LAX03LA088

NTSB accident investigation · Cessna 421C · San Francisco, CA · February 16, 2003

Accident · No injuriesLimited investigationFinal report
Date
February 16, 2003, 01:52 local (09:52 UTC)
Place
San Francisco, CA
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N321FLCessna 421C
Weather
Visual (VMC) · Night/dark
Status
Completed · report October 28, 2004
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20030216003229A
Case key
56515

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 vehicle driver's inadequate visual lookout and failure to follow established procedures. A contributing factor was the dark nighttime 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.

On ground/water collision with objectTaxi - from landing
Light condition - dark nightFactor
Object - vehicle
Visual lookout - inadequateDriver of vehicleCause
Procedures/directives - not followedDriver of vehicleCause

Analysis

A maintenance truck driver failed to observe an airplane that had just landed and was taxing to the ramp on a course perpendicular to the driver's direction of travel. The westbound truck, that was proceeding on a vehicle access road, collided with the leading edge of the northbound airplane's right wing. During a dark night, the pilot had landed on runway 28R. Thereafter, he received a clearance to taxi to the ramp via a specified route. Approaching the designated parking area, the pilot negotiated a right 90-degree turn and again proceeded in a northerly direction toward a fixed base operator's parking area; the airplane's ground track crossed an airport service road. The truck driver failed to comply with published airport procedures by not yielding to the approaching airplane.

Factual narrative

On February 16, 2003, at 0152 Pacific standard time, a Cessna 421C, N321FL, and a ground service truck, collided while the Cessna was taxiing to parking following its landing at the San Francisco International Airport, San Francisco, California. The airplane was substantially damaged during the on-demand air taxi flight that was performed under the provisions of 14 CFR Part 135. None of the five occupants in the airplane nor the single occupant in the truck was injured. On board the airplane was an airline transport pilot, three medical-related personnel, and a patient. The airplane was operated by Mediplane, Inc., dba REACH, which is based in Santa Rosa, California. Visual meteorological dark nighttime conditions prevailed. The air ambulance flight originated from Bakersfield, California, about 1255.

The pilot landed on runway 28R. Thereafter, he received a clearance to taxi to the ramp via taxiway Kilo. The pilot indicated that he followed the air traffic clearance and turned northbound off the runway at Kilo. Then the pilot taxied westbound on taxiway Charlie. Approaching the designated parking area, the pilot negotiated a right 90-degree turn and proceeded in a northerly direction toward a fixed base operator's parking area. While he was taxiing across a ground service vehicle road, a truck that was moving in a westerly direction (perpendicular to the airplane's direction of travel) came in contact with the leading edge of the airplane's right wing.

The pilot reported that, at the time, the airplane's navigation and taxi lights were illuminated. The pilot reported that he was positioned in the airplane's left seat. He stated that prior to the collision he had not observed the approaching truck.

The truck driver reported that he had stopped at the intersection's vehicle stop sign and had not observed the approaching airplane. The driver then continued on the service road, the truck entered the intersection, and the collision occurred.

Airport operations personnel estimated that when the impact occurred, the airplane was heading about 010 degrees. The truck was heading about 280 degrees.

The truck driver held a Federal Aviation Administration airframe and powerplant mechanic certificate. At the time of the collision, he was driving his employer's maintenance van. Employment and training records from the driver's San Francisco International Airport-based employer, Swissport Corporation, indicated that the driver had passed the authorized examinations to operate the van on the airport service road in the vicinity of the accident site. He had been granted airfield access.

The San Francisco International Airport, Operations Division, publishes vehicle operating safety information and air operations area (AOA) driving procedures. In pertinent part, appendix 3 to part II of the "Operations Manual" states: "Ground vehicles shall yield the right-of-way at all times to moving aircraft...." Airport operations personnel responded to the accident site. The personnel investigated the facts and circumstances of the collision. Thereafter, they issued the vehicle driver an airfield citation that bore the following comment: Maintenance van hit moving aircraft. (See the operations personnel report including photographs and diagrams for additional details.)

Aircraft

Registration
N321FL
Reported as
Cessna 421C
Category
Airplane
Serial number
421C0207
Airframe hours
8,276
Engine
Continental GTSIO-520-F-K, 375 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Registered owner
Mediplane, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · November 18, 2002 · 80 hours before
Departed
BFL · Bakersfield, CA
Destination
SFO · San Francisco, CA
Flight plan
IFR
Airport
SFO · San Francisco International, runway 28R, 11,870 × 200 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
62
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
December 23, 2002
Seat
Left
Flight hours
6,648 total · 1,181 in this make and model · 5,961 as pilot in command · 150 in the last 90 days · 13 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
240° at 7 knots
Visibility
10 statute miles
Lowest ceiling
5,500 ft broken
Temperature
52 °F, dew point 46 °F
Altimeter
30.01 inHg
Observed at
SFO

FAA reports on this event · 1

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