Accident Details
Probable Cause and Findings
The airplane's encounter with severe icing conditions, which resulted in structural icing, and the pilot's increased workload and subsequent disorientation while maneuvering in instrument flight rules (IFR) conditions with malfunctioning flight instruments, which led to the subsequent loss of airplane control. Contributing to the accident was the pilot's decision to takeoff in IFR conditions and fly a single-pilot operation without a functioning autopilot and with malfunctioning flight instruments.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHT
On October 18, 2013, at 1017 central daylight time, N610ED, a Cessna 500, Citation, multi-engine turbojet airplane, collided with terrain during an uncontrolled descent near Derby, Kansas. The pilot and passenger were fatally injured, and the airplane was destroyed. The airplane was registered to and operated by Dufresne, Inc.; Murrieta, California. Day visual meteorological conditions (VMC) prevailed on the surface; however, instrument meteorological conditions (IMC) likely prevailed at altitude at the time of the accident. An instrument flight rules flight plan had been filed for the 14 Code of Federal Regulations Part 91 business flight. The airplane departed Wichita Mid-Continent Airport (ICT), Wichita, Kansas, at 1007 and was destined for New Braunfels Regional Airport (BAZ), New Braunfels, Texas.
During climb to cruise, after leveling at 15,000 feet, the airplane departed controlled flight, descended rapidly and impacted terrain. Several witnesses described seeing the airplane below the clouds in a nose-down vertical dive and trailing either white smoke or black smoke. One of the witnesses reported the nose-down airplane was "spinning very fast". Many of the witnesses reported an immediate explosion with a fireball about 500 feet high followed by a column of black smoke. Evidence at the accident scene showed evidence of a postimpact fire with most of the wreckage located in or near a single impact crater. Several witnesses reported that after they heard or saw the explosion and fire they saw airborne debris tumbling and falling to the ground about one half mile west from the main wreckage.
PERSONNEL INFORMATION
The pilot, age 49, held a Federal Aviation Administration (FAA) commercial pilot certificate with ratings for airplane single engine and multiengine land, and instrument airplane. His private pilot certificate in airplane single engine land was initially issued on March 6, 2000, his private pilot rating in airplane multiengine land was issued on May 17, 2000, and his rating in instrument airplane was issued on January 7, 2006. On January 20, 2006, he was issued a commercial pilot certificate in airplane multi-engine land, and on February 6, 2006, he was issued a restricted type rating for CE-500 with a limitation "SIC privileges only". On December 13, 2008, he was issued an unrestricted type rating for CE-500.
The pilot also held an FAA second-class medical certificate, issued on July 3, 2012, with a restriction "must have available glasses for near vision".
A review of the pilot's three logbooks showed entries beginning on January 21, 1999, with the last entry in logbook number three on October 11, 2013. The logbooks showed that his total pilot experience was then 2,605 hours, with about 2,366 hours in multi-engine airplanes, and a total of 239 hours of instrument flying experience. He had logged at total of 1,172 hours of pilot experience in Cessna 500 and 550 airplanes which included 658 hours of second-in-command experience.
The pilot completed a satisfactory CE-500 pilot proficiency check on October 4, 2012. One month later on November 10, 2012, he completed a satisfactory proficiency check for a single pilot exemption in CE-500 airplanes. Pilot logbook entries showed that since November 17, 2012, he had flown about 206 hours in CE-500 airplanes with all of that experience logged as a "single pilot", and without another pilot crewmember in the cockpit.
AIRCRAFT INFORMATION
The Cessna 500, Citation, serial number (s/n) 500-0241, was a multi-engine business turbojet airplane. The transport category airplane was originally issued a standard airworthiness certificate on June 12, 1975. It was powered by two Pratt & Whitney Canada JT-15D-1A turbofan engines, s/n 76522 and s/n 76209, each capable of producing 2,200 pounds of thrust. At the time of the accident the airplane was maintained on an approved aircraft inspection program (AAIP) and its most recent airframe inspection was completed on September 24, 2012, at an airplane total time of 7,560.9 hours. On that date the left and right engines had then accumulated a total of 7,212.8 hours and 10,435.2 hours, respectively.
Based on a postaccident review of invoices, correspondence, pilot logbook entries, and other documents, the total flight time from September 24, 2012, to the accident date was estimated as an additional 249 hours.
The airplane's type-certificate data sheet (TCDS) showed a maximum takeoff weight limitation of 11,500 pounds and showed the airplane was certified with seats for two pilots and a maximum of seven passengers. The limitations in the TCDS also required a minimum crew of a pilot and co-pilot for all flights.
