Crash of a Cessna 414 Chancellor in Truckee: 4 killed

Date & Time: Feb 10, 1993 at 0815 LT
Type of aircraft:
Operator:
Registration:
N711LT
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Truckee - Farmington
MSN:
414-0630
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
387
Circumstances:
A Cessna 414 collided with a tree in a mountainous residential area about 1 mile from the airport. Instrument meteorological conditions with 1/8 mile visibility prevailed and an instrument flight rules (IFR) flight plan was filed, but was not opened. The airplane departed under visual flight rules. The elevation of the collision was about 100 feet higher than the airport. The standard instrument departure procedures for the airport prescribe takeoff minimums of 3,500 foot ceiling and 3 miles visibility. The procedure requires a minimum climb rate of 425 feet per nautical mile, a right turn after takeoff to intercept a 002° radial off a VOR, and a climb to a specified altitude. The airman's information manual recommends that pilots climb to 400 feet agl before turning when executing standard instrument departure under IFR. The airplane was also determined to be about 400 pounds over maximum gross weight at the time of the takeoff. The wreckage examination disclosed no evidence of any pre existing aircraft or engine malfunctions or failures. All four occupants were killed.
Probable cause:
The decision of the pilot not to follow instrument flight rule procedures during instrument meteorological conditions and poor preflight planning which resulted in operation of the airplane over the maximum gross weight and reduced performance. Factors in the accident were the foggy weather conditions, and high terrain.
Final Report:

Crash of a Cessna 414 Chancellor in Reno: 2 killed

Date & Time: Jan 15, 1993 at 1343 LT
Type of aircraft:
Operator:
Registration:
N4733G
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Reno - Camarillo
MSN:
414-0928
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1935
Circumstances:
A Cessna 414 collided with a level ground while attempting to land during a snow shower. The pilot reported an emergency one minute after departing ifr and requested to return to the airport under visual rules. The pilot indicated to air traffic control that 'I can't get any speed.' The visibility was variable around the airport with the lowest report of 1/2 mile. Witnesses observed the airplane traveling fast at low altitude and indicated both engines were running. Investigation revealed during servicing before the flight, the pitot tube covers were not used. About 1.5 inches of snow had accumulated on the airplane during the refueling and was brushed off. The airplane was seen flying into a snow shower and reversing course. Witnesses reported the airplane's angle of bank to be 80 to 90° with a 20° pitch down attitude. The airplane descended into a snow covered pasture. Witnesses reported the airplane leveled its wing just before impact. Manufacturer's safety and warning supplements indicate inflight ice protection is not designed to remove snow on parked aircraft. The manufacturer recommends use of heated hangars or approved deicing solutions to insure the are no internal accumulations in pitot static system ports. Both occupants were killed.
Probable cause:
The failure of the pilot to use pitot static system covers during icing conditions which resulted in a blocked pitot tube and subsequent loss of airspeed indications. This led to pilot disorientation and an invertant stall. Factors to the accident were improper snow removal and adverse weather conditions.
Final Report:

Crash of a Cessna 414A Chancellor in Wels: 3 killed

Date & Time: Dec 15, 1992 at 1758 LT
Type of aircraft:
Registration:
D-IHKB
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Wels – Linz – Bratislava
MSN:
414A-0269
YOM:
1979
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1421
Aircraft flight hours:
1725
Aircraft flight cycles:
1576
Circumstances:
The twin engine aircraft departed Wels Airport on a short positioning flight to the nearest airport of Linz-Hörsching before continuing to Bratislava. Weather conditions were poor with visibility down to 100 metres due to fog and an RVR of 325 metres for runway 27. After takeoff from runway 27, the aircraft struck tree tops located 1,125 metres past the runway end, lost height and crashed 300 metres further, bursting into flames. The aircraft was destroyed by fire and all three occupants were killed.
Probable cause:
It was determined that several instruments were not properly set for takeoff. The pilot did not choose the correct runway and the visibility was below minimums. The pilot did not have a licence allowing him to fly in IMC conditions.

Crash of a Cessna 414 Chancellor off Zanzibar: 1 killed

Date & Time: May 18, 1992 at 0559 LT
Type of aircraft:
Operator:
Registration:
5H-TZS
Flight Type:
Survivors:
No
Schedule:
Dar es-Salaam - Zanzibar
MSN:
414-0951
YOM:
1977
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8000
Circumstances:
While approaching Zanzibar Airport by night on a positioning flight from Dar es-Salaam, the twin engine airplane went out of control and crashed in the sea off Chenguu Island, few hundred metres offshore. The pilot, sole on board was killed.
Probable cause:
Engine failure on approach caused by a fuel exhaustion.

Crash of a Cessna 414 Chancellor in MBS-Tri City: 3 killed

Date & Time: Mar 5, 1992 at 1504 LT
Type of aircraft:
Registration:
N69662
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
MBS-Tri-City - Chicago
MSN:
414-0621
YOM:
1975
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
2057
Captain / Total hours on type:
184.00
Aircraft flight hours:
4106
Circumstances:
While loading a patient & his personal gear in the aircraft for an air ambulance flight, the aircraft tipped onto its tail. As a result, the tail bumper was forced upward into the belly of the empennage. The pilot refused the offer to have a mechanic look at the damage, and remarked 'this has happened before.' after takeoff, the pilot radioed to the tower that he had a jammed elevator, and was coming around to land. While maneuvering on a base leg, control was lost & the airplane was observed to crash with one wing perpendicular to the ground. Another airplane was in the takeoff position on the runway. The airplane was configured with a hospital litter/stretcher and oxygen bottle on the right side of the cabin. There was no record for the approval for, or installation of, the stretcher. In addition, there was no weight & balance record for the airplane with the stretcher installation. All three occupants were killed.
Probable cause:
The pilot's poor judgement in attempting flight after the airplane's fuselage was damaged during a loading operation. Factors which contributed to the accident were: the operator's failure to provide proper weight and balance data for the airplane, the pilot's failure to supervise the loading operation, and his failure to accept the services of a mechanic to inspect the damage.
Final Report:

Crash of a Cessna 414 Chancellor in Long Beach: 2 killed

Date & Time: Oct 26, 1991 at 0901 LT
Type of aircraft:
Registration:
N3843C
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Long Beach - Scottsdale
MSN:
414-0846
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1510
Captain / Total hours on type:
317.00
Aircraft flight hours:
2711
Circumstances:
The pilot reported that he had lost the left engine during the initial climb phase of a cross-country flight. Ground witnesses observed that the airplane's landing gear was down and the left propeller was feathered as it turned left onto the downwind leg of the traffic pattern. Other witnesses observed the airplane's wings dip before it nosed over into the terrain while turning onto the final approach course. The airplane struck the ground and a fence that separated two residential yards. The wreckage examination disclosed that the left engine's scavenge pump failed. This failure led the pilot to believe that the engine failed. The pilot's improper emergency procedures by failing to retract the landing gear and maintain airspeed precipitated the resulting stall and uncontrolled descent. Both occupants were killed.
Probable cause:
The pilot's improper emergency procedures by not retracting the landing gear when he shut the engine down and his failure to maintain airspeed. The scavenge pump failure, shutting down the engine and the inadvertent stall were factors in the accident.
Final Report:

Crash of a Cessna 414A Chancellor in Atlantic City: 1 killed

Date & Time: Nov 23, 1990 at 2135 LT
Type of aircraft:
Registration:
N2693F
Flight Type:
Survivors:
No
Schedule:
Wilmington - Atlantic City
MSN:
414A-0423
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
5000
Circumstances:
The pilot was approaching Atlantic City Airport by night and poor weather conditions when the twin engine aircraft struck the ground and crashed few miles short of runway. The aircraft was destroyed and the pilot, sole on board, was killed.
Probable cause:
Failure of the pilot to follow the published ILS procedure and his continued descent below the decision height. Darkness and the adverse weather conditions were related factors.
Final Report:

Crash of a Cessna 414A Chancellor in Jackson Hole

Date & Time: Oct 17, 1990 at 0930 LT
Type of aircraft:
Registration:
N26853
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Jackson Hole - Las Vegas
MSN:
414A-0316
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1392
Captain / Total hours on type:
1095.00
Circumstances:
The pilot initiated a takeoff with snow and ice on the aircraft. During takeoff roll the aircraft became airborne, settled back onto the runway and the pilot attempted to abort the takeoff. The aircraft departed the end of the runway, impacted navigation antennas and rough terrain. All four occupants escaped uninjured.
Probable cause:
The pilot's inadequate preflight preparation of the aircraft, his failure to remove snow and ice from the aircraft before takeoff, and his delay in attempting to abort the takeoff.
Final Report:

Crash of a Cessna 414 Chancellor in Sitka: 2 killed

Date & Time: Aug 28, 1990 at 1216 LT
Type of aircraft:
Registration:
N8180K
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Sitka – Anchorage
MSN:
414-0080
YOM:
1970
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3500
Aircraft flight hours:
2867
Circumstances:
The pilot received a weather briefing and filed an IFR flight plan from Sitka to Anchorage, Alaska. During takeoff from runway 11 at Sitka, he provided a pirep to the flight service station, saying that he had entered the cloud bases at 700 feet msl. While departing, a left turn was made, and the airplane crashed on Mt Verstovia at the 1420 feet level, approximately 3 miles east of the airport. An on-scene investigation revealed the airplane struck wooded terrain while climbing on a heading of 359°. Several tree limbs had been clean cut (by the propellers); wreckage was spread over a 516 feet area. A standard instrument departure (Sitka 5 sid) was available which would have provided terrain clearance with a right turn-out from runway 11 to an initial climb heading of 280°.
Probable cause:
Improper planning/decision by the pilot, and his failure to follow IFR procedures and maintain clearance from mountainous terrain.
Final Report:

Crash of a Cessna 414 Chancellor in Ramona

Date & Time: Mar 16, 1990 at 1440 LT
Type of aircraft:
Registration:
N711AG
Flight Type:
Survivors:
Yes
Schedule:
Carlsbad - Ramona
MSN:
414-0016
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2300
Captain / Total hours on type:
50.00
Circumstances:
The pilot reported that the aircraft landed normally and during the landing roll a loud 'bang' was heard and the right main landing gear collapsed. An investigation was conducted by an FAA airworthiness inspector. During this investigation, it was noted that a washer in the right main landing gear assembly failed. Subsequent investigation, including a review of the aircraft maintenance records, revealed that cessna aircraft service information letter number ME83-37, dated november 23, 1983 had not been complied with. This service letter recommended replacement of the original washers with a new washer, Cessna part number S1450-5H12-063. (Old part number 5045018-2)
Probable cause:
Right main gear scissors assembly becoming disconnected during landing roll, allowing the right run landing gear to collapse; scissor assembly washers not being replaced as recommended in cessna aircraft service bulletin ME83-37.
Final Report: