ANC00LA029

NTSB accident investigation · Piper PA-31-T3 · Kotzebue, AK · February 21, 2000

Accident · Minor injuriesLimited investigationFinal report
Date
February 21, 2000, 11:23 local (15:23 UTC)
Place
Kotzebue, AK
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N219CSPiper PA-31-T3
Weather
Instrument (IMC) · Day
Status
Completed · report May 9, 2001
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
20000221005809A
Case key
48738

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

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Probable cause

The pilot descended below the minimum descent altitude. Factors associated with this accident were the task overload of the pilot during the instrument approach, and not performing a level off.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

In flight collision with terrain/waterApproach - faf/outer marker to threshold (ifr)
Level off - not performedPilot in commandFactor
Excessive workload (task overload)Pilot in commandFactor
Minimum descent altitude - exceededPilot in commandCause

Analysis

The airplane collided with frozen pack ice, three miles from the airport, during a GPS instrument approach. Instrument conditions of 3/4 mile visibility in snow and fog were reported at the time of the accident. The pilot stated that he began a steep descent with the autopilot engaged. He indicated that as the airplane crossed the final approach course, the autopilot turned the airplane inbound toward the airport. He continued the steep descent, noted the airplane had overshot the course, and the autopilot was not correcting very well. He disengaged the autopilot and manually increased the correction heading to intercept the final approach course. During the descent he completed the landing checklist, extended the landing gear and flaps, and was tuning both the communications and navigation radios. The pilot said he looked up from tuning the radios to see the sea ice coming up too quickly to react, and impacted terrain. The pilot relayed there were no preaccident anomalies with the airplane, and that he 'did not stay ahead of the airplane.'

Factual narrative

On February 21, 2000, about 1123 Alaska standard time, a Piper PA-31-T3 airplane, N219CS, sustained substantial damage when it collided with frozen pack ice on the Chukchi Sea, three miles west of Kotzebue, Alaska, during an instrument approach to the Ralph Wein Memorial Airport, Kotzebue. The solo airline transport pilot received minor injuries. The flight was being conducted under 14 CFR Part 135 as scheduled commuter Flight 170, by Cape Smythe Air Service, Inc., of Barrow, Alaska. The flight originated in Barrow, with intermediate stops at Wainwright, and Point Lay, Alaska. Instrument meteorological conditions of 3/4 mile visibility in snow and fog were reported at Kotzebue at 1116. The pilot filed an IFR flight plan while airborne, and received an IFR clearance to Kotzebue, from a point 35 miles northwest of Kotzebue.

The flight was cleared for the GPS Runway 8 approach, and at 1117, the pilot reported to the Kotzebue FAA Flight Service Station that the airplane was on a 10 mile final. The airplane did not arrive at the airport, and an ELT signal was received about 1124. A ground search located the airplane at 1215. Postaccident inspection by the FAA revealed the airplane remained upright, all three landing gear assemblies separated from the airplane, and substantial damage had occurred to both wings and the tail assembly.

The pilot stated in his NTSB Pilot/Operator report that once he was cleared for the approach, he began a steep descent with the autopilot engaged. He indicated that as the airplane crossed the final approach course about 10 miles from the airport at 3,000 feet msl, the autopilot turned the airplane inbound toward the airport. He said he continued the steep descent attempting to cross the final approach fix at 1,600 feet. He noted the airplane had overshot the course to the south, and the autopilot was not correcting very well. He disengaged the autopilot and manually increased the correction heading to intercept the final approach course. He said that during the descent he completed the landing checklist, extended the landing gear and flaps, and tuned the communications radio to the Automated Weather Observation System (AWOS) frequency to update the weather, which reported 3/4 miles visibility in snow. He then tuned the second navigation radio to the ILS frequency, thinking he should fly the ILS. The pilot said he looked up from tuning the radios to see the sea ice coming up too quickly to react, and the airplane impacted terrain.

A review of the Air Traffic Control radar plot of the airplane's ground track depicted the airplane overshooting the final approach course from north to south, and then overshooting to the north prior to impacting the sea ice.

During a telephone interview with the NTSB investigator-in-charge on March 2, the pilot stated the last altitude he remembered seeing was 800 feet msl. He related there were no preaccident anomalies with the airplane, and that this airplane's radar altimeter was not configured to generate an aural warning when the airplane descended below the selected minimum descent altitude, which he had set to 300 feet agl. The pilot commented that he "did not stay ahead of the airplane."

Aircraft

Registration
N219CS
Reported as
Piper PA-31-T3
Category
Airplane
Serial number
31T8275005
Airframe hours
11,098
Engine
P&W PT6-A-11, 500 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Registered owner
Cape Smythe Air Service, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · January 7, 2000 · 141 hours before
Departed
PIZ · Point Lay, AK
Destination
OTZ
Flight plan
IFR
Airport
OTZ · Ralph Wein Memorial, runway 26, 5,900 × 150 ft

Matched to the registry by N-number and the event date; the registry’s history has gaps, so older matches can be wrong. Compare the reported make and model.

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
48
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
13,500 total · 4,900 in this make and model · 13,000 as pilot in command · 100 in the last 90 days · 10 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
250° at 3 knots
Visibility
1 statute miles
Temperature
-0 °F, dew point -0 °F
Altimeter
29.00 inHg
Observed at
OTZ, 3 nm away

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.