LAX88FA215

NTSB accident investigation · Cessna 421C · Shaver Lake, CA · May 29, 1988

Accident · FatalField investigationFinal report
Date
May 28, 1988, 19:10 local (May 29, 1988, 02:10 UTC)
Place
Shaver Lake, CA
Injuries
4 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N98683Cessna 421C
Weather
Visual (VMC) · Dusk
Status
Completed · report July 9, 1990
Report
Approved by Office Director
FAA report
19880528023329A
Case key
25838

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

Inflight encounter with forcasted severe icing and turbulence beyond the capability of either the aircraft or the pilot , which led to an inflgiht loss of control. Factors in the accident were the pilots lack of understanding of high altitude flight aspects and meterological phenomena.

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 - normal
Weather condition - icing conditionsFactor
Weather condition - mountain waveFactor
Weather condition - turbulenceFactor
Preflight briefing service - issuedNws personnel
Lack of total experience in type operationPilot in commandFactor
Weather evaluation - not understoodPilot in commandCause
Flight into known adverse weather - attemptedPilot in commandCause
In-flight planning/decision - poorPilot in commandFactor
Loss of control - in flightCruise - normal
Aircraft performance - exceededCause
Aircraft control - inadequatePilot in commandCause
Stall/spin - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The plt bought the acft about 1 month prior to the accident. He had limited exp in the acft, and limited exp with high alt flt and its wx phenomona. The plt obtained two wx breifings for the flt. During both, he was advised of the forecast and plt reported conditions of moderate to severe mixed icing and turbulence associated with a mtn wave on the eastern side of the sierra Nevada mtns. Instead of flying along his intended route on the western side of the mtns, he chose a direct route, which placed the acft on the eastern side of the mtns. The track of the acft was established by recorded radar data. The data showed the acft in cruise at 16,500 ft until about 1 min prior to the accident. The acft was shown to climb to 17,200 feet before it disappeared. The last radar target was observed about 2 miles from the impact location. The acft impacted in a steep nose down descent.

Aircraft

Registration
N98683
Reported as
Cessna 421C
Category
Airplane
Serial number
421C0209
Airframe hours
2,575
Engine
Continental GTSI0-520L, 375 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
John D. Mac Donald
Registered owner
Brooks Products, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · September 21, 1987 · 35 hours before
Departed
L67 · Rialto, CA
Destination
TRK · Truckee, CA

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
47
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
3,060 total · 15 in this make and model · 2,950 as pilot in command · 25 in the last 90 days · 15 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
200° at 35 knots, gusting 45
Visibility
50 statute miles
Lowest ceiling
None
Temperature
61 °F
Altimeter
29.00 inHg
Observed at
MMH, 15 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.