Waimea-Kohala Airport
Aircraft Accident/Incident Report

Kamuela, Hawaii 96738
Monday, January 29, 1996 4:35 HST

NTSB Narrative Summary Released at Completion of Accident

The aircraft departed at night from runway 4R on a flight to transport mail. The pilot-in-command (PIC) was in the left seat, a pilot-rated cargo loader was in the right seat, and another cargo loader was aboard the aircraft, but was not in a seat. During takeoff, the aircraft entered a turn and flew into gradually rising terrain. The initial impact point was about 15 feet higher than the runway elevation and about 0.3 miles abeam the departure end of the runway. Investigation revealed that the company allowed pilot-rated cargo loaders to fly the aircraft from the right seat during positioning and ferry flight segments (to build multiengine flight time) as part of their compensation. There was evidence that at the time of the accident, the aircraft was being piloted on this flight from the copilot's position. The right side of the instrument panel was equipped with only EGT gauges (no flight instruments on the copilot's side). There were cloud layers in the vicinity, no moon illumination, and no visible ground lighting in the direction of flight. No preimpact mechanical malfunction or failure was identified during the investigation. Except at the pilot and copilot positions, the airplane had no other seat and/or restraint system. The operator stated that the pilot was not authorized to carry company personnel or passengers without the required seating.

NTSB Probable Cause Narrative

failure of the copilot (pilot-rated cargo loader, who was flying the aircraft) to establish and maintain a positive rate of climb after taking off at night; and inadequate supervision by the pilot-in-command (PIC), by failing to ensure that proper altitude was obtained and maintained during the departure. Factors relating to the accident were: darkness; the lack of visual cues; and the resultant visual illusion, which the copilot failed to recognize during the night departure. Also, the lack of a restraint system (seat belt and/or shoulder harness) for the passenger was a possible related factor.

Event Information

Type of Event Accident
Event Date 1/29/1996
Event Day of the Week Monday
Time of Event 435
Event Time Zone Hawaii Standard Time
Event City KAMUELA
Event State HAWAII
Event Country --
Zipcode of the event site 96738
Event Date Year 1996
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport WAIMEA-KOHALA
Event Location Nearest Airport ID MUE
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation 2671
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 450 Hawaii Standard Time
Direction of event from weather observation facility (degrees) 104
Weather Observation Facility ID ITO
Elevation of weather observation facility 38
Distance of event from weather observation facility (units?) 44
Time Zone of the weather observation HST
Lighting Conditions Night/Dark
Lowest Ceiling Height 9000
Lowest Non-Ceiling Height 5000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Broken
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) 20
Dew Point at event time (in degress fahrenheit) 18
Wind Direction (degrees magnetic) 310
Variable Wind Indicator Unknown
Wind Speed (knots) 4
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) --
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 2
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 1145
NTSB Notification Source --
NTSB Notification Date Jan 29 1996 12:00AM
NTSB Notification Time 922
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 8 2000 9:46AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N999CR
NTSB Number LAX96FA103
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 402B
Aircraft Series Identifier 402B
Aircraft Serial Number 402B0616
Certified Max Gross Weight 6300
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 2
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Jan 22 1996 12:00AM
Airframe hours since last inspection 49
Airframe Hours 19764
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name TRANS EXECUTIVE AIR OF HAWAII
Aircraft Owner Street Address P.O. BOX 29239
Aircraft Owner City HONOLULU
Aircraft Owner State HI
Aircraft Owner Country
Aircraft Owner Zipcode 96820
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 TXHA
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 Mail
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code MUE
Departure City
Departure State HI
Departure Country
Departure Time 430
Departure Time Zone HST
Destination Same as Local Flt --
Destination Airport Code HNL
Destination City HONOLULU
Destination State HI
Destination Country
Specific Phase of Flight Takeoff
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:30AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 4R
Runway Length 5190
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --