FTW95FA008

NTSB accident investigation · Cessna T337G · Milford, UT · October 3, 1994

Accident · FatalField investigationFinal report
Date
October 3, 1994, 13:33 local (19:33 UTC)
Place
Milford, UT
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N531JCessna T337G
Weather
Instrument (IMC) · Day
Status
Completed · report August 31, 1995
Report
Approved by Office Director
FAA report
19941003032699A
Case key
19191

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 continued flight into adverse weather conditions, which resulted in airframe (structural) ice, a loss of control, and subsequent in-flight breakup of the airplane. A factor related to the accident was: the icing/weather condition.

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.

In flight encounter with weatherCruise
Weather condition - icing conditionsFactor
Flight into adverse weather - continuedPilot in commandCause
Airframe - iceCause
Loss of control - in flightCruise
Airframe/component/system failure/malfunctionDescent - uncontrolled
Design stress limits of aircraft - exceeded
Wing - overload
Wing - separation
In flight collision with terrain/waterDescent - uncontrolled

Analysis

At 1325 MDT, the pilot reported an encounter with icing conditions while in cruise flight at FL190. ATC cleared him to deviate from course and assigned a block altitude of FL190 to FL210 so that he could change altitude. When queried, the pilot stated that about 1/4 inch of rime ice had accumulated. At 1332 MDT, the pilot transmitted an unintelligible remark about his gyro instruments and said he was turning 'south toward st george.' Shortly thereafter, he transmitted that he had lost control and the airplane was going down. The airplane broke up in flight, and wreckage was found scattered over about a 1.2 mile area. Pieces of the left aileron and the outer portion of both wings were found at the farthest point from the resting place of the main wreckage. An examination revealed that the outer portion of both wings had separated in a positive and aft direction. Examination of the airframe and engines did not disclose any mechanical problems.

Factual narrative

History of flight

On October 3, 1994, at 1340 mountain daylight time, a Cessna T337G, N531J, was destroyed following a loss of control near Milford, Utah. The instrument rated commercial pilot and his two passengers, one of which was a rated pilot, were fatally injured. Instrument meteorological conditions prevailed at the site. A weather briefing was received and an instrument flight plan was air-filed for the personal flight.

According to friends of the pilot, the airplane departed the Lincoln Municipal Airport (051) at 1228 on a flight to the Green River Municipal Airport (U34), Green River, Utah. According to air traffic control (ATC), the airplane was in cruise flight at FL190, when the pilot advised ATC that he was picking up ice. Salt Lake City Center issued the pilot a clearance to maintain a block altitude of FL190 to FL210. Approximately 30 seconds later the pilot transmitted "lost control, going down."

A rancher on horseback near the accident site reported hearing the sound of the airplane as it descended above him in the clouds, and later observed the airplane coming out of the overcast and impacting close to his location in a nearly inverted attitude.

Aircraft information

The 1973 pressurized airplane was purchased in September 1993 by a private partnership which included the pilot and two other owners. Prior to departure from the Lincoln Airport, the airplane was topped off with 89.1 gallons of 100LL aviation gasoline. The aircraft was last weighed on September 24, 1993. An estimate of the weight of the airplane at the time of accident places the airplane within its limits.

A review of the airframe and engine records did not reveal any anomalies or uncorrected maintenance defects prior to the flight. Examination of the airframe and engines at the accident site did not disclose any mechanical problems.

Meteorological information

The weather at the accident site was reported by an eyewitness to be "stormy, with a low overcast, windy, and very cold." The nearest available recorded weather was from Cedar City, Utah, which is located approximately 35 miles south of the accident site.

The area of the flight was influenced by a cold front centered over southern Idaho. The weather outlook for central and eastern Nevada called for scattered clouds between 10,000 and 12,000 feet with a broken layer at Flight Level (FL) 180, with isolated rain showers and thunderstorms in southern Nevada, with tops to FL350.

The weather outlook for southern Utah until 1600 mountain daylight time called for broken to overcast ceilings at 10,000 feet with isolated rain showers and thunderstorms, with tops to FL350.

AIRMET Tango (with update 3), valid until 1400 mountain daylight time for Utah and Nevada, forecasted moderate turbulence between FL180 and FL360 due to weather associated with the upper low and the jetstream. AIRMET Zulu (with update 2), also valid until 1400 mountain daylight time, forecasted moderate mixed icing Utah between 9,000 feet and FL180 over Utah. During the weather briefing, the pilot was briefed on the possibilities of moderate icing at those altitudes, and also told to expect increasing rain showers and thunderstorm activity as the day continued.

No pilot reports (PIREPS) were available to be issued to the pilot at the time of the briefing. According to the winds aloft forecast for the route of flight, the temperatures at FL180 were forecasted to be in the freezing range (minus 14 degrees centigrade).

A copy of the recorded weather reports and forecasts for the area is enclosed in this report.

Communications

A copy of the transcripts of the weather briefing received by the pilot, as well as the transcripts of all the ATC radio communications is enclosed in this report.

Wreckage and impact information

The wreckage was located on a high desert pasture scattered for over a mile from the initial point of impact. Ground scars were found at the initial point of impact on a measured heading of 172 degrees. The main wreckage came to rest on a measured heading of 260 degrees. The landing gears were found in the extended position with the flaps extended approximately 20 degrees. All aircraft components were located at the site. Flight control continuity was established.

The left aileron, fractured in 4 pieces, and the outer portion of both wings, were found at the farthest point from the resting place of the main wreckage, at a distance of approximately 1.2 miles. Physical evidence demonstrated that the outer portion of both wings had separated in a positive and aft direction. A sunvisor; several pieces of windshield plexiglass; the oil cap access door; a partially buried (upside down) magnetic compass, a propeller governor control arm; and several small engine parts were found located at the initial point of impact for the main wreckage.

Both engines were found separated from their respective mounts. Both propellers were found separated from their respective engines at the propellers flange. The right tail boom exhibited paint transfers and evidence of propeller slashes from the aft engine.

Medical and pathological information

An autopsy and toxicological tests were ordered and performed. The autopsy was performed by the Office of the Medical Examiner of the State of Utah on October 5, 1994. Toxicological tests were negative.

Test and research

Both vacuum pumps were examined at the site. One vacuum pump was destroyed by impact damage, and the second one was found undamaged. Internal examination of the undamaged vacuum pump revealed that the rotor was intact and no anomalies were found. No evidence or signatures of pre-impact electrical failure was found.

Additional data

The wreckage was released to the owners representative following the conclusion of the investigation.

Aircraft

Registration
N531J
Reported as
Cessna T337G
Category
Airplane
Serial number
P3370138
Airframe hours
1,393
Engine
Continental TSIO-360-C, 225 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Operator
Walker, Lauren E., doing business as Bcac 2, Inc.
Registered owner
Bcac2, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 27, 1994 · 74 hours before
Departed
051 · Lincoln, CA
Destination
U34 · Green River, UT
Flight plan
VFR

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
53
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,500 total · 159 in this make and model · 48 in the last 90 days · 17 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Visibility
0.25 statute miles
Lowest ceiling
300 ft

FAA reports on this event · 1

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