Crash of a Cessna 414A Chancellor in Hahn: 2 killed

Date & Time: Dec 17, 2002 at 1353 LT
Type of aircraft:
Registration:
D-IAFL
Survivors:
No
Schedule:
Egelsbach - Hahn
MSN:
414A-0256
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3233
Captain / Total hours on type:
550.00
Circumstances:
While descending to Hahn Airport, the pilot encountered marginal weather conditions with limited visibility due to clouds down to 500 feet. On approach, the twin engine aircraft collided with trees and crashed about 11 km from the runway 03 threshold. The aircraft was destroyed and both occupants were killed.
Probable cause:
Collision with trees on approach after the pilot continued under VFR mode in IMC conditions. Poor flight planning on part of the pilot who failed to take into consideration the poor visibility at destination due to low clouds. Insufficient and ambiguous communication between pilot and ATC was considered as a contributing factor.
Final Report:

Crash of a Cessna 414 Chancellor in Marshfield: 3 killed

Date & Time: Sep 29, 2001 at 1700 LT
Type of aircraft:
Operator:
Registration:
N414NG
Flight Type:
Survivors:
No
Schedule:
Wisconsin Rapids - Poplar Bluff
MSN:
414-0496
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The airplane was destroyed after an attempted landing following a reported partial power loss of the left engine while en route. The flight did not divert to the closest airport located about 27 nautical miles to the southwest while at an altitude of about 15,900 feet. This airport was a controlled field equipped with airport rescue and fire fighting (ARFF), and its longest runway was 9,005 feet. The flight diverted to the departure airport located about 93 nautical miles to the north. This airport was an uncontrolled field not equipped with ARFF, and its longest runway was 5,000 feet. No emergency was declared. The airplane was reported by a witness to be too high and too fast to land on runway 34 at the airport. The winds were from 140 degrees at 6 knots. The wreckage distribution was consistent with an impact resulting from a Vmc (minimum control speed with the critical engine inoperative) roll to the left. The pilot received a checkout from the right seat in the accident airplane by the airplane owner. The checkout was about 20 minutes in duration and did not include any single-engine flight maneuvers or emergency procedures. The owner did not hold a certified flight instructor certificate. The pilot had stopped flying for 12 years and just began giving flight instruction and flying in single-engine airplanes about a year prior to the accident. The pilot's recent multiengine flight experience was limited to a couple of non-revenue flights within the past year while seated in the right seat of a King Air. The King Air was used for commercial charter work which would involve one or two landings per flight. One landing was made on the day prior to the accident. The accident pilot asked the King Air pilot to accompany him along on the accident flight; the King Air pilot declined. A multiengine commercial rated pilot-rated passenger, who the accident pilot knew, was seated in the right front seat. Examination of the airplane's supplemental type certificate (STC) revealed that the airplane had undergone numerous inspections by different maintenance personnel. The left engine's variable absolute pressure controller had safety wire around its control arm, which precluded its normal operation and a pressure relief valve that was not called for in the STC drawings. At the time of issuance, Federal Regulation's did not require STC instructions for continued airworthiness. Reliance on the airplane and engine maintenance manuals would not have provided enough information for continued airworthiness in accordance with the STC and could have yielded a setting exceeding those for which the STC parts were originally certificated to and thus increasing Vmc speed. Examination of the left engine revealed a cylinder head separation on the number six cylinder assembly, which had accumulated an estimated time since installation of 240 hours. Visual inspection of the assembly revealed the presence of some undecipherable characters in its parts numbering. A cylinder head separation from another airplane was also examined. This cylinder assembly accumulated about 270 hours since installation. Both cylinder assembly examinations revealed the presence of additional material on the cylinder barrel threads and fatigue fracture on the cylinder head.
Probable cause:
The pilot's failure to maintain adequate airspeed (Vmc) which resulted in a loss of control. Contributing factors were the improper in-flight planning/decision not to land at a closer airport and the lack of recent experience in multiengine airplanes by the pilot-in-command, the cylinder head separation, the inadequate manufacturing process, and the lack of continued airworthiness instructions relating to the Riley Super-8 STC.
Final Report:

Crash of a Cessna 414 Chancellor near Monarch: 3 killed

Date & Time: May 31, 2000 at 1728 LT
Type of aircraft:
Operator:
Registration:
N5113G
Flight Phase:
Survivors:
No
Site:
Schedule:
Great Falls - Billings
MSN:
414-0952
YOM:
1977
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
8000
Aircraft flight hours:
7406
Circumstances:
During climbout, the airplane encountered an area of freezing rain resulting in rapid airframe ice accretion and loss of climb capability. The pilot informed ATC that he was unable to maintain altitude and requested and received clearance back to Great Falls, the departure airport. ATC radar showed that the airplane then began a right turn over mountainous terrain extending up to 8,309 feet prior to loss of radar contact (lower and relatively flat terrain, down to less than 5,000 feet, was located to the left of the aircraft's track.) During the last minute of radar contact, the aircraft was in a right turn at a descent rate of about 400 feet per minute; the aircraft passed less than 1/2 mile from the 8,309-foot mountain summit just prior to loss of radar contact, at an altitude of 8,400 to 8,500 feet. The aircraft crashed on the southwest flank of the 8,309-foot mountain about 1/2 mile south of the last recorded radar position. Wreckage and impact signatures at the crash site were indicative of an inverted, steep-angle, relatively low-speed, downhill impact with the terrain. The investigation revealed no evidence of any aircraft mechanical problems.
Probable cause:
The failure of the pilot-in-command to ensure adequate airspeed for flight during a forced descent due to airframe icing, resulting in a stall. Factors included: freezing rain conditions, airframe icing, an improper decision by the pilot-in-command to turn toward mountainous terrain (where a turn toward lower and level terrain was a viable option), mountainous terrain, and insufficient altitude available for stall recovery.
Final Report:

