LAX92FA090

NTSB accident investigation · Cessna 425 · Las Vegas, NV · January 12, 1992

Accident · FatalField investigationFinal report
Date
January 11, 1992, 18:08 local (Jan 12, 1992, 02:08 UTC)
Place
Las Vegas, NV
Injuries
7 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N425BNCessna 425
Weather
Visual (VMC) · Night/dark
Status
Completed · report May 26, 1993
Report
Approved by Office Director
FAA report
19920111000369A
Case key
27400

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 failure to maintain aircraft control due to spatial disorientation. Factors in this accident were: 1) the pilot's failure to obtain a preflight weather briefing and to properly evaluate the existing weather conditions prior to flight, and 2) reported unfavorable weather conditions, including turbulence, snow, rain, and obscuration at flight altitudes along the pilot's route of flight.

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 control - in flightCruise - normal
Weather condition - turbulenceFactor
Weather condition - obscurationFactor
Preflight briefing service - not obtainedPilot in commandFactor
Weather evaluation - inadequatePilot in commandFactor
Aircraft control - not maintainedPilot in commandCause
Spatial disorientationPilot in commandCause
Incapacitation(organic problem)Pilot in command
Impairment(drugs)Pilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

No record could be found showing the pilot received a weather briefing prior to takeoff. Unfavorable weather was in the vicinity. Several times the pilot had difficulties understanding and complying with instructions from clearance delivery, ground control, and departure control. After takeoff the pilot requested and received an IFR clearance. During the last five minutes of flight radar returns showed the airplane changing heading from 45 degrees to as much as 180 degrees about 10 times and descending or ascending several times from altitudes ranging from 4,500 feet MSL to 11,500 feet MSL. The altitude and heading changes were not directed by controllers. About 3 minutes before the accident departure control asked the pilot if he had a problem. The pilot indicated that he did and 'we're trying to get straight.' One minute later, the pilot said 'we're all right.' Shortly afterwards, radar data showed a loss of control. Radar and communications were lost and an on ground explosion was observed as the accident occurred. An FAA flight surgeon reviewed the pilot's medical records. Within one year of the accident the pilot had 3 physical conditions and was taking 3 separate prescriptions which would have prevented him from being medically qualified to pilot an aircraft.

Aircraft

Registration
N425BN
Reported as
Cessna 425
Category
Airplane
Serial number
425-0057
Engine
P&W PT6A-112, 450 horsepower, turbo prop
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
George N. Derenia
Registered owner
George N. Derenia
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · July 11, 1991
Departed
LAS · Las Vegas, NV
Destination
TOR · Torrance, CA
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
57
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
1,900 total

Weather

Conditions
Visual (VMC) · Night/dark
Wind
320° at 20 knots, gusting 26
Visibility
15 statute miles
Lowest ceiling
9,500 ft overcast
Temperature
54 °F, dew point 18 °F
Altimeter
29.00 inHg
Observed at
LAS, 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.