Individually Owned: 151,845
Corporate Owned: 143,699
Kelly Afb Airport
Aircraft Accident/Incident Report
San Antonio, Texas 78241
Thursday, October 19, 1989 10:17 CDT
NTSB Narrative Summary Released at Completion of Accident
DURING THE TAKEOFF ROLL, THE PLT WAS ADVISED BY TOWER THAT HE WAS TRAILING SMOKE. HE DISREGARDED THE RPT AS HE HAD SEEN SMOKE BEFORE AND THOUGHT IT WAS A NORMAL CONDITION. HE CONTINUED THE TAKEOFF. SHORTLY THEREAFTER, THE ACFT EXPERIENCED A THRUST LOSS OF THE RT ENG. AN ATTEMPT WAS MADE TO RETURN TO THE ARPT, BUT IT WAS UNSUCCESSFUL. THERE WAS EVIDENCE OF SINGLE ENG PERFORMANCE DEGRADATION DUE TO A 9.4% OVER GROSS CONDITION AND THE PLT'S FAILURE TO RAISE THE GEAR AND FEATHER THE RT PROP. THE PLT EXECUTED A FORCED LANDING INTO A VACANT LOT. INVESTIGATION REVEALED THAT THE THRUST LOSS WAS A RESULT OF THE FAILURE, DUE TO CHAFFING, OF THE RT UNFEATHERING ACCUMULATOR HOSE WHICH HAD BEEN MISROUTED DURING ENG INSTALLATION. THE ORIGINAL SMOKE OBSERVED BY THE PLT WAS DUE TO CRACKS IN THE RT EXHAUST SYS WHICH ORIGINATED FROM PREVIOUS WELD REPAIRS DURING ENG INSTALLATION. NEITHER CONDITION HAD BEEN IDENTIFIED BY OPERATOR MAINTENANCE PERSONNEL.
NTSB Probable Cause Narrative
THE FAILURE OF THE RIGHT PROPELLER UNFEATHERING ACCUMULATOR HOSE DUE TO IMPROPER INSTALLATION AND CHAFFING, AND THE PILOT'S OPERATION OF THE AIRPLANE BEYOND ITS ENGINE OUT PERFORMANCE CAPABILITY. FACTORS WERE INADEQUATE COMPANY MAINTENANCE, AND THE PILOT'S CONTINUED OPERATION WITH KNOWN MECHANICAL MALFUNCTIONS, AND IMPROPER EMERGENCY PROCEDURES.
Event Information
| Type of Event | Accident |
| Event Date | 10/19/1989 |
| Event Day of the Week | Thursday |
| Time of Event | 1017 |
| Event Time Zone | Central Daylight Time |
| Event City | SAN ANTONIO |
| Event State | TEXAS |
| Event Country | -- |
| Zipcode of the event site | 78241 |
| Event Date Year | 1989 |
| Event Date Month | 10 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | |
| Event Location Longitude | |
| Event Location Airport | KELLY AFB |
| Event Location Nearest Airport ID | SKF |
| 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 | Weather Observation Facility |
| Time of the weather observation | 955 Central Daylight Time |
| Direction of event from weather observation facility (degrees) | 0 |
| Weather Observation Facility ID | SKF |
| Elevation of weather observation facility | 690 |
| Distance of event from weather observation facility (units?) | 0 |
| Time Zone of the weather observation | CDT |
| Lighting Conditions | Day |
| Lowest Ceiling Height | 0 |
| Lowest Non-Ceiling Height | 0 |
| Sky/Lowest/Cloud Conditions | Clear |
| Sky Condition for Lowest Ceiling | None |
| 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) | 10 |
| Dew Point at event time (in degress fahrenheit) | -4 |
| Wind Direction (degrees magnetic) | 350 |
| Variable Wind Indicator | Unknown |
| Wind Speed (knots) | 2 |
| Wind Velocity Indicator | Unknown |
| Wind Gust Indicator | Not Gusting |
| 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 | 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 | 3 |
| Injury Total All | 6 |
| Investigating Agency | NTSB |
| NTSB Docket Number (internal use) | 2320 |
| NTSB Notification Source | -- |
| NTSB Notification Date | Oct 19 1989 12:00AM |
| NTSB Notification Time | 1550 |
| Fiche Number and/or location -used to find docket information | 42394 |
| Date of most recent change to record | Dec 13 2000 1:08PM |
| User who most recently changed record | dbo |
| Basic weather conditions | Visual Meteorological Cond |
| FAA District Office | -- |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N5820H |
| NTSB Number | FTW90FA013 |
| 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 | Ground |
| Aircraft Explosion | None |
| Aircraft Manufacturer's Full Name | CESSNA |
| Aircraft Model | 414 |
| Aircraft Series Identifier | 414 |
| Aircraft Serial Number | 414-0642 |
| 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 | 6 |
| Number of Engines | 2 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | 100 Hour |
| Date of Last Inspection | Aug 18 1989 12:00AM |
| Airframe hours since last inspection | -- |
| Airframe Hours | 2296 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | No |
| ELT Type | -- |
| Aircraft Owner Name | |
| Aircraft Owner Street Address | |
| Aircraft Owner City | |
| Aircraft Owner State | |
| Aircraft Owner Country | |
| Aircraft Owner Zipcode | |
| Operator is an individual? | -- |
| Operator Name | EGLIN AERO CLUB |
| Operator Same as Owner? | No |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | No |
| Operator Street Address | P.O. BOX 1588 |
| Operator City | EGLIN AFB |
| Operator State | FL |
| Operator Country | |
| Operator Zip code | 32542 |
| 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 | SKF |
| Departure City | SAN ANTONIO |
| Departure State | TX |
| Departure Country | |
| Departure Time | 1015 |
| Departure Time Zone | CDT |
| Destination Same as Local Flt | -- |
| Destination Airport Code | VPS |
| Destination City | EGLIN AFB |
| Destination State | FL |
| 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 | 0 |
| Runway Length | -- |
| Runway Width | -- |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |