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Last updated: 9 December 2021
Statuts:Enquête Officielle
Date:mercredi 22 avril 1992
Heure:11:09
Type/Sous-type:Silhouette image of generic DHC6 model; specific model in this crash may look slightly different
de Havilland Canada DHC-6 Twin Otter 200
Compagnie:Perris Valley Aviation
Immatriculation: N141PV
Numéro de série: 141
Année de Fabrication: 1968
Heures de vol:29391
Moteurs: 2 Pratt & Whitney Canada PT6A-20A
Equipage:victimes: 2 / à bord: 2
Passagers:victimes: 14 / à bord: 20
Total:victimes: 16 / à bord: 22
Dégats de l'appareil: Détruit
Conséquences: Written off (damaged beyond repair)
Lieu de l'accident:Perris Valley Airport, CA (   Etats-Unis d'Amérique)
Phase de vol: En montée initiale (ICL)
Nature:Parachutage
Aéroport de départ:Perris Valley Airport, CA, Etats-Unis d'Amérique
Aéroport de destination:Perris Valley Airport, CA, Etats-Unis d'Amérique
Détails:
A DHC-6 Twin Otter 200, N141PV, crashed during takeoff from Perris Valley Airport, California, following a loss of power in the airplane's right engine. Immediately after the airplane lifted off from runway 17, the right engine lost power, the right wing lowered to about 90º, and the airplane crashed adjacent to the runway.
The ground loader stated that he had fueled the airplane from the airport fuel truck and that the flight crew did not sump the airplane's fuel tanks after the airplane was fueled. Examination of the airplane's forward fuel tank, which provides fuel to the right engine, was found to contain about 8 gallons of a heavily contaminated mixture of water, an emulsifying agent, and bacterial growth. Both the airport's fuel truck, which contained fuel transferred from the airport's underground tank the evening before the accident, and the underground tank contained the same contaminated mixture. Examination of the wreckage revealed that the left propeller control was seized in the feather position and that the left propeller blades were in the near-feather position.

Probable Cause:

PROBABLE CAUSE: "The pilot-in-command's inadvertent feathering of the wrong propeller following an engine power loss, and the failure of the operator to assure that the pilot was provided with adequate training in the airplane. Factors related to the accident were: water contamination of fuel in the airport storage tanks, the operator's lack of fuel quality control procedures, improper fuel servicing, improper pre-flight by the pilot(s), and exceeding the gross weight/forward cg limits of the airplane."

Accident investigation:
cover
Investigating agency: NTSB
Status: Investigation completed
Duration: 1 year and 4 months
Accident number: LAX92MA183
Download report: Summary report

Sources:
» Air Safety Week 5 April 1993 (p. 6)
» ICAO Adrep Summary 5/94 (#42)
» NTSB Safety Recommendations A-94-16 through -19
» NTSB Safety Recommendations A-94-20 through -23


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NTSB issued 8 Safety Recommendations

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Les informations ci-dessus ne représentent pas l'opinion de la 'Flight Safety Foundation' ou de 'Aviation Safety Network' sur les causes de l'accident. Ces informations prélimimaires sont basées sur les faits tel qu'ils sont connus à ce jour.
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DHC-6 Twin Otter

  • 930+ built
  • 165ème loss
  • 108ème accident fatal
  • le accident 17ème le plus grave (à ce moment là)
  • le accident 33ème le plus grave (en ce moment)
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