The airplane could be operated with only one pilot if the pilot had been approved under an FAA exemption which included completion of an FAA approved single-pilot training program. That exemption for single pilot operation also stated that all required equipment must be operational including a fully functioning autopilot, flight director, and gyroscopic flight instruments.
An aviation maintenance person in another state reported that the pilot had telephoned him on the day before the accident. The pilot stated that he had just arrived at ICT and on his inbound flight he had several failure flags on the horizontal situation indicator (HSI) and artificial horizon (AH) gyro instruments, and that the right side (co-pilot side) AH gyro was "sideways". The pilot also stated that several times on the same inbound flight to ICT he had uncommanded drops in N1, N2, and ITT readings on one engine and those repeated changes in the engine power setting required re-trimming the aircraft.
Maintenance records and interviews with maintenance persons at ICT showed that the pilot got their assistance to replace the co-pilot's AH gyro instrument. However, the pilot did not mention to them the problems with the malfunctioning autopilot, the malfunctioning pilot's flight instruments, or the malfunctioning engine. No evidence could be found that the pilot ever attempted to fix those problems.
FAA registry documents show that the airplane was purchased by the current owner on March 14, 2005, and that since 1975 the airplane had been registered to 16 different owners.
METEOROLOGICAL INFORMATION
ICT was located 13 miles northwest from the accident site at an elevation of 1,333 feet mean sea level (msl). At 0953 the surface weather observation site at ICT reported wind from 010 degrees at 10 knots, 10 miles visibility, light rain, a broken ceiling at 4,400 feet above ground level (agl), overcast skies at 6,500 feet agl, temperature of 7 degrees Celsius (C), dew point temperature of 3 degrees C, and an altimeter setting of 30.15 inches of Mercury.
McConnell Air Force Base (IAB) was located 6 miles north-northwest of the accident site, at an elevation of 1,371 feet msl. At 0958 the surface weather observation site at IAB reported wind from 020 degrees at 10 knots, 10 miles visibility, light rain, few clouds at 900 feet agl, temperature of 6 degrees C, dew point temperature of 4 degrees C, and an altimeter setting of 30.15 inches of Mercury.
The observations from IAB and ICT indicated light rain at the surface at the time of the accident with cloud ceilings lowering over time. Pilot reports in the area indicated light to moderate icing conditions above 6,000 feet msl at the accident time.
AIRMETs Sierra and Zulu issued at 0945 (1445 UCT), and valid at the accident time, forecasted IFR conditions for the accident site with ceilings below 1,000 feet and visibilities below 3 miles with precipitation and mist, and moderate icing conditions between the freezing level and FL180.
Current Icing Potential (CIP) is produced by the NWS' Aviation Weather Center and is intended to be supplemental to other icing advisories (e.g. AIRMETs and SIGMETs). The CIP indicated a 40 to 80 percent probability of icing at the accident altitude around the time of the accident. The high likelihood of icing indicated by CIP matched the weather environment described in the upper air sounding, weather radar, and PIREP sections.
In addition to the CIP showing that icing was likely at 13,000, 14,000 and 15,000 feet at 1000, the CIP also characterized the icing as moderate to heavy around the accident site. Similar icing probabilities and severity were also indicated by CIP above 10,000 feet msl near the accident site around the accident time.
Pilot reports (PIREPs) indicated a large area of light to moderate icing conditions throughout the atmosphere around the accident site. One report of moderate icing came from a large Boeing KC-135E as it was taking off from IAB, and this report along with the ice pellet and snow reports indicate that more severe icing was possible at the flight altitude of the accident flight around the accident time.
The closest NWS WSR-88D with dual-polarization weather radar data was at ICT. That radar showed values of dual-pol data at the accident site which indicated it was likely that the precipitation in and around the accident site at the accident time was a mix between ice crystals, dry snow, and supercooled liquid water. Of note, just to the northeast of ICT and near the accident flight track there was an increase of dBZ values between 1015 and 1020 with dBZ values going from around 15 dBZ at 1015 (1515 UCT) to near 35 dBZ at 1020 There was no or very little change in the Zdr or CC values, likely indicating that there was a large increase in hydrometeors (ice crystals, dry snow, and supercooled liquid water) during the time between 1015 and 1020 CDT around and to the northwest of accident site.
The freezing level was located at 7,231 feet msl. The precipitable water value was 0.64 inches.
The 1000 CDT NAM sounding indicated several layers of conditional instability which supported mid-level clouds from 7,000 feet through 19,000 feet. The 1000 CDT sounding was also close to saturation between -4 degrees C a...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN14FA009