29
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Last flight review
August 1, 2004
Seat
Left
Flight hours
2,019 total · 628 in this make and model · 1,800 as pilot in command · 224 in the last 90 days · 71 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night
Wind
180° at 6 knots
Visibility
4 statute miles
Lowest ceiling
1,900 ft overcast
Temperature
30 °F, dew point 27 °F
Altimeter
29.92 inHg
Observed at
MGN, 1 nm away

FAA reports on this event · 1

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