Joe Foss Field Airport
Aircraft Accident/Incident Report

Sioux Falls, South Dakota 57104
Friday, December 9, 2011 14:24 CST

NTSB Narrative Summary Released at Completion of Accident

Shortly after the airplane lifted off, the tower controller informed the pilot that a plume of smoke was visible behind the airplane. No communications were received from the pilot after he acknowledged the takeoff clearance. Witnesses reported that white smoke appeared to be trailing from the area of the left engine during takeoff. The witnesses subsequently observed flames at the inboard side of the left engine. The airplane began a left turn. As the airplane continued the turn, the flames and trail of white smoke were no longer visible. When the airplane reached a southerly heading, the nose dropped abruptly, and the airplane descended to the ground. Witnesses stated that they heard an increase in engine sound before impact. A postimpact fire ensued. The accident site was located about 3/4 mile from the airport. A postaccident examination determined that the left engine fuel selector and fuel valve were in the OFF position, consistent with the pilot shutting down that engine after takeoff. However, the left engine propeller was not feathered. Extensive damage to the right engine propeller assembly was consistent with that engine producing power at the time of impact. The landing gear and wing flaps were extended at the time of impact. Teardown examinations of both engines did not reveal any anomalies consistent with a loss of engine power. The left engine oil cap was observed to be unsecured at the accident site; however, postaccident comparison of the left and right engine oil caps revealed disproportionate distortion of the left oil cap, likely due to the postimpact fire. As a result, no determination was made regarding the security of left engine oil cap before the accident. Emergency procedures outlined in the pilot’s operating handbook (POH) noted that when securing an engine, the propeller should be feathered. Performance data provided in the POH for single-engine operations were predicated on the propeller of the inoperative engine being feathered, and the wing flaps and landing gear retracted. Thus, the pilot did not follow the emergency procedures outlined in the POH for single-engine operation.

NTSB Probable Cause Narrative

The pilot’s failure to maintain adequate airspeed after shutting down one engine, which resulted in an inadvertent aerodynamic stall and impact with terrain. Contributing to the accident was the pilot’s failure to follow the guidance contained in the pilot’s operating handbook, which advised feathering the propeller of the secured engine and retracting the flaps and landing gear.

Event Information

Type of Event Accident
Event Date 12/9/2011
Event Day of the Week Friday
Time of Event 1424
Event Time Zone Central Standard Time
Event City Sioux Falls
Event State SOUTH DAKOTA
Event Country --
Zipcode of the event site 57104
Event Date Year 2011
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 433532N
Event Location Longitude 0964507W
Event Location Airport Joe Foss Field
Event Location Nearest Airport ID FSD
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 0.75
Degrees magnetic from airport --
Airport Elevation 1429
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1356 Central Standard Time
Direction of event from weather observation facility (degrees) 321
Weather Observation Facility ID FSD
Elevation of weather observation facility 1429
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation CST
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) -7
Dew Point at event time (in degress fahrenheit) -21
Wind Direction (degrees magnetic) 300
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 11
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.36
Density Altitude (feet) --
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 4
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 31063
NTSB Notification Source FAA-AGL ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Feb 25 2013 3:49PM
User who most recently changed record bowl
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N421SY
NTSB Number CEN12FA100
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 421C
Aircraft Series Identifier --
Aircraft Serial Number 421C0051
Certified Max Gross Weight 7450
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 8
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Annual
Date of Last Inspection Dec 5 2011 12:00AM
Airframe hours since last inspection --
Airframe Hours 4882
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name S & S Aviation LLC
Aircraft Owner Street Address --
Aircraft Owner City Ipswich
Aircraft Owner State SD
Aircraft Owner Country USA
Aircraft Owner Zipcode 57451-0346
Operator is an individual? No
Operator Name Quest Aviation Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address --
Operator City Aberdeen
Operator State SD
Operator Country USA
Operator Zip code 57401
Operator Code OW5A
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation --
Operator Certificate Number OW5A108N
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code FSD
Departure City Sioux Falls
Departure State SD
Departure Country USA
Departure Time 1422
Departure Time Zone CST
Destination Same as Local Flt --
Destination Airport Code RAP
Destination City Rapid City
Destination State SD
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 28 2013 2:31PM
User who most recently changed record sort
Since inspection or accident Last Inspection
Event Location Runway Number and Location 33
Runway Length 8000
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --