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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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NTSB Report

November 22, 1992 · Cessna 421C · N52AK

Santa Maria, CA

Overview

Report Status
Probable Cause
Event Type
Accident
Date
November 22, 1992
Injury Outcomes
1 injury (1 serious injury), 2 uninjured
Location
Santa Maria, CA
Aircraft
Cessna 421C
Tail Number
N52AK
Operator
Farroll Equipment Compnany
Injuries
Serious
Aircraft Damage
Destroyed
NTSB Number
LAX93LA051

Twelve minutes after departure, the left engine began to run rough and vibrate. The pilot said he could not correct the problem and shut the left engine down. No emergency was declared and the pilot told ATC that he would continue to his destination, 210 NM and 1.5 hours away. The pilot overflew 5 airports with runways over 5,000 ft long and a mountain range. The pilot executed a VOR approach and entered an extended downwind pattern. On short final, the pilot executed a go around because he did not get any gear down indications. He then maneuvered for a downwind landing on runway 12. The aircraft hit the ground 100 yards short of the runway, then collided with a ditch and the airport fence. An FAA inspector said there were three clear tire tracks from the point of touchdown to the ditch, where the gear was sheared off. He found no problems with the gear system. Examination of the left engine revealed a left magneto internal failure due to lack of lubrication and wear, which caused cylinder cross firing.

NTSB Probable Cause

1) THE INTERNAL FAILURE OF THE LEFT ENGINE, LEFT MAGNETO DUE TO INADEQUATE MAINTENANCE AND NON COMPLIANCE WITH THE MANUFACTURERS SERVICE BULLETINS AND RECOMMENDATIONS, AND 2) THE FAILURE OF THE PILOT TO ATTAIN THE PROPER TOUCHDOWN POINT DURING THE LANDING ATTEMPT. FACTORS IN THE ACCIDENT WERE THE INABILITY OF THE PILOT TO SHUT OFF THE LEFT MAGNETO AND THE FALSE LANDING GEAR INDICATIONS, BOTH FOR UNDETERMINED REASONS.

Full Narrative

TWELVE MINUTES AFTER DEPARTURE, THE LEFT ENGINE BEGAN TO RUN ROUGH & VIBRATE. THE PILOT SAID HE COULD NOT CORRECT THE PROBLEM & SHUT THE LEFT ENGINE DOWN. NO EMERGENCY WAS DECLARED & THE PILOT TOLD ATC THAT HE WOULD CONTINUE TO HIS DESTINATION, 210 NM & 1.5 HOURS AWAY. THE PILOT OVERFLEW 5 AIRPORTS WITH RUNWAYS OVER 5,000 FT LONG & A MOUNTAIN RANGE. THE PILOT EXECUTED A VOR APPROACH & ENTERED AN EXTENDED DOWNWIND PATTERN. ON SHORT FINAL THE PILOT EXECUTED A GO AROUND BECAUSE HE DID NOT GET ANY GEAR DOWN INDICATIONS. HE THEN MANEUVERED FOR A DOWNWIND LANDING ON RUNWAY 12. THE AIRCRAFT HIT THE GROUND 100 YARDS SHORT OF THE RUNWAY, THEN COLLIDED WITH A DITCH & THE AIRPORT FENCE. AN FAA INSPECTOR SAID THERE WERE THREE CLEAR TIRE TRACKS FROM THE POINT OF TOUCHDOWN TO THE DITCH, WHERE THE GEAR WAS SHEARED OFF. HE FOUND NO PROBLEMS WITH THE GEAR SYSTEM. EXAM OF THE LEFT ENGINE REVEALED A LEFT MAGNETO INTERNAL FAILURE DUE TO LACK OF LUBRICATION & WEAR, WHICH CAUSED CYLINDER CROSS FIRING.

Flight

Event TypeAccident
Event Time13:21 PST
Nearest AirportSanta Maria Public (0nm N)
Runway3
Runway Length6300 ft
Runway Width150 ft
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 421C
Tail NumberN52AK
Aircraft CategoryAir
DamageDestroyed
OperatorFarroll Equipment Compnany
Operating RulePart 91
Engines2
Engine TypeReciprocating
Engine DetailsContinental · GTSIO-520-L1B · Reciprocating · 375
Seats8

People & Injuries

Injury Summary1 injury (1 serious injury), 2 uninjured
Fatal0
Serious1
Minor0
Uninjured2
Total3
Crew 1Age 41 · First Class

Conditions

ConditionsVMC
LightDaylight
Wind290° @ 13 kt
Visibility15 sm
CeilingBroken clouds 3300 ft
Temperature / Dew Point61 F / 54
Altimeter29.00 inHg
Observation Time21:30
Weather SourceWFAC

Appendix: Source Data