Accident Cessna 402B N999CR,
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ASN Wikibase Occurrence # 37071
 
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Date:Monday 29 January 1996
Time:05:35 LT
Type:Silhouette image of generic C402 model; specific model in this crash may look slightly different    
Cessna 402B
Owner/operator:Trans Executive Air Of Hawaii
Registration: N999CR
MSN: 402B0616
Year of manufacture:1974
Total airframe hrs:19764 hours
Engine model:Continental TISO-520-E
Fatalities:Fatalities: 1 / Occupants: 3
Aircraft damage: Destroyed
Category:Accident
Location:Kamuela, Hawaii, HI -   United States of America
Phase: Initial climb
Nature:Unknown
Departure airport:, HI (KMUE)
Destination airport:Honolulu, HI (HNL)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
The aircraft departed at night from runway 4R on a flight to transport mail. The pilot-in-command (PIC) was in the left seat, a pilot-rated cargo loader was in the right seat, and another cargo loader was aboard the aircraft, but was not in a seat. During takeoff, the aircraft entered a turn and flew into gradually rising terrain. The initial impact point was about 15 feet higher than the runway elevation and about 0.3 miles abeam the departure end of the runway. Investigation revealed that the company allowed pilot-rated cargo loaders to fly the aircraft from the right seat during positioning and ferry flight segments (to build multiengine flight time) as part of their compensation. There was evidence that at the time of the accident, the aircraft was being piloted on this flight from the copilot's position. The right side of the instrument panel was equipped with only EGT gauges (no flight instruments on the copilot's side). There were cloud layers in the vicinity, no moon illumination, and no visible ground lighting in the direction of flight. No preimpact mechanical malfunction or failure was identified during the investigation. Except at the pilot and copilot positions, the airplane had no other seat and/or restraint system. The operator stated that the pilot was not authorized to carry company personnel or passengers without the required seating.

Probable Cause: failure of the copilot (pilot-rated cargo loader, who was flying the aircraft) to establish and maintain a positive rate of climb after taking off at night; and inadequate supervision by the pilot-in-command (PIC), by failing to ensure that proper altitude was obtained and maintained during the departure. Factors relating to the accident were: darkness; the lack of visual cues; and the resultant visual illusion, which the copilot failed to recognize during the night departure. Also, the lack of a restraint system (seat belt and/or shoulder harness) for the passenger was a possible related factor.

Accident investigation:
cover
  
Investigating agency: NTSB
Report number: LAX96FA103
Status: Investigation completed
Duration: 1 year and 3 months
Download report: Final report

Sources:

NTSB LAX96FA103

Location

Revision history:

Date/timeContributorUpdates
24-Oct-2008 10:30 ASN archive Added
21-Dec-2016 19:23 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
10-Oct-2017 20:24 TB Updated [Nature, Source]
15-Jun-2023 05:24 Ron Averes Updated [[Nature, Source]]
09-Apr-2024 08:23 ASN Update Bot Updated [Time, Other fatalities, Phase, Nature, Departure airport, Source, Narrative, Category, Accident report]

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