LAX89FA030

NTSB accident investigation · Cessna 421A · Cabazon, CA · November 2, 1988

Accident · FatalField investigationFinal report
Date
November 1, 1988, 16:13 local (Nov 2, 1988, 00:13 UTC)
Place
Cabazon, CA
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N3385QCessna 421A
Weather
Instrument (IMC) · Day
Status
Completed · report June 11, 1990
Report
Approved by Office Director
FAA report
19881101048789A
Case key
26188

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 pilot's poor decision and misjudgement of distance. The separation of the cylinder, failure of the propeller to feather, and impact with wires and a residence were factors in the accident.

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.

Loss of engine power(total) - nonmechanicalCruise - normal
Engine assembly,cylinder - fatigueCause
Engine assembly,cylinder - separationCause
Propeller feathering - not possiblePilot in commandFactor
Reason for occurrence undeterminedFactor
Forced landingDescent - emergency
In-flight planning/decision - poorPilot in commandCause
Overconfidence in aircraft's abilityPilot in commandFactor
Distance - misjudgedPilot in command
In flight collision with objectDescent - emergency
Object - wire,transmissionFactor
Object - residenceFactor
In flight collision with objectDescent - emergency

Analysis

The plt contacted the arsa controller for advisories after losing pwr on the right eng over an air force base. The controller advised the plt that his position was near a civilian arpt with limited maintenance facilities and an air force base. The plt advised that he desired to continue to a larger civilian arpt along his route where he could obtain service. The plt then informed the controller that he could barley see the ground and that he was unable to maintain alt due to the propeller not feathering. The acft overflew a small civilian arpt and the plt told the UNICOM operator that he would attempt to land on an interstate hwy. the acft overflew the hwy and impacted an electrical transmission line and collided with a residence. Post accident inspection revealed the right eng #3 cylinder head fractured allowing the head to displace outward 3/8 inch. Fracture resulted from fatigue at threaded area btw head and cylinder. The propeller governor operated normally during functional testing after the accident.

Aircraft

Registration
N3385Q
Reported as
Cessna 421A
Category
Airplane
Serial number
421A0115
Airframe hours
2,293
Engine
Continental GTSIO-520-A, 375 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Business · Part 91
Registered owner
Hubert G. Toll
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 15, 1988 · 48 hours before
Departed
TOA · Torrance, CA
Destination
TUS · Tucson, AZ
Airport
LSE · Banning Muni, runway 26, 5,200 × 150 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
55
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
7,000 total

Weather

Conditions
Instrument (IMC) · Day
Wind
300° at 3 knots
Visibility
1 statute miles
Lowest ceiling
1,000 ft broken
Temperature
66 °F, dew point 54 °F
Altimeter
30.00 inHg
Observed at
RIV, 24 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.