Aircraft Accident/Incident Report

Las Vegas, Nevada 89119
Saturday, January 11, 1992 18:08 PST

NTSB Narrative Summary Released at Completion of Accident

NO RECORD COULD BE FOUND SHOWING THE PILOT RECEIVED A WEATHER BRIEFING PRIOR TO TAKEOFF. UNFAVORABLE WEATHER WAS IN THE VICINITY. SEVERAL TIMES THE PILOT HAD DIFFICULTIES UNDERSTANDING AND COMPLYING WITH INSTRUCTIONS FROM CLEARANCE DELIVERY, GROUND CONTROL, AND DEPARTURE CONTROL. AFTER TAKEOFF THE PILOT REQUESTED AND RECEIVED AN IFR CLEARANCE. DURING THE LAST FIVE MINUTES OF FLIGHT RADAR RETURNS SHOWED THE AIRPLANE CHANGING HEADING FROM 45 DEGREES TO AS MUCH AS 180 DEGREES ABOUT 10 TIMES AND DESCENDING OR ASCENDING SEVERAL TIMES FROM ALTITUDES RANGING FROM 4,500 FEET MSL TO 11,500 FEET MSL. THE ALTITUDE AND HEADING CHANGES WERE NOT DIRECTED BY CONTROLLERS. ABOUT 3 MINUTES BEFORE THE ACCIDENT DEPARTURE CONTROL ASKED THE PILOT IF HE HAD A PROBLEM. THE PILOT INDICATED THAT HE DID AND 'WE'RE TRYING TO GET STRAIGHT.' ONE MINUTE LATER, THE PILOT SAID 'WE'RE ALL RIGHT.' SHORTLY AFTERWARDS, RADAR DATA SHOWED A LOSS OF CONTROL. RADAR AND COMMUNICATIONS WERE LOST AND AN ON GROUND EXPLOSION WAS OBSERVED AS THE ACCIDENT OCCURRED. AN FAA FLIGHT SURGEON REVIEWED THE PILOT'S MEDICAL RECORDS. WITHIN ONE YEAR OF THE ACCIDENT THE PILOT HAD 3 PHYSICAL CONDITIONS AND WAS TAKING 3 SEPARATE PRESCRIPTIONS WHICH WOULD HAVE PREVENTED HIM FROM BEING MEDICALLY QUALIFIED TO PILOT AN AIRCRAFT.

NTSB Probable Cause Narrative

THE PILOT'S FAILURE TO MAINTAIN AIRCRAFT CONTROL DUE TO SPATIAL DISORIENTATION. FACTORS IN THIS ACCIDENT WERE: 1) THE PILOT'S FAILURE TO OBTAIN A PREFLIGHT WEATHER BRIEFING AND TO PROPERLY EVALUATE THE EXISTING WEATHER CONDITIONS PRIOR TO FLIGHT, AND 2) REPORTED UNFAVORABLE WEATHER CONDITIONS, INCLUDING TURBULENCE, SNOW, RAIN, AND OBSCURATION AT FLIGHT ALTITUDES ALONG THE PILOT'S ROUTE OF FLIGHT.

Event Information

Type of Event Accident
Event Date 1/11/1992
Event Day of the Week Saturday
Time of Event 1808
Event Time Zone Pacific Standard Time
Event City LAS VEGAS
Event State NEVADA
Event Country --
Zipcode of the event site 89119
Event Date Year 1992
Event Date Month 1
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 Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1750 Pacific Standard Time
Direction of event from weather observation facility (degrees) 38
Weather Observation Facility ID LAS
Elevation of weather observation facility 2175
Distance of event from weather observation facility (units?) 15
Time Zone of the weather observation PST
Lighting Conditions Night/Dark
Lowest Ceiling Height 9500
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) 15
Air Temperature at event time (in degrees celsius) 12
Dew Point at event time (in degress fahrenheit) -8
Wind Direction (degrees magnetic) 320
Variable Wind Indicator Unknown
Wind Speed (knots) 20
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 26
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 7
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 7
Investigating Agency NTSB
NTSB Docket Number (internal use) 2725
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 47633
Date of most recent change to record Dec 11 2000 2:42PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N425BN
NTSB Number LAX92FA090
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion Ground
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 425
Aircraft Series Identifier 425
Aircraft Serial Number 425-0057
Certified Max Gross Weight 8600
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 8
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Jul 11 1991 12:00AM
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name GEORGE N. DERENIA
Aircraft Owner Street Address 1304 VIA ZUMAS
Aircraft Owner City PALOS VERDES
Aircraft Owner State CA
Aircraft Owner Country
Aircraft Owner Zipcode 90274
Operator is an individual? --
Operator Name GEORGE N. DERENIA
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 1304 VIA ZUMAS
Operator City PALOS VERDES
Operator State CA
Operator Country
Operator Zip code 90274
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) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code LAS
Departure City LAS VEGAS
Departure State NV
Departure Country
Departure Time 1755
Departure Time Zone PST
Destination Same as Local Flt --
Destination Airport Code TOR
Destination City TORRANCE
Destination State CA
Destination Country
Specific Phase of Flight Cruise
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 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --