CHI92FA104

NTSB accident investigation · Cessna 414 · Freeland, MI · March 5, 1992

Accident · FatalField investigationFinal report
Date
March 5, 1992, 15:04 local (20:04 UTC)
Place
Freeland, MI
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Standing
Aircraft
N69662Cessna 414
Weather
Instrument (IMC) · Day
Status
Completed · report September 29, 1993
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19920305005079A
Case key
15284

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 poor judgement in attempting flight after the airplane's fuselage was damaged during a loading operation. Factors which contributed to the accident were: the operator's failure to provide proper weight and balance data for the airplane, the pilot's failure to supervise the loading operation, and his failure to accept the services of a mechanic to inspect the damage.

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/malfunctionStanding
Fuselage - penetratedFactor
Aircraft weight and balance - unavailableCompany/operator managementFactor
Supervision - inadequatePilot in commandFactor
Remedial action - not performedPilot in commandFactor
Loss of control - in flightApproach - vfr pattern - base leg/base to final
Flt control syst,elevator control cable/rod - jammedCause
Operation with known deficiencies in equipment - attemptedPilot in commandCause
In flight collision with terrain/waterApproach - vfr pattern - base leg/base to final

Analysis

While loading a patient & his personal gear in the aircraft for an air ambulance flight, the aircraft tipped onto its tail. As a result, the tail bumper was forced upward into the belly of the empennage. The pilot refused the offer to have a mechanic look at the damage, and remarked 'this has happened before.' After takeoff, the pilot radioed to the tower that he had a jammed elevator, and was coming around to land. While manuevering on a base leg, control was lost & the airplane was observed to crash with one wing perpendicular to the ground. Another airplane was in the takeoff position on the runway. The airplane was configured with a hospital litter/stretcher and oxygen bottle on the right side of the cabin. There was no record for the approval for, or installation of, the stretcher. In addition, there was no weight & balance record for the airplane with the stretcher installation.

Aircraft

Registration
N69662
Reported as
Cessna 414
Category
Airplane
Serial number
414-0621
Airframe hours
4,106
Engine
Continental TSIO-520-NB2, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Operator
Airborne Flying Service, Inc.
Registered owner
Tiffany Air, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · February 28, 1992 · 15 hours before
Destination
MDW · Chicago, IL
Flight plan
IFR
Airport
MBS · Tri-City Intl Airport, runway 5, 8,002 × 150 ft, asphalt

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
28
Certificates
Airline transport, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Toxicology
Performed
Flight hours
2,057 total · 184 in this make and model · 1,961 as pilot in command · 169 in the last 90 days · 94 in the last 30 days · 10 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
40° at 11 knots
Visibility
1 statute miles
Lowest ceiling
9,500 ft broken
Temperature
39 °F, dew point 37 °F
Altimeter
30.00 inHg
Observed at
MBS, 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.