Aircraft Accident/Incident Report

Lewisville, Texas 75065
Wednesday, December 4, 2002 6:16 CST

NTSB Narrative Summary Released at Completion of Accident

The twin-engine airplane impacted the ground during an uncontrolled descent while maneuvering in dark night instrument meteorological conditions in the vicinity of Lewisville, Texas. The commercial pilot contacted the approach controller and stated that his attitude indicator was "not helping" and needed "a little bit of help with trying to keep it straight." The pilot was instructed by approach control to maintain an altitude of 3,000 feet msl. The approach controller confirmed with the pilot that he could not fly headings, and instructed the pilot to turn right. Seconds afterwards, the pilot was instructed to turn left and the controller would tell him when to stop the turn. The pilot acknowledged. There were no further communications between the pilot and air traffic control. The airplane initially impacted in a near vertical attitude into a wooded area adjacent to a rural paved road, slid across the road, and impacted a residence. Radar data showed that the airplane's magnetic heading was erratic throughout the 5-minute flight. The gyro instruments found at the accident site were the co-pilot's direction gyro (vacuum), a turn and bank indicator (electric), and the pilot's attitude indicator (vacuum). The gyros were disassembled, and visually examined. The co-pilot's direction gyro examination revealed rotation signatures on the gyro and the gyro housing. The turn and bank indicator revealed a "faint" rotational signature on the gyro. The pilot's attitude indicator gyro had no rotational signatures, and exhibited blunt impressions corresponding to the gyro buckets on the inside of the gyro-housing wall. A maintenance repair data plate ("Functional Tested") was found on the attitude indicator's instrument housing dated 12/2/02. Due to the extent of the fire damage, no instrument readings could be obtained. Seven days prior to the accident flight, a company pilot who flew the accident airplane reported that the pilot's attitude indicator (part number 102-0041-04, serial number 92B0346) "rotated" and the flight was aborted. The next day, the attitude indicator was removed and bench checked, cleaned, and adjusted. The attitude indicator was reinstalled and an operational check on the ground was performed. Three days prior to the accident the pilot's attitude indicator was again removed for an overhaul. According to company maintenance personnel, the attitude indicator was reinstalled the night prior to the morning of the accident, and an operational check on the ground was performed. Radar data showed that the aircraft did not stabilize on a particular heading throughout the flight. Physical evidence showed that the pilot's attitude gyro was not "spooled" at the time of impact.

NTSB Probable Cause Narrative

The failure of the attitude indicator, and the pilot's failure to maintain aircraft control as a result of spatial disorientation following the failure of the attitude indicator. Contributing factors were a low ceiling, clouds, and dark night conditions.

Event Information

Type of Event Accident
Event Date 12/4/2002
Event Day of the Week Wednesday
Time of Event 616
Event Time Zone Central Standard Time
Event City Lewisville
Event State TEXAS
Event Country --
Zipcode of the event site 75065
Event Date Year 2002
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 331011N
Event Location Longitude 0970156W
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 9.5
Degrees magnetic from airport 160
Airport Elevation 552
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 604 Central Standard Time
Direction of event from weather observation facility (degrees) 280
Weather Observation Facility ID DTO
Elevation of weather observation facility 642
Distance of event from weather observation facility (units?) 9
Time Zone of the weather observation CST
Lighting Conditions Night
Lowest Ceiling Height 1200
Lowest Non-Ceiling Height 600
Sky/Lowest/Cloud Conditions Thin Broken
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 7
Air Temperature at event time (in degrees celsius) 4
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) 350
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 9
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.11
Density Altitude (feet) -797
Intensity of Precipitation Light
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 17300
NTSB Notification Source FAA, Ft. Worth, TX.
NTSB Notification Date Dec 4 2002 12:00AM
NTSB Notification Time 1143
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Mar 30 2005 6:20AM
User who most recently changed record NTSB\JOHB
Basic weather conditions Instrument Meteorological Cond
FAA District Office Fort Worth, Texas

Aircraft Involved

Aircraft #1

Aircraft Registration Number N402ME
NTSB Number FTW03FA054
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 402C
Aircraft Series Identifier --
Aircraft Serial Number 402C0010
Certified Max Gross Weight 6885
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 10
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Nov 13 2002 12:00AM
Airframe hours since last inspection --
Airframe Hours 16464.6
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Agnew Corporation
Aircraft Owner Street Address 4933 Sabre Lane
Aircraft Owner City Denton
Aircraft Owner State TX
Aircraft Owner Country USA
Aircraft Owner Zipcode 76207
Operator is an individual? No
Operator Name Tex Star Air Freight Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 4933 Sabre Lane
Operator City Denton
Operator State TX
Operator Country USA
Operator Zip code 76207
Operator Code --
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
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) Positioning
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code DTO
Departure City Denton
Departure State TX
Departure Country USA
Departure Time 611
Departure Time Zone CDT
Destination Same as Local Flt --
Destination Airport Code DAL
Destination City Dallas
Destination State TX
Destination Country USA
Specific Phase of Flight Descent - uncontrolled
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record --
User who most recently changed record --
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --