NTSB Identification: LAX87FA119.
The docket is stored on NTSB microfiche number 36387.
Nonscheduled 14 CFR
Accident occurred Friday, February 20, 1987 in FLAGSTAFF, AZ
Probable Cause Approval Date: 10/13/1988
Aircraft: CESSNA 441, registration: N6858S
Injuries: 2 Fatal.

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 ACFT WAS ON AN EMERG MED SVC (EMS/MED-EVAC) FLT WITH A PLT & FLT NURSE ABOARD TO TRANSPORT A MATERNITY PATIENT FM FLAGSTAFF TO PHOENIX. DRG A NGT ARRIVAL, THE PLT BGN A VOR-A APCH IN IMC, THEN HE RPRTD A PROBLEM WITH HIS AVIONICS & ELECTED TO MAKE A MISSED APCH. DRG THE MISSED APCH, HE SAID THAT HE 'LOST' AN INVERTER, THEN RPRTD THE GYROS WERE INOP. RADAR VECTORS WERE BEING PROVIDED WHEN HE STATED 'WE HAVE BIG TROUBLE HERE.' SOON THEREAFTER, RADAR & RADIO CTC WERE LOST & THE ACFT CRASHED APRX 7 MI SE OF THE ARPT. DRG IMPACT, THE ACFT MADE A DEEP CRATER & WAS DEMOLISHED. NO PREIMPACTENG OR AIRFRAME FAILURE WAS FND. AN INV REVEALED THE #2 (COPLT'S) ATTITUDE INDCR WAS INOP ON THE PREV FLT. A DISCREPANCYRPRT WAS TAKEN TO THE AVIONICS DEPT, BUT THE REQD ENTRY WAS NOT MADE IN THE ACFT FORM-4. THE PLT TKOF BEFORE CORRECTIVE ACTION WAS TAKEN. THE OPNS MANUAL REQD 1000 HRS MULTI-ENG TIME AS PIC & TRNG BY DESIGNATED CFI'S. THE PLT HAD APRX 837 HRS MULTI-ENG TIME, RECD 9 TRNG FLTS IN N6858S WITH NON-DESIGNATED INSTRUCTORS, COMPLETED A PART 135 FLT CHK ON 2/17/88.

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

ELECTRICAL SYSTEM..UNDETERMINED

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

AIRCRAFT HANDLING..NOT MAINTAINED..PILOT IN COMMAND

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

SPATIAL DISORIENTATION..PILOT IN COMMAND


Contributing Factors

LIGHT CONDITION..DARK NIGHT




Contributing Factors

WEATHER CONDITION..LOW CEILING


Contributing Factors

WEATHER CONDITION..SNOW


Contributing Factors

INADEQUATE SURVEILLANCE OF OPERATION..COMPANY/OPERATOR MGMT




Contributing Factors

LACK OF TOTAL EXPERIENCE IN TYPE OF AIRCRAFT..PILOT IN COMMAND

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