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Aviation safety reports, made easier to study

NTSB Reports is an independent research and search tool for public aviation accident and incident records. It brings NTSB aviation reports, structured fields, docket files, extracted figures, photos, videos, and update history into one searchable interface.

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June 19, 1992 · Cessna 402C · N2715X

Meadview, AZ

Overview

Report Status
Probable Cause
Event Type
Accident
Date
June 19, 1992
Injury Outcomes
10 injuries (10 fatalities)
Location
Meadview, AZ
Aircraft
Cessna 402C
Tail Number
N2715X
Operator
Adventure Airlines
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
DCA92MA040

PLT began takeoff on a 5200-ft dirt RWY (upslope to the south, elev 4775 ft) with wind from the south at 18-20 kts, density alt about 7250 ft. Witnesses observed the ACFT taking off, with the landing gear retracting as it passed their psn. Soon thereafter, the PLT transmitted he had 'a problem.' ACFT was then seen about 200-300 ft AGL in right turn, which progressed into a dive. ACFT impacted in flat attitude 1/2 mi south of RWY 17. PsgR video tapes revealed props went out of sync about 6 sec after takeoff. About 15 sec later, right prop slowed until blades could be seen turning. Video showed one ENG fuel flow at about 90 GPH, OTR ENG at min setting (abt 3 PSI), 5 deg increase in pitch attitude. Exam revealed RGT ENG driven fuel pump drive coupling was scored and only partially engaged. SB ME88 3 complied with; AUX fuel pump sws found in low psn. RGT prop blades fnd at fine pitch, lacking rotational dmg. LNDG gear fnd up, but unlocked; flaps extdd 15 deg. Emerg proc trng did not replicate hi density alt and max gross weight performance.

NTSB Probable Cause

FAILURE OF THE PILOT TO FOLLOW THE EMERGENCY PROCEDURE (ENGINE FAILURE AFTER TAKEOFF) AND HIS FAILURE TO MAINTAIN MINIMUM CONTROL SPEED (VMC), WHICH RESULTED IN A LOSS OF AIRCRAFT CONTROL. FACTORS RELATED TO THE ACCIDENT WERE FAILURE (DISENGAGEMENT) OF THE RIGHT ENGINE FUEL PUMP DRIVE COUPLING, HIGH DENSITY ALTITUDE, AND THE LACK OF COMPANY TRAINING CONCERNING AIRCRAFT PERFORMANCE IN CONDITIONS OF HIGH DENSITY ALTITUDE AND HEAVY GROSS WEIGHT.

Full Narrative

PLT BEGAN TAKEOFF ON A 5200-FT DIRT RWY (UPSLOPE TO THE SOUTH, ELEV 4775 FT) WITH WIND FROM THE SOUTH AT 18-20 KTS, DENSITY ALT ABOUT 7250 FT. WITNESSES OBSERVED THE ACFT TAKING OFF, WITH THE LANDING GEAR RETRACTING AS IT PASSED THEIR PSN. SOON THEREAFTER, THE PLT TRANSMITTED HE HAD 'A PROBLEM.' ACFT WAS THEN SEEN ABOUT 200-300 FT AGL IN RIGHT TURN, WHICH PROGRESSED INTO A DIVE. ACFT IMPACTED IN FLAT ATTITUDE 1/2 MI SOUTH OF RWY 17. PSGR VIDEO TAPES REVEALED PROPS WENT OUT OF SYNC ABOUT 6 SEC ATER TAKEOFF. ABOUT 15 SEC LATER, RIGHT PROP SLOWED UNTIL BLADES COULD BE SEEN TURNING. VIDEO SHOWED ONE ENG FUEL FLOW AT ABOUT 90 GPH, OTR ENG AT MIN SETTING (ABT 3 PSI), 5 DEG INCREASE IN PITCH ATTITUDE. EXAM REVEALED RGT ENG DRIVEN FUEL PUMP DRIVE COUPLING WAS SCORED AND ONLY PARTIALLY ENGAGED. SB ME88 3 COMPLIED WITH; AUX FUEL PUMP SWS FOUND IN LOW PSN. RGT PROP BLADES FND AT FINE PITCH, LACKING ROTATIONAL DMG. LNDG GEAR FND UP, BUT UNLOCKED; FLAPS EXTDD 15 DEG. EMERG PROC TRNG DID NOT REPLICATE HI DENSITY ALT AND MAX GROSS WEIGHT PERFORMANCE.

Flight

Event TypeAccident
Event Time14:05 MST
Nearest AirportGrand Canyon West (1nm SSW)
Runway17
Runway Length5200 ft
Runway Width100 ft
Flight Plan FiledCvfr
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 402C
Tail NumberN2715X
Aircraft CategoryAir
DamageDestroyed
OperatorAdventure Airlines
Operating RulePart 135
Engines2
Engine TypeReciprocating
Engine DetailsContinental · TSIO-520-VB · Reciprocating · 325
Seats10

People & Injuries

Injury Summary10 injuries (10 fatalities)
Fatal10
Serious0
Minor0
Uninjured0
Total10
Crew 1Age 61 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind170° @ 18 kt
Visibility35 sm
CeilingNone
Temperature / Dew Point28 C
Altimeter29.00 inHg
Weather SourceWIT

Appendix: Source Data