SEA97LA030

NTSB accident investigation · Cessna 421B · Olympia, WA · November 19, 1996

Accident · No injuriesLimited investigationFinal report
Date
November 19, 1996, 08:10 local (16:10 UTC)
Place
Olympia, WA
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N8005QCessna 421B
Weather
Instrument (IMC) · Dawn
Status
Completed · report August 21, 1997
Report
Approved by Office Director
FAA report
19961119045409A
Case key
42542

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 NTSB’s determination of the probable cause, and any contributing factors.

inoperative deicing equipment, due to multiple wing boot holes and malfunctioning control/shuttle valves; subsequent build-up of airframe (wing) ice; and failure of the pilot to maintain adequate airspeed during the flare for landing. Factors relating to the accident included: the adverse weather (icing) conditions, and inadequate maintenance concerning the deicing equipment.

Analysis

The pilot stated that during climbout on an IFR flight, he frequently checked the wings for ice accumulation, noting what appeared to be a 'mere' trace of ice. At about 13,000 feet msl, with almost no climb at 125 knots indicated airspeed, the pilot pulled the yoke back a little to climb, and the aircraft began to shudder. The pilot then decided to divert, again checking the wings, seeing what he described as a trace of ice. He said he cycled the deice boots with no apparent change in wing appearance. While on approach, he again cycled the boots between 3000 and 2000 feet msl. The pilot stated that about 20-30 feet above the surface, he started a slight roundout, but when he eased back on the yoke, the airplane shuddered and the nose did not raise. At that point, he was ready to touch down, so he pulled back on the yoke while adding power; however, the airplane landed hard and was damaged. Later, the surface deice system was tested. The boots did not hold pressure due to multiple wing boot holes and a shuttle valve internal leak. Functional tests revealed that the control valves did not direct proper pressure to the system, and that the shuttle valves did not direct pressure properly to the boots (there was leakage to the vacuum side of the valves).

Factual narrative

The factual narrative553 words

On November 19, 1996, approximately 0810 Pacific standard time, N8005Q, a Cessna 421B, sustained substantial damage when it landed hard during an undershoot at Olympia, Washington. The airline transport pilot and his two pilot-rated passengers were uninjured. The aircraft had departed Tacoma Narrows airport, Tacoma, Washington, about 0730 on an IFR flight plan to Ontario, Oregon, before diverting to Olympia due to airframe icing conditions. Instrument meteorological conditions prevailed at the time of the accident. There was no report of the ELT actuating.

During a telephone interview, the pilot stated that he encountered airframe icing and cycled the deice boots, but felt that the tail of the aircraft became "heavy," so he elected to divert after climbing to about 14,000 feet. On approach at 110 KIAS, he attempted to flare and the aircraft did not flare, and landed hard short of the runway. The airport was closed prior to the pilot's landing attempt due to snowplows on the runway, but this information was not disseminated to the pilot by ATC. The snowplow exited the runway prior to the pilot's landing attempt.

In his written report, the pilot stated that he had frequently checked the wings for ice accumulation during climbout. At about 12,000 feet the rate of climb was decreasing and the airspeed had dropped to about 130 knots indicated. He continued to climb, noting what appeared to be a "mere" trace of ice. At 13,000, with almost no climb at 125 knots indicated, the pilot pulled the yoke back a little to climb and the aircraft began to shudder. The pilot then decided to divert, again checking the wings, seeing what he described as a trace of ice. He said he cycled the deice boots with no apparent change in wing appearance.

While on approach at Olympia, he again cycled the boots between 3000 and 2000 feet MSL (mean sea level). The pilot stated that about 20-30 feet above the surface, he started a slight roundout, but when he eased back on the yoke, the airplane shuddered and the nose did not raise. At that point, he was ready to touch down, so he pulled back on the yoke while adding power. He stated that the airplane landed very hard. He did not notice any damage until he shut off the engines after taxiing in and noted that the propeller tips were bent.

The airplane was inspected later by FAA inspectors, who also observed testing by A&P mechanics at Olympia. The surface deice system was checked in accordance with Cessna service manuals. It was determined that the electrical test functioned properly. During an air leakage test, the boots did not hold pressure due to multiple wing boot holes and a shuttle valve internal leak. Functional test showed both control valves did not direct proper pressure to the system, both shuttle valves did not direct pressure properly to the boots (leaking to the vacuum side of the valves), the indicator light did not operate during deice cycle.

The pilot listed the right seat passenger as a copilot and dual student when he responded on his NTSB 6120.1/2 form. The right seat passenger was owner of the airplane, and was multi-engine rated, with 175 hours dual instruction recorded in this airplane. However, the flight was originally described as a business flight by the pilot.

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.

In flight encounter with weatherClimb - to cruise
Weather condition - icing conditionsFactor
Airframe/component/system failure/malfunctionEmergency descent/landing
Anti-ice/deice system - inoperativeCause
Maintenance - inadequateFactor
Airframe - iceCause
Hard landingLanding
Airspeed - inadequatePilot in commandCause
Flare - not attainedPilot in commandCause

Aircraft

Registration
N8005Q
Reported as
Cessna 421B
Category
Airplane
Serial number
421B-0005
Airframe hours
3,406
Engine
Continental GTSIO-520-H, 375 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Crossings Aviation
Registered owner
Ronald W. Garner
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 12, 1996 · 36 hours before
Departed
TIW · Tacoma, WA
Destination
ONO · Ontario, OR
Flight plan
IFR
Airport
OLM · Olympia, runway 17, 5,419 × 150 ft, concrete

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
32
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
3,300 total · 10 in this make and model · 3,165 as pilot in command · 6 in the last 90 days · 6 in the last 30 days

Weather

Conditions
Instrument (IMC) · Dawn
Wind
100° at 4 knots
Visibility
1 statute miles
Lowest ceiling
400 ft overcast
Temperature
30 °F

Docket · 5

The files NTSB released with the investigation on April 29, 1997, on NTSB’s docket system: statements, records, photos and specialists’ reports. 3.5 MB in all.

FAA reports on this event · 1

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