Pilot Debrief

CESSNA 421C near Paris, IL — 2013-08-27

Final reportCEN13FA509
Sign in to save
Date
2013-08-27
Location
Paris, IL, USA
Airport
PRG
Aircraft
CESSNA 421C
Registration
N229H
Category
Airplane
Highest injury
Fatal
Fatalities
1
Phase of flight
Takeoff roll

Probable cause

The pilot's failure to abort the takeoff during the ground roll after detecting the airplane's degraded performance. Contributing to the accident was the pilot's decision to attempt a flight with a known problem with the left engine and the likely partial loss of left engine power for reasons that could not be determined during the postaccident examination of the engine.

Contributing factors

Contributing to the accident was the pilot's decision to attempt a flight with a known problem with the left engine and the likely partial loss of left engine power for reasons that could not be determined during the postaccident examination of the engine.

NTSB narrative

Company personnel reported that, in the weeks before the accident, the airplane's left engine had been experiencing a problem that prevented it from initially producing 100 percent power. The accident pilot and maintenance personnel attempted to correct the discrepancy; however, the discrepancy was not corrected before the accident flight, and company personnel had previously flown flights in the airplane with the known discrepancy. Witnesses reported observing a portion of the takeoff roll, which they described as slower than normal. However, the airplane was subsequently blocked from their view. Examination of the runway environment showed that, during the takeoff roll, the airplane traveled the entire length of the 4,501-ft runway, continued to travel through a 300-ft-long grassy area and a 300-ft-long soybean field, and then impacted the top of 10-ft-tall corn stalks for about 50 ft before it began to climb. About 1/2 mile from the airport, the airplane impacted several trees in a left-wing, nose-low attitude, consistent with the airplane being operated below the minimum controllable airspeed. The main wreckage was consumed by postimpact fire. Postaccident examinations revealed no evidence of mechanical anomalies with the airframe, right engine, or propellers that would have precluded normal operation. Given the left engine's preexisting condition, it is likely that its performance was degraded; however, postimpact damage and fire preluded a determination of the cause of the problem.

Analysis

Primary failure mode
Mechanical failure
First missed decision gate
Pilot could have aborted takeoff due to slow acceleration of the aircraft.

NTSB coding

Evidence available

  • Photos
  • 27 docket documents
View NTSB final reportView NTSB docket

Docket documents27

Related mishaps