FTW90GA137

NTSB accident investigation · Cessna 404 · San Angelo, TX · July 8, 1990

Accident · Minor injuriesFinal report
Date
July 8, 1990, 12:36 local (17:36 UTC)
Place
San Angelo, TX
Injuries
3 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N6239GCessna 404
Weather
Visual (VMC) · Day
Status
Completed · report June 10, 1991
Report
Approved by Office Director
Case key
23048

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

Improper use of powerplant controls by the pilot-in-command (PIC). Factors related to the accident were: the pic's inadequate crew coordination, and the excessive airspeed and rate of descent that resulted, when the PIC maneuvered the aircraft back on course and glide path.

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.

Abrupt maneuverApproach - faf/outer marker to threshold (ifr)
Weather condition - tailwind
Proper altitude - not attainedCopilot/second pilot
Airspeed - excessivePilot in commandFactor
Proper descent rate - exceededPilot in commandFactor
Loss of engine powerApproach - faf/outer marker to threshold (ifr)
Powerplant controls - improper use ofPilot in commandCause
Crew/group coordination - poorPilot in commandFactor
Forced landingDescent - emergency
Emergency procedure - not attainedPilot in command
In flight collision with terrain/waterLanding
On ground/water collision with objectLanding
Object - fence

Analysis

Fm 9500' MSL at 35 DME, coplt (SIC) bgn (hooded type) ILS rwy 3 apch with 14 to 22 kt tailwind. He planned not to EXCEED500'/MIN rate of dscnt to avoid supercooling engs. PIC rprtd acft was off course & abt 1500' hi as it apchd om. He took ctl & mnvrd acft on course & gp, then rtrnd ctl to SIC to cont ILS. Drg mnvr, 2500'/MIN dscnt occurred; spd incrd 31 kt. As apch contd, PIC extdd gear & flaps. As acft slowed & bgn settling, SIC advnd throttles, but engs didn't respond. PIC took ctl & both plts manipulated eng ctls, but pwr wasn't restored. Recallations differed; neither plt could recall eng inst indcns. Gear collapsed as acft ctcd gnd short of rwy & slid thru fence. Mix ctls were fnd abt 4 to 5 'clicks' aft of full fwd psn, throttles fnd at abt 3/4 fwd psn; abt 80 gal of fuel fnd in wing tanks. Inv revealed series of maint write-ups noting engs had run rich & rough, but no pre-acdnt part failure or malfunction was fnd. Engs opnly checked ok. Rear seat pax thought PIC pulled prop ctls 'down' & back fwd. Gnd witness rprtd sound as if 'prop reversers revved up.'

Aircraft

Registration
N6239G
Reported as
Cessna 404
Category
Airplane
Serial number
404-0229
Airframe hours
5,885
Engine
Continental GTSIO-520-M2, 375 horsepower, reciprocating
Damage
Substantial damage
Flight
Public aircraft · Part 91
Operator
U.S. Customs
Registered owner
U.S. Customs
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · July 3, 1990 · 13 hours before
Departed
SJT
Destination
SJT
Flight plan
Company VFR
Airport
SJI · Mathis Field, runway 3, 5,939 × 150 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
33
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
5,363 total · 169 in this make and model · 4,460 as pilot in command · 98 in the last 90 days · 27 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
180° at 16 knots, gusting 24
Visibility
20 statute miles
Lowest ceiling
4,600 ft broken
Temperature
86 °F, dew point 63 °F
Altimeter
30.00 inHg
Observed at
SJT, 1 nm away