ANC02FA014

NTSB accident investigation · Cessna 206 · Bethel, AK · February 4, 2002

Accident · FatalField investigationFinal report
Date
February 4, 2002, 10:42 local (14:42 UTC)
Place
Bethel, AK
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N756HLCessna 206
Weather
Instrument (IMC) · Day
Status
Completed · report April 29, 2003
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
National Transportation Safety Board, Flight Alaska, Inc., Federal Aviation Administration
FAA report
20020204003949A
Case key
54172

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

On this page

Probable cause

The NTSB’s determination of the probable cause, and any contributing factors.

The pilot's continued VFR flight into instrument meteorological conditions, and his failure to maintain adequate ground clearance, which resulted in an in flight collision with terrain. Factors associated with the accident were flat light conditions, and snow-covered terrain.

Analysis

The solo commerical pilot departed on a CFR 135 on-demand cargo/U.S. mail flight en route to a remote coastal village. The flight did not reach the destination. A search and rescue satellite received an ELT signal, and the wreckage was located about 80 miles from the departure airport, along the airplane's intended flight path. A pilot who departed about 25 minutes before the accident airplane, also en route to the same coastal village, characterized the weather conditions along the route as "low visibility with light snow squalls moving through the area." He added that flat light conditions made it very difficult to discern any topographic features. Another pilot who was transiting through the area in the opposite direction, about the time of the accident, characterized the weather conditions as overcast with ceilings ranging between 1,000 and 1,300 feet. As he approached the site where the wreckage was eventually discovered, he encountered momentary visibility restrictions due to fog and light snow. He added that flat light conditions made it very difficult to discern any topographic features among the featureless, snow-covered terrain. The pilot stated that he changed his route in order to avoid worsening weather conditions. The accident airplane was equipped with an avionics package provided by the FAA's Capstone Program. The Capstone Program is a joint industry/FAA demonstration program that includes global positioning system (GPS) avionics, weather and traffic information provided through automatic dependent surveillance-broadcast (ADS-B), and terrain information depicted on a multifunction display (MFD) installed in the cockpit. Terrain depiction information, based on GPS data, is one of several visual display options available to the pilot on the MFD. Damage to the accident airplane's MFD precluded a determination of the visual display option selected at the time of the accident. At the time of the accident, position information from ADS-B equipment in the airplane was being provided to the Air Route Traffic Control Center (ARTCC). The recorded ARTCC data were reviewed to determine the flight track of the accident airplane. The radar-like track depicted the accident airplane's takeoff from the departure airport, on a heading of approximately 300 degrees. While en route, the airplane climbed to an altitude of about 1,800 feet msl. As the track continued in a northwesterly direction and approached the accident site, a gradual descent was noted. The radar-like track stopped approximately 1.8 miles east of the accident site, with a ground speed of approximately 108 knots. Examination of the accident site revealed physical evidence indicating the airplane impacted the ground on a southeasterly heading (directly opposite of the on-course heading for the intended flight) in a slight nose down attitude. No evidence of any pre-impact anomalies with the engine or airplane were noted.

Factual narrative

The factual narrative1,213 words

History of flight

On February 4, 2002, about 1042 Alaska standard time, a wheel-equipped Cessna 206 airplane, N756HL, was destroyed when the airplane collided with remote, snow-covered terrain, during cruise flight, about 80 nautical miles northwest of Bethel, Alaska. The airplane was being operated as a visual flight rules (VFR) on-demand cargo/U.S. mail flight under Title 14, CFR Part 135, when the accident occurred. The airplane was registered to a private individual, and operated by Flight Alaska, Inc., dba: Yute Air Alaska. The solo certificated commerical pilot received fatal injuries. Visual meteorological conditions prevailed at the departure airport, and no flight plan was filed. The flight originated at the Bethel Airport, Bethel, at 1004, and was en route to Chevak, Alaska.

According to the company's director of operations, when the flight failed to return to Bethel by 1430, company personnel initiated a phone search, and discovered that the flight had never reached Chevak. The flight was officially reported overdue to the Federal Aviation Administration (FAA) about 1545.

About 1209, an emergency locator transmitter (ELT) signal was received by a search and rescue satellite. Personnel from the Bethel wing of the Civil Air Patrol were dispatched to conduct an aerial search, and determine the source of the ELT signal. The Civil Air Patrol personnel reported that they were unable to complete the mission due to low clouds, low visibility, and icing conditions. At 1605, an Alaska Army National Guard HH-60 helicopter was dispatched from Bethel to begin an aerial search. The helicopter crew located the wreckage about 1650, about 70 miles east of Chevak, along the accident airplane's anticipated route of flight.

Crew information

The pilot held a commerical pilot certificate with airplane single-engine land, single engine sea, and instrument airplane ratings. The most recent second-class medical certificate was issued to the pilot on April 6, 2001, and contained no limitations. No personal flight records were located for the pilot. According to company records, the pilot's total aeronautical experience consisted of 7,800 hours, of which 200 hours were accrued in the accident airplane make and model. In the preceding 90 and 30 days prior to the accident, the company listed the pilot's flight time as 20 and 10 hours, respectively. The operator hired the pilot on May 7, 2001. According to the operator's director of operations, prior to joining the company, the accident pilot had accrued extensive 14 CFR Part 135 experience flying in Alaska,. The pilot completed an airman competency/proficiency check flight under Title 14 CFR Part 135.293 (Initial and Recurrent Testing), and 135.299 (Pilot-in-Command Line Check), with the chief pilot for the operator in a Cessna 207 airplane on April 25, 2001. In the remarks section of FAA form number 8410-3 (airman competency/proficiency check form), the chief pilot wrote: "Demonstrated instrument proficiency."

