SEA92FA019

NTSB accident investigation · Cessna C-402B · Boise, ID · November 16, 1991

Accident · FatalField investigationFinal report
Date
November 16, 1991, 02:56 local (09:56 UTC)
Place
Boise, ID
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N29517Cessna C-402B
Weather
Visual (VMC) · Night/dark
Status
Completed · report April 27, 1993
Report
Approved by Office Director
FAA report
19911116051999A
Case key
41561

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 loss of power on the right engine during initial climb after takeoff due to inadequate maintenance inspection and adjustment of the engine by company maintenance personnel, and the loss of control by the pilot due to his failure to properly configure the aircraft and perform a proper single engine climb maneuver, and his failure to maintain single engine climb airspeed. A factor relating to the accident was the dark night light 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.

Loss of engine power(total) - mech failure/malfTakeoff - initial climb
1 engineCause
Maintenance,inspection - inadequateCompany maintenance personnelCause
Maintenance,adjustment - improperCompany maintenance personnelCause
Loss of control - in flightManeuvering - turn to landing area (emergency)
Propeller feathering - not performedPilot in commandCause
Gear down and locked - improperPilot in commandCause
Light condition - dark nightFactor
Maneuver - improperPilot in commandCause
Airspeed(vyse) - not maintainedPilot in commandCause

Analysis

The pilot announced he had an engine failure during initial climb at 300-400 ft AGL after takeoff on a VFR night cargo flt. The tower controller cleared the flt to return to the arpt and land on any rwy. The acft entered a right descending turn, impacted the gnd one mile from the arpt, and ignited in flames. Evidence indicated the right engine was not operating at impact. The landing gear was down and the right propeller was in the high pitch position. Exam of the right engine revealed blocked fuel injectors, incorrect size fuel injectors, fuel pump out of adjustment, and burned/pitted breaker points in a magneto.

Aircraft

Registration
N29517
Reported as
Cessna C-402B
Category
Airplane
Serial number
402B0031
Airframe hours
6,994
Engine
Continental TSI0-520-E, 300 horsepower, reciprocating
Damage
Destroyed
Fire
On-Ground
Flight
Part 135
Operator
Regional Express Co.
Registered owner
Leach, Larry L. & Linda K.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · October 18, 1991 · 61 hours before
Departed
BOI · Boise, ID
Destination
PIH · Pocatello, ID
Airport
Boise, runway 1, 7,399 × 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
53
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
3,864 total · 450 in this make and model · 3,300 as pilot in command · 55 in the last 90 days · 20 in the last 30 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
120° at 8 knots
Visibility
15 statute miles
Lowest ceiling
None
Temperature
27 °F, dew point 21 °F
Altimeter
30.00 inHg
Observed at
BOI, 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.