LAX92FA017

NTSB accident investigation · Cessna 414 · Long Beach, CA · October 26, 1991

Accident · FatalField investigationFinal report
Date
October 26, 1991, 09:01 local (16:01 UTC)
Place
Long Beach, CA
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N3843CCessna 414
Weather
Visual (VMC) · Day
Status
Completed · report April 23, 1993
Report
Approved by Office Director
FAA report
19911026048039A
Case key
27387

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 improper emergency procedures by not retracting the landing gear when he shut the engine down and his failure to maintain airspeed. The scavenge pump failure, shutting down the engine and the inadvertent stall 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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Lubricating system,oil scavenge pump - failure,totalFactor
Loss of control - in flightApproach - vfr pattern - base leg/base to final
Powerplant - switched offFactor
Emergency procedure - improperPilot in commandCause
Propeller feathering - performedPilot in commandFactor
Gear retraction - not performedPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Airspeed(vs) - not maintainedPilot in commandCause
Stall - inadvertentPilot in commandFactor

Analysis

The pilot reported that he had lost the left engine during the initial climb phase of a cross-country flight. Ground witnesses observed that the airplane's landing gear was down and the left propeller was feathered as it turned left onto the downwind leg of the traffic pattern. Other witnesses observed the airplane's wings dip before it nosed over into the terrain while turning onto the final approach course. The airplane struck the ground and a fence that separated two residential yards. The wreckage examination disclosed that the left engine's scavenge pump failed. This failure led the pilot to believe that the engine failed. The pilot's improper emergency procedures by failing to retract the landing gear and maintain airspeed precipitated the resulting stall and uncontrolled descent.

Aircraft

Registration
N3843C
Reported as
Cessna 414
Category
Airplane
Serial number
4140846
Airframe hours
2,711
Engine
Continental TSIO-520-N, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Crago, William T. & Geraldine
Registered owner
Crago, William T. & Geraldine
Airworthiness certificate
Standard, Normal
Last inspection
Annual · December 2, 1990 · 180 hours before
Destination
SDL · Scottsdale, AZ
Flight plan
IFR
Airport
LGB · Daugherty Field, runway 3, 10,000 × 200 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
51
Certificate
Private
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,510 total · 317 in this make and model · 1,377 as pilot in command · 51 in the last 90 days · 15 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
70° at 3 knots
Visibility
15 statute miles
Lowest ceiling
5,000 ft overcast
Temperature
64 °F, dew point 55 °F
Altimeter
29.00 inHg
Observed at
LGB, 1 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.