NTSB Identification: LAX94FA292.
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Nonscheduled 14 CFR
Accident occurred Tuesday, July 19, 1994 in TAFT, CA
Probable Cause Approval Date: 08/21/1995
Aircraft: CESSNA 414, registration: N414RH
Injuries: 1 Fatal,3 Serious.

NTSB investigators either traveled in support of this investigation or conducted a significant amount of investigative work without any travel, and used data obtained from various sources to prepare this aircraft accident report.

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.

The National Transportation Safety Board determines the probable cause(s) of this accident to be:

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.

Full narrative available

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