Loss of control Accident Cessna 421C Golden Eagle N421SY,
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ASN Wikibase Occurrence # 140323
 
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Date:Friday 9 December 2011
Time:14:24
Type:Silhouette image of generic C421 model; specific model in this crash may look slightly different    
Cessna 421C Golden Eagle
Owner/operator:S & S Aviation LLC opb Quest Aviation Inc
Registration: N421SY
MSN: 421C0051
Year of manufacture:1975
Total airframe hrs:4882 hours
Engine model:Continental GTSIO-520-L
Fatalities:Fatalities: 4 / Occupants: 4
Aircraft damage: Destroyed
Category:Accident
Location:Joe Foss Field Airport (KFSD), Sioux Falls, SD -   United States of America
Phase: Initial climb
Nature:Passenger - Non-Scheduled/charter/Air Taxi
Departure airport:Sioux Falls Regional Airport (Joe Foss Field), SD (FSD/KFSD)
Destination airport:Rapid City Regional Airport, SD (RAP/KRAP)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
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.

Probable Cause: 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.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: CEN12FA100
Status: Investigation completed
Duration: 1 year and 4 months
Download report: Final report

Sources:

NTSB

http://www.foxnews.com/us/2011/12/09/4-dead-in-sioux-falls-small-plane-crash-549550445.html
http://www.wistv.com/story/16230740/faa-4-dead-in-sioux-falls-small-plane-crash
https://www.chron.com/news/article/FAA-4-dead-in-Sioux-Falls-small-plane-crash-2392219.php
http://www.wsmv.com/story/16230740/faa-4-dead-in-sioux-falls-small-plane-crash
https://www.twincities.com/2011/12/08/augustana-college-professor-among-4-dead-in-sioux-falls-plane-crash/
http://de.flightaware.com/live/flight/N421SY
http://www.airnav.com/airport/KFSD

Location

Images:



Photos: NTSB

Revision history:

Date/timeContributorUpdates
09-Dec-2011 17:33 Alpine Flight Added
11-Dec-2011 01:34 Geno Updated [Location, Source, Narrative]
18-Dec-2011 01:06 Geno Updated [Time, Nature, Source, Narrative]
21-Dec-2016 19:26 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
27-Nov-2017 17:39 ASN Update Bot Updated [Operator, Other fatalities, Departure airport, Destination airport, Source, Narrative]
19-May-2022 12:01 Captain Adam Updated [Operator, Other fatalities, Location, Departure airport, Destination airport, Source, Narrative, Category, Photo]
19-May-2022 12:01 Captain Adam Updated [Photo]
16-Jul-2023 05:41 Anon. Updated [[Photo]]

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