Individually Owned: 150,657
Corporate Owned: 137,281
Kansas City International Airport
Aircraft Accident/Incident Report
Kansas City, Missouri 64153
Thursday, December 8, 1994 20:38 CST
NTSB Narrative Summary Released at Completion of Accident
DURING ARRIVAL AT NIGHT IN FOG AND DRIZZLE, THE PILOT WAS CLEARED FOR AN ILS RUNWAY 1L APPROACH. WHILE ON THE APPROACH, SHE REPORTED ENCOUNTERING MODERATE RIME ICE. RADAR DATA SHOWED THAT THE AIRPLANE CONTINUED INBOUND ON THE LOCALIZER UNTIL IT NEARED THE MIDDLE MARKER, THEN IT DEVIATED ABOUT 20 DEGREES LEFT AND COLLIDED WITH THE GROUND, ABOUT 300' SHORT AND 300' LEFT OF THE THRESHOLD. ACCORDING TO WITNESSES, THE AIRPLANE STOPPED ITS DESCENT AND SLOWED DOWN, SHORTLY BEFORE ENTERING A STEEP DESCENT AND A SPIN. AN ON-SCENE INVESTIGATION REVEALED NO PREIMPACT AIRFRAME, CONTROL SYSTEM, OR POWERPLANT ANOMALIES. THE WINGS HAD 1/4 INCH OF ICE ON THE LEADING EDGE AND A 1/2 INCH HIGH RIDGE OF ICE, PARALLEL TO THE DEICING BOOTS, ABOUT 3 INCHES AFT OF THE BOOTS. THE COCKPIT AND WINDSHIELD HEATING SYSTEM WERE FOUND IN THE 'OFF' POSITION. THE PILOT'S LOGBOOK WAS NOT AVAILABLE FOR INSPECTION. COMPANY RECORDS SHOWED SHE HAD PASSED A 14 CFR PART 135 CHECKRIDE ON MAY 20, 1994. THE FAA CHECKRIDE FORM WAS ADMINISTERED AND SIGNED BY THE CHIEF PILOT. HOWEVER, OTHER RECORDS/INFORMATION SHOWED THE CHIEF PILOT WOULD NOT HAVE BEEN ABLE TO HAVE GIVEN THE CHECKRIDE ON THAT DATE.
NTSB Probable Cause Narrative
FAILURE OF THE PILOT TO MAINTAIN ADEQUATE AIRSPEED ON FINAL APPROACH, WHICH RESULTED IN AN INADVERTENT STALL/SPIN. FACTORS RELATED TO THE ACCIDENT WERE: THE ADVERSE WEATHER (ICING) CONDITIONS, THE ACCUMULATION OF AIRFRAME/WING ICE, THE PILOT'S IMPROPER USE OF THE ANTI-ICE/DEICE EQUIPMENT, INADEQUATE TRAINING OF THE PILOT CONCERNING FLIGHT IN ICING CONDITIONS, AND INADEQUATE SURVEILLANCE OF THE OPERATION BY THE CHIEF PILOT (COMPANY/OPERATOR MANAGEMENT).
Event Information
| Type of Event | Accident |
| Event Date | 12/8/1994 |
| Event Day of the Week | Thursday |
| Time of Event | 2038 |
| Event Time Zone | Central Standard Time |
| Event City | KANSAS CITY |
| Event State | MISSOURI |
| Event Country | -- |
| Zipcode of the event site | 64153 |
| Event Date Year | 1994 |
| Event Date Month | 12 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | |
| Event Location Longitude | |
| Event Location Airport | KANSAS CITY INTERNATIONAL |
| Event Location Nearest Airport ID | MCI |
| Indicates whether the acc/inc occurred off or on an airport | On Airport |
| Distance from airport in statute miles | 1 |
| Degrees magnetic from airport | 210 |
| Airport Elevation | 1026 |
| Weather Briefing Completeness | Full |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 2039 Central Standard Time |
| Direction of event from weather observation facility (degrees) | 360 |
| Weather Observation Facility ID | MCI |
| Elevation of weather observation facility | 1026 |
| Distance of event from weather observation facility (units?) | 1 |
| Time Zone of the weather observation | CST |
| Lighting Conditions | Night/Dark |
| Lowest Ceiling Height | 500 |
| Lowest Non-Ceiling Height | 0 |
| Sky/Lowest/Cloud Conditions | Unknown |
| Sky Condition for Lowest Ceiling | Overcast |
| Visibility Runway Visual Range (Feet) | 0 |
| Visibility Runway Visual Value (Statute Miles) | 0 |
| Visibility (Statute Miles) | 3 |
| Air Temperature at event time (in degrees celsius) | 0 |
| Dew Point at event time (in degress fahrenheit) | -1 |
| Wind Direction (degrees magnetic) | 320 |
| Variable Wind Indicator | Unknown |
| Wind Speed (knots) | 8 |
| Wind Velocity Indicator | Unknown |
| Wind Gust Indicator | Unknown |
| Wind Gust (knots) | 0 |
| Altimeter Setting at event time (in. Hg) | 30 |
| Density Altitude (feet) | -- |
| Intensity of Precipitation | Light |
| 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 | -- |
| Injury Total All | 1 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 1985 |
| NTSB Notification Source | -- |
| NTSB Notification Date | Dec 8 1994 12:00AM |
| NTSB Notification Time | 2302 |
| Fiche Number and/or location -used to find docket information | IMAGE |
| Date of most recent change to record | Dec 6 2000 12:44PM |
| User who most recently changed record | dbo |
| Basic weather conditions | Instrument Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N5647D |
| NTSB Number | CHI95LA053 |
| Missing Aircraft Indicator | N |
| Federal Aviation Reg. Part | Part 135: Air Taxi & Commuter |
| Type of Flight Plan filed | IFR |
| Flight plan Was Activated? | -- |
| Damage | Destroyed |
| Aircraft Fire | None |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | BEECH |
| Aircraft Model | E18S |
| Aircraft Series Identifier | E18S |
| Aircraft Serial Number | BA364 |
| Certified Max Gross Weight | 9300 |
| 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 | 10 |
| Number of Engines | 2 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Annual |
| Date of Last Inspection | Nov 21 1994 12:00AM |
| Airframe hours since last inspection | -- |
| Airframe Hours | -- |
| ELT Installed | Yes |
| ELT Activated | Yes |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | CAPE CENTRAL AIRWAYS |
| Aircraft Owner Street Address | P.O. BOX 99 |
| Aircraft Owner City | CAPE GIRARDEAU |
| Aircraft Owner State | MO |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | 63702 |
| Operator is an individual? | -- |
| Operator Name | |
| Operator Same as Owner? | Yes |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | No |
| Operator Street Address | |
| Operator City | |
| Operator State | |
| Operator Country | |
| Operator Zip code | |
| Operator Code | EFPA |
| 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 | Cargo |
| Type of Flying (Per_Bus / Primary) | Unknown |
| Second Pilot on Board | No |
| Departure Point Same as Event | No |
| Departure Airport Code | DMO |
| Departure City | SEDALIA |
| Departure State | MO |
| Departure Country | |
| Departure Time | 1952 |
| Departure Time Zone | CST |
| Destination Same as Local Flt | crash at destination city |
| Destination Airport Code | MCI |
| Destination City | |
| Destination State | MO |
| Destination Country | |
| Specific Phase of Flight | Approach |
| 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 | 1 |
| Runway Length | 10801 |
| Runway Width | 150 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |