Casualties unknown

1987-02-21: Cessna 441 (N6858S) — Samaritan Health Services — Flagstaff, AZ

Flagstaff, AZ, US

On February 21, 1987, a Cessna 441 (registration N6858S) operated by Samaritan Health Services was involved in an aviation accident near Flagstaff, AZ. This summary draws on records from the U.S. National Transportation Safety Board (NTSB) historical archive.

Sourcesthe U.S. National Transportation Safety Board (NTSB) historical archivePrimary reportUpdated 1781061362Data APIEditorial standards

An EMS flight crashed after the pilot reported avionics problems and loss of gyros during a missed approach. Investigation found a pre-existing attitude indicator failure and the pilot's multi-engine time was below manual requirements.

Accident Details

The aircraft was on an emergency medical services (EMS/med-evac) flight with a pilot and flight nurse aboard, transporting a maternity patient from Flagstaff to Phoenix. During a night arrival, the pilot began a VOR-A approach in instrument meteorological conditions (IMC). He then reported a problem with his avionics and elected to make a missed approach. During the missed approach, he stated that he had 'lost' an inverter and later reported the gyros were inoperative. Radar vectors were being provided when he said, 'We have big trouble here.' Shortly thereafter, radar and radio contact were lost, and the aircraft crashed approximately 7 miles southeast of the airport.

On impact, the aircraft made a deep crater and was demolished. No preimpact engine or airframe failure was found.

Investigation Findings

Investigation revealed that the number 2 (copilot's) attitude indicator was inoperative on the previous flight. A discrepancy report was taken to the avionics department, but the required entry was not made in the aircraft Form-4. The pilot took off before corrective action was taken.

The operations manual required 1,000 hours of multi-engine time as pilot-in-command and training by designated CFIs. The pilot had approximately 837 hours of multi-engine time, received 9 training flights in N6858S with non-designated instructors, and completed a Part 135 flight check on February 17, 1988.

Investigation report by the U.S. National Transportation Safety Board (NTSB) historical archive. Original record: https://carol.ntsb.gov/event/20001213X30254. This page is a structured re-presentation; facts and quotes are in the National Transportation Safety Board (NTSB), United States.