Cortez-Montezuma County Airport
Aircraft Accident/Incident Report

Cortez, Colorado 81321
Friday, March 29, 1991 11:25 MST

NTSB Narrative Summary Released at Completion of Accident

THE FLIGHT DEPARTED WITHOUT A FLIGHT PLAN OR WEATHER BRIEF. EN ROUTE DETERIORATING WEATHER WAS ENCOUNTERED AND AN IFR FLIGHT PLAN WAS FILED TO A REVISED DESTINATION. CLEARANCE WAS RECEIVED FOR A VOR APPROACH AND THE PILOT WAS ADVISED OF 1/2 MILE VISIBILITY IN SNOW AND FOG. A MISSED APPROACH WAS REPORTED OVER THE UNICOM FREQUENCY. IMPACT OCCURRED WITH A HEADING OF ABOUT 170 DEGREES AT 7,700 FEET MSL IN MOUNTAINOUS TERRAIN ON THE 173 DEGREE RADIAL, 7.3 MILES FROM THE VOR. THE INBOUND COURSE TO THE FINAL APPROACH FIX WAS 170 DEGREES WITH AN INBOUND FINAL APPROACH COURSE OF 196 DEGREES. AIRPORT ELEVATION WAS 5,914 FEET MSL. THE AIRPORT WAS LOCATED ON THE 196 DEGREE RADIAL, 5.5 MILES FROM THE VOR FINAL APPROACH FIX. THE VOR APPROACH TO RUNWAY 21 CALLED FOR A MISSED APPROACH TO BE EXECUTED AT 5.5 DME FROM THE VOR AND A MINIMUM DESCENT ALTITUDE OF 6,600 FEET.

NTSB Probable Cause Narrative

THE PILOT'S IMPROPER IFR PROCEDURES. FACTORS WERE: THE EXISTING WEATHER CONDITIONS AND THE PILOT'S FAILURE TO OBTAIN A PREFLIGHT BRIEFING.

Event Information

Type of Event Accident
Event Date 3/29/1991
Event Day of the Week Friday
Time of Event 1125
Event Time Zone Mountain Standard Time
Event City CORTEZ
Event State COLORADO
Event Country --
Zipcode of the event site 81321
Event Date Year 1991
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport CORTEZ-MONTEZUMA COUNTY
Event Location Nearest Airport ID CEZ
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 5914
Weather Briefing Completeness Full
Investigator's weather source Witness
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 800
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Obscured
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0
Air Temperature at event time (in degrees celsius) -18
Dew Point at event time (in degress fahrenheit) -18
Wind Direction (degrees magnetic) 330
Variable Wind Indicator Unknown
Wind Speed (knots) 12
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 25
Altimeter Setting at event time (in. Hg) --
Density Altitude (feet) 0
Intensity of Precipitation Heavy
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 5
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 5
Investigating Agency NTSB
NTSB Docket Number (internal use) 1348
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 43918
Date of most recent change to record Dec 18 2002 11:28AM
User who most recently changed record NTSB\GIUV
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N3851C
NTSB Number DEN91FA056
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 421C
Aircraft Series Identifier 421C
Aircraft Serial Number 421C0119
Certified Max Gross Weight 7450
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 Unknown
Date of Last Inspection --
Airframe hours since last inspection 0
Airframe Hours --
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name GEORGE MEHL
Aircraft Owner Street Address 3080 E. INA RD.
Aircraft Owner City TUCSON
Aircraft Owner State AZ
Aircraft Owner Country
Aircraft Owner Zipcode 85718
Operator is an individual? --
Operator Name GEORGE MEHL
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
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 TUS
Departure City TUCSON
Departure State AZ
Departure Country
Departure Time 830
Departure Time Zone MST
Destination Same as Local Flt crash at destination city
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:35AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 21
Runway Length 7105
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --