Accident Cessna 414 N414RH,
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ASN Wikibase Occurrence # 37413
 
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Date:Tuesday 19 July 1994
Time:14:20 LT
Type:Silhouette image of generic C414 model; specific model in this crash may look slightly different    
Cessna 414
Owner/operator:Rogers Helicopters
Registration: N414RH
MSN: 0457
Total airframe hrs:3739 hours
Engine model:Lycoming IO-720-B1BD
Fatalities:Fatalities: 1 / Occupants: 4
Aircraft damage: Destroyed
Category:Accident
Location:Taft, CA -   United States of America
Phase: Initial climb
Nature:Unknown
Departure airport:(L17)
Destination airport:Fresno, CA (KFAT)
Investigating agency: NTSB
Confidence Rating: Accident investigation report completed and information captured
Narrative:
THE EMERGENCY MEDICAL SERVICE (EMS/MEDEVAC) FLIGHT WAS DISPATCHED TO TRANSPORT A PATIENT IN RESPONSE TO A MEDICAL EMERGENCY. DURING ARRIVAL TO THE DESTINATION, THE PILOT CONTACTED THE AIRPORT UNICOM FOR ADVISORIES AND WAS ADVISED TO LAND ON RUNWAY 25. RUNWAY 25 HAD A 2.2 PERCENT UPHILL GRADE AND WAS RESTRICTED TO LANDINGS ONLY. AFTER LANDING, THE AIRPLANE WAS REFUELED AND THE PATIENT WAS PUT ON BOARD. THE PILOT BACK-TAXIED ON RUNWAY 25 AND PROCEEDED TO TAKEOFF UPHILL WITH THE AIRPLANE NEAR ITS MAXIMUM GROSS WEIGHT. ACCORDING TO GROUND WITNESSES, THERE WAS A TAILWIND, WHICH THEY ESTIMATED WAS BETWEEN 4 AND 15 KNOTS. THE TEMPERATURE WAS ABOUT 100 DEGREES, AND THE DENSITY ALTITUDE WAS ABOUT 3200 FEET. AFTER THE AIRPLANE BECAME AIRBORNE, THE PILOT STARTED AN IMMEDIATE LEFT TURN TO AVOID RISING TERRAIN. HOWEVER, THE LEFT TIP TANK CONTACTED THE GROUND, AND THE AIRPLANE CARTWHEELED. IT CAME TO REST ABOUT 711 FEET FROM THE DEPARTURE END OF THE RUNWAY. THE FLAPS AND LANDING GEAR WERE FOUND FULLY EXTENDED; THE PUBLISHED CONFIGURATION FOR TAKEOFF DATA IN THE FLIGHT MANUAL WAS FOR 'WING FLAPS - UP.' THE AIRPORT HAD NO SIGNS TO INDICATE RUNWAY USE RESTRICTIONS; HOWEVER, THE RESTRICTIONS WERE PUBLISHED IN THE AIRPORT FACILITY DIRECTORY.

Probable Cause: THE PILOT'S INADEQUATE PREFLIGHT PLANNING/PREPARATION AND SELECTION OF THE WRONG RUNWAY FOR TAKEOFF. FACTORS RELATED TO THE ACCIDENT WERE: THE UPHILL SLOPE OF THE RUNWAY, TAILWIND, HIGH DENSITY ALTITUDE, AND FAILURE OF THE PILOT TO CORRECTLY CONFIGURE THE FLAPS FOR TAKEOFF.

Accident investigation:
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Investigating agency: NTSB
Report number: LAX94FA292
Status: Investigation completed
Duration: 1 year 1 month
Download report: Final report

Sources:

NTSB LAX94FA292

Location

Revision history:

Date/timeContributorUpdates
24-Oct-2008 10:30 ASN archive Added
07-Feb-2009 10:24 harro Updated
21-Dec-2016 19:23 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
10-Apr-2024 05:51 ASN Update Bot Updated [Time, Cn, Other fatalities, Phase, Nature, Destination airport, Source, Narrative, Category, Accident report]

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