Crash of a Cessna 414 Chancellor near Pandamatenga

Date & Time: Mar 1, 2000 at 1620 LT
Type of aircraft:
Operator:
Registration:
ZS-MDT
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Gaborone - Maun
MSN:
414-0096
YOM:
1970
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
En route from Gaborone to Maun, an oil leak occurred on the left engine. The pilot shut down the left engine and feathered its propeller. Unable to maintain a safe altitude, he elected to make an emergency landing but eventually crash landed in a wooded area located about 128 km southwest of Pandamatenga. All five occupants were injured and the aircraft was destroyed. It was reported that the left engine oil pressure dropped while its temperature increased.

Crash of a Cessna 414 Chancellor in Oklahoma

Date & Time: Jan 26, 2000 at 1100 LT
Type of aircraft:
Operator:
Registration:
N7VS
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Oklahoma City – El Paso
MSN:
414-0276
YOM:
1972
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
14432
Captain / Total hours on type:
1350.00
Circumstances:
The pilot reported that light snow was falling, with approximately 2 inches already on the ground, and the runway had been plowed approximately one hour prior to his departure. About 20 minutes had elapsed since the airplane had been towed from the '68 degree F' hangar. During the takeoff, the airplane accelerated 'normally' and became airborne after traveling about 2,160 feet down the 3,240-foot runway. After liftoff, the airplane did not climb above 25 or 30 feet agl. The airplane impacted an embankment at the end of the runway, continued across railroad tracks, and through a fence coming to rest in a brick storage yard about 800-1,000 feet from the departure end of the runway. The pilot stated that someone told him that the airport did not have any deicing equipment, therefore, he did not deice the airplane. The weather facility, located 5 miles from the accident site, reported the wind from 100 degrees at 7 knots, visibility 1/2 mile with snow and freezing fog, temperature 27 degrees F.
Probable cause:
The failure of the pilot to deice the airplane prior to departure.
Final Report:

Crash of a Cessna 414 Chancellor in Monterrey: 2 killed

Date & Time: Dec 22, 1999 at 1830 LT
Type of aircraft:
Operator:
Registration:
XB-EXF
Flight Type:
Survivors:
No
Schedule:
San Antonio - Monterrey
MSN:
414-0827
YOM:
1975
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Following an uneventful flight from San Antonio, the pilot started a night approach to Monterrey-Del Norte. On final in good weather conditions, the twin engine aircraft crashed in unknown circumstances few km from the airfield. Both occupants were killed.

Crash of a Cessna 414 Chancellor in Alpine

Date & Time: Aug 28, 1999 at 1021 LT
Type of aircraft:
Operator:
Registration:
N67JM
Flight Phase:
Survivors:
Yes
Schedule:
Alpine - Lajitas
MSN:
414-0066
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
383
Captain / Total hours on type:
24.00
Aircraft flight hours:
5581
Circumstances:
The pilot had the main and auxiliary fuel tanks filled and performed an abbreviated preflight prior to departing the Alpine Airport. The pilot did not perform an engine run-up prior to takeoff. The pilot stated that while the airplane was climbing through 100 feet agl, the left engine 'started to surge.' The pilot reported that he knew the airplane would not be able to climb at field elevation with one engine inoperative. The pilot switched the left engine's boost pump from low to high; however, the left engine continued to surge while the airplane lost altitude. The pilot initiated a forced landing with the landing gear and flaps retracted and the left propeller unfeathered. The airplane impacted the ground left wing tip first and a fire erupted, which damaged the left wing and left side of the fuselage. The left engine's spark plugs were found covered with thick black soot. The left engine's magnetos were rotated using an electric hand-held drill, and the left magneto did not produce any spark and the right magneto produced a spark in three of its six distributor cap posts. The left magneto's primary winding resistance and capacitor leakage were found to be beyond the manufacturer's specified limits. The internal components of both magnetos were covered in a dark oil and debris. The maximum takeoff weight for the accident airplane was 6,350 pounds; however, the takeoff weight at the time of the accident was calculated to be 6,509 pounds. The aircraft's single engine performance charts indicated that the airplane would obtain a 29 fpm climb at maximum gross weight with the inoperative engine feathered. The pilot operating handbook's supplement section indicated that the auxiliary fuel pump should only be used when the engine-driven fuel pump failed. A caution statement states in bold print, 'If the auxiliary fuel pump switches are placed in the HIGH position with the engine-driven fuel pump(s) operating normally, total loss of engine power may occur.'
Probable cause:
The pilot's improper use of the emergency fuel boost pump, which resulted in excessive fuel flow to the engine and subsequent total loss of left engine power. Factor's were the high density altitude, the pilot exceeding the airplane's weight and balance, the partial loss of left engine power as a result of the faulty magnetos, and the pilot's inadequate preflight inspection by not performing an engine run-up.
Final Report: