N1592T

Destroyed
Fatal

Cessna 414S/N: 414-0372

Accident Details

Date
Thursday, December 11, 2003
NTSB Number
ATL04FA051
Location
Greeneville, TN
Event ID
20041020X01663
Coordinates
36.213890, -82.813888
Aircraft Damage
Destroyed
Highest Injury
Fatal
Fatalities
4
Serious Injuries
1
Minor Injuries
0
Uninjured
0
Total Aboard
5

Probable Cause and Findings

The pilot's failure to maintain airspeed while maneuvering in icing conditions on a circling approach for landing resulting in an inadvertent stall and collision with trees and terrain. A factor in the accident was a partial loss of engine power due to the pilot's failure to activate the alternate induction air system, and exceeding the maximum landing weight of the airplane.

Aircraft Information

Registration
N1592T
Make
CESSNA
Serial Number
414-0372
Engine Type
Reciprocating
Year Built
1972
Model / ICAO
414C414
Aircraft Type
Fixed Wing Multi Engine
No. of Engines
2

Registered Owner (Historical)

Name
YOUNG FOREVER INC
Address
3511 SILVERSIDE RD STE 105
Status
Deregistered
City
WILMINGTON
State / Zip Code
DE 19810-4902
Country
United States

Analysis

HISTORY OF FLIGHT

On December 11, 2003, at 1047 eastern standard time, a Cessna 414, N1592T, registered to Young Forever Inc., operated by Young Forever Inc., and Saunders Advisory Group as a 14 CFR Part 91 business flight, collided with trees and terrain during a circling approach to runway 23 at Greeneville-Greene County Municipal Airport, Greeneville, Tennessee. Instrument meteorological conditions prevailed and an instrument flight rules flight plan was filed. The airplane was destroyed and there was a post-crash fire. The commercial pilot and three passengers were fatally injured. A pilot-rated passenger sustained serious injuries. The flight originated from Port Columbus International Airport, Columbus, Ohio, on December 11, 2003, at 0915.

A witness, who was located next to a mailbox at 3055 Whitehouse Road, stated he observed a twin-engine airplane, with the landing gear down, in straight and level flight between 200-250 feet above the ground. He initially thought the airplane had departed from the Greeneville Airport. The airplane was heading almost due north when it made a sharp left turn; estimated at a 60-degree angle of bank. The airplane collided with trees and the ground followed by a ball of fire.

The surviving passenger stated the pilot delayed the takeoff from Columbus, Ohio, due to icing conditions. They departed Columbus and encountered icing conditions while in instrument conditions. The pilot informed him to keep a look out for ice on the leading edges of the wings and engine nacelles. The pilot did not want more than 1/4 inch of ice on the surfaces. The pilot inflated the deicing boots two times during the climb and applied propeller anti ice. He did not see the pilot apply alternate air. They leveled off at 6,000 feet and were flying above the clouds.

Upon reaching York VOR, the pilot requested and received clearance to climb to 8,000 feet to avoid clouds along their route of flight. The pilot informed him that he wanted to remain up as long as he could to stay out of the ice, and the pilot wanted to descend rapidly to keep from building up any ice. Tri Cities Approach Control cleared them to descend to 4,600 feet and to expect the Localizer 5 approach at Greeneville. They leveled off at their assigned altitude, and the pilot commented that he did not understand why ATC was keeping them in the clouds. A short time later the controller started vectoring them for the localizer approach and descended them to a lower altitude. The airplane started building up ice and the pilot activated the propeller ice, deice boots, and sprayed the windshield. The pilot contacted Greeneville UNICOM and obtained the weather and runway information. They performed the before landing check, intercepted the localizer, and the pilot lowered the landing gear and extended flaps one notch. The pilot made a call on the UNICOM frequency and informed them they were the localizer inbound.

The passenger stated he continued to look for ice. They broke out of the clouds at 1,700 AGL. The airport was to his right and below. About the same time the airplane came out of the clouds, the airplane started to buffet and shake. He asked the pilot, "What is it? What is it?" The pilot stated, "I think I know what it is." The pilot applied full throttle, full rpm, and mixture full rich. It appeared that the pilot was attempting to get some power to establish a climb while the airplane was descending. The passenger stated he knew they were going to crash, and he started removing the approach plate holders from both control yokes. The pilot made a "May Day" call. The airplane started going to the left and the mountain tops were getting closer. He turned around and instructed the passengers to fasten their seatbelts tighter and to put a coat or a blanket over their face. He turned around and tightened his lap belt and shoulder harness. The treetops were closer and the pilot made a comment as they collided with the mountain.

PERSONNEL INFORMATION

Review of information on file with the FAA Airman's Certification Division, Oklahoma City, Oklahoma, revealed the commercial pilot was issued a commercial pilot certificate on November 2, 2000, with ratings for airplane single engine land, airplane multiengine land, and instrument airplane. In addition the pilot held a flight instructor certificate issued on June 17, 2003, with ratings for airplane single engine land, airplane multiengine land, and instrument airplane. The pilot also held an advanced ground instructor certificate issued on September 11, 2000. The pilot held a first class medical certificate issued on June 13, 2003, with the restriction must wear corrective lenses.

The pilot's biennial flight review was conducted on September 12, 2002, and his last instrument proficiency flight check was conducted on September 13, 2002, at SIMCOM. Review of the pilot's logbook revealed his first flight in the Cessna 414 was on April 12, 2002. The pilot's last logbook entry was on December 6, 2003. The pilot's total time including the flight from Tampa, Florida, to the accident site is 4,845 hours. The pilot had a total of 341.5 multiengine hours. The pilot had flown 160.1 hours in the Cessna 414 of which 155.7 hours were as pilot-in-command. The pilot had flown one flight in the Cessna 414 in icing conditions before the accident flight. The pilot's last logbook instrument flight in the Cessna 414 was on November 24, 2003.

AIRCRAFT INFORMATION

The Cessna 414 airplane is equipped with a deice boot system that provides protection to the wings, horizontal stabilizer and vertical stabilizer. The system is manually controlled. The complete inflation and deflation cycle will last approximately 30 seconds. The Cessna 414 Owners Manual states that when ice has accumulated to about 1/2 inch thick on the leading edges, that the deicing switch should be turned on. The manual states in a NOTE, "Since wing, horizontal stabilizer and vertical stabilizer deice boots alone do not provide adequate protection for the entire aircraft, known icing conditions should be avoided wherever possible. If icing is encountered, close attention should be given to the pitot static system, propellers, induction systems, and other components subject to icing." No discrepancies pertaining to the deice boots were written in the airframe logbook.

The Cessna 414 airplane is equipped with a alcohol windshield deice system, which consists of an alcohol tank, a pump, left and right-hand dispersal tubes, and a switch breaker. No discrepancies pertaining to the windshield deice, were written in the airframe logbook.

A work order obtained from Lane Aviation, Columbus, Ohio, revealed the airplane underwent maintenance on December 10, 2003, for a broken wire on the right main landing gear. The left and right main down lock switches were replaced at Hobbs time was 2770.6. The airplane was topped off with 98 gallons of 100 low lead fuel on December 10, 2003.

A review of the airframe maintenance records revealed that RAM Aircraft Corporation overhauled the left and right engines on September 25, 2000. The left and right engines and left and right McCauley Propeller systems were installed on October 16, 2000, at Hour Meter 2307. The aircraft total time was 4,640 hours. The last annual inspection was conducted on July 20, 2003, at Hobbs Meter 2702.4. The airplane had flown 69.8 hours since the last annual inspection and had 4,989.2 total airframe hours at the time of the accident. The total time since the RAM conversion was 465.2 hours at the time of the accident. The pitot static system pressure test and transponder test were completed on March 28, 2003.

METEOROLOGICAL INFORMATION

The Greeneville 1100 weather observation was wind was 260-degrees at 8 knots, gusting to 14 knots, visibility 10 miles, ceiling overcast at 900 feet, temperature 32-degrees Fahrenheit, dew point temperature 29-degrees Fahrenheit, altimeter 29.97.

The Area Forecasts for eastern Tennessee was for ceilings broken at 2,500 feet agl with tops to 10,000 feet.

The Tri Cities Airport located 26 miles northeast of the accident site reported overcast skies at 1,700 feet above ground level (agl). The Terminal Forecast at Tri-Cities Airport was for winds from the 270 degrees at 15 knots, visibility better than 6 miles, ceiling overcast at 2,000 feet, with temporary condition between 0700 and 1100 of 5 miles in light snow showers and a ceiling overcast at 1,500 feet.

The National Weather Service issued AIRMET Zulu for occasional moderate rime to mixed icing in clouds and in-precipitation below 6,000 feet for portions of Tennessee and Kentucky. AIRMET Sierra was issued for IFR conditions and mountain obscuration. The Current Icing Potential (CIP) product indicated a high probability of icing at 3,000 and 6,000 feet.

The upper air data obtained from the Nashville Regional Forecast Office revealed an inversion with relative humidity greater than 75 percent existed from the surface to about 5,000 feet. A high potential for icing existed below the base of the inversion from 1,231to 4,400 feet with the high relative humidity there was an 86 percent probability of light rime to mixed icing.

Numerous pilot reports were recorded over Tennessee surrounding the time of the accident. A wide range of icing reports from light to moderate rime to mixed icing was reported below 6,500 feet. Cloud tops were reported in the range of 6,000 to 8,000 feet in the immediate area.

The pilot filed an IFR flight plan on December 10, 2003, for the flight from Columbus, Ohio to Greeneville, Tennessee, through the use of the Direct Users Access Terminal computer briefing (DUAT). In addition the pilot received a pre-flight weather briefing for the IFR flight on December 11, 2003. No deficiencies were noted in the DUAT briefing.

WRECKAGE AND IMPACT INFORMATION

The main wreckage of the airplane was located in a wooded area on a 20-degree upslope adjacent to 3055 Whitehouse Road, and on...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ATL04FA051