WPR23LA072

NTSB accident investigation · Cessna 441 · Liberal, KS · December 13, 2022

Accident · No injuriesClass 4 · LimitedFinal report
Date
December 13, 2022, 19:00, time zone not recorded
Place
Liberal, KS · KLBL
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Prior to flight
Aircraft
N253SBCessna 441
Defining event
Prior to flight: Ground collision
Weather
Visual (VMC) · Night/dark
Status
Completed
Report
Approved by Office Director
Investigation class
Class 4 - Basic report with no Prelim publish
NTSB office
Western Pacific Region
Parties
Federal Aviation Administration
Case key
106480

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

On this page

Probable cause

The pilot’s inadequate preflight inspection, failure to set the parking brake, and his decision to exit the airplane with engines running to remove a wheel chock, resulting in the airplane’s unintended movement and subsequent collision with a hangar.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Action: incorrect action sequencePersonnel issues › Action/decision · PilotCessna 441: 1 caseAll aircraft: 77 casesProbable cause
Inspection: preflight inspectionPersonnel issues › Task performance · PilotCessna 441: 1 caseAll aircraft: 551 casesProbable cause
Engine controlsAircraft › Aircraft power plant · Incorrect use/operationCessna 441: 1 caseAll aircraft: 51 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot of the multiengine airplane reported that, he had preflighted the airplane about 2 hours before his intended departure and asked ground crew to reposition the airplane. When the pilot was ready for departure, he reported that he did not do another preflight, but only walked around the nose of the airplane to get to the entrance door. After he started both engines, the airplane would not taxi forward. The pilot reported that he thought that he set the brakes, reduced both engines to an idle power setting, and exited the airplane. The pilot observed a chock on the airplane’s nosewheel, and after he removed the chock, the airplane began to move forward. He attempted to reboard the unoccupied airplane, however, was unable to and the airplane subsequently collided with a hangar. The airplane sustained substantial damage to the fuselage. The pilot reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

Aircraft

Registration
N253SB
Reported as
Cessna 441
Category
Airplane
Serial number
4410258
Built
1982
Engines
Garrett TPE331-ION, 635 horsepower, turbo propGarrett TPE331-ION, 635 horsepower, turbo prop
Damage
Substantial damage
Flight
Positioning · Part 91
Operator
Lyddon Aero Center, Inc., doing business as Lyddon Aero Center, Inc.
Registered owner
Sierra Bravo Partnership
Airworthiness certificate
Standard, Normal
Departed
KLBL · Liberal, KS
Destination
KLBB · Lubbock, TX
Flight plan
IFR
Airport
KLBL · Liberal Mid-America Regional
Equipment
Stall warning system, ADS-B, Auto-pilot, Electronic flight bag or handheld device, Onboard weather, Electronic multifunction display, Electronic primary flight display

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
73
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane, Helicopter
Medical
Class 1, With waivers/limitations
Last flight review
January 7, 2022
Seat
None
Restraint
None
Flight hours
21,500 total · 500 in this make and model · 150 in the last 90 days

Weather

Conditions
Visual (VMC) · Night/dark
Wind
330° at 10 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
28 °F, dew point 18 °F
Altimeter
2968.00 inHg
Observed at
KLBL
METAR
KLBL 140056Z AUTO 33010KT 10SM CLR M02/M08 A2968

Docket · 4

The files NTSB released with the investigation on March 2, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 9.6 MB in all.