DCA92MA040

NTSB accident investigation · Cessna 402C · Meadview, AZ · June 19, 1992

Accident · FatalMajor investigationFinal report
Date
June 19, 1992, 14:05 local (21:05 UTC)
Place
Meadview, AZ
Injuries
10 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N2715XCessna 402C
Weather
Visual (VMC) · Day
Status
Completed · report November 3, 1993
Report
Approved by Office Director
NTSB office
Major Investigations Division
Safety recommendations
Yes
FAA report
19920619021309A
Case key
15956

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

Failure of the pilot to follow the emergency procedure (engine failure after takeoff) and his failure to maintain minimum control speed (VMC), which resulted in a loss of aircraft control. Factors related to the accident were failure (disengagement) of the right engine fuel pump drive coupling, high density altitude, and the lack of company training concerning aircraft performance in conditions of high density altitude and heavy gross weight.

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.

Loss of engine powerTakeoff - initial climb
Fuel system,pump - failure,totalFactor
Loss of control - in flightTakeoff - initial climb
Weather condition - high density altitudeFactor
Emergency procedure - not followedPilot in commandCause
Inadequate training(emergency procedure(s))Company/operator managementFactor
Propeller feathering - not attainedPilot in commandCause
Airspeed(vmc) - not maintainedPilot in commandCause
Aircraft control - not maintainedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

Plt began takeoff on a 5200-FT dirt rwy (upslope to the south, elev 4775 ft) with wind from the south at 18-20 KTS, density alt about 7250 ft. witnesses observed the acft taking off, with the landing gear retracting as it passed their psn. Soon thereafter, the plt transmitted he had 'a problem.' Acft was then seen about 200-300 ft AGL in right turn, which progressed into a dive. Acft impacted in flat attitude 1/2 mi south of rwy 17. Psgr video tapes revealed props went out of sync about 6 sec ater takeoff. About 15 sec later, right prop slowed until blades could be seen turning. Video showed one eng fuel flow at about 90 gph, otr eng at min setting (abt 3 PSI), 5 deg increase in pitch attitude. Exam revealed rgt eng driven fuel pump drive coupling was scored and only partially engaged. Sb ME88 3 complied with; aux fuel pump sws found in low psn. Rgt prop blades fnd at fine pitch, lacking rotational dmg. Lndg gear fnd up, but unlocked; flaps extdd 15 deg. Emerg proc trng did not replicate hi density alt and max gross weight performance.

Aircraft

Registration
N2715X
Reported as
Cessna 402C
Category
Airplane
Serial number
402C0215
Airframe hours
9,266
Engine
Continental TSIO-520-VB, 325 horsepower, reciprocating
Damage
Destroyed
Flight
Part 135
Operator
Adventure Airlines
Registered owner
Adventure Airlines
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · May 29, 1992 · 50 hours before
Departed
AZ38
Destination
LAS · Las Vegas, NV
Flight plan
Company VFR
Airport
AZ38 · Grand Canyon West, runway 17, 5,200 × 100 ft, dirt

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
61
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
7,891 total · 2,030 in this make and model · 7,684 as pilot in command · 171 in the last 90 days · 31 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
170° at 18 knots
Visibility
35 statute miles
Lowest ceiling
None
Temperature
97 °F, dew point 28 °F
Altimeter
29.00 inHg

FAA reports on this event · 1

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