LAX90FA311

NTSB accident investigation · Cessna 411 · Fallon, NV · September 3, 1990

Accident · FatalField investigationFinal report
Date
September 3, 1990, 12:44 local (19:44 UTC)
Place
Fallon, NV
Injuries
1 fatal, 3 serious, 1 minor
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N7321UCessna 411
Weather
Visual (VMC) · Day
Status
Completed · report March 5, 1993
Report
Approved by Office Director
FAA report
19900903037629A
Case key
26654

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

Failure of the pilot to perform emergency procedures for loss of engine power (including his failure to feather the propeller of the affected engine). Factors related to the accident were: inadequate maintenance, contamination in the fuel system, and overheat failure of the #1 and #4 pistons in the right engine (from preignition or detonation).

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(partial) - mech failure/malfTakeoff - initial climb
Maintenance - inadequateOther maintenance personnelFactor
Fuel system - contaminationFactor
Engine assembly,piston - overtemperatureFactor
In flight collision with terrain/waterTakeoff
Emergency procedure - not attainedPilot in commandCause
Propeller feathering - not attainedPilot in commandCause
Terrain condition - rough/uneven
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ditchFactor

Analysis

The acft had recently been returned to svc after 5 yrs in storage. On this flt, it was being used to transport two political candidates on their campaign itinerary. Drg takeoff from rwy 3, the rgt eng lost pwr on the initial climb & the acft dscndd & crashed abt 2 mi se of the arpt. The plt did not complete the emerg proc for an eng failure. There was evidence that he did not feather the prop, did not bank into the good eng, and did not close the cowl flaps on the inop eng. An exam of the rgt eng disclosed overheating & errosion of the #1 & #4 pistons, which resulted in holes in the top edges of the pistons. Also, there were clogged fuel injectors, contamination & corrosion of the fuel injector pump, and contamination & partial obstruction of the manifold valve. Additionally, the absolute pressure ctrl of the turbocharger was found to be incorrectly adjusted. The plt's medical certificate was dated 8/13/86.

Aircraft

Registration
N7321U
Reported as
Cessna 411
Category
Airplane
Serial number
411 0021
Airframe hours
2,720
Engine
Continental GTSIO-520-C, 340 horsepower, reciprocating
Damage
Destroyed
Flight
Personal · Part 91
Registered owner
Robert Seale
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 20, 1990 · 61 hours before
Departed
FLX
Destination
004 · Carson City, NV
Airport
FLX · Fallon Muni, runway 3, 5,600 × 75 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
48
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Medical
Expired
Seat
Left
Flight hours
2,398 total · 88 in this make and model

Weather

Conditions
Visual (VMC) · Day
Wind
50° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
84 °F, dew point -0 °F
Altimeter
29.00 inHg
Observed at
NFL, 5 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.

Other investigations on N7321U · 1

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