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NTSB Report
September 3, 1990 · Cessna 411 · N7321U
Fallon, NV
Overview
Report Status
Probable Cause
Event Type
Accident
Date
September 3, 1990
Injury Outcomes
5 injuries (1 fatality, 3 serious injuries, 1 minor injury)
Location
Fallon, NV
Aircraft
Cessna 411
Tail Number
N7321U
Injuries
Fatal
Aircraft Damage
Destroyed
NTSB Number
LAX90FA311
THE ACFT HAD RECENTLY BEEN RETURNED TO SVC AFTER 5 YRS IN STORAGE. ON THIS FLT, IT WAS BEING USED TO TRANSPORT TWO POLITICAL CANDIDATES ON THEIR CAMPAIGN ITINERARY. DRG TAKEOFF FROM RWY 3, THE RGT ENG LOST PWR ON THE INITIAL CLIMB & THE ACFT DSCNDD & CRASHED ABT 2 MI SE OF THE ARPT. THE PLT DID NOT COMPLETE THE EMERG PROC FOR AN ENG FAILURE. THERE WAS EVIDENCE THAT HE DID NOT FEATHER THE PROP, DID NOT BANK INTO THE GOOD ENG, AND DID NOT CLOSE THE COWL FLAPS ON THE INOP ENG. AN EXAM OF THE RGT ENG DISCLOSED OVERHEATING & ERROSION OF THE #1 & #4 PISTONS, WHICH RESULTED IN HOLES IN THE TOP EDGES OF THE PISTONS. ALSO, THERE WERE CLOGGED FUEL INJECTORS, CONTAMINATION & CORROSION OF THE FUEL INJECTOR PUMP, AND CONTAMINATION & PARTIAL OBSTRUCTION OF THE MANIFOLD VALVE. ADDITIONALLY, THE ABSOLUTE PRESSURE CTRL OF THE TURBOCHARGER WAS FOUND TO BE INCORRECTLY ADJUSTED. THE PLT'S MEDICAL CERTIFICATE WAS DATED 8/13/86.
NTSB Probable Cause
FAILURE OF THE PILOT TO PERFORM EMERGENCY PROCEDURES FOR LOSS OF ENGINE POWER (INCLUDING HIS FAILURE TO FEATHER THE PROPELLER OF THE AFFECTED ENGINE). FACTORS RELATED TO THE ACCIDENT WERE: INADEQUATE MAINTENANCE, CONTAMINATION IN THE FUEL SYSTEM, AND OVERHEAT FAILURE OF THE #1 AND #4 PISTONS IN THE RIGHT ENGINE (FROM PREIGNITION OR DETONATION).
Full Narrative
THE ACFT HAD RECENTLY BEEN RETURNED TO SVC AFTER 5 YRS IN STORAGE. ON THIS FLT, IT WAS BEING USED TO TRANSPORT TWO POLITICAL CANDIDATES ON THEIR CAMPAIGN ITINERARY. DRG TAKEOFF FROM RWY 3, THE RGT ENG LOST PWR ON THE INITIAL CLIMB & THE ACFT DSCNDD & CRASHED ABT 2 MI SE OF THE ARPT. THE PLT DID NOT COMPLETE THE EMERG PROC FOR AN ENG FAILURE. THERE WAS EVIDENCE THAT HE DID NOT FEATHER THE PROP, DID NOT BANK INTO THE GOOD ENG, AND DID NOT CLOSE THE COWL FLAPS ON THE INOP ENG. AN EXAM OF THE RGT ENG DISCLOSED OVERHEATING & ERROSION OF THE #1 & #4 PISTONS, WHICH RESULTED IN HOLES IN THE TOP EDGES OF THE PISTONS. ALSO, THERE WERE CLOGGED FUEL INJECTORS, CONTAMINATION & CORROSION OF THE FUEL INJECTOR PUMP, AND CONTAMINATION & PARTIAL OBSTRUCTION OF THE MANIFOLD VALVE. ADDITIONALLY, THE ABSOLUTE PRESSURE CTRL OF THE TURBOCHARGER WAS FOUND TO BE INCORRECTLY ADJUSTED. THE PLT'S MEDICAL CERTIFICATE WAS DATED 8/13/86.
Flight
Event TypeAccident
Event Time12:44 PDT
Nearest AirportFallon Muni (2nm SE)
Runway3
Runway Length5600 ft
Runway Width75 ft
Flight Plan FiledNone
Aircraft FireNo
Aircraft ExplosionNo
Aircraft
AircraftCessna 411
Tail NumberN7321U
Aircraft CategoryAir
DamageDestroyed
Operating RulePart 91
Engines2
Engine TypeReciprocating
Engine DetailsContinental · GTSIO-520-C · Reciprocating · 340
Seats8
People & Injuries
Injury Summary5 injuries (1 fatality, 3 serious injuries, 1 minor injury)
Fatal1
Serious3
Minor1
Uninjured0
Total5
Crew 1Age 48 · None
Conditions
ConditionsVMC
LightDaylight
Wind50° @ 10 kt
Visibility10 sm
CeilingNone
Temperature / Dew Point0 C
Altimeter29.00 inHg
Observation Time19:55
Weather SourceWFAC