Corona Municipal Airport
Aircraft Accident/Incident Report

Corona, California 91720
Sunday, May 4, 2003 14:53 PDT

NTSB Narrative Summary Released at Completion of Accident

The pilot lost control of his twin engine airplane and collided with terrain while returning to the departure airport after reporting an engine problem. Shortly after takeoff, about 4,000 feet msl, the pilot reported to ATC that he had an engine problem and would return to the airport. The radar plot reveals a steady descent of the airplane from 4,000 feet msl to the accident site, approximately 2 miles from the designated airport. Ground witnesses reported that they saw the airplane flying very low, about 500 feet agl, seconds prior to the accident apparently heading toward the departure airport. The witnesses reported consistent observations of the airplane "wobbling," then going into a steep knife-edge left bank before it dove into the ground. Witnesses at the airport said that the pilot sought out help in getting his radios operating prior to takeoff, telling the witness, "its been four and a half months since I've been in an airplane, I can't even figure out how to put the radios back in." No fueling records were found for the airplane at the departure airport. The last documented fueling of the airplane was on October 31, 2002, with the addition of 56.2 gallons. Witnesses reported that the airplane did not take on any fuel immediately prior to the flight on May 4th. The flight was the first flight since the airplane received its annual inspection 2 months prior to the accident, and, it was the pilot's first flight after 4 months of inactivity. It is a common practice for maintenance personnel to pull the landing light circuit breakers during maintenance to prevent the fuel transfer pumps, which are wired through the landing light system, from operating continuously. The fuel transfer pumps move fuel from the forward part of the main fuel tank to the center baffle area where it is picked up and routed to the engine. It is conceivable that these circuit breakers were not reset by the pilot for this flight. Wreckage examination revealed a post accident fire on the right wing of the airplane and no fire on the left wing. Additionally, only a small amount of fuel was identified around the left wing tanks after the accident, and no hydraulic deformation was observed to the left main tank or the internal baffles. The landing gear bellcrank indicates that the landing gear was in the down position. The engine and propeller post impact signatures indicate that the left engine was operating at a low power setting (wind milling), while the right engine and propeller indicate a high power setting. Disassembly and inspection of the internal propeller hub components showed that the left propeller was not feathered. The left engine is the critical engine and loss of power in that engine would make directional control more difficult at slower speeds. The airplane owners manual states that "climb or continued level flight at a moderate altitude is improbable with the landing gear extended or the propeller wind milling." The single engine flight procedure delineated in the manual dictates a higher than normal altitude for a successful single engine landing approach.

NTSB Probable Cause Narrative

The failure of the pilot to properly configure the airplane for a one engine inoperative condition (including his failure to feather the propeller of the affected engine, retract the landing gear, and maintain minimum single engine speed). Factors related to the accident were fuel starvation of the left engine, due to an inadequate fuel supply in the left tanks, inoperative fuel transfer pumps, and the pilot's decision to takeoff with out fueling.

Event Information

Type of Event Accident
Event Date 5/4/2003
Event Day of the Week Sunday
Time of Event 1453
Event Time Zone Pacific Daylight Time
Event City Corona
Event State CALIFORNIA
Event Country --
Zipcode of the event site 91720
Event Date Year 2003
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 335348N
Event Location Longitude 1173427W
Event Location Airport Corona Municipal
Event Location Nearest Airport ID AJO
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 2
Degrees magnetic from airport 190
Airport Elevation 533
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1453 Pacific Daylight Time
Direction of event from weather observation facility (degrees) 20
Weather Observation Facility ID KRAL
Elevation of weather observation facility 818
Distance of event from weather observation facility (units?) 12
Time Zone of the weather observation PDT
Lighting Conditions Day
Lowest Ceiling Height 3900
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 19
Dew Point at event time (in degress fahrenheit) 10
Wind Direction (degrees magnetic) --
Variable Wind Indicator Variable
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.99
Density Altitude (feet) 600
Intensity of Precipitation --
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) 16879
NTSB Notification Source FAA
NTSB Notification Date May 4 2003 12:00AM
NTSB Notification Time 1500
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Dec 28 2004 12:45PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office WP-FSDO-Riverside, CA

Aircraft Involved

Aircraft #1

Aircraft Registration Number N1133S
NTSB Number LAX03FA147
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 411
Aircraft Series Identifier --
Aircraft Serial Number 411-0202
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 Mar 19 2003 12:00AM
Airframe hours since last inspection 86.5
Airframe Hours 4915
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Roger L. Maino
Aircraft Owner Street Address --
Aircraft Owner City La Quinta
Aircraft Owner State CA
Aircraft Owner Country USA
Aircraft Owner Zipcode 92253
Operator is an individual? No
Operator Name --
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
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? --
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) Personal
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code KAJO
Departure City Corona
Departure State CA
Departure Country USA
Departure Time 1430
Departure Time Zone PDT
Destination Same as Local Flt --
Destination Airport Code KSMO
Destination City Santa Monica
Destination State CA
Destination Country USA
Specific Phase of Flight Emergency landing
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Oct 23 2004 12:35PM
User who most recently changed record COOS
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --