LAX88FA045

NTSB accident investigation · Cessna 441 · Mexicali, Mexico · November 16, 1987

Accident · FatalField investigationFinal report
Date
November 15, 1987, 18:15 local (Nov 16, 1987, 02:15 UTC)
Place
Mexicali, Mexico
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Maneuvering
Aircraft
N2484BCessna 441
Weather
Visual (VMC) · Night/dark
Status
Completed · report October 7, 1988
Report
Approved by Office Director
Case key
25790

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

On this page

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 collision with terrain/waterManeuvering
Terrain condition - uphillFactor
Altitude - misjudgedPilot in commandCause
Excessive workload (task overload)Pilot in commandFactor
Light condition - nightFactor
Proper altitude - not maintainedPilot in commandCause
Visual lookout - inadequatePilot in commandFactor
Visual/aural detectionPilot in commandFactor
Visual lookout - inadequateCopilot/second pilotFactor
Visual/aural detectionCopilot/second pilotFactor
Lack of recent instrument timeCopilot/second pilotFactor
Inadequate transition/upgrade trainingCopilot/second pilotFactor
In-flight planning/decision - inadequatePilot in commandFactor
Crew/group coordination - inadequatePilot in commandFactor

Analysis

A Cessna 441 operated by the uscs collided with terrain while on a authorized night tactical flight. The copilot did not meet the currency standards as required by uscs and was not qualified in the acft. The flight originated during the daylight hours and continued to astronomical twilight. The pilots did not dark adapt previous to the night conditions. Dark adaption was impeded by flight through various light conditions created by terrain and ambient light levels. With night vision impeded the pilot would not have been able to dinstinguish relief of the terrain. The acft collided with a small ridge that abruptly rose 300 ft.

Aircraft

Registration
N2484B
Reported as
Cessna 441
Category
Airplane
Serial number
441-0112
Airframe hours
1,461
Engine
Garrett TPE331-8-4025, 635 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Public aircraft · Part 91
Registered owner
U. S. Customs Service
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · November 5, 1987 · 7 hours before
Departed
NZY · San Diego, CA
Destination
PSP · Palm Springs, CA
Flight plan
Company VFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
41
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Toxicology
Performed
Flight hours
8,000 total · 68 in the last 90 days · 4 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
190° at 5 knots
Visibility
50 statute miles
Lowest ceiling
None
Temperature
57 °F, dew point 23 °F
Altimeter
30.00 inHg
Observed at
IPL, 18 nm away