Individually Owned: 150,657
Corporate Owned: 137,281
Pine Shadows Airpark Airport
Aircraft Accident/Incident Report
North Ft. Myers, Florida 33903
Thursday, June 27, 1991 20:47 EDT
NTSB Narrative Summary Released at Completion of Accident
PILOT STATED LEFT ENGINE LOST POWER FOLLOWED BY THE RIGHT ENGINE. HE INITIATED A LEFT TURN BACK TO THE AIRPORT BUT DID NOT SHUTDOWN ENGINES IN ACCORDANCE WITH EMERGENCY PROCEDURES. THE ACFT YAWED LEFT AND FELL OFF ON THE LEFT WING AS IF IT HAD STALLED. HE REGAINED PARTIAL CONTROL AND AIMED FOR A STREET. ACFT HIT ROOF OF HOUSE WHILE IN RIGHT BANK AND THEN CARTWHEELED ACROSS THE STREET. LEFT ENGINE WAS FOUND TO HAVE SEVERE DETONATION DAMAGE AND THE TURBOCHARGER WASTE GATE DOOR WAS MISSING ANTIVIBRATION SPRING. THE PIN CONNECTING THE DOOR AND ACTUATOR WAS FAILED. EVIDENCE INDICATED PIN HAD FAILED PRIOR TO ACCIDENT FLIGHT. SOOT INSIDE LEFT WASTEGATE INDICATED DOOR HAD BEEN FULLY CLOSED FOR SOMETIME. NO EVIDENCE TO INDICATE FAILURE OR MALFUNCTION OF THE RIGHT ENGINE WAS FOUND AND RIGHT PROPELLER SHOWED DAMAGE INDICATIVE OF ROTATION UNDER POWER AT GROUND IMPACT.
NTSB Probable Cause Narrative
THE PILOT IN COMMANDS FAILURE TO FOLLOW EMERGENCY PROCEDURES AND HIS FAILURE TO MAINTAIN AIRSPEED FOLLOWING LOSS OF POWER IN ONE ENGINE RESULTING IN AN INADVERTENT STALL AND THE INFLIGHT LOSS OF CONTROL WITH SUBSEQUENT INFLIGHT COLLISION WITH AN OBJECT AND THE TERRAIN DURING AN UNCONTROLLED DESCENT.
Event Information
| Type of Event | Accident |
| Event Date | 6/27/1991 |
| Event Day of the Week | Thursday |
| Time of Event | 2047 |
| Event Time Zone | Eastern Daylight Time |
| Event City | NORTH FT. MYERS |
| Event State | FLORIDA |
| Event Country | -- |
| Zipcode of the event site | 33903 |
| Event Date Year | 1991 |
| Event Date Month | 6 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | |
| Event Location Longitude | |
| Event Location Airport | PINE SHADOWS AIRPARK |
| Event Location Nearest Airport ID | 94FL |
| Indicates whether the acc/inc occurred off or on an airport | Off Airport/Airstrip |
| Distance from airport in statute miles | 1 |
| Degrees magnetic from airport | 270 |
| Airport Elevation | 11 |
| Weather Briefing Completeness | Unknown |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 2050 Eastern Daylight Time |
| Direction of event from weather observation facility (degrees) | 170 |
| Weather Observation Facility ID | FMY |
| Elevation of weather observation facility | 18 |
| Distance of event from weather observation facility (units?) | 9 |
| Time Zone of the weather observation | EDT |
| Lighting Conditions | Dusk |
| Lowest Ceiling Height | 20000 |
| Lowest Non-Ceiling Height | 3000 |
| 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) | 7 |
| Air Temperature at event time (in degrees celsius) | 30 |
| Dew Point at event time (in degress fahrenheit) | 24 |
| Wind Direction (degrees magnetic) | 0 |
| Variable Wind Indicator | Unknown |
| Wind Speed (knots) | 0 |
| Wind Velocity Indicator | Unknown |
| Wind Gust Indicator | Unknown |
| Wind Gust (knots) | 0 |
| Altimeter Setting at event time (in. Hg) | 30 |
| Density Altitude (feet) | 1300 |
| Intensity of Precipitation | Unknown |
| METAR weather report | -- |
| Event Highest Injury | Serious |
| 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 | 2 |
| Injury Total All | 5 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 633 |
| NTSB Notification Source | -- |
| NTSB Notification Date | -- |
| NTSB Notification Time | 0 |
| Fiche Number and/or location -used to find docket information | 44709 |
| Date of most recent change to record | Dec 12 2000 10:22AM |
| User who most recently changed record | dbo |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N4940T |
| NTSB Number | MIA91FA172 |
| Missing Aircraft Indicator | N |
| Federal Aviation Reg. Part | Part 91: General Aviation |
| Type of Flight Plan filed | None |
| Flight plan Was Activated? | -- |
| Damage | Destroyed |
| Aircraft Fire | Ground |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | CESSNA |
| Aircraft Model | 411 |
| Aircraft Series Identifier | 411 |
| Aircraft Serial Number | 411-0140 |
| Certified Max Gross Weight | 6500 |
| 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 | Annual |
| Date of Last Inspection | Sep 1 1990 12:00AM |
| Airframe hours since last inspection | 52 |
| Airframe Hours | 3358 |
| ELT Installed | Yes |
| ELT Activated | Yes |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | MARY JANE HALL |
| Aircraft Owner Street Address | 3761 DOWNWIND LANE |
| Aircraft Owner City | N. FT. MYERS |
| Aircraft Owner State | FL |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | 33917 |
| Operator is an individual? | -- |
| Operator Name | CONRAD RAMAKER |
| Operator Same as Owner? | No |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | Yes |
| Operator Street Address | 3761 DOWNWIND LANE |
| Operator City | N. FT. MYERS |
| Operator State | FL |
| Operator Country | |
| Operator Zip code | 33917 |
| 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 | Yes |
| Departure Airport Code | |
| Departure City | |
| Departure State | |
| Departure Country | |
| Departure Time | 2046 |
| Departure Time Zone | EDT |
| Destination Same as Local Flt | dest & departure same, accident can occur anywhere |
| Destination Airport Code | |
| Destination City | |
| Destination State | |
| Destination Country | |
| Specific Phase of Flight | Descent |
| 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 | 27 |
| Runway Length | 3200 |
| Runway Width | 100 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |