Missoula International Airport
Aircraft Accident/Incident Report

Missoula, Montana 59808
Tuesady, June 21, 2005 9:30 MDT

NTSB Narrative Summary Released at Completion of Accident

The pilot noted there were no anomalies with the airplane prior to departure during the preflight and engine runups, and that the takeoff was normal until about 100 to 200 feet above the ground when the right engine lost power. After feathering the right propeller, securing the engine, and establishing a left bank into the operating engine, the airplane began to climb slowly. The pilot then turned about 25 degrees to the left towards a field to avoid some trees. However, due to the initial loss of altitude when the engine lost power the airplane was now below the top of a hill, which the pilot was unable to clear. The airplane subsequently impacted the hill in a slightly right wing low, nose high attitude. The aircraft was consumed by fire, but not before the pilot and his passenger egressed the airplane safely. During the postaccident recovery of the right engine's turbocharger, which had separated from the engine during the impact sequence, various pieces of paper were observed lodged between the turbocharger's impeller and its housing. An examination of the pieces of paper extracted from the turbocharger revealed they were from an air filter instructional sheet. It was also determined that the replacement air filter had been installed on the right engine approximately 4 months prior to the accident, with the airplane having accumulated about 54 hours during that time period. Inspection of a new packaged filter revealed that the instruction sheet (8 1/2 x 11 folded into a quarter sheet), along with a sticker are placed inside the filter canister and the canister is placed in a plastic bag. The sticker was at the bottom of the bag while the instructions were molded to the inside of the filter. The pilot disclosed that the gross weight of the airplane at takeoff was 5,382.6 pounds.

NTSB Probable Cause Narrative

Terrain clearance was not possible as a result of a right engine failure. Factors contributing to the accident included the rising terrain, foreign material being ingested into the engine's turbocharger, which obstructed the turbocharger's impeller, the failure of company maintenance personnel to ensure that the air filter instruction sheet was removed after maintenance had been completed on the airplane, and the pilot's inadequate preflight planning and decision in taking off in excess of the airplane's maximum certificated gross takeoff weight.

Event Information

Type of Event Accident
Event Date 6/21/2005
Event Day of the Week Tuesday
Time of Event 930
Event Time Zone Mountain Daylight Time
Event City Missoula
Event State MONTANA
Event Country --
Zipcode of the event site 59808
Event Date Year 2005
Event Date Month 6
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 465520N
Event Location Longitude 1140654W
Event Location Airport Missoula International Airport
Event Location Nearest Airport ID MSO
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 --
Airport Elevation 3205
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 931 Mountain Daylight Time
Direction of event from weather observation facility (degrees) 110
Weather Observation Facility ID MSO
Elevation of weather observation facility 3205
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation MDT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 18
Dew Point at event time (in degress fahrenheit) 11
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Calm
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.06
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious 2
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 20024
NTSB Notification Source Seattle Regional Operations Ce
NTSB Notification Date Jun 21 2005 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Aug 29 2006 3:49PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Helena, Montana

Aircraft Involved

Aircraft #1

Aircraft Registration Number N3438Q
NTSB Number SEA05FA124
Missing Aircraft Indicator --
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 Ground
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 320E
Aircraft Series Identifier --
Aircraft Serial Number 320E0038
Certified Max Gross Weight 5300
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 3
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Feb 1 2005 12:00AM
Airframe hours since last inspection 54.4
Airframe Hours 7963.8
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Percy F. Karr
Aircraft Owner Street Address --
Aircraft Owner City Missoula
Aircraft Owner State MT
Aircraft Owner Country USA
Aircraft Owner Zipcode 59801
Operator is an individual? No
Operator Name Map Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Missoula
Operator State MT
Operator Country USA
Operator Zip code 59801
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) Other Work Use
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code MSO
Departure City Missoula
Departure State MT
Departure Country USA
Departure Time 930
Departure Time Zone MDT
Destination Same as Local Flt crash at destination city
Destination Airport Code MSO
Destination City Missoula
Destination State MT
Destination Country USA
Specific Phase of Flight Takeoff - initial climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Apr 20 2006 4:18PM
User who most recently changed record STAM
Since inspection or accident Last Inspection
Event Location Runway Number and Location 29
Runway Length 9501
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --