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August 26, 2000 · Cessna 411 · N411TK

Boise, ID

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
August 26, 2000
Injury Outcomes
2 injuries (2 serious injuries)
Location
Boise, ID
Aircraft
Cessna 411
Tail Number
N411TK
Operator
James S Davis
Injuries
Serious
Aircraft Damage
Substantial
NTSB Number
SEA00LA172

While within a two mile final to the runway, the airplane suddenly veered to the left of the approach and descended to the ground. The aircraft collided with the level terrain in a wings level and nose down attitude. The aircraft slid about 150 feet before coming to rest on its belly next to a road. The fuel cells were compromised and there was evidence of a fuel spill of unknown quantity. During the follow-up wreckage inspection, there was no evidence found to indicate a mechanical failure or malfunction. Inspection of the maintenance logbooks found that although the aircraft had been signed-off for an annual inspection, there was several discrepancy items noted, to include leaking fuel cells, which had not yet been repaired/replaced, and the aircraft was not signed off in an airworthy condition. This discrepancy list was given to the owner/operator. The pilot, who was in the process of purchasing this aircraft from an aircraft broker, stated that he was unaware that the aircraft was not airworthy, and was told by the broker that it was okay to fly the aircraft. The pilot was however, aware of the leaking fuel cells.

NTSB Probable Cause

Aircraft control was not maintained during approach for landing.

Full Narrative

HISTORY OF FLIGHT On August 26, 2000, about 1500 mountain daylight time, a Cessna 411, N411TK, registered to Aircraft Emporium Inc, and operated by the private pilot as a 14 CFR Part 91 personal flight, veered off the approach to runway 28L and collided with the terrain about one mile short of the runway at Boise, Idaho. Visual meteorological conditions prevailed and no flight plan was filed. The aircraft was substantially damaged and the pilot and his passenger were seriously injured. The flight originated from Las Vegas, Nevada, about 1200 Pacific daylight time. Due to injuries to both the pilot and passenger, neither occupant recalls the events leading up to the accident. The Federal Aviation Administration reported that the aircraft was on approach to runway 28L when it suddenly veered to the left of course. The aircraft subsequently collided with the terrain about one mile short of the runway, and about one-quarter of a mile to the south of the approach path. Witnesses in the area reported that the aircraft was observed on the approach when it banked to the left and descended to the ground. Another witness reported that the aircraft was "...rocking back and forth (right and left) approx. 500' over his head..." on the north side of Gowen Rd, prior to it descending to the ground. The pilot reported that he was in the process of purchasing this aircraft from an aircraft broker in Corona, California, and that the aircraft was being "test flown for possible purchase." The flight began in Corona, California, on the morning of August 26, with a fuel stop in Las Vegas, Nevada. The flight then continued on to its final destination to Boise, Idaho. PERSONNEL INFORMATION The pilot holds a private pilot certificate and rated for single and multi-engine land (MEL) aircraft. Flight logbook four was provided for review. The first logbook entry was dated June 5, 1999. The last entry was dated August 8, 2000. At the time of the accident, the logbook indicated that the pilot had accumulated a total flight time in all aircraft of approximately 2,539 hours. Approximately 36 hours total time (dual received and pilot-in-command) had been accumulated in MEL aircraft, with approximately 26 hours logged as pilot-in-command (PIC). Approximately 20 of those hours were logged as PIC prior to the MEL check ride dated August 2, 2000. After the check ride, to include the approximate 3 hours flight on the day of the accident, the pilot logged approximately six hours as PIC. On June 22, 2000, the logbook indicated a 36-minute introduction dual flight in the Cessna 411. Although the entry indicated the registration number for the accident aircraft, the pilot reported that it was entered in error and was in another Cessna 411 that the broker had available. The pilot reported that there was one other flight in the Cessna 411, but that it did not get entered in the logbook. The logbook also indicated from July 7 to July 9, 2000, 10.3 hours logged as "second-in-command" for ferry flights in a Cessna 337. AIRCRAFT INFORMATION Maintenance records obtained for review indicated that the aircraft had been signed-off for an annual inspection on August 8, 2000. The entries for the airframe and engines indicated that a discrepancy list was provided to the owner/operator. The aircraft had not been returned to an airworthy condition. The discrepancy list (see attachment) indicated that several items, to include evidence of leaking auxiliary fuel tanks, had not been accomplished. When asked, the pilot reported that he was not aware that the aircraft was not airworthy, and was told by the aircraft broker that it was okay to take the aircraft for the flight to Boise. In the pilot's attached statement, he indicated that the broker had informed him that, "...the auxiliary tanks leaked when completely filled to the top." Fuel records indicate that the aircraft was fueled at the Corona Municipal Airport on the morning of August 26, 2000. A total of 18.9 gallons of 100LL fuel was purchased. Another fuel receipt from Eagle Aviation Resources, Las Vegas, indicated 34.5 gallons of fuel was purchased that same day. The pilot reported that he does not recall the fuel quantity prior to the departures or to which fuel tanks the fuel was added. The auxiliary fuel tanks (wing tank) hold 35 useable gallons in each wing. The main tanks (wingtip) hold 50 useable gallons in each tip tank. WRECKAGE AND IMPACT INFORMATION The Boise Airport Police prepared a wreckage diagram of the accident site. The diagram identified ground signatures noted on the north side of Gowen Road indicating that the aircraft contacted the ground in a wings level, nose down attitude. The aircraft slid approximately 150 feet before coming to rest on its belly partially obstructing the road. The left side propeller assembly separated from the crankshaft and was on the opposite side of the road. The propeller blades remained attached in the hub. The left side main fuel tank (tip tank) separated from the left wing and was found in close proximity to the fuselage. The tank was compromised and a small amount of fuel remained in the cell. The right side main fuel tank remained attached to the wing, however, the cell was compromised and a small amount of fuel remained in the cell. The auxiliary fuel tanks (wing tanks) were found empty during the follow-up wreckage inspection. Fire department personnel reported a fuel spill at the accident site; however, the investigative team could not verify an amount. Fire suppression foam had been applied to the accident site upon Fire Department arrival. ADDITIONAL INFORMATION Western Aircraft, Boise, ID, removed the wreckage from the accident site and transported it to their facility at the airport. At this facility both engines were inspected. During the inspection it was noted that the spark plugs on both engines exhibited heavy electrode erosion and wide gapping. It also appeared that the exterior of the spark plugs had been bead blasted and then painted with bright silver/chrome paint. The turbochargers were free to turn and their bearing had nominal clearance. Both metering unit fuel inlet screens were removed and found to be clear of contaminants. Minimal fuel was present in the screen cavities. The throttle control positions in the cockpit were found in the aft position, however, the throttle controls at the engines were found 7/8 open. The cockpit mixture controls were found to be mid-range for the left engine and full forward for the right. The mixture controls at the engines were found in the full rich position. Further inspection of both engines did not reveal evidence of a pre-impact malfunction or failure. Documentation of the cabin noted that both fuel selectors were positioned to the auxiliary fuel tanks. The Cessna 411 Owner's Manual indicates that for landing, the fuel selectors are to be selected to the main tanks (see attachment). Control continuity was established from the ailerons, flaps, rudder and elevator to the cockpit area. The aileron, rudder and elevator trim tab positions were neutral. The landing gear selector was down. The flaps were extended. The Federal Aviation Administration reported that this aircraft had been based in Van Nuys, California, and unused for several years. The Van Nuys Flight Standards District Office had revoked the airworthiness certificate until maintenance items (see attachment) were accomplished prior to the approval for a special ferry permit for a flight to the Corona airport. The wreckage was released to the owner on August 31, 2000.

Flight

Event TypeAccident
Event Time14:00 PDT
Nearest AirportBoise Air Terminal (1nm)
Runway28L
Runway Length9763 ft
Runway Width150 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 411
Tail NumberN411TK
Aircraft CategoryAir
DamageSubstantial
OperatorJames S Davis
Operating RulePart 91
Engines2
Engine TypeReciprocating
Engine DetailsContinental · GTSIO-520-C · Reciprocating · 340
Seats6

People & Injuries

Injury Summary2 injuries (2 serious injuries)
Fatal0
Serious2
Minor0
Uninjured0
Total2
Crew 1Age 46 · Third Class

Conditions

ConditionsVMC
LightDaylight
Wind340° @ 10 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point45 C
Altimeter29.00 inHg
Observation Time20:56
Weather SourceWFAC

Appendix: Source Data