FTW91FA027

NTSB accident investigation · Cessna 421B · Muskogee, OK · January 6, 1991

Accident · FatalField investigationFinal report
Date
January 5, 1991, 20:43 local (Jan 6, 1991, 02:43 UTC)
Place
Muskogee, OK
Injuries
6 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N421HCessna 421B
Weather
Instrument (IMC) · Night/dark
Status
Completed · report June 2, 1992
Report
Approved by Office Director
FAA report
19910106000179A
Case key
23240

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 failure to maintain control of the aircraft, due to spatial disorientation. Factors related to the accident were: darkness, adverse weather conditions, and the pilot's physical impairment from the chronic sinus infection.

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 control - in flightTakeoff - initial climb
Light condition - dark nightFactor
Weather condition - fogFactor
Weather condition - low ceilingFactor
Weather condition - rainFactor
Maintenance - inadequateCompany/operator management
Aircraft control - not maintainedPilot in commandCause
Spatial disorientationPilot in commandCause
Physical impairment(other organic problem)Pilot in commandFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

A plt (whose instrument currency could not be dtrmd) took off at ngt in IMC. Shortly after takeoff, the acft crashed abt 1.5 mi fm the dep end of the rwy. There was evidence that it impacted in an 85 deg rgt bank, nose dwn attitude at hi speed. No preimpact part failure was fnd drg the investigation; however, drg a pre-purchase inspn on 10/16/90, svrl discrepancies were noted. These included an inop flt drctr, an autoplt malfunction & a misrigged flt ctl sys that allowed the ctrl wheel to indc a left turn when the acft was in lvl flt. There was no record of these being repaired. Records showed the pitot-static sys was last tested on 3/24/88. The plt was taking sine-aid & tylenol for a chronic sinus infection. Although tox checks indcd the presence of 50.7 ug/ml of pseudoephedrine & 36.4 ug/ml of acetaminophen in the plt's urine, none was found in his blood. The sinus cond could have affected the plt's balance & equilibrium.

Aircraft

Registration
N421H
Reported as
Cessna 421B
Category
Airplane
Serial number
421B0516
Airframe hours
2,580
Engine
Continental GTSIO-520-H2, 375 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Registered owner
Shanks, Ronnie E
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 22, 1990 · 117 hours before
Departed
MKO
Destination
ABQ · Albuquerque, NM
Flight plan
IFR
Airport
MKO · Davis Field, runway 13, 7,200 × 150 ft, concrete

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
42
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,820 total · 684 in this make and model · 1,522 as pilot in command · 20 in the last 90 days · 6 in the last 30 days

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
10° at 10 knots
Lowest ceiling
300 ft overcast
Temperature
36 °F, dew point 36 °F
Altimeter
30.29 inHg
Observed at
TUL, 40 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.