NTSB AVIATION ACCIDENT/INCIDENT DATABASE REPORT

LAX90LA288.html

1990, 2n*, on airport, but could have happened within 1 mile of the airport


General Information

   Data Source:                          NTSB AVIATION ACCIDENT/INCIDENT DATABASE
   Report Number:                        LAX90LA288 
   Local Date:                           08/09/1990
   Local Time:                           1305 PDT
   State:                                CA    
   City:                                 CONCORD                            
   Airport Name:                         BUCHANAN FIELD           
   Airport Id:                           CCR   
   Event Type:                           ACCIDENT
   Injury Severity:                      NONE   
   Report Status:                        FINAL      
   Mid Air Collision:                    NO 


Operations Information

   Category of Operation:                GENERAL AVIATION       
   Aircraft Type:                        AIRPLANE       
   Aircraft Damage:                      SUBSTANTIAL      
   Phase of Flight:                      530 CLIMB                                             
   Aircraft Make/Model:                  CESSNA CE-421-B                 
   Operator Doing Business As:                                         
   Operator Name:                                                      
   Operator Code:                        
   Operator:                                                                       
   Owner Name:                           CALWEST AVIAITON              


Narrative

   SHORTLY AFTER DEPARTING CONCORD AIRPORT THE PILOT EXPERIENCED AN 
   INTERMITTENT ELECTRICAL FAILURE FOLLOWED BY A TOTAL ELECTRICAL FAILURE. 
   DURING THE INTERMITTENT PHASE THE PILOT ELECTRICALLY EXTENDED THE 
   LANDING GEAR. DURING THE EXTENSION THE AIRPLANE SUSTAINED A TOTAL 
   ELECTRICAL FAILURE. THE PILOT RETURNED TO CONCORD AIRPORT AND LANDED. 
   UPON TOUCHDOWN THE MAIN LANDING GEAR COLLAPSED. AFTER THE AIRPLANE 
   CAME TO REST THE PILOT SHUT OFF ALL ELECTRICAL SWITCHES, INCLUDING THE 
   BATTERY/MASTER SWITCH. THE PILOT STATED THAT HE THOUGHT THE LANDING 
   EXTENDED TO THE LOCKED POSITION BEFORE SUSTAINING THE TOTAL ELECTRICAL 
   FAILURE AND WAS UNABLE TO CHECK THE LANDING GEAR WARNING LIGHTS TO 
   DETERMINE THAT THE LANDING GEARS WERE DOWN AND LOCKED. THE PILOT DID 
   NOT FOLLOW THE APPROPRIATE CHECKLIST AND USE THE HANDCRANK TO DETERMINE 
   THAT THE LANDING GEAR WAS IN FACT EXTENDED AND LOCKED.


Sequence of Events

   Occurrence #: 1  130 AIRFRAME/COMPONENT/SYSTEM FAILURE/MALFUNCTION
   Phase of Operation: 531 CLIMB - TO CRUISE

           Findings
           Subject - Modifier - Personnel Cause/Factor

     1a.   12000(S) - 1135(M)  Factor
           ELECTRICAL SYSTEM - FAILURE, TOTAL
     2a.   12000(S) - 1189(M)  Cause
           ELECTRICAL SYSTEM - UNDETERMINED

   Occurrence #: 2  194 COMPLETE GEAR COLLAPSED
   Phase of Operation: 571 LANDING - FLARE/TOUCHDOWN

           Findings
           Subject - Modifier - Personnel Cause/Factor

     1a.   10400(S) - 1190(M)  Factor
           LANDING GEAR - UNLOCKED
     2b.   24545(S) - 3124(M) - 4000(P)  Cause
           EMERGENCY PROCEDURE - NOT FOLLOWED - PILOT IN COMMAND


Probable Cause

   THE PILOT'S FAILURE TO FOLLOW THE ELECTRICAL SYSTEM FAILURECHECKLIST. 
   CONTRIBUTING TO THIS ACCIDENT WAS THE TOTAL ELECTRICAL FAILURE FOR 
   UNDETERMINED REASONS AND THE LANDINGGEAR BEING UNLOCKED.


Aircraft Information

   Number of Seats:                      6  
   Aircraft Use:                         BUSINESS           
   Type of Operation:                    14 CFR 91 
   Domestic/International:                            
   Passenger/Cargo:                                        
   Registration Number:                  76SH  
   Air Carrier Operating Certificates:   ON-DEMAND AIR TAXI
   Aircraft Fire:                        NONE

                  Injuries
          Fatal  Serious  Minor  None
   Crew      0       0       0      1
   Pass      0       0       0      1
   Other     0       0       0      0
   Invlvd    0       0       0      2

   Landing Gear:                         TRICYCLE-RETRACTABLE
   Certificated Maximum Gross Weight:    7450
   Engine Make:                          CONTINENTAL  
   Engine Model:                         GTSIO-520-H  
   Number of Engines:                     2
   Engine Type:                          RECIPROCATING-FUEL INJECTED 


Environment/Location Information

   Basic Weather Conditions:             VISUAL METEOROLOGICAL CONDITIONS (VMC)  
   Wind Direction (deg):                 350
   Wind Speed (knots):                   10
   Visibility (sm):                      15
   Visibility RVR (ft):                  0
   Visibility RVV (sm):                  0
   Cloud Height Above Ground Level (ft): 12000
   Visibility Restrictions:              NONE
   Precipitation Type:                   NONE
   Light Condition:                      DAYLIGHT
   Departure Airport Id:                     
   Departure City:                                      
   Departure State:                        
   Destination Airport Id:               MRY 
   Destination City:                     MONTEREY       
   Destination State:                    CA
   Flight Plan Filed:                    NONE
   ATC Clearance:                        NONE
   VFR Approach/Landing:                 TRAFFIC PATTERN
   Event Location:                       ON AIRPORT


Pilot-in-Command

   Certificates:                         PRIVATE
   Ratings:
     Plane:                              MULTIENGINE LAND
     Non-Plane:                          NONE
     Instrument:                         NONE
   Had Current BFR:                      YES
   Months Since Last BFR:                1
   Medical Certificate:                  CLASS 3
   Medical Certificate Validity:         VALID MEDICAL-NO WAIVERS/LIMITATIONS

              Flight Time (Hours)
   Total       :   2005  Last 24 Hrs :    0
   Make/Model  :     75  Last 30 Days:    2
   Instrument  :      0  Last 90 Days:  816
   Multi-Engine:   2005  Rotorcraft  :    0