The accident flight was the pilot's first flight of the day.

Aircraft information

The airplane had accumulated a total time in service of 10,607.2 hours. The most recent 100 hour inspection was accomplished on November 29, 2001, 46.2 hours before the accident.

The engine had accrued a total time in service of 5,337.1 hours, and 844.5 hours since overhaul.

Meteorological information

According to the company's director of operations, the pilot obtained current weather information for Chevak from the flight-planning desk located at the operator's base of operation in Bethel. The director of operations reported that company operations personnel in Bethel collect this weather information by calling each village agent in the villages serviced by the operator.

In a written statement provided to the National Transportation Safety Board, the employee who prepared the weather information prior to the accident flight's departure, said that he called the village agent in Chevak about 0900, and requested the current weather conditions. He added that weather information and aircraft loading calculations were relayed to the accident pilot prior to his departure. According to company records provided by the operator, the 0900 weather for Chevak was reported as: Sky conditions and ceiling, 5,000 feet overcast; visibility, 20 statute miles; wind from the northeast at 10 knots.

The closest weather observation station to the accident site is Hooper Bay, Alaska, which is located about 60 nautical miles west of the accident site. On February 4, at 1035, an unaugmented AWOS was reporting, in part: Wind, 190 degrees (true) at 6 knots; visibility, missing; clouds, 100 feet overcast; temperature, 19 degrees F; dew point, 17 degrees F; altimeter, 28.93 inHg.

Bethel is located about 80 nautical miles southeast of the accident site. At 1053 an Aviation Routine Weather Report (METAR) was reporting, in part: Sky conditions and ceiling, 3,900 feet broken; visibility, 10 statute miles; wind, 050 degrees at 13 knots; temperature, 10 degrees F; dew point, minus 6 degrees F; altimeter, 28.90.

An area forecast for the Yukon-Kuskokwim Delta, issued on February 4, 2002, at 0545, and valid until 1800, was forecasting, in part: Clouds and weather, 2,000 feet scattered, 5,000 feet broken, tops at 8,000 feet, with layers above 26,000 feet.

An AIRMET valid until 0000, was forecasting mountain obscuration in clouds and precipitation along the pilot's planned route of flight, with occasional moderate rime icing conditions in the clouds from 1,200 feet to 10,000 feet.

A pilot who departed from Chevak about 1043 en route to Bethel, characterized the weather conditions between Bethel and the accident site as overcast with ceilings ranging between 1,000 and 1,300 feet. He said that as his flight progressed, and as he approached the site where the wreckage was eventually discovered, he encountered momentary visibility restrictions due to fog and light snow. He added that flat light conditions made it very difficult to discern any topographic features among the featureless, snow-covered terrain. The pilot stated that he changed his route in order to avoid worsening weather conditions.

A pilot who departed Bethel about 25 minutes before the accident airplane's departure, also en route to Chevak, characterized the weather conditions along the accident airplane's route as "low visibility with light snow squalls moving through the area." He added that flat light conditions made it very difficult to discern any topographic features. He said that with satisfactory weather conditions, and given the intended destination of the accident airplane, the standard route of flight would be directly over the flat, featureless area where the accident occurred.

Communications

Review of the air-ground radio communications tapes maintained by the FAA at the Bethel Flight Service Station (FSS) facility, revealed that just before takeoff from Bethel, the pilot communicated with the local ground and tower control positions. After departure, no further communications were received from the accident airplane.

A transcript of the air to ground communications between the airplane and Bethel local control is included in the public docket for this accident.

Wreckage and impact information

The National Transportation Safety Board (NTSB) investigator-in-charge, along with an additional NTSB investigator, and the operator's chief pilot, examined the wreckage at the accident site on February 6, 2002. About 2 inches of snow had fallen at the wreckage site since the accident. A depression in the snow, followed by a path of wreckage debris to the main wreckage point of rest, was observed on a magnetic heading of approximately 095 degrees, consistent with the airplane impacting the ground on a southeasterly heading (opposite of the on-course heading for th

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 encounter with weatherCruise
Light condition - otherFactor
Vfr flight into imc - continuedPilot in commandCause
In flight collision with terrain/waterCruise
Terrain condition - snow coveredFactor
Clearance - not maintainedPilot in commandCause

Aircraft

Registration
N756HL
Reported as
Cessna 206
Category
Airplane
Serial number
U20604103
Airframe hours
1,051
Engine
Continental IO-520-F, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Part 135
Operator
Flight Alaska, Inc., doing business as Yute Air Alaska
Registered owner
David E. Sandlin
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 29, 2001 · 46.2 hours before
Departed
BET · Bethel, AK
Destination
VAK · Chevak, AK

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
52
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
April 25, 2001
Seat
Left
Toxicology
Performed
Flight hours
7,800 total · 200 in this make and model · 7,500 as pilot in command · 20 in the last 90 days · 10 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
190° at 6 knots
Lowest ceiling
100 ft overcast
Temperature
19 °F, dew point 18 °F
Altimeter
28.93 inHg
Observed at
PAHP, 60 nm away

Docket · 17

The files NTSB released with the investigation on January 31, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.1 MB in all.

FAA reports on this event · 1

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

Other investigations on N756HL · 1

Matched to the same aircraft by N-number and date.