Aircraft Accident/Incident Report

Cochise, Arizona 85606
Friday, February 19, 1993 15:45 MST

NTSB Narrative Summary Released at Completion of Accident

THE ENGINE FLAMED OUT AFTER ENCOUNTERING FORECASTED ICING. (THE PILOT HAD EARLIER USED ALTERNATE AIR, BUT WAS UNABLE TO MAINTAIN ALTITUDE DUE TO THE POWER LOSS). DURING AIR RESTART, TOT ROSE TO ABOUT 520 DEG, THE ENGINE WOULD NOT ACCELERATE, AND QUICKLY DIED AWAY. A FORCED LANDING WAS MADE IN MOUNTAINOUS TERRAIN. THE INDUCTION SYSTEM HAS NORMAL AND ALTERNATE AIR PATHS. NORMAL PATH HAS TWO RAM AIR SCOOPS DIRECTING AIR TO AN AIR BOX, THEN DOWN TO THE ENG INLET. SELECTION OF ALT AIR PATH DIRECTS ENGINE BLEED AIR TO CLOSE THE RAM AIR SCOOP DOORS, AND OPEN ALT AIR DOOR ON BOTTOM OF COWL. AIR THEN CIRCULATES AROUND ENGINE AND THROUGH A SPRING LOADED DOOR ON REAR OF AIR BOX. ON SITE EXAM FOUND RAM AIR DOORS CLOSED AND COCKPIT LEVER ON ALT AIR. ALT AIR DOOR OPEN AIR LINE WAS FOUND TO HAVE A LOOSE B-NUT FITTING AT THE VALVE. CHECKLIST CALLS FOR ALT AIR DURING AIR START. STC HOLDER COULD NOT PRODUCE ANY ENGINEERING OR FLIGHT TEST DATA TO VALIDATE THAT ENGINE WOULD PRODUCE SUFFICIENT VACUUM TO OPEN AIR BOX SPRING LOADED DOOR DURING AIR START.

NTSB Probable Cause Narrative

THE PILOT'S CONTINUED FLIGHT INTO KNOWN FORECASTED ICING CONDITIONS, IN AN AIRPLANE NOT CERTIFICATED FOR SUCH FLIGHT, WHICH RESULTED IN AN ENGINE FLAMEOUT DUE TO ENGINE ICE/WATER INJESTION, AND THE PILOT'S INABILITY TO RESTART THE ENGINE DUE TO INADEQUATE INSTALLATION OF THE PNEUMATIC AIR LINES ON THE COWL DOOR SEQUENCING VALVES WHICH PREVENTED THE ALTERNATE AIR DOORS TO COMPLETELY CYCLE OPEN. THE INADEQUATE SYSTEM DESIGN LED TO A BLOCKED COMPRESSOR INLET. FACTORS IN THE ACCIDENT WERE: ICING CONDITIONS, INADEQUATE ENGINE AND INDUCTION ANTI-ICING SYSTEM DESIGN, FAILURE OF THE MANUFACTURER TO PERFORM ADEQUATE SYSTEM TESTING TO ENSURE ADEQUATE OPERATION, AND MOUNTAINOUS TERRAIN.

Event Information

Type of Event Accident
Event Date 2/19/1993
Event Day of the Week Friday
Time of Event 1545
Event Time Zone Mountain Standard Time
Event City COCHISE
Event State ARIZONA
Event Country --
Zipcode of the event site 85606
Event Date Year 1993
Event Date Month 2
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation --
Weather Briefing Completeness Full
Investigator's weather source Pilot
Time of the weather observation 0
Direction of event from weather observation facility (degrees) 0
Weather Observation Facility ID
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 0
Time Zone of the weather observation
Lighting Conditions Day
Lowest Ceiling Height 1200
Lowest Non-Ceiling Height 1200
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) 5
Air Temperature at event time (in degrees celsius) 16
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Variable
Wind Speed (knots) 0
Wind Velocity Indicator Light and Variable
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) --
Intensity of Precipitation Light
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor 3
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 626
NTSB Notification Source --
NTSB Notification Date Feb 19 1993 12:00AM
NTSB Notification Time 1637
Fiche Number and/or location -used to find docket information 51873
Date of most recent change to record Dec 11 2000 1:09PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9987M
NTSB Number LAX93LA126
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna Soloy
Aircraft Model TU206G
Aircraft Series Identifier TU206G
Aircraft Serial Number U20604636
Certified Max Gross Weight 3800
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 6
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Feb 3 1993 12:00AM
Airframe hours since last inspection 32
Airframe Hours 1304
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name DAEDALUS AVIATION, INC.
Aircraft Owner Street Address 32 LOOCKERMAN SQUARE
Aircraft Owner City DOVER
Aircraft Owner State DE
Aircraft Owner Country
Aircraft Owner Zipcode 19901
Operator is an individual? --
Operator Name HAMMONDS AIR SERVICE
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address P.O. BOX 966
Operator City HOUMA
Operator State LA
Operator Country
Operator Zip code 70363
Operator Code
Owner has at least one certificate None
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Ferry
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code MYF
Departure City SAN DIEGO
Departure State CA
Departure Country
Departure Time 1300
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code ELP
Destination City EL PASO
Destination State TX
Destination Country
Specific Phase of Flight Descent
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 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --