Taft Airport
Aircraft Accident/Incident Report

Taft, California 93308
Tuesady, July 19, 1994 14:20 PDT

NTSB Narrative Summary Released at Completion of Accident

THE EMERGENCY MEDICAL SERVICE (EMS/MEDEVAC) FLIGHT WAS DISPATCHED TO TRANSPORT A PATIENT IN RESPONSE TO A MEDICAL EMERGENCY. DURING ARRIVAL TO THE DESTINATION, THE PILOT CONTACTED THE AIRPORT UNICOM FOR ADVISORIES AND WAS ADVISED TO LAND ON RUNWAY 25. RUNWAY 25 HAD A 2.2 PERCENT UPHILL GRADE AND WAS RESTRICTED TO LANDINGS ONLY. AFTER LANDING, THE AIRPLANE WAS REFUELED AND THE PATIENT WAS PUT ON BOARD. THE PILOT BACK-TAXIED ON RUNWAY 25 AND PROCEEDED TO TAKEOFF UPHILL WITH THE AIRPLANE NEAR ITS MAXIMUM GROSS WEIGHT. ACCORDING TO GROUND WITNESSES, THERE WAS A TAILWIND, WHICH THEY ESTIMATED WAS BETWEEN 4 AND 15 KNOTS. THE TEMPERATURE WAS ABOUT 100 DEGREES, AND THE DENSITY ALTITUDE WAS ABOUT 3200 FEET. AFTER THE AIRPLANE BECAME AIRBORNE, THE PILOT STARTED AN IMMEDIATE LEFT TURN TO AVOID RISING TERRAIN. HOWEVER, THE LEFT TIP TANK CONTACTED THE GROUND, AND THE AIRPLANE CARTWHEELED. IT CAME TO REST ABOUT 711 FEET FROM THE DEPARTURE END OF THE RUNWAY. THE FLAPS AND LANDING GEAR WERE FOUND FULLY EXTENDED; THE PUBLISHED CONFIGURATION FOR TAKEOFF DATA IN THE FLIGHT MANUAL WAS FOR 'WING FLAPS - UP.' THE AIRPORT HAD NO SIGNS TO INDICATE RUNWAY USE RESTRICTIONS; HOWEVER, THE RESTRICTIONS WERE PUBLISHED IN THE AIRPORT FACILITY DIRECTORY.

NTSB Probable Cause Narrative

THE PILOT'S INADEQUATE PREFLIGHT PLANNING/PREPARATION AND SELECTION OF THE WRONG RUNWAY FOR TAKEOFF. FACTORS RELATED TO THE ACCIDENT WERE: THE UPHILL SLOPE OF THE RUNWAY, TAILWIND, HIGH DENSITY ALTITUDE, AND FAILURE OF THE PILOT TO CORRECTLY CONFIGURE THE FLAPS FOR TAKEOFF.

Event Information

Type of Event Accident
Event Date 7/19/1994
Event Day of the Week Tuesday
Time of Event 1420
Event Time Zone Pacific Daylight Time
Event City TAFT
Event State CALIFORNIA
Event Country --
Zipcode of the event site 93308
Event Date Year 1994
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport TAFT
Event Location Nearest Airport ID L17
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 875
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 2054 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 35
Weather Observation Facility ID BFL
Elevation of weather observation facility 669
Distance of event from weather observation facility (units?) 30
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 13000
Sky/Lowest/Cloud Conditions Thin Broken
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 35
Dew Point at event time (in degress fahrenheit) 13
Wind Direction (degrees magnetic) 290
Variable Wind Indicator Unknown
Wind Speed (knots) 8
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
Density Altitude (feet) 3200
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious 3
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 1417
NTSB Notification Source --
NTSB Notification Date Jul 19 1994 12:00AM
NTSB Notification Time 1550
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 6 2000 11:43AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N414RH
NTSB Number LAX94FA292
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Company VFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 414
Aircraft Series Identifier 414
Aircraft Serial Number 0457
Certified Max Gross Weight 6825
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 5
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Jul 1 1994 12:00AM
Airframe hours since last inspection 4
Airframe Hours 3739
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name ROGERS HELICOPTERS
Aircraft Owner Street Address 2403 BULLARD AVE.
Aircraft Owner City CLOVIS
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 93612
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code CUCA
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code L17
Departure City
Departure State
Departure Country
Departure Time 1420
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code FAT
Destination City FRESNO
Destination State CA
Destination Country
Specific Phase of Flight Takeoff
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 25
Runway Length 3550
Runway Width 60
Sight Seeing flight No
Air Medical Flight No
Medical Flight --