DEN88FA063

NTSB accident investigation · Cessna 421A · Helena, MT · February 4, 1988

Accident · FatalField investigationFinal report
Date
February 3, 1988, 20:00 local (Feb 4, 1988, 03:00 UTC)
Place
Helena, MT
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N517SCessna 421A
Weather
Instrument (IMC) · Night/dark
Status
Completed · report January 16, 1990
Report
Approved by Office Director
FAA report
19880203002029A
Case key
17351

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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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.

In flight collision with terrain/waterApproach - iaf to faf/outer marker (ifr)
Terrain condition - mountainous/hilly
Light condition - dark nightFactor
Ifr procedure - improperPilot in commandCause
Navigation receiver - improper use ofPilot in commandCause

Analysis

This accident occurred during a night, ILS app to rwy 27 in IMC. The acft collided with a mountain 12 NM ese of the arpt while turning inbound to intercept the LOC course. Investigation revealed that one VOR receiver was set on the destinaton ILS freq, the second VOR was set on an en route VOR 51 NM west of the destination arpt, and the DME radio, a separate transceiver, was set on the destination DME transmitter. The freqs of the en route VOR and the destination VOR were 117.1 and 117.7, respectively. The outbound course for the ILS app procedure was 088 deg and the acdt site was located on the 088 radial of the en route VOR. Investigation also revealed that the PIC was occupying the rt front seat and an experienced plt who was not current in this aircraft was occupying the left seat. The second VOR receiver control head was located in the lower right portion of the inst panel, in a location where the selected freq was difficult to read.

Aircraft

Registration
N517S
Reported as
Cessna 421A
Category
Airplane
Serial number
421A002
Airframe hours
4,758
Engine
Continental GTSIO-520-D, 375 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Operator
Minuteman Aviation
Registered owner
Kenneth Mamuzich
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · December 8, 1987 · 22 hours before
Departed
MSO · Missoula, MT
Destination
HLN · Helena, MT
Flight plan
IFR
Airport
HLN · Helena Regional, runway 27, 9,000 × 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
54
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea, Multi-engine sea
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Seat
Right
Toxicology
Performed
Flight hours
4,900 total · 119 in this make and model · 4,503 as pilot in command · 35 in the last 90 days · 35 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Temperature
27 °F, dew point 19 °F
Altimeter
30.00 inHg
Observed at
HLN, 12 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.