Tri-City Intl Airport
Aircraft Accident/Incident Report

Freeland, Michigan 48640
Thursday, March 5, 1992 15:04 EST

NTSB Narrative Summary Released at Completion of Accident

WHILE LOADING A PATIENT & HIS PERSONAL GEAR IN THE AIRCRAFT FOR AN AIR AMBULANCE FLIGHT, THE AIRCRAFT TIPPED ONTO ITS TAIL. AS A RESULT, THE TAIL BUMPER WAS FORCED UPWARD INTO THE BELLY OF THE EMPENNAGE. THE PILOT REFUSED THE OFFER TO HAVE A MECHANIC LOOK AT THE DAMAGE, AND REMARKED 'THIS HAS HAPPENED BEFORE.' AFTER TAKEOFF, THE PILOT RADIOED TO THE TOWER THAT HE HAD A JAMMED ELEVATOR, AND WAS COMING AROUND TO LAND. WHILE MANUEVERING ON A BASE LEG, CONTROL WAS LOST & THE AIRPLANE WAS OBSERVED TO CRASH WITH ONE WING PERPENDICULAR TO THE GROUND. ANOTHER AIRPLANE WAS IN THE TAKEOFF POSITION ON THE RUNWAY. THE AIRPLANE WAS CONFIGURED WITH A HOSPITAL LITTER/STRETCHER AND OXYGEN BOTTLE ON THE RIGHT SIDE OF THE CABIN. THERE WAS NO RECORD FOR THE APPROVAL FOR, OR INSTALLATION OF, THE STRETCHER. IN ADDITION, THERE WAS NO WEIGHT & BALANCE RECORD FOR THE AIRPLANE WITH THE STRETCHER INSTALLATION.

NTSB Probable Cause Narrative

THE PILOT'S POOR JUDGEMENT IN ATTEMPTING FLIGHT AFTER THE AIRPLANE'S FUSELAGE WAS DAMAGED DURING A LOADING OPERATION. FACTORS WHICH CONTRIBUTED TO THE ACCIDENT WERE: THE OPERATOR'S FAILURE TO PROVIDE PROPER WEIGHT AND BALANCE DATA FOR THE AIRPLANE, THE PILOT'S FAILURE TO SUPERVISE THE LOADING OPERATION, AND HIS FAILURE TO ACCEPT THE SERVICES OF A MECHANIC TO INSPECT THE DAMAGE.

Event Information

Type of Event Accident
Event Date 3/5/1992
Event Day of the Week Thursday
Time of Event 1504
Event Time Zone Eastern Standard Time
Event City FREELAND
Event State MICHIGAN
Event Country --
Zipcode of the event site 48640
Event Date Year 1992
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport TRI-CITY INTL AIRPORT
Event Location Nearest Airport ID MBS
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 668
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1450 Eastern Standard Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID MBS
Elevation of weather observation facility 668
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation EST
Lighting Conditions Day
Lowest Ceiling Height 9500
Lowest Non-Ceiling Height 9500
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 1
Air Temperature at event time (in degrees celsius) 4
Dew Point at event time (in degress fahrenheit) 3
Wind Direction (degrees magnetic) 40
Variable Wind Indicator Unknown
Wind Speed (knots) 11
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 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 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 2510
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 47271
Date of most recent change to record Dec 11 2000 2:47PM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N69662
NTSB Number CHI92FA104
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 Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 414
Aircraft Series Identifier 414
Aircraft Serial Number 414-0621
Certified Max Gross Weight 6350
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 7
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Feb 28 1992 12:00AM
Airframe hours since last inspection 15
Airframe Hours 4106
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name TIFFANY AIR, INC.
Aircraft Owner Street Address 415 BELLAIRE
Aircraft Owner City HOT SPRINGS
Aircraft Owner State AR
Aircraft Owner Country
Aircraft Owner Zipcode 71901
Operator is an individual? --
Operator Name AIRBORNE FLYING SERVICE, INC.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 525 AIRPORT RD.
Operator City HOT SPRINGS
Operator State AR
Operator Country
Operator Zip code 71913
Operator Code PQGA
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
Departure City
Departure State
Departure Country
Departure Time 1501
Departure Time Zone EST
Destination Same as Local Flt --
Destination Airport Code MDW
Destination City CHICAGO
Destination State IL
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 5
Runway Length 8002
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --