LAX05CA059

NTSB accident investigation · Cessna 441 · Thermal, CA · January 3, 2005

Accident · No injuriesData collectionFinal report
Date
January 3, 2005, 09:10 local (17:10 UTC)
Place
Thermal, CA
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N441CXCessna 441
Weather
Instrument (IMC) · Day
Status
Completed · report April 28, 2005
Report
Approved by Office Director
Parties
Federal Aviation Administration
FAA report
20050103002239A
Case key
60795

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

the pilot's misjudged speed and distance, which resulted in a failure to attain the proper touchdown point and a subsequent overrun of the runway. A factor in the accident was limited braking effectiveness resulting from the wet runway 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.

OverrunLanding - roll
Airport facilities,runway/landing area condition - wetFactor
Distance/speed - misjudgedPilot in commandCause
Proper touchdown point - not attainedPilot in commandCause
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - muddy
Nose gear collapsedLanding - roll

Analysis

The airplane encountered muddy terrain and collapsed the nose landing gear during a landing overrun. The pilot reported that as he approached his destination he prepared for an instrument approach to the airport. The pilot descended via the approach to an altitude of about 800 feet, at which point he was able to identify the runway environment and transition to a visual approach. Throughout the approach, the pilot reported encountering moderate rain and restricted visibility. The airplane's speed during the approach was about 120 knots, varying slightly with configuration changes required during descents and transitions to level flight. During landing, the airplane touched down hard, about halfway down the 4,995-foot-long runway, and bounced twice. The pilot reported that once established in the landing rollout, he applied full brakes and configured the propellers in full reverse thrust, attempting to stop before the end of the runway. The pilot said that although the runway was absent of noticeable standing water, the moderate rain and wet conditions hindered braking effectiveness. The airplane continued off the runway and impacted terrain resulting in the collapse of the nose gear. The pilot was unable to remember the speed at which the airplane touched, but opined that it was about 100 knots, the normal touchdown speed for the airplane. The Airplane Flying Handbook states that "hydroplaning can have serious adverse effects on ground controllability and braking efficiency" and recommends that "touchdown speed should be as slow as possible consistent with safety."

Factual narrative

On January 3, 2005, about 0910 Pacific standard time, a Cessna 441, N441CX, collided with terrain during a runway overrun at Jacqueline Cochran Regional Airport, Thermal, California. Western Slope Auto Co., Inc., was operating the airplane under the provisions of 14 CFR Part 91. The private pilot and four passengers were not injured; the airplane sustained substantial damage. Instrument meteorological conditions prevailed, and an instrument flight rules flight plan had been filed. The personal cross-country flight departed Walker Field Airport, Grand Junction, Colorado, about 0800 mountain standard time, with the planned destination of Jacqueline Cochran Regional Airport, Thermal.

In a telephone conversation with a National Transportation Safety Board investigator, the pilot reported that as he approached Palm Springs, California, he prepared for an instrument approach to the airport. The automatic surface observation system (ASOS) was reporting the weather conditions as the following: broken cloud conditions at 2,500 feet; an overcast layer at 3,000 feet; wind calm; and visibility 1 ½ miles. The pilot preferred to perform an approach to runway 35, but was unable to load the appropriate IFR approach procedure in the airplane's global positioning system (GPS) avionics unit. Instead, the pilot selected, and was cleared by the air traffic controller, to execute the very high frequency omnirange station/ distance measuring equipment runway 30 approach (VOR/DME).

At 6.4 nautical miles from the VOR, depicted by the geographical fix MECCA, the pilot configured the airplane for the final approach; establishing approach flaps, lowering the landing gear, and reducing the airplane's speed from 140 knots to 120 knots. The pilot descended via the approach to an altitude of about 800 feet, at which point he was able to identify the runway environment and transition to a visual approach. Throughout the approach, the pilot reported encountering moderate rain and restricted visibility. The airplane's speed remained about 120 knots, varying slightly with configuration changes required during descents and transitions to level flight.

During landing, the airplane touched down hard, about halfway down the runway, and bounced twice. The pilot reported that once established in the landing rollout, he applied full brakes and configured the propellers in full reverse thrust, attempting to stop before the end of the runway. Although the runway was absent of noticeable standing water, the moderate rain and wet conditions hindered braking effectiveness. The airplane continued off the runway, impacted muddy terrain, and the nose gear collapsed. The pilot was unable to remember the speed at which the airplane touched down but opined that it was about 100 knots, the normal touchdown speed for the airplane.

The pilot reported no preimpact mechanical malfunctions or failures with the airplane. In a telephone conversation with a Safety Board investigator, the insurance adjuster who recovered the airplane reported that the airplane sustained damage to the right flap, the right side of the fuselage, and the forward firewall and electronics bay bulkheads.

The Federal Aviation Administration Airplane Flying Handbook defines hydroplaning as "a condition that can exist when an airplane is landed on a runway surface contaminated with standing water." It further states that "hydroplaning can have serious adverse effects on ground controllability and braking efficiency." In dynamic hydroplaning," as the speed of the airplane and the depth of the water increase, the water layer builds up an increasing resistance to displacement, resulting in the formation of a wedge of water beneath the tire. At some speed, termed the hydroplaning speed (VP), the water pressure equals the weight of the airplane and the tire is lifted off the runway surface. In this condition, the tires no longer contribute to directional control and braking action is nil."

"Data obtained during hydroplaning tests have shown the minimum dynamic hydroplaning speed (VP) of a tire to be 8.6 times the square root of the tire pressure in pounds per square inch (PSI)."

The recommended main landing gear tire pressure for the Cessna 441 is 95 psi and 50 psi for the nose landing gear. Calculated per the Airplane Flying Handbook, (VP) would equate to 84 knots.

The handbook adds that viscous hydroplaning where "the tire cannot penetrate the fluid and the tire rolls on top of the film" can occur at a much lower speed than dynamic hydroplane and only requires "a thin film of fluid no more than one thousandth of an inch in depth."

The handbook recommends, "When confronted with the possibility of hydroplaning, it is best to land on a grooved runway (if available). Touchdown speed should be as slow as possible consistent with safety. After the nosewheel is lowered to the runway, moderate braking should be applied. If deceleration is not detected and hydroplaning is suspected, the nose should be raised and aerodynamic drag utilized to decelerate to a point where the brakes do become effective."

Aircraft

Registration
N441CX
Reported as
Cessna 441
Category
Airplane
Serial number
441-305
Engine
Garrett TPE331, turbo prop
Damage
Substantial damage
Flight
Personal · Part 91
Registered owner
Western Slope Auto Co. Inc.
Airworthiness certificate
Standard, Normal
Departed
GJT · Grand Juncition, CO
Destination
TRM · Thermal, CA
Flight plan
IFR
Airport
TRM · Jacqueline Cochran Regional, runway 30, 4,995 × 100 ft, asphalt

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
61
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3
Flight hours
1,763 total · 454 in this make and model

Weather

Conditions
Instrument (IMC) · Day
Wind
Calm
Visibility
1.5 statute miles
Lowest ceiling
2,500 ft broken

Docket · 4

The files NTSB released with the investigation on February 22, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 585 KB in all.

FAA reports on this event · 1

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

Other investigations on N441CX · 1

Matched to the same aircraft by N-number and date.