N819KR

Destroyed
Fatal

CESSNA 550S/N: 550-0114

Accident Details

Date
Saturday, July 8, 2023
NTSB Number
WPR23FA257
Location
Murrieta, CA
Event ID
20230708192559
Coordinates
33.584444, -117.125830
Aircraft Damage
Destroyed
Highest Injury
Fatal
Fatalities
6
Serious Injuries
0
Minor Injuries
0
Uninjured
0
Total Aboard
6

Probable Cause and Findings

The flight crew’s decision to descend below the decision altitude of an instrument approach without having the appropriate runway visual reference(s) distinctively identified and with the visibility below the minimum that was prescribed for the approach, which resulted in controlled flight into terrain.

Aircraft Information

Registration
Make
CESSNA
Serial Number
550-0114
Engine Type
Turbo-fan
Year Built
1979
Model / ICAO
550C550
Aircraft Type
Fixed Wing Multi Engine
No. of Engines
2
Seats
8
FAA Model
550

Registered Owner (Current)

Name
PRESTIGE WORLDWIDE FLIGHTS LLC
Address
578 SNAPDRAGON WAY
City
IMPERIAL
State / Zip Code
CA 92251-8947
Country
United States

Analysis

HISTORY OF FLIGHTOn July 8, 2023, about 0414 Pacific daylight time, a Cessna 550, jet airplane, N819KR, was destroyed when it was involved in an accident near Murrieta, California. The 2 pilots and 4 passengers were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations (CFR) Part 91 personal flight.

According to ADS-B and air traffic control data provided by the Federal Aviation Administration, the airplane departed French Valley Airport (F70), Murrieta/Temecula, California, on a cross-country flight to Harry Reid International Airport (LAS), Las Vegas, Nevada, about 2118 the night before. The airplane departed on the return flight back to F70 about 6 hours later. After climb-out, the airplane leveled off at an altitude of about 19,000 ft mean sea level (msl). About 27 minutes into the flight, the airplane started a descent to its destination. About 0344, the pilot established contact with the Pomona radar controller and requested to cancel their IFR clearance. The controller acknowledged the cancellation and provided the altimeter setting and advised that VFR altitude and routing was at their discretion and that he had no weather or landing information for F70. The pilot responded and advised that he had the weather and landing information for F70. About 0351, and about 25 miles north of F70, the pilot reported that he had received updated weather and requested an IFR pickup for the RNAV (GPS) Runway 18 approach at F70.

A few minutes before their arrival time at the destination airport, the weather had changed from being clear with 10 sm visibility to 300 ft overcast with 3/4 sm visibility. Additionally, in the next 20 minutes, the visibility further decreased to about 1/2 sm with fog.

The airplane was cleared to the F70 airport via direct to the TIQMU waypoint (Initial Approach Fix) for the RNAV (GPS) Runway 18 instrument approach at F70, and to maintain 6,000 ft msl. The controller confirmed that the pilot was in receipt of weather and NOTAMs and then instructed the pilot to maintain at or above 4,600 ft msl until TIQMU, cleared for the approach, and to report inbound at TIQMU. At 0353, the pilot reported established on the approach and was approved a frequency change to the common traffic advisory frequency (CTAF).

During the final approach, the airplane’s airspeed was fast and it leveled off near the decision altitude for several seconds. (According to the FAA Instrument Flying Handbook, when decision altitude is reached, a missed approach must be initiated if the required visual reference to continue the approach has not been established.) Subsequently, after a few seconds of delay, the pilot executed a missed approach, and about 0400 requested another instrument approach. During the second instrument approach, the airplane flew a right traffic pattern, was cleared to 5,000 ft msl, and was re-cleared for the approach. About 0407, the pilot requested to change to advisory frequency. The controller approved the pilot’s request to change to advisory frequency and requested that he report IFR cancellation airborne or on the ground. The pilot acknowledged and there were no further transmissions with the pilot. The airplane crossed TIQMU at 4,600 ft msl and then turned southbound. While on final approach, the airplane descended below the decision altitude of the approach.

Subsequently, the airplane impacted terrain about 800 ft short of the runway 18 threshold. A postimpact fire ensued that consumed most of the fuselage. The last ADS-B data point indicated that the airplane was on a heading about 180°, the ground speed was about 128 knots, and the altitude was 1,450 ft msl (100 ft above ground level[agl]).

The airplane was equipped with a Garmin GTN 750 unit that could simultaneously provide weather, approach, and vertical guidance information. The flight data during the last 30 seconds of data showed the airplane’s indicated airspeed was about 130 knots and the heading was about 180°. During the last 20 seconds of data, the airplane’s descent rate was about -762 fpm until it started to level off and begin a slight climb. About 5 seconds later, the airplane’s descent rate increased to about -2,320 fpm during the last 3 seconds of data. PERSONNEL INFORMATIONBoth pilots had a type rating for the CE-550 aircraft with the limitation of a second pilot-in-command required. AIRCRAFT INFORMATIONAccording to the airplane’s operating manual, the reference speed with flaps positioned to land, pressure altitude 2,000 ft, anti-ice systems off, 10°C, and at a gross weight of 9,500 pounds was 95 knots indicated airspeed (KIAS); at a gross weight of 10,000 pounds, the reference speed was was 99 KIAS. METEOROLOGICAL INFORMATIONA review of the NWS Surface Analysis Chart revealed that a low-pressure system was located at the intersection of the California, Nevada, and Arizona borders.

A sounding analysis model indicated a cloud layer between 1,650 ft and 2,650 ft msl. No icing was indicated below 10,000 ft msl. No possibility of low-level wind shear (LLWS) was depicted. Light clear air turbulence was indicated in several layers between 1,000 ft and 10,000 ft.

The F70 automated weather forecast at 03:15 Pacific daylight time called for clear ceilings and 10 sm of visibility. At 03:55, the ceiling and visibility rapidly decreased to overcast at 300 ft agl and 3/4 visibility with mist. At 0415, near the accident time, the ceiling remained overcast at 300 ft agl and the visibility decreased to 1/2 mile with fog.

There were no disseminated pilot reports (PIREPS) distributed into the national airspace system during the two hours before and after the accident time within 100 miles and below an altitude of 18,000 ft.

There were no convective or non-convective Significant Meteorological Information (SIGMET) advisories valid for the accident site during the accident time.

The NWS Aviation Weather Center had Airmen’s Meteorological information (AIRMET) advisory Sierra valid for the accident site and time for below 8,000 ft. The AIRMET Sierra was issued at 0145 and updated at 0401 with forecast mountain obscuration conditions due to clouds and fog.

The NWS weather forecast office in San Diego, California, issued the following area forecast for the region of the accident site: Areas of low clouds will gradually spread to 20 miles inland by 1200Z Sat with bases 1000-1600 ft msl, with local terrain obscurations.

A search of archived information indicated that the accident pilot did not request weather information from Leidos Flight Service. The pilot did have an account through Foreflight and filed a flight plan, but no weather imagery was viewed in Foreflight.

Astronomical data for the accident location and time indicated that sunrise was 0545 and moonrise was 0454. AIRPORT INFORMATIONAccording to the airplane’s operating manual, the reference speed with flaps positioned to land, pressure altitude 2,000 ft, anti-ice systems off, 10°C, and at a gross weight of 9,500 pounds was 95 knots indicated airspeed (KIAS); at a gross weight of 10,000 pounds, the reference speed was was 99 KIAS. WRECKAGE AND IMPACT INFORMATIONExamination of the accident site revealed that the airplane impacted terrain on the extended runaway centerline about 810 ft short of the runway 18 threshold at F70. The terrain was covered with sagebrush at an elevation of about 1,340 ft msl. All major components of the airplane necessary for flight were found at the accident site. The airplane’s configuration was determined to be gear down and flaps fully extended. Flight control continuity was established.

A review of the enhanced ground proximity warning system (EGPWS) unit revealed that the accident flight data was present. A single Mode 4 too-low gear alert was the only alert recorded and was consistent with an alert after the airplane accomplished a missed approach on the first approach and retracted the landing gear at a low altitude.

The postaccident examination of the airplane and engines revealed no evidence of mechanical failures or malfunctions that would have precluded normal operation of the airplane. ADDITIONAL INFORMATIONTitle 14 CFR 91.175, Takeoff and landing under IFR, states in part:

Operation below DA/DH or MDA. Except as provided in 91.176 of this chapter, where a DA/DH or MDA is applicable, no pilot may operate an aircraft, except a military aircraft of the United States, below the authorized MDA or continue an approach below the authorized DA/DH unless—

(1) The aircraft is continuously in a position from which a descent to a landing on the intended runway can be made at a normal rate of descent using normal maneuvers, …

(2) The flight visibility is not less than the visibility prescribed in the standard instrument approach being used; and

(3) Except for a Category II or Category III approach where any necessary visual reference requirements are specified by the Administrator, at least one of the following visual references for the intended runway is distinctly visible and identifiable to the pilot:

(i) The approach light system, except that the pilot may not descend below 100 feet above the touchdown zone elevation using the approach lights as a reference unless the red terminating bars or the red side row bars are also distinctly visible and identifiable.

(ii) The threshold.

(iii) The threshold markings.

(iv) The threshold lights.

(v) The runway end identifier lights.

(vi) The visual glideslope indicator.

(vii) The touchdown zone or touchdown zone markings.

(viii) The touchdown zone lights.

(ix) The runway or runway markings.

(x) The runway lights.

According to the FAA Instrument Flying Handbook, “Decision altitude (DA). A specified altitude in the precision approach, charted in feet MSL, at which a missed approach must be initiated if the required visual reference to continue the approach has not been established.”

According to the FAA Airplane Flying Handbook:

Pilots may consider the following elements when ...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# WPR23FA257