FTW92FA029

NTSB accident investigation · Cessna 402B · Roanoke, TX · November 29, 1991

Accident · Serious injuriesField investigationFinal report
Date
November 29, 1991, 17:20 local (23:20 UTC)
Place
Roanoke, TX
Injuries
2 serious
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N69CRCessna 402B
Weather
Visual (VMC) · Day
Status
Completed · report May 26, 1993
Report
Approved by Office Director
FAA report
19911129053769A
Case key
18344

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 operation of the airplane with known deficiencies, a missing air cooling baffle, and inadequate maintenance. Factors were the frozen propeller, inability of the pilot to feather the propeller, inoperative landing gear, the inability of the pilot to retract the landing gear, and the lack of seat belts.

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 engine power(total) - mech failure/malfCruise - normal
Preflight planning/preparation - not performedPilot in command
Operation with known deficiencies in equipment - performedPilot in commandCause
Cooling system,baffle - missingCause
Maintenance - inadequateFlight engineerCause
Propeller system/accessories - frozenFactor
Propeller feathering - not possiblePilot in commandFactor
Landing gear,main gear - inoperativeFactor
Gear retraction - not possiblePilot in commandFactor
Forced landingDescent - emergency
Misc eqpt/furnishings,seat belt - not installed
Seat belt - not possiblePilot in commandFactor
Seat belt - not possiblePassengerFactor
In flight collision with terrain/waterDescent - emergency

Analysis

During daylight flight, the airplane lost its right engine due to failed piston assembly because of engine overheating. The overheating was due to the engine air cooling baffle not being installed and the improper oil filter being installed. The airplane would not sustain flight due to the inoperative main landing gear which was locked in the down position and the propeller that could not feather due to corrosion. The pilot and his passenger were seriously injured in the landing due to the lack of seat belts. The airplane was operated with 137 known deficiencies.

Aircraft

Registration
N69CR
Reported as
Cessna 402B
Category
Airplane
Serial number
402B0521
Airframe hours
3,077
Engine
Continental TSIO-520-E, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Other work use · Part 91
Operator
Jerry Miller
Registered owner
Jerry Miller
Airworthiness certificate
Standard, Normal
Departed
ADS · Addison, TX

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
34
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
4,500 total

Weather

Conditions
Visual (VMC) · Day
Wind
240° at 12 knots
Visibility
20 statute miles
Lowest ceiling
5,500 ft broken
Temperature
73 °F, dew point 57 °F
Altimeter
29.00 inHg

FAA reports on this event · 1

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