MIA84FA251

NTSB accident investigation · Cessna 402C · Naples, FL · September 8, 1984

Accident · FatalField investigationFinal report
Date
September 7, 1984, 21:10 local (Sep 8, 1984, 01:10 UTC)
Place
Naples, FL
Injuries
1 fatal, 2 serious, 3 minor
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N89PBCessna 402C
Weather
Visual (VMC) · Night/bright
Status
Completed
Report
Approved by Office Director
FAA report
19840907076829A
Case key
31014

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

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 engine power(total) - nonmechanicalClimb - to cruise
Fluid,fuel grade - improperCause
Maintenance,service of aircraft/equipment - improperGround personnelCause
Habit interferenceGround personnelFactor
Inadequate surveillance,inadequate procedureCompany/operator mgmtFactor
Forced landingLanding - flare/touchdown
In flight collision with terrain/waterLanding - flare/touchdown
Terrain condition - rough/uneven
Wheels up landing - performedPilot in command

Analysis

Shortly after takeoff, both engs lost power & a wheels up landing was made in an open field. The acft was destroyed by impact & fire. An investigation revealed that the acft had been refuel with jet-a fuel rather than 100 low lead avgas. The lineman had inadvertently used the jet-a fuel truck which was identical to the avgas truck except for a decal, appx 4' by 16', which identified the type of fuel. The lineman stated that his training consisted of appx 30 min of reading the company maintenance manual on how to refuel the different company acft, then was given on-the-job training for a brief time. When he went to refuel N89PB prior to the accident flt, he went to the parking space where the avgas truck was normally parked, but on that occasion, the jet-a fuel truck was there.

Aircraft

Registration
N89PB
Reported as
Cessna 402C
Category
Airplane
Serial number
402C0650
Airframe hours
1,495
Engine
Continental TSIO-520-VB, 325 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Operator
Provincetown-Boston Airlines
Registered owner
Provincetown-Boston Airlines
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · September 6, 1984 · 4 hours before
Destination
TPA · Tampa, FL
Flight plan
IFR
Airport
APF · Naples Muni, runway 4, 5,000 × 150 ft, asphalt

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
28
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
2,639 total · 412 in this make and model · 1,835 as pilot in command · 249 in the last 90 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Night/bright
Wind
20° at 12 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
81 °F, dew point 70 °F
Altimeter
30.00 inHg
Observed at
FMY, 27 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.