LAX89FA111

NTSB accident investigation · Cessna 340A · Safford, AZ · February 15, 1989

Accident · FatalField investigationFinal report
Date
February 14, 1989, 22:45 local (Feb 15, 1989, 05:45 UTC)
Place
Safford, AZ
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N8814KCessna 340A
Weather
Visual (VMC) · Night/dark
Status
Completed · report July 22, 1992
Report
Approved by Office Director
Safety recommendations
Yes
FAA report
19890214002349A
Case key
26213

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 judgement and the resultant hypoxia sustained in the unpressurized airplane. Factors were: the malfunctioning pressurization system and the pilot's decision to continue operation with that known discrepancy.

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.

Miscellaneous/otherCruise - normal
Air cond/heating/pressurization - failure,partialFactor
Operation with known deficiencies in equipment - performedPilot in commandFactor
Judgment - poorPilot in commandCause
Physical impairment(anoxia/hypoxia)Pilot in commandCause
Loss of engine power(partial) - nonmechanicalCruise - normal
1 engine
Fluid,fuel - starvation
In flight collision with terrain/waterDescent

Analysis

During the night cross country flight at FL250, the pilot elected to leave the cockpit area and move to the rear of the aircraft to attend to physiological needs. Although oxygen was available in the cockpit, supplemental oxygen was not available in the rear. The aircraft was operated with a known pressurization system deficiency which limited the airplane to flight to 17,000 feet MSL while maintaining a cabin altitude of 10,000 feet. After 2 hours and 10 minutes, ATC declared the flight to be 'no radio'. At 3 hours and 57 minutes after departure, the airplane was plotted on radar in a descending left turn to ground impact. Fuel starvation resulted in power loss to the left engine. Propeller signatures indicated power on the right propeller at impact. The pilot's body was found in the aft cabin area on the aft cabin bulkhead.

Aircraft

Registration
N8814K
Reported as
Cessna 340A
Category
Airplane
Serial number
340A-0988
Engine
Continental TSIO-520-NB, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Business · Part 91
Registered owner
Sheldon L. Pollack Corp.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · February 16, 1980
Departed
FAT · Fresno, CA
Destination
LRU · Las Cruces, NM
Flight plan
IFR

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
62
Certificates
Private, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Rear
Toxicology
Performed
Flight hours
10,000 total · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/dark
Wind
270° at 9 knots
Visibility
30 statute miles
Lowest ceiling
6,000 ft broken
Temperature
52 °F, dew point 27 °F
Altimeter
30.00 inHg
Observed at
TUS, 48 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.