- Date
- September 23, 2004, 16:19 local (21:19 UTC)
- Place
- Bee Caves, TX
- Injuries
- 2 fatal, 1 serious
- Damage
- Destroyed
- Phase of flight
- Enroute
- Aircraft
- N729DMCessna 421C
- Weather
- Visual (VMC) · Day
- Status
- Completed · report July 7, 2005
- Report
- Approved by Office Director
- Parties
- McCauley, Cessna Aircraft Company, San Antonio Flight Standards District Office, Teledyne Continental Motors
- FAA report
- 20040923029829A
- Case key
- 60216
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 improper positioning of the fuel selector valves, which resulted in a loss of power to the left engine due to fuel exhaustion. After the power loss, the pilot failed to follow checklist procedures and did not secure (feather) the left propeller, which resulted in a loss of altitude and subsequent forced landing.
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.
Analysis
The 14,000-hour airline transport pilot was hired to fly the owner of the airplane and his mother on a cross country flight. Approximately 3 hours and 15 minutes into the flight, the pilot reported that he had a rough running engine and declared an emergency. A review of ATC voice communications revealed that the pilot had changed his mind several times during the emergency about diverting to a closer airport or continuing to the intended destination. Prior to his last communication, the pilot informed ATC that he, "was not gonna make it." The sole survivor of the accident reported that the flight was normal until they approached their destination. He said, "all of a sudden the engines did not sound right." The right engine sounded as if the power was going up and down and the left engine was sputtering. The airplane started to descended and the pilot made a forced landing in wooded area. The cockpit, fuselage, empennage, and the right wing were consumed by post-impact fire. A review of fueling records revealed that the pilot had filled the main tanks prior to the flight for a total of 213.4 gallons; of which 206 gallons were usable (103 gallons per side). During the impact sequence, the left wing separated at the wing root and did not sustain any fire damage. No fuel was found in the tank, and there was no discoloration of the vegetation along the left side of the wreckage path or around the area where the wing came to rest. The left fuel selector was found set to the LEFT MAIN tank, and the right fuel selector valve was set between the LEFT and RIGHT MAIN tanks. This configuration would have allowed fuel to be supplied from each tank to the right engine. A review of the airplane's Information Manual, Emergency Procedures-Engine Failure During Flight (speed above air minimum control speed) instructed the pilot to re-start the engine, which included placing both fuel selector handles to the MAIN tanks (Feel for Detent). If the engine did not start, the pilot was to secure the engine, which included closing the throttle and feathering the propeller. The propellers were not feathered. Examination of the airplane and engine revealed no mechanical deficiencies.
Factual narrative
History of flight
On September 23, 2004, approximately 1619 central daylight time, a Cessna 421C twin-engine airplane, N729DM, was destroyed when it impacted terrain following a loss of engine power to the left engine during descent near Bee Caves, Texas. The airline transport rated pilot and a passenger were fatally injured, and the other passenger was seriously injured. The airplane was registered to and operated by N729DM LLC of Ingram, Texas. An instrument flight rules (IFR) flight plan was filed for the cross-country flight that originated at the Angel Fire Airport (AXX) near Angel Fire, New Mexico, at 1304, and was destined for the Austin-Bergstrom International Airport (AUS) near Austin, Texas. Visual meteorological conditions prevailed for the personal flight conducted under 14 Code of Federal Regulations Part 91.
On September 23, 2004, the pilot, the owner of the airplane, and his assistant departed Texas, about 0930, and flew to Angel Fire, New Mexico. The purpose of the flight was to pick up the owner's mother, who spent her summers in Angel Fire, and then bring her back to her home in Austin, Texas. The owner's assistant was going to drive the owner's mother's car and personal belongings back to Austin. When they arrived in Angel Fire, the owner's mother met them at the airport and she had a picnic lunch prepared for them. The group had lunch, after which, the pilot excused himself and tended to the airplane. The pilot was reported to have purchased 94 gallons of 100 LL aviation fuel, which filled the main tanks of the airplane.
The pilot, the airplane owner, and his mother departed Angel Fire around 1200. The pilot was occupying the front left (pilot's) seat, the owner sat in the left rear seat, and his mother sat in the right rear seat. According to the owner, the flight was uneventful and they cruised at an altitude of 18,000-20,000 feet mean sea level (msl).
Prior to their arrival into Austin, the owner stated that all of a sudden, the engines did not sound right. He could not recall if it was just one engine, and believed it to be both engines. The right engine sounded as if the power was going up and down and the airplane was yawing. He added that the pilot had quickly applied full left aileron, and the control yoke was positioned with the right side of the yoke facing up towards the roof of the airplane. At one point, the owner thought the plane was going to stall. He said the pilot appeared busy in the cockpit, but not "harried". The owner could also hear the pilot talking to ATC. The owner added that the pilot never spoke directly to the passengers during the emergengy; however, the owner did hear the pilot say out loud, "Oh God, I don't think we're going to make it!" During this time, the airplane was descending and the owner noted that they were getting closer to the ground. He told his mother to tighten her seat belt and they held hands. Also during this time, the owner heard the left engine sputtering but could not recall if it ever quit. He did recall that the right engine "came back on line" (though he was not sure if it ever completely stopped producing power), and the airplane yawed. After the engine came back up to power, he recalled hearing the pilot tell ATC that they could make Austin. The owner stated that he remembered seeing the pilot move his right hand down toward the floor where the fuel selector handles were located, but could not recall seeing him turn the handles. He thought he might have been reaching for a chart. The owner also recalled (but wasn't completely sure) that the mixture controls were full rich; the propeller controls were at low rpm and the throttles were in the mid rpm position. He did not recall what any of the engine instruments indicated.
The owner further stated that he did not recalled the impact, but remembered the left side of the airplane hitting tree limbs. When the airplane touched down, the impact broke his seat from the mounts and he was thrown to the right side of the airplane. He did not recall if he was unconscious, but woke up with the left side of his face pressed against a window and it was burning his face. The owner looked at his mother and she was lifeless, and there was no movement or sound from the pilot. Smoke started filling the cabin and he could see heat waves building. With the left side of his body broken, the owner lunged toward the aft cabin door and it opened. He fell down the stairs and dragged himself about 15-20 feet away from the burning airplane. When he exited the left side of the airplane, there was no fire on that side. The fire was burning the right side of the airplane.
The owner said there had been no previous mechanical problems with the airplane or engines.
A review of air traffic control (ATC) communications revealed that the pilot made initial contact with Austin Approach Control at 1608:09 and reported that he was descending from an altitude of 10,000 feet to 6,000 feet and he had the current airport information "Charles."
Between 1608:20 and 1612:29, the pilot communicated with ATC regarding instructions for an approach to runway 35R at AUS. During this time, the pilot complied with all ATC instructions, had descended to 4,000 feet, and was on a heading of 155 degrees.
At 1616:08, the pilot reported to ATC, "And delta mike, I'm having a rough running engine, I'd like to declare an emergency." ATC replied, "Okay nine delta mike, uh, roger, you also have Lakeway Airport just off to your right there if you want to." At 1616:15, the pilot responded, "No sir, I want to go in to Austin, just help me out."
At 1616:24, ATC instructed the pilot to turn 10 degrees to the left, maintain 3,000 feet, and report the airport in sight. ATC then asked the pilot for the number of souls on board and the amount of fuel remaining. At 1616:40, the pilot replied, "Okay, I've got three people on board and I've got plenty of fuel. I've got two hours of fuel left." ATC then instructed the pilot to report when the airport was in sight and informed him that he would be number one for a visual approach to runway 35L. The pilot acknowledged.
Four seconds later, the pilot reported to ATC, "may have to go to Lakeway," and ATC responded by informing him that it was four miles west of his position.
Approximately 30 seconds later, at 1617:44, ATC informed the pilot that Lakeway Airport had one runway that was aligned with 16/34 and was 4,000 feet long.
At 1617:50, the pilot contacted ATC and stated, "Sir, I'm gonna keep trying to come to Austin, my, ruh, engines cutting in and out." ATC acknowledged.
At 1617:58, the pilot stated, "no sir, I guess I have to go to Lakeway, give me a vector." ATC responded, "okay, turn right heading, uh, two eight zero," and the pilot acknowledged.
At 1618:20, ATC informed the pilot that the surface winds at Austin were from 040 degrees at 6 knots. At 1618:33, the pilot reported to ATC, "not gonna make it." ATC responded at 1618:36, "nine delta mike, the airport one o'clock and four miles." The pilot did not respond, and there were no further communications with him.
A review of radar data revealed the last radar return was received at 1618. At that time, the airplane was at an altitude of 1,100 feet mean sea level (msl), and on a northwesterly heading.
A witness, who was in his front yard, reported hearing a sputtering noise. He looked around and saw the airplane coming from the west. He reported that it appeared to be shaking and oscillating vertically. The airplane then disappeared over the trees and the witness did not see or hear anything else.
A second witness, who was practicing football at a near-by middle school, stated that he observed the white, twin-engine airplane pass from his left to right in a fast, descending, right-hand turn. He noticed that one of the engines (he could not recall which) was sputtering, a
Aircraft
- Registration
- N729DM
- Reported as
- Cessna 421C
- Category
- Airplane
- Serial number
- 421C1101
- Airframe hours
- 5,328.8
- Engines
- Continental GTSIO-520, 375 horsepower, reciprocatingContinental GTSIO-520, 375 horsepower, reciprocating
- Damage
- Destroyed
- Fire
- On-Ground
- Flight
- Personal · Part 91
- Registered owner
- N729dm LLC
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · September 7, 2004 · 12 hours before
- Departed
- AXX · Angel Fire, NM
- Destination
- AUS · Austin, TX
- Flight plan
- IFR
- Airport
- 3R9 · Lakeway
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
- 62
- Injuries
- Fatal
- Certificate
- Airline transport
- Airplane ratings
- Multi-engine land, Single-engine sea, Single-engine land
- Instrument ratings
- Helicopter, Airplane
- Medical
- Class 1, Valid Medical--no waivers/lim.
- Seat
- Left
- Toxicology
- Performed
- Flight hours
- 14,000 total · 9 in this make and model
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 10° at 7 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 91 °F, dew point 66 °F
- Altimeter
- 29.96 inHg
- Observed at
- AUS, 13 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.