Fort Lauderdale - Fernandina Beach

Prior to the accident flight witnesses observed the pilot "haphazardly" pouring oil into the right engine. The pilot then ran the engines at mid-range power for approximately 20 minutes. The airplane subsequently taxied out of the ramp area and departed. Fire was observed emanating from the right engine after rotation. The airplane continued in a shallow climb from the runway, flying low, with the right engine on fire. The airplane then banked right to return to the airport and descended into a residential area. Examination of the right engine revealed an exhaust leak at the No. 4 cylinder exhaust riser flange. Additionally, one of the flange boltholes was elongated, most likely from the resulting vibration. The fuel nozzle and B-nut were secure in the No. 4 cylinder; however, its respective fuel line was separated about 8 inches from the nozzle. No determination could be made as to when the fuel line separated (preimpact or postimpact) due to the impact and postcrash fire damage. Examination of the right engine turbocharger revealed that the compressor wheel exhibited uniform deposits of an aluminum alloy mixture, consistent with ingestion during operation, and most likely from the melting of the aluminum fresh air duct. Additionally, the right propeller was found near the low pitch position, which was contrary to the owner's manual emergency procedure to secure the engine and feather the propeller in the event of an engine fire.

Flight / Schedule

Fort Lauderdale - Fernandina Beach

Registration

N1935G

MSN

421B-0836

Year of Manufacture

1974

Date

April 17, 2009 at 11:15 AM

Type

CRASH

Flight Type

Positioning

Flight Phase

Takeoff (climb)

Crash Site

City

Crash Location

Fort Lauderdale-Executive Florida

Region

North America • United States of America

Coordinates

26.1960°, -80.1808°

Crash Cause

Technical failure

Narrative Report

On April 17, 2009 at 11:15 AM, Fort Lauderdale - Fernandina Beach experienced a crash involving Cessna 421B Golden Eagle II, operated by Sebring Air Charter, with the event recorded near Fort Lauderdale-Executive Florida.

The flight was categorized as positioning and the reported phase was takeoff (climb) at a city crash site.

1 people were known to be on board, 1 fatalities were recorded, 0 survivors were identified or estimated. This corresponds to an estimated fatality rate of 100.0%.

Crew on board: 1, crew fatalities: 1, passengers on board: 0, passenger fatalities: 0, other fatalities: 0.

The listed crash cause is technical failure. Prior to the accident flight witnesses observed the pilot "haphazardly" pouring oil into the right engine. The pilot then ran the engines at mid-range power for approximately 20 minutes. The airplane subsequently taxied out of the ramp area and departed. Fire was observed emanating from the right engine after rotation. The airplane continued in a shallow climb from the runway, flying low, with the right engine on fire. The airplane then banked right to return to the airport and descended into a residential area. Examination of the right engine revealed an exhaust leak at the No. 4 cylinder exhaust riser flange. Additionally, one of the flange boltholes was elongated, most likely from the resulting vibration. The fuel nozzle and B-nut were secure in the No. 4 cylinder; however, its respective fuel line was separated about 8 inches from the nozzle. No determination could be made as to when the fuel line separated (preimpact or postimpact) due to the impact and postcrash fire damage. Examination of the right engine turbocharger revealed that the compressor wheel exhibited uniform deposits of an aluminum alloy mixture, consistent with ingestion during operation, and most likely from the melting of the aluminum fresh air duct. Additionally, the right propeller was found near the low pitch position, which was contrary to the owner's manual emergency procedure to secure the engine and feather the propeller in the event of an engine fire.

Aircraft reference details include registration N1935G, MSN 421B-0836, year of manufacture 1974.

Geospatial coordinates for this crash are approximately 26.1960°, -80.1808°.

Fatalities

Total

1

Crew

1

Passengers

0

Other

0

Crash Summary

Prior to the accident flight witnesses observed the pilot "haphazardly" pouring oil into the right engine. The pilot then ran the engines at mid-range power for approximately 20 minutes. The airplane subsequently taxied out of the ramp area and departed. Fire was observed emanating from the right engine after rotation. The airplane continued in a shallow climb from the runway, flying low, with the right engine on fire. The airplane then banked right to return to the airport and descended into a residential area. Examination of the right engine revealed an exhaust leak at the No. 4 cylinder exhaust riser flange. Additionally, one of the flange boltholes was elongated, most likely from the resulting vibration. The fuel nozzle and B-nut were secure in the No. 4 cylinder; however, its respective fuel line was separated about 8 inches from the nozzle. No determination could be made as to when the fuel line separated (preimpact or postimpact) due to the impact and postcrash fire damage. Examination of the right engine turbocharger revealed that the compressor wheel exhibited uniform deposits of an aluminum alloy mixture, consistent with ingestion during operation, and most likely from the melting of the aluminum fresh air duct. Additionally, the right propeller was found near the low pitch position, which was contrary to the owner's manual emergency procedure to secure the engine and feather the propeller in the event of an engine fire.

Cause: Technical failure

Occupants & Outcome

Crew On Board

1

Passengers On Board

0

Estimated Survivors

0

Fatality Rate

100.0%

Known people on board: 1

Operational Details

Schedule / Flight

Fort Lauderdale - Fernandina Beach

Flight Type

Positioning

Flight Phase

Takeoff (climb)

Crash Site

City

Region / Country

North America • United States of America

Aircraft Details

Registration

N1935G

MSN

421B-0836

Year of Manufacture

1974