LAX94LA144

NTSB accident investigation · Cessna 421C · Tulare, CA · February 23, 1994

Accident · No injuriesLimited investigationFinal report
Date
February 22, 1994, 19:15 local (Feb 23, 1994, 03:15 UTC)
Place
Tulare, CA
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Taxi
Aircraft
N7039TCessna 421C
Weather
Visual (VMC) · Night/bright
Status
Completed · report November 14, 1994
Report
Approved by Office Director
FAA report
19940222003169A
Case key
28682

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 use of an excessive taxi speed, and his misjudgment of the distance to the approaching intersection. A factor in the accident was the dark night lighting conditions which effected the pilot's perception of the taxiway layout.

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 - on ground/waterTaxi - to takeoff
Light condition - dark nightFactor
Taxispeed - excessivePilot in commandCause
Visual/aural detectionPilot in commandFactor
Distance - misjudgedPilot in commandCause
On ground/water encounter with terrain/waterTaxi - to takeoff
Terrain condition - soft
Terrain condition - ditch

Analysis

The pilot stated that when he had previously taxied to the ramp after landing he had noticed that his right brake felt 'mushy', and he had had a 'little problem' in making two 90-degree right turns. As he made two more 90-degree right turns, however, his brakes began to function normally. The pilot stated that before departure he checked the braking action of both his right and left brakes, and they responded normally. He then taxied toward runway 13 along a parallel taxiway. He stated that as he reached a 45-degree intersecting taxiway connecting with the approach end of runway 13, he applied his brakes to make the turn, without effect. The aircraft continued straight ahead, off the end of the taxiway and into a ditch, sustaining substantial structural damage. An inspection of the brakes revealed no discrepancies.

Factual narrative

On February 22, 1994, at 1915 Pacific standard time, a Cessna 421C, N7039T, sustained structural damage to the forward fuselage and nose gear trunion when the aircraft ran off the runway while taxiing for takeoff at Tulare, California. The aircraft was owned by Van Ryn Feed Company Inc., of Corona, California, and was on a cross-country personal flight conducted under 14 CFR Part 91. Visual meteorological conditions prevailed at the time and no flight plan had been filed for the operation. The certificated private pilot and the passenger on board were not injured. The flight originated at Chino, California, at 1730 on the day of the mishap.

Federal Aviation Administration inspectors reported that during the hours of darkness the pilot was preparing to make a right turn onto the approach end of runway 13 from a parallel taxiway when he lost control of the aircraft and ran off the taxiway into a ditch. The force of the impact drove the nose gear back into the fuselage causing substantial structural damage.

In his written statement, the pilot reported that he had landed at Mefford Field to drop off three of his four passengers. As he taxied to the ramp, he noticed that his right brake felt "mushy" and he had a "little problem" in making two 90-degree right turns. As he continued to make two more 90-degree right turns, his brakes began to function normally.

After deplaning his passengers, the pilot checked the braking action of both his right and left brakes and they responded normally. He proceeded to taxi back to runway 13 along a parallel taxiway until he reached a 45-degree intersecting taxiway connecting the parallel taxiway with the approach end of runway 13. He stated that as he applied his brakes to make the turn, he obtained no braking action. The aircraft continued straight ahead off the end of the taxiway and into a ditch where it impacted soft terrain. The force of the impact collapsed the nose gear and allowed both propellers to contact the ground.

A postaccident technical inspection of the brake system revealed no discrepancies or abnormalities.

Aircraft

Registration
N7039T
Reported as
Cessna 421C
Category
Airplane
Serial number
421C0465
Airframe hours
2,400
Engine
Continental GTSI0-520L, 375 horsepower, reciprocating
Damage
Substantial damage
Flight
Personal · Part 91
Operator
Arie Van Ryn, doing business as Van Ryn Feed Company Inc
Registered owner
Van Ryn Feed Company Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · August 30, 1993 · 10 hours before
Departed
BFL · Bakersfield, CA
Destination
CNO · Chino, CA
Airport
TLR · Mefford Field, runway 13, 3,914 × 75 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
55
Certificate
Private
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
1,677 total · 840 in this make and model · 1,483 as pilot in command · 22 in the last 90 days · 10 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/bright
Wind
250° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
50 °F, dew point 43 °F
Altimeter
30.00 inHg
Observed at
VIS, 11 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.