2 fatalities

2013-10-18: Cessna 500 Citation (N610ED) — Ed Dufresne Ministries — Derby, United States of America

Derby, United States of AmericaFlight

On October 18, 2013, a Cessna 500 Citation (registration N610ED) operated by Ed Dufresne Ministries was involved in an aviation accident near Derby, United States of America in flight. 2 people were killed. Investigators recorded the probable cause as: The airplane's encounter with severe icing conditions, which resulted in structural icing, and the pilot's increased workload and subsequent disorientation while maneuvering in instrument flight rules (IFR) conditions with malfunctioning flight instruments,… This summary draws on records from the Bureau of Aircraft Accidents Archives (B3A).

Sourcesthe Bureau of Aircraft Accidents Archives (B3A)Primary reportUpdated 1781193919Data APIEditorial standards

An airplane climbing to 15,000 feet experienced a loss of control and impacted terrain after entering severe icing conditions. The pilot had multiple malfunctioning flight instruments and elected to fly in IMC despite an FAA exemption requiring all equipment operational.

Accident Sequence

After climbing to and leveling at 15,000 feet, the airplane departed controlled flight, descended rapidly in a nose-down vertical dive, and impacted terrain. An explosion and postaccident fire occurred. Most of the wreckage was located in or near a single impact crater; however, the outer portion of the left wing impacted the ground about half a mile from the main wreckage.

Pilot and Aircraft Background

Following the previous flight, the pilot reported to a maintenance person in another state that he had several malfunctioning flight instruments, including the autopilot, horizontal situation indicator, and artificial horizon gyros. The pilot, who was not a mechanic, had maintenance personnel replace the right side artificial horizon gyro but did not have any other maintenance performed. The pilot was approved under an FAA exemption to operate the airplane as a single pilot; the exemption required that all equipment be operational, including a fully functioning autopilot, flight director, and gyroscopic flight instruments. Despite the malfunctioning instruments, the pilot chose to take off and fly in instrument meteorological conditions.

Weather and Flight Conditions

At the time of the loss of control, the airplane had just entered an area with supercooled large water droplets and severe icing, which would have affected the airplane's flying characteristics. At the same time, the air traffic controller provided the pilot with a radio frequency change, a change in assigned altitude, and a slight routing change. It is likely that these instructions increased the pilot's workload as the airplane began to rapidly accumulate structural icing. Because of the malfunctioning instruments, it is likely that the pilot became disoriented while attempting to maneuver and maintain control of the airplane as the ice accumulated, which led to a loss of control.

Probable cause

The airplane's encounter with severe icing conditions, which resulted in structural icing, and the pilot's increased workload and subsequent disorientation while maneuvering in instrument flight rules (IFR) conditions with malfunctioning flight instruments, which led to the subsequent loss of airplane control. Contributing to the accident was the pilot's decision to takeoff in IFR conditions and fly a single-pilot operation without a functioning autopilot and with malfunctioning flight instruments.