MIA05FA050

NTSB accident investigation · Cessna T337G · Lakeland, FL · January 14, 2005

Accident · FatalField investigationFinal report
Date
January 14, 2005, 15:37 local (20:37 UTC)
Place
Lakeland, FL
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N42WACessna T337G
Weather
Visual (VMC) · Day
Status
Completed · report August 29, 2006
Report
Approved by Office Director
Parties
Cessna Aircraft Company, NTSB, Teledyne Continental Motors, FAA Flight Standards District Office
FAA report
20050114000899A
Case key
60879

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 operation of the airplane with known deficiencies in equipment related to pitch, an abrupt pitch-up during the initial climb after takeoff for undetermined reasons and the failure of the pilot to maintain airspeed (Vs) resulting in inadvertent stall, uncontrolled descent, and in-flight collision with terrain.

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.

Abrupt maneuverTakeoff - initial climb
Elevator - excessive
Operation with known deficiencies in equipmentPilot in commandCause
Reason for occurrence undeterminedCause
Loss of control - in flightTakeoff - initial climb
Airspeed(vs) - not maintainedPilot in commandCause
Stall - inadvertentPilot in command
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

According to a witness, the airplane was in a steep nose-up attitude after becoming airborne, then rolled left and impacted the ground while in a slight nose-up and left wing low attitude. An individual who owns a Cessna 337 heard both engines operating at what he thought was full power. The airplane impacted on the runway surface and was destroyed by impact and the postcrash fire. According to a witness, the pilot started the engines and taxied to utilize all available runway. The flight was cleared to takeoff, and according to a controller in the tower cab, he did not observe the point of rotation, but reported the airplane was in a normal climb attitude when the flight was airborne approximately 1,000 feet down the runway, when it was approximately 500 feet more down the length of the runway, he observed the airplane pitch up to between an estimated 30-45 degrees, then level off at an estimated altitude of between 150-200 feet above ground level. Approximately 5 seconds later, the wings were noted to rock up and down and the airplane drifted north of the runway. The airplane rolled nose and left wing low, then appeared to level off before impacting the ground while in a slight nose up and left wing low attitude. He did not hear any unusual engine sounds during the flight and could not determine if the engines were run-up before departure. Both engines' rpm sounded to be synchronized during the flight. There was no distress call made by the pilot. The owner recently purchased the airplane and had a pre-buy inspection of it; no discrepancies were noted related to the flight controls. The airplane was flown from the place where purchased (California), to Florida, and was delivered 2 days before the accident. The pilot who flew the airplane to Florida reported it was a "fairly flawless trip." He did report that the autopilot was inoperative, and the digital fuel flow meter was inoperative. No repairs were performed to correct the inoperative autopilot before the accident flight. The accident pilot flew the airplane on 3 separate flights earlier on the day of the accident, and during the takeoff of all 3 flights, a pilot rated passenger later reported that the airplane pitched up aggressively during rotation. The passenger looked at the elevator trim setting and noted it was in the correct range for takeoff. During the landing of the third leg, the accident pilot reportedly performed a full stall landing from a height of 10 feet. The airplane was then taxied to the ramp and both fuel tanks were topped off for the accident flight. No maintenance was performed to the elevator primary or secondary flight control systems as a result of the reported excessive pitch-up events. Examination of the primary and secondary flight control system of the airplane revealed no evidence of preimpact failure or malfunction of the cables. The elevator trim was found set to 4 to 5 degrees aircraft nose-down. The flaps were extended 10 degrees, and the landing gear was extended at impact. Examination of the front and rear engines propeller and propeller governors revealed no evidence of preimpact failure or malfunction. Examination of the pilot's seat tracks revealed both exhibited evidence of lock pin engagement at the time of impact in the 9th hole from the front. The airplane was calculated to be within weight and balance limits at the time of the accident.

Factual narrative

History of flight

On January 14, 2005, about 1537 eastern standard time, a Cessna T337G, N42WA, registered to Aerolease of America, Inc., and operated by a private individual, crashed shortly after takeoff at Lakeland Linder Regional Airport, Lakeland, Florida. Visual meteorological conditions prevailed at the time, and an instrument flight rules flight plan was filed for the 14 CFR Part 91 personal flight from Lakeland Linder Regional Airport (KLAL), Lakeland, Florida, to Tallahassee Regional Airport, Tallahassee, Florida. Impact forces and a postcrash fire destroyed the airplane, and the airline transport-rated pilot and one passenger were fatally injured. The flight was originating at the time of the accident.

According to the local controller of the Lakeland Linder Regional Airport Air Traffic Control Tower, the flight was cleared to takeoff from runway 27 and to climb on runway heading. He did not observe the point of rotation, but reported the airplane was in a normal climb attitude when the flight was airborne approximately 1,000 feet down the runway. The flight continued and when it was approximately 500 feet more down the length of the runway, he observed the airplane pitch up to between an estimated 30-45 degrees, then leveled off at an estimated altitude of between 150-200 feet above ground level. At that time the flight was abeam runway 27 and taxiway "B." Approximately 5 seconds later, the wings were noted to rock up and down and the airplane drifted north of the north edge of the runway. The airplane rolled nose and left wing low, then appeared to level off before impacting the ground while in a slight nose up and left wing low attitude; the airplane caught fire 20 seconds later. He did not hear any unusual engine sounds during the flight and could not determine if the engines were run-up before departure. Both engines' rpm sounded to be synchronized during the short duration flight. There was no distress call made by the pilot of the airplane.

Another witness reported seeing the airplane in a steep nose-up attitude after becoming airborne. The witness reported the airplane then rolled left and impacted the ground while in a slight nose-up and left wing low attitude. An individual who owns a Cessna 337 airplane and only heard the accident flight reported hearing both engines operating at what he thought was full power.

Personnel information

The pilot was the holder of an airline transport pilot certificate with ratings airplane single and multi-engine land. He also was the holder of a commercial pilot certificate with an airplane single engine sea rating, and was a certified flight instructor with airplane single and multi-engine, and instrument airplane ratings. He was issued a second-class medical certificate on November 16, 2004, with the restriction, "Must wear corrective lenses." He listed a total flight time of 14,600 hours on the application for the last medical certificate.

In reference to the passenger, a search of FAA airmen records by name, date of birth, and social security number revealed no records.

Aircraft information

The airplane, model T337G, was manufactured by Cessna Aircraft Company and designated serial number P3370205. It was certificated in the normal category, and the type certificate data sheet indicates the front and rear engines are required to be Teledyne Continental Motors TSIO-360-C or -CB, rated at 225 horsepower when operated at 2,800 rpm. The front and rear engines installed at the time of the accident were Teledyne Continental Motors TSIO-360-CB5B and Rolls-Royce TSIO-360-DCC, respectively. The rear engine was originally manufactured by Rolls-Royce as a model TSIO-360-D engine, but on November 16, 1992, it was converted to a "C model Spec 5" engine. As a result of the conversion, the engine dataplate was reportedly remarked to read "TSIO-360-DCC." The front propeller rotates clockwise when viewed from behind the engine looking forward, while the rear propeller rotates counter-clockwise when viewed from behind the engine looking forward.

The airplane was reportedly purchased by the current owner in California in December 2004, and was flown to Florida by a pilot other than the accident pilot. The flight to Florida commenced on January 11th, and arrived in the afternoon of January 12th, in Lakeland, Florida. The individual who flew the airplane to Florida reported the flight was a "fairly flawless trip" which took approximately 16 to 17 flight hours and numerous fuel stops. He reported he did not have any noticeable problems with the engines or propellers, and that the autopilot and digital fuel flow meter were inoperative. He also reported that when flying the airplane at an altitude greater than 10,000 feet, the rear engine manifold pressure reading would decrease 4 inches then return to the normal setting. After landing in Lakeland, the pilot who flew the airplane from California offered the accident pilot a chance to fly together; he reportedly declined.

The current owner of the airplane provided to NTSB a list of discrepancies found during a pre-buy inspection of the airplane; none of the discrepancies relate to flight controls. Records provided by the facility that performed the pre-buy inspection revealed some, but not all of the discrepancies were repaired. The owner of the facility that performed the pre-buy inspection and some of the repairs reported they repaired only the items they were asked to repair. The owner also reported at the time of the repairs his company did not have access to the permanent maintenance records; therefore, the work performed was not entered in the maintenance records.

A review of the permanent maintenance records confirmed there were no entries in either the airframe or either engine logbooks indicating maintenance was performed related to the pre-buy discrepancies. The maintenance records further indicate the airplane was last inspected in accordance with an annual inspection on April 24, 2004. The airplane total time at that time was 6,091.8 hours. The front engine was last rebuilt/zero timed by the engine manufacturer on September 10, 1993, and was installed in the airplane on June 20, 1999. The front engine had accumulated approximately 1,043 hours since overhaul at the time of the last annual inspection. The rear engine was last overhauled on August 25, 1992, and was installed in the airplane on October 1, 1992. The rear engine had accumulated approximately 1,386 hours since overhaul at the time of the last annual inspection. No determination was made as to the elapsed time since the last annual inspection.

Meteorological information

A surface observation weather report taken at the accident airport on the day of the accident at 1541, or approximately 4 minutes after the accident indicates the wind was from 330 degrees at 5 knots, the visibility was 10 statute miles, scattered clouds existed at 700 feet, and 8,000 feet, overcast clouds existed at 12,000 feet, the temperature and dewpoint were 18 and 16 degrees Celsius, respectively, and the altimeter setting was 30.10 inHg.

Communications

The pilot was last in contact with the Lakeland Linder Regional Airport Air Traffic Control Tower at the time of the accident. There were no reported communication difficulties.

Wreckage and impact information

The airplane crashed on airport property and came to rest upright located at 27 degrees 59.324 North latitude and 082 degrees, 01.087 minutes West longitude, or approximately .56 nautical mile and 271 degrees magnetic from the approach end of runway 27.

Examination of the accident site revealed the airplane first impacted on runway 9/27 approximately 3,000 feet from the approach end of runway 27 (the departure runway), and 44 feet south of the runway centerline. The energy path was oriented on a magnetic heading of 220 degrees. Numerous ground scars on the runway surface were noted, whil

Aircraft

Registration
N42WA
Reported as
Cessna T337G
Category
Airplane
Serial number
P3370205
Airframe hours
6,091.8
Engines
Rolls-Royce TSIO-360-DCC, 225 horsepower, reciprocatingContinental TSIO-360-CB5B, 225 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Personal · Part 91
Operator
Danny Ferrer
Registered owner
Aerolease of America, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 1, 2004
Departed
KLAL · Lakeland, FL
Destination
KTLH · Tallahassee, FL
Flight plan
IFR
Airport
KLAL · Lakeland Linder Regional, runway 27, 8,500 × 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
56
Injuries
Fatal
Certificates
Airline transport, Commercial, Flight instructor
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
14,600 total

Weather

Conditions
Visual (VMC) · Day
Wind
330° at 5 knots
Visibility
10 statute miles
Lowest ceiling
12,000 ft overcast
Temperature
64 °F, dew point 61 °F
Altimeter
30.10 inHg
Observed at
KLAL

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.