# Incident 20091012024169I: Cessna 208, Mokuleia, HI, October 12, 2009 - Type: FAA incident report (Accident/Incident Data System), as reported - Date: October 12, 2009, 12:30 local time - Place: Mokuleia, HI - Airport: Dillingham Airfield - Damage: No damage - Phase of flight: Other, Specify - Operating rules: Parachute jumping (Part 105) - Location: 21.5794° N, 158.1718° W: Placed by OpenAirDocs: center of Mokuleia, HI, within about 6 miles (OpenAirDocs) - Nearby events: https://openairdocs.org/map.md?lat=21.5794&lon=-158.1718&mi=10 - Aircraft: N9454F, registered now (https://openairdocs.org/aircraft/N9454F) (OpenAirDocs) - Registry model: Cessna 208 (registry code 2073702, https://openairdocs.org/model/cessna-208) (OpenAirDocs) - Registry engine: Pratt & Whitney Canada PT6A-60A (registry code 52043, https://openairdocs.org/engine/pratt-whitney-canada-pt6a-60a) (OpenAirDocs) - Reported make and model: CESSNA 208 - Fatal injuries: 1 - Other injuries: 0 - Pilot flight hours: 0 total, 0 in this make and model, 0 in the last 90 days - FAA source: FAA Aviation Safety Information Portal (https://asip.faa.gov/) - Page: https://openairdocs.org/incident/20091012024169I ## Narrative As the FAA filed it, in capitals; the FAA replaces private details with ^PRIVACY DATA OMITTED^. ON OCTOBER 12, 2009, AT APPROXIMATELY 1230 HST, A 27-YEAR-OLD MALE PARACHUTIST WAS FATTALLY INJURED IN THE VICINITY OF DILLINGHAM AIRFIELD IN MOKULEIA, HI. WITNESSES STATED THAT THE PARACHUTIST DEPARTED A CESSNA 208 AIRCRAFT FROM APPROXIMATELY 12,000 FEET WITH TWO OTHER PARACHUTIST AND A VIDEOGRAPHER. SOMEWHERE BETWEEN 3,000 AND 3,500 FEET THE PARACHUTIST ATTEMPTED TO OPEN HIS MAIN PARACHUTE AND SUFFERED A PILOT CHUTE IN TOW MALFUNCTION WHICH RESULTED IN THE MAIN PARACHUTE BEING LOCKED IN THE CONTAINER. IT DID NOT APPEAR TO WITNESSES THAT THE PARACHUTIST MADE AN ATTEMPT TO DEPLOY THE RESERVE PARACHUTE. POST-INCIDENT EXAMINATION OF THE PARACHUTE EQUIPMENT SHOWED THAT THE MAIN PARACHUTE HAD BEEN IMPROPERLY PACKED. THE CONTAINER SIDES FLAPS WERE OUT OF SEQUENCE. THE RIGHT SIDE FLAP WAS ON TOP, INSTEAD OF THE LEFT SIDE FLAP, AS IS CALLED OUT IN THE MANUFACTURER INSTRUCTIONS. THE MAIN PARACHUTE PILOT CHUTE BRIDLE WAS MISROUTED UNDER THE RIGHT SIDE FLAP. THE ROUTING OF THE MAIN PARACHUTE CLOSING PIN CAME FROM ABOVE THE RIGHT SIDE FLAP, THEREBY CREATING A SITUATION WHEREBY A MAIN PARACHUTE PILOT CHUTE IN TOW MALFUNCTION WAS INEVITABLE. WITNESSES STATED THAT THE PARACHUTIST PACKED HIS WON PARACHUTE. NO AUTOMATIC ACTIVATION DEVICE WAS INSTALLED IN THE PARACHUTE SYSTEM. A RESERVE STATIC LINE WAS INSTALLED AND CONNECTED. THE MAIN PARACHUTE CUTAWAY HANDLE AS WELL AS THE RESERVE RIPCORD WERE BOTH MISSING. ONE OF THE FIRST RESPONDERS, WHO IS ALSO A PARACHUTIST, STATED THAT HE SAW THE RESERVE RIPCHORD BUT IT WAS OUT OF THE POCKET WITH SOME OF THE RIPCHORD CABLE EXPOSED. THE LOSS OF THE MAIN PARACHUTE CUTAWAY HANDLE AND RESERVE RIPCHORD MAY HAVE HAPPENED DURING RECOVERY OF THE VICTIM. IT APPEARED THAT THE RESERVE PARACHUTE WAS PROPELY PACKED BY A CERTIFICATED SENIOR PARACHUTE RIGGER ON JULY 9, 2009. THE RESERVE PARACHUTE WAS OUT OF THE CONTAINER; HOWEVER, THE RESERVE SUSPENSION LINES WERE STILL STOWED ON THE FREEBAG. THE RESERVE CLOSING LOOP WAS INTACT. DESCRIPTION OF THE PARACHUTES AND THEIR PACKING RECORDS: MAIN PARACHUTE-PERFORMANCE DESIGNS SPECTRE 150, P/N SP0150P04, S/N SP150-006441, MANUFACTURED 12/2003. RESERVE PARACHUTE-PERFORMANCE DESIGNS PR-143, P/N PD143R, S/N PR-143 04227, MANUFACTURED UNDER FAA TSO C23C CATEGORY B 05/2008. HARNESS AND CONTAINER – SUNRISE MANUFACTURING INTERNATION, INC. (WINGS), P/N SRI100, MODEL W-8-3 EXT, S/N 4264, MANUFACTUED UNDER FAA TSO C-23D 07/2005. A RESERVE STATIC LINE WAS INSTALLED AND CONNECTED. THE MAIN PARACHUTE CONTAINER HAD A BOTTOM OF CONTAINER (B.O.C.) THROW OUT PILOT CHUTE INSTALLED. A RECOMMENDATION WAS MADE TO THE DROP ZONE OPERATOR THAT A PRE-JUMP EQUIMENT CHECK BE ACCOMPLISHED ON ALL PARACHUTIST PRIOR TO BOARDING THE AIRACRAFT WITH THE INTENT OF MAKING A PARACHUTE JUMP. A PILOT CHUTE IN TOW DUE TO IMPROPER PACKING MIGHT BE PREVENTED IF A PRE-JUMP EQUIPMENT CHECK IS ACCOMPLISHED. ## Other reports on N9454F (4) Matched to the same aircraft by N-number and date. - [Incident 20130723014209I](https://openairdocs.org/incident/20130723014209I), Jul 23, 2013: Cessna 208 (N9454F), Mokuleia, HI, Minor damage, 1 fatal. Parachutist struck the horizontal stabilizer with his head and knocked unconscious on exit from aircraft while attempting to perform a hop and pop parachute… - [Incident 20120807020519I](https://openairdocs.org/incident/20120807020519I), Aug 7, 2012: Cessna 208 (N9454F), Mokuleia, HI, No damage. [privacy data omitted]Said that this was the first flight of the day. The run up was normal. There were 12 jumpers on board. At 4000' on the climb out 2… - [Incident 20060106002139I](https://openairdocs.org/incident/20060106002139I), Jan 6, 2006: Cessna 208 (N9454F), Mokuleia, HI, 2 fatal. (-23) [privacy data omitted] 1/6/06 - numerous eyewitnesses to this incident stated that they observed the tandem pair under a good main parachute canopy which… - [Incident 20050206003619I](https://openairdocs.org/incident/20050206003619I), Feb 6, 2005: Cessna 208 (N9454F), Mokuleia, HI, 1 fatal. (-23) Skydive Hawaii fatal parachute jump, February 6, 2005, final report the parachutist exited the aircraft normally at approximately 11,000 AGL. Main… From the FAA Accident/Incident Data System. Reports are matched to registry aircraft by N-number and event date, checked against the reported make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. For accidents, the NTSB's own investigation is the fuller record. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.