# NTSB FTW97FA130: Cessna 421, N4050L, League City, TX, March 20, 1997 - Type: NTSB accident investigation - Classification: Accident · Fatal · Field investigation · Final report - Date: March 19, 1997, 23:33 local (Mar 20, 1997, 05:33 UTC) - Place: League City, TX - Coordinates: 29.480663, -95.100418 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=29.4807&lon=-95.1004&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: Fatal - Injuries: 1 fatal - Status: Completed, report April 10, 1998 - Report: Approved by Office Director - NTSB case key (mKey): 20026 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=FTW97FA130 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/20026/pdf - Page: https://openairdocs.org/ntsb/FTW97FA130 ## Probable cause The pilot's failure to refuel the airplane which resulted in the loss of power to the right engine due to fuel exhaustion, and the pilot's failure to maintain airspeed during the single engine landing approach which resulted in a stall/spin. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Loss of engine power(total) - nonmechanical, descent - normal - 1 engine - fluid,fuel - exhaustion (cause) - refueling - not performed, pilot in command (cause) - Loss of control - in flight, approach - procedures/directives - not followed, pilot in command - airspeed - not maintained, pilot in command (cause) - stall/spin - inadvertent, pilot in command - In flight collision with terrain/water, descent - uncontrolled - terrain condition - water ## Analysis The twin engine airplane had been cleared for a night instrument approach to Galveston, Texas, after flying non-stop from San Diego, California, when the pilot reported that he had lost the right engine and did not have much fuel left. The controller vectored the airplane toward the closest airport, and the airplane was approximately 1 mile northeast of that airport when radar contact was lost. A witness observed the airplane enter a spin, descend in a nose down attitude, and impact near the center of a lake. When the pilot filed his flight plan for the cross country flight, he indicated the airplane carried enough fuel to fly for 7 hours and 30 minutes. At the time radar contact was lost, 7 hours and 32 minutes had elapsed since the airplane departed San Diego. Examination of the airplane revealed no evidence of any pre-impact mechanical discrepancies. The landing gear was down, the flaps were extended to about 15 degrees, and neither propeller was feathered. The single engine approach procedure in the airplane owner's manual indicated that the landing gear should be extended when within gliding distance of the field and the flaps placed down only after landing is assured. ## Factual narrative HISTORY OF FLIGHT On March 19, 1997, at 2333 central standard time, a Cessna 421 twin engine airplane, N4050L, registered to and operated by MTK Jet of Wilmington, Delaware, impacted water and sank following a loss of control during a single engine approach to Houston Gulf Airport near League City, Texas. The airplane sustained substantial damage, and the instrument rated private pilot, the sole occupant, received fatal injuries. The Title 14 CFR Part 91 personal flight departed Montgomery Field in San Diego, California, en route to Galveston, Texas, 7 hours and 32 minutes before the accident. An IFR flight plan was filed, and dark night visual meteorological conditions prevailed at the time of the accident. On March 18, 1997, at 1909 Pacific standard time, the pilot telephoned the San Diego Automated Flight Service Station (AFSS) and filed an IFR flight plan for a trip from Montgomery Field to Scholes Field in Galveston with a proposed departure time of 1000 on March 19. He stated that the estimated time en route for the non-stop flight from San Diego to Galveston was 5 hours and 21 minutes and that the airplane carried enough fuel to fly for 7 hours and 30 minutes. After filing the flight plan, the pilot asked for the weather conditions forecast for the next afternoon and was provided with the Galveston Terminal Forecast for that time period. He then requested to file a second flight plan for a continuation of his trip on March 20 from Galveston to Florida, but was advised that since it was more than 24 hours before his proposed departure time from Galveston, he could not file for the second leg at that time. On March 19, 1997, at 1138, the pilot again telephoned the San Diego AFSS and amended his flight plan to Galveston by changing his proposed departure time to 1230. However, the airplane did not depart San Diego until 1401. According to air traffic control personnel, all services provided to the airplane "were normal and there were no pertinent transmissions" until the airplane was in contact with Houston approach control and had received clearance for an instrument approach to runway 13 at Scholes Field in Galveston. At 2331 central standard time, the pilot advised Houston approach that "he had lost the right engine and did not have much fuel left." The controller confirmed that the pilot was declaring an emergency and then provided radar vectors to the nearest airport, which was Houston Gulf, instructing the pilot to turn left to a heading of 360 degrees and to descend and maintain 1,600 feet. The controller asked the pilot if the airplane could maintain altitude, and the pilot replied in the affirmative. At 2332, the controller advised the pilot that Houston Gulf Airport was at 12 o'clock and less than 1 mile, and the pilot acknowledged. The controller received no response to a subsequent position advisory and requested a radio check. The pilot's acknowledgment of this transmission was the last recorded radio communication from the airplane. According to radar track data, during the period of time from 2331:08 to 2332:31, the airplane descended from 2,600 to 900 feet msl (rate of descent 1,230 feet/minute), and its ground speed decreased from 115 to 108 knots (132 to 124 mph). The last radar return, recorded at 2333:13, indicated that the airplane was approximately 1 nautical mile northeast of Houston Gulf Airport. The elapsed time from takeoff in San Diego to the loss of radar contact by Houston