ERA21LA134

NTSB accident investigation · Cessna 421 · St. Marys, PA · February 22, 2021

Accident · Minor injuriesClass 3 · LimitedFinal report
Date
February 22, 2021, 11:45 local (16:45 UTC)
Place
St. Marys, PA
Injuries
1 minor, 2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N84HACessna 421
Defining event
Landing-landing roll: Loss of control on ground
Weather
Instrument (IMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Eastern Region Aviation
Parties
Cossin
FAA report
20210222005269A
Case key
102658

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 decision to continue the approach to a snow-covered runway in low-visibility conditions with limited ability to visually differentiate the left runway edge from the snow berm that ran along that side of the runway.

Findings · 2

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Environmental issuesEnvironmental issues › Conditions/weather/phenomena · Effect on operationCessna 421C: 1 caseAll aircraft: 57 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

After the pilot performed a GPS approach in light snow and with 0.5-mile visibility, the airplane touched down on the left edge of the snow-covered runway and struck a snow berm. The airplane slid along the snow berm before it rotated about 210° and came to a stop. The airplane sustained substantial damage to the forward fuselage, the pressure bulkhead, and the floor area forward of the bulkhead. The runway, its markings, and the runway lighting were covered in snow that was 3 to 4 inches deep. The snow depth, combined with the limited visibility, likely resulted in the pilot’s difficulty in identifying the runway edge from the snow berm on the left side of the runway. The notices to air mission (NOTAM) published for the airport did not contain any field conditions noting the snow depth or the snow-covered runway lights. Furthermore, the airport manager, who was new to the position, was not able to issue a NOTAM about the runway conditions because he had not yet been authorized to do so.

Factual narrative

On February 22, 2021, about 1145 eastern standard time, a Cessna 421C, N84HA, was substantially damaged when it was involved in an accident at St. Marys Municipal Airport (OYM), St. Marys, Pennsylvania. The airline transport pilot sustained minor injuries, and the two passengers were not injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 corporate flight. The pilot recalled that, while the airplane was inbound to OYM, the automated weather observing system reported the cloud conditions as 600 ft broken and 1,000 ft overcast and the visibility as 1.5 miles in snow. Before being cleared for the GPS approach to runway 28, air traffic control provided notices to air mission (NOTAM) regarding an inoperative remote communications outlet and several lighted obstructions (towers) near the airport. The pilot also recalled these NOTAMs were the same as the ones that he had reviewed before departure. As the pilot began the approach, he was able to “pick up ground contact,” and, just before the airplane reached the minimum descent altitude, he saw the approach lights. As the airplane flew over the approach lights, the pilot could see the “outline of the runway.” After touchdown, the airplane struck a snow berm on the left side of the runway. Examination of the accident site revealed ground scars in the snow to the left of the runway edge, beginning about 1,000 ft from the approach end of runway 28. The marks were about 250 ft long and tracked along and through a snow berm on the left side of the runway. The airplane came to rest at the end of the snow marks and was oriented on a magnetic heading of about 130° (rotated about 210° from the runway 28 heading). At the time of the accident, the runway was covered in snow estimated to be about 3-4 inches deep. The runway edge lights, and runway end identifier lights were beneath the snow. Examination of the airplane revealed bending/displacement of the forward pressure bulkhead, buckling of the floor just forward of the pressure bulkhead, and a slight displacement of the left wing from the fuselage at the wing root. The pilot reported that the day before the accident, he contacted officials at the airport, advising of his planned arrival. It was the pilot’s understanding that airport personnel would plow the runway prior to his arrival. After the accident, the pilot learned that the airport snowplow had become stuck while plowing a side road adjacent to the airport prior to his arrival. A review of Federal Aviation Administration records revealed no NOTAMs regarding the snow on the runway, the obscuration of the runway lights, or any other field condition before the accident. According to the Federal Aviation Administration, the airport manager reported that he was relatively new in his position and that he had not been placed on the list of personnel who were authorized to issue NOTAMs. After the accident, the airport manager coordinated with the Federal Aviation Administrationto be placed on that list. The 1135 weather conditions reported at OYM included clouds broken at 700 ft and overcast at 1,100 ft and visibility 0.5 mile in light snow. The visibility was reported as 0.5 mile in snow or light snow during the three previous observations (recorded at 1035, 1055, and 1115).

Aircraft

Registration
N84HA
Reported as
Cessna 421 (C)
Category
Airplane
Serial number
421C-1407
Built
1984
Airframe hours
4,211
Engines
Cont Motor GTSI0-520-N, 375 horsepower, reciprocatingCont Motor GTSI0-520-N, 375 horsepower, reciprocating
Damage
Substantial damage
Flight
Executive/Corporate · Part 91
Operator
Wheels Up LLC
Registered owner
Wheels Up LLC
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 19, 2021 · 2 hours before
Departed
BDR · Bridgeport, CT
Destination
Same as departure
Flight plan
IFR
Airport
OYM · St Marys Muni, runway 28, 4,300 × 75 ft, asphalt
Equipment
Stall warning system, ADS-B, Auto-pilot, Electronic multifunction display, Onboard weather

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
75
Injuries
Minor
Certificates
Commercial, Flight engineer, Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
August 10, 2019
Seat
Left
Restraint
3-point
Flight hours
31,000 total · 196 in this make and model · 30,600 as pilot in command · 4 in the last 90 days · 1.7 in the last 30 days · 1.7 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
160° at 7 knots
Visibility
0.5 statute miles
Lowest ceiling
700 ft broken
Temperature
28 °F, dew point 28 °F
Altimeter
29.72 inHg
Observed at
OYM

Docket · 5

The files NTSB released with the investigation on December 19, 2024, on NTSB’s docket system: statements, records, photos and specialists’ reports. 6.2 MB in all.

FAA reports on this event · 1

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