LAX93FA095

NTSB accident investigation · Cessna 414 · Reno, NV · January 15, 1993

Accident · FatalField investigationFinal report
Date
January 15, 1993, 13:43 local (21:43 UTC)
Place
Reno, NV
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Takeoff
Aircraft
N4733GCessna 414
Weather
Instrument (IMC) · Day
Status
Completed · report November 3, 1993
Report
Approved by Office Director
FAA report
19930115000479A
Case key
27819

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 failure of the pilot to use pitot static system covers during icing conditions which resulted in a blocked pitot tube and subsequent loss of airspeed indications. This led to pilot disorientation and an invertant stall. Factors to the accident were improper snow removal and adverse weather conditions.

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
Weather condition - snowFactor
Procedures/directives - not followedPilot in commandCause
Aircraft protective covering - not usedPilot in commandCause
Weather condition - icing conditionsFactor
Ice/frost removal from aircraft - improperPilot in commandFactor
Pitot/static system - blocked(total)Factor
Loss of control - in flightApproach - vfr pattern - final approach
Flight/nav instruments,airspeed indicator - inoperativeFactor
Pitot system - restrictedPilot in commandFactor
Weather condition - whiteoutFactor
Aircraft handling - excessivePilot in commandCause
Spatial disorientationPilot in commandFactor
Stall/mush - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - snow covered

Analysis

A Cessna 414 collided with a level ground while attempting to land during a snow shower. The pilot reported an emergency one minute after departing IFR and requested to return to the airport under visual rules. The pilot indicated to air traffic control that 'I can't get any speed.' The visibility was variable around the airport with the lowest report of 1/2 mile. Witnesses observed the airplane traveling fast at low altitude and indicated both engines were running. Investigation revealed during servicing before the flight, the pitot tube covers were not used. About 1.5 inches of snow had accumulated on the airplane during the refueling and was brushed off. The airplane was seen flying into a snow shower and reversing course. Witnesses reported the airplane's angle of bank to be 80 to 90 degrees with a 20 degree pitch down attitude. The airplane descended into a snow covered pasture. Witnesses reported the airplane leveled its wing just before impact. Manufacturer's safety and warning supplements indicate inflight ice protection is not designed to remove snow on parked aircraft. The manufacturer recommends use of heated hangars or approved deicing solutions to insure the are no internal accumulations in pitot static system ports.

Aircraft

Registration
N4733G
Reported as
Cessna 414
Category
Airplane
Serial number
0928
Engine
Continental TSIO-520-NB, 310 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Plane Wrap
Registered owner
Plane Wrap
Airworthiness certificate
Standard, Normal
Last inspection
Annual · May 15, 1992
Departed
RNO
Destination
CMA · Camarillo, CA
Flight plan
IFR
Airport
RNO · Reno Cannon I'Ntl, runway 16, 10,008 × 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
52
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
1,935 total

Weather

Conditions
Instrument (IMC) · Day
Wind
Calm
Visibility
1 statute miles
Lowest ceiling
2,000 ft broken
Temperature
30 °F, dew point 27 °F
Altimeter
29.00 inHg
Observed at
RNO, 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.