approach was 7 hours and 32 minutes. A witness who was driving his truck southbound on FM 1266 reported that "about the time [he] passed Tucker Road, [he] heard an airplane engine" and saw the airplane "headed parallel to the road but traveling in a northern direction." He further reported that "the engine noise did not seem normal, it appeared to be spurting or missing." When the airplane was "about 200 yards directly right of [him, it] suddenly sputtered, then took what appeared to be a quick clockwise circle almost in place." The airplane "came out of the single quick circle with its nose headed straight to the ground." He watched the airplane descend in a nose down attitude until "30 to 50 foot high" trees blocked his view. Subsequently, the witness exited his truck, located a place where he could see through the trees, and spotted the airplane in the center of a lake formed from an old sand pit. The airplane's "tail was almost straight up," and its "nose was completely under water and one wing was bent toward the rear." PERSONNEL INFORMATION On January 27, 1997, the pilot passed the practical test for the instrument airplane rating. He completed the flight check portion of the test in a Piper PA-44-180, a non-pressurized airplane powered by two 180 horsepower normally aspirated engines. On the FAA Form 8710-1, Airman Certificate and/or Rating Application, completed by the pilot on January 25, 1997, he listed a total flight time of 536 hours and total pilot in command time of 344 hours. Total instrument time listed was 135 hours, and total night flight time listed was 24 hours. The pilot's flight logbooks were not located during the investigation. AIRCRAFT INFORMATION The pressurized airplane was powered by two 375 horsepower turbocharged Continental GTSIO-520-D engines. According to the maintenance records, the airplane received its last annual inspection on December 21, 1996. At the time of that inspection, the airframe had accumulated 3,421.6 hours since its date of manufacture on January 15, 1968, and the engines had accumulated 467.9 hours since major overhauls on December 5, 1992. Review of the maintenance records by the NTSB investigator-in-charge did not reveal evidence of any uncorrected maintenance discrepancies. The airplane's total fuel capacity was 312.5 gallons of which 307 gallons were useable. The left and right main tip tanks held 51 gallons each when full with 1 gallon unusable per tank. Left and right auxiliary wing tanks installed by the manufacturer held 50 gallons each when full with 1 gallon unusable per tank. On March 11, 1996, four wing locker fuel tanks, total capacity 75 gallons with 1 gallon unusable, and one nose baggage fuel tank, total capacity 35.5 gallons with 0.5 gallons unusable, were installed. On May 17, 1996, vortex generators were installed on the wings and vertical stabilizer in accordance with Supplemental Type Certificate (STC) SA00329SE. The STC stated the following: NOTE: This installation does not include changes to the airplane stall speed, minimum control speed, rudder deflection angle, or maximum gross weight. Therefore, no Supplemental Airplane Flight Manual (SAFM) was deemed necessary. According to the line service technician who refueled the airplane at Montgomery Field, it received "a top-off of all tanks: mains, auxiliaries, nacelles, lockers, and the forward-mounted ferry tank" with "100LL avgas" before departing San Diego. The airplane's gross weight at the time of takeoff from Montgomery Field was calculated by the NTSB investigator-in-charge at 7,381 pounds with a center of gravity of 151.6 inches. The original weight and balance report for the airplane prepared by the manufacturer on January 8, 1968, listed the maximum gross takeoff weight as 6,800 pounds with an allowable center of gravity range at gross weight of 152.0 to 155.5 inches. The airplane's gross weight at the time of the accident was calculated by the investigator-in-charge at 5,539 pounds with a center of gravity of 152.1 inches. According to the original weight and balance report, the allowable center of gravity range at 5,500 pounds was 145.7 to 155.8 inches. Review of the Single Engine Climb Data table contained in the Cessna 421 Owner's Manual indicated that at a gross weight of 5,550 pounds, at sea level and 59 degrees F, the airplane was capable of climbing at 606 feet per minute if a best climb indicated airspeed (IAS) of 114 m ## Aircraft - Registration: [N4050L](https://openairdocs.org/deregistered/N4050L-2012-11-15), registration cancelled 2012-11-15, S/N 421-0050, built 1967 (OpenAirDocs) - Reported make and model: Cessna 421 - Registry model: [Cessna 421](https://openairdocs.org/model/cessna-421) (registry code 2076010) (OpenAirDocs) - Registry engine: [Continental TSIO-520 series](https://openairdocs.org/engine/continental-tsio-520-series) (registry code 17040, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 421-0050 - Engines: Continental GTSIO-520-D 375 horsepower reciprocating - Damage: Substantial damage - Flight: Personal, Part 91 - Registered owner: Mtk Jet - Airworthiness certificate: Standard, Normal - Last inspection: Annual, December 21, 1996 - Departed: MYF, SAN DIEGO, CA - Destination: GLS, GALVESTON, TX - Flight plan: IFR - Airport: SPX, Houston Gulf ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 46; private; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 2, valid medical--w/ waivers/lim; seat: left; toxicology performed; flight hours: 536 total, 344 as pilot in command ## Weather - Conditions: Visual (VMC), Night/dark - Wind: 310° at 8 knots - Visibility: 10 statute miles - Lowest ceiling: 1,900 ft overcast - Temperature: 48 °F, dew point 43 °F - Altimeter: 30.00 inHg - Observed at: EFD, 9 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 (OpenAirDocs). - [Accident 19970320003319A](https://openairdocs.org/incident/19970320003319A), Mar 20, 1997: Cessna 421, Houston, TX, Substantial damage, 1 fatal. Lost right engine power on descent. Pilot reported out of fuel, crashed into water. (-23) on March 19, 1997, at 2333 central standard time, a Cessna 421,… From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.