1 fatality

2003-05-04: Cessna 411 (N1133S) — Roger L. Maino — Corona, United States of America

Corona, United States of AmericaTakeoff (climb)

On May 4, 2003, a Cessna 411 (registration N1133S) operated by Roger L. Maino was involved in an aviation accident near Corona, United States of America during takeoff. One person was killed. Investigators recorded the probable cause as: The failure of the pilot to properly configure the airplane for a one engine inoperative condition (including his failure to feather the propeller of the affected engine, retract the landing gear, and maintain minimum single engine speed). This summary draws on records from the Bureau of Aircraft Accidents Archives (B3A).

Sourcesthe Bureau of Aircraft Accidents Archives (B3A)Primary reportUpdated 1781201090Data APIEditorial standards

A twin-engine airplane collided with terrain while returning to the departure airport after an engine problem. The pilot failed to configure the aircraft for single-engine operation, and fuel starvation to the left engine was a factor.

Accident Overview

The pilot of a twin-engine airplane lost control and collided with terrain while attempting to return to the departure airport after reporting an engine problem shortly after takeoff. The accident occurred approximately 2 miles from the airport.

Flight Sequence

After takeoff, at about 4,000 feet mean sea level, the pilot informed air traffic control of an engine problem and stated his intention to return. Radar data showed a steady descent from that altitude to the accident site. Ground witnesses reported seeing the airplane flying very low, approximately 500 feet above ground level, seconds before the accident. They described the airplane "wobbling," then entering a steep knife-edge left bank before diving into the ground.

Pre-Flight and Fuel Information

Before departure, the pilot sought assistance with his radios, indicating he had not flown in four and a half months and was unfamiliar with the equipment. No fueling records were found at the departure airport; the last documented fueling was on October 31, 2002, with 56.2 gallons. Witnesses stated that the airplane did not take on fuel immediately prior to the May 4 flight. This flight was the first since the airplane received its annual inspection two months earlier, and it was the pilot's first flight after four months of inactivity.

Wreckage Examination

Post-accident examination revealed a fire on the right wing but no fire on the left wing. Only a small amount of fuel was found around the left wing tanks, and no hydraulic deformation of the left main tank or internal baffles was observed. The landing gear bellcrank indicated the gear was extended. The left engine and propeller showed signatures of low power (windmilling), while the right engine indicated high power. The left propeller was not feathered.

Operational Considerations

The left engine is the critical engine; loss of power on that side makes directional control more difficult at slower speeds. The airplane owner's manual states that climb or continued level flight at moderate altitude is improbable with landing gear extended or propeller windmilling. The single-engine flight procedure requires a higher than normal altitude for a successful approach.

Probable Cause

The probable cause is the pilot's failure to properly configure the airplane for an engine-inoperative condition, specifically failure to feather the propeller of the affected engine, retract the landing gear, and maintain minimum single-engine speed. Factors contributing to the accident were fuel starvation of the left engine due to inadequate fuel supply in the left tanks, inoperative fuel transfer pumps, and the pilot's decision to take off without fueling.