MIA96LA031

NTSB accident investigation · Cessna 414 · Cleveland, TN · November 28, 1995

Accident · Serious injuriesLimited investigationFinal report
Date
November 28, 1995, 09:23 local (14:23 UTC)
Place
Cleveland, TN
Injuries
1 serious, 4 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N200DCCessna 414
Weather
Instrument (IMC) · Day
Status
Completed · report April 29, 1996
Report
Approved by Office Director
FAA report
19951128039099A
Case key
37953

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 inaccurate weight and balance calculations which resulted in an over maximum allowable gross weight takeoff. Contributing to the accident was the wet, downsloping condition of the runway.

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.

OverrunTakeoff - aborted
Aircraft weight and balance - inaccuratePilot in commandCause
Aircraft weight and balance - exceededPilot in commandCause
Airport facilities,runway/landing area condition - downhillFactor
Airport facilities,runway/landing area condition - wetFactor
Aircraft performance,hydroplaning condition - water
In flight collision with terrain/waterTakeoff - aborted

Analysis

The pilot stated that before departure he performed an engine run-up of both engines with no discrepancies noted. He taxied to the runway using the full length and applied full power to both engines with brakes applied. He released the brakes, and when the flight was 1/2 way down the 3,300-foot downsloping wet asphalt runway the airspeed indicator indicated 60 knots. He aborted the takeoff and the airplane began to hydroplane. The airplane continued off the end of the runway, and before reaching a 15-foot drop off the pilot applied power to both engines which responded. The airplane then impacted the ground in a cow pasture coming to rest upright. There was moderate rain at the time. Postaccident weight and balance calculations indicated that the airplane was a minimum of 359 pounds over max gross weight at the time of takeoff. Weight and balance calculations provided by the pilot indicated that the airplane was 3 pounds over gross weight at the time of takeoff.

Factual narrative

On November 28, 1995, about 0923 eastern standard time, a Cessna 414, N200DC, was substantially damaged during an aborted takeoff from the Hardwick Field Airport, Cleveland, Tennessee. Instrument meteorological conditions prevailed at the time and an IFR flight plan was filed for the 14 CFR Part 91 business flight. The commercial-rated pilot was not injured and four passengers sustained minor injuries. One passenger was seriously injured. The flight was originating at the time of the accident.

Before departure at the request of the pilot, each tip tank was filled and the line service employee examined the left wing locker fuel tank to determine fuel capacity. He reported to the pilot that it appeared to be about 1/2 full. The total capacity of each wing locker tank is 20 1/2 gallons of which 1/2 gallon is unusable. The pilot stated to one of the passengers before takeoff that the airplane fuel quantity before fueling was 126 gallons; and 40.4 gallons of fuel were added before takeoff which filled each tip tank. Each tip tank has a capacity of 51 gallons, of which 50 gallons are usable.

The passengers boarded the airplane which was observed by the line service employee to taxi toward runway 03. The employee who is also a certified flight instructor (CFI) suggested the pilot takeoff from runway 21 due to the upsloping condition when using runway 3. The pilot stated he then taxied to runway 21 and performed a run-up of each engine then applied full power to both engines while the brakes were applied. The pilot then released the brakes and about 1/2 way down the 3,300-foot downsloping wet asphalt runway, he aborted the takeoff due to inadequate acceleration. The airplane started hydroplaning and continued off the end of runway onto grass. With a 15-foot drop off ahead the pilot applied full power to both engines which responded. The airplane touched down in a cow pasture, collided with a fence then a concrete culvert before coming to rest upright. All occupants exited the airplane unaided and the airplane was damaged by a postcrash fire. According to a multiengine-rated pilot who has about 16,000 total multiengine flight hours, the airplane appeared to be accelerating slowly during the ground roll to takeoff. He also stated that both engines sounded as if they were developing full power and he did not hear any "missing or sputtering" from either engine. All passengers did not report any change in engine sound from the time full power was applied with the brakes held until the point when the pilot reduced the throttles to abort the takeoff.

Postaccident examination of the airplane by FAA inspectors revealed that each tip tank was separated from the airplane. The left wing auxiliary fuel tank was found to be full and the left wing locker tank was observed to be empty. Leakage from the right auxiliary fuel tank was noted and the tank was observed to be about 1/2 full. The right wing locker tank was observed to be full. A fuel tank located in the right wing baggage compartment area was observed to be empty. During recovery of the airplane 19 gallons of fuel were drained from the left wing auxiliary fuel tank which has a total capacity of 20.5 gallons, of which 20 gallons are usable. Additionally, 8 gallons of fuel were siphoned from the right wing locker tank.

Weight calculations performed by the pilot indicated that the airplane was 3 pounds over maximum certificated gross weight at the time of takeoff. Postaccident weight calculations indicate that the airplane was a minimum of 359 pounds over gross weight. The calculations are based on an empty weight of the airplane of 4,445 pounds as provided by the pilot, 49 pounds for oil, 1,441 pounds for the passengers and their baggage as provided by the passengers. Additionally, 600 pounds of total usable fuel in both tip tanks, 114 pounds of fuel drained from the left auxiliary fuel tank and 48 pounds of fuel drained from the right auxiliary fuel tank during recovery of the airplane. The certificated gross weight of the airplane is 6,350 pounds. Weight calculations including the above information as well as the observations made by the line service employee regarding fuel quantity in the left wing locker tank, the FAA inspectors regarding fuel observed in the right wing auxiliary and locker tanks indicate that the airplane was about 551 pounds over gross.

Aircraft

Registration
N200DC
Reported as
Cessna 414
Category
Airplane
Serial number
414-0261
Engine
Continental TSIO-520-N, 310 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Business · Part 91
Operator
Mark N. Oelhafen
Registered owner
Donna K. Oelhafen
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 16, 1995 · 124 hours before
Departed
HDI
Destination
PAH · Paducah, KY
Flight plan
IFR
Airport
HDI · Hardwick Field, runway 21, 3,300 × 75 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
33
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
956 total · 523 in this make and model · 886 as pilot in command · 54 in the last 90 days · 22 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
30° at 5 knots
Visibility
1.25 statute miles
Lowest ceiling
400 ft overcast
Temperature
48 °F, dew point 48 °F
Altimeter
30.00 inHg
Observed at
CHA, 21 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.