- Date
- April 10, 2002, 16:25 local (Apr 11, 2002, 00:25 UTC)
- Place
- Juneau, AK
- Injuries
- 1 fatal
- Damage
- Destroyed
- Phase of flight
- Initial climb
- Aircraft
- N686QBeech E18S
- Weather
- Visual (VMC) · Day
- Status
- Completed · report April 18, 2003
- Report
- Approved by Office Director
- NTSB office
- Alaska Regional Office
- Parties
- Federal Aviation Administration, Juneau FSDO
- FAA report
- 20020410009719A
- Case key
- 54518
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 pilot's excessive loading of the airplane that precipitated an inadvertent stall/mush during the initial climb.
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.
Analysis
The certificated airline transport pilot was departing on a 14 CFR Part 91 personal flight. The purpose of the flight was to deliver a load of wooden roofing shakes to a friend's remote lodge. Witnesses reported that just after takeoff, as the airplane climbed to about 200 to 300 feet above the ground, the airplane abruptly pitched up about 70 degrees, and drifted to the right. The airplane continued to turn to the right as the nose of the airplane lowered momentarily. As the airplane flew very slowly the landing gear was extended. The nose of the airplane pitched up again, the right wing dropped, and the airplane descended. One witness described the descent as: "The wings rocked back and forth as it descended, like a card in the wind, with the nose of the airplane slightly higher." The airplane impacted shallow water in an area of tidal mud flats. A postaccident investigation revealed that the estimated gross weight of the airplane at takeoff was 11,500.8 pounds, 1,400.8 pounds in excess of the airplane's maximum takeoff gross weight. The airplane's center of gravity could not be calculated due to the fact that the exact location/station of the cargo could not be determined. Examination of the airplane revealed no evidence of any preimpact mechanical anomalies.
Factual narrative
History of flight
On April 10, 2002, about 1625 Alaska daylight time, a Beech E18S airplane, N686Q, was destroyed when it impacted terrain following a loss of control during initial takeoff climb from the Juneau International Airport, Juneau, Alaska. The airplane was being operated as a visual flight rules (VFR) cross-country personal flight under Title 14, CFR Part 91, when the accident occurred. The airplane was owned by Aleutian Air Limited, of Juneau. The certificated airline transport pilot, the sole occupant, received fatal injuries. Visual meteorological conditions prevailed, and no flight plan was filed. The flight originated about 1620 from the Juneau International Airport.
During a brief on-scene conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on April 11, a personal acquaintance of the accident pilot related that the purpose of the flight was to deliver a load of wooden roofing shakes to a friend's remote lodge. He said that the accident flight was the pilot's second load of roofing shakes that day to the lodge. Two individuals, who helped the accident pilot load the airplane prior to the accident flight, estimated that about 50 bundles of roofing shakes were loaded on board, but were unsure exactly how many bundles were ultimately loaded. Both individuals said that the airplane was completely full, and that the retaining straps on some of the shingle bundles were cut to allow individual shingles to fill as much of the cabin as possible.
The accident was witnessed by a number of individuals located at various locations around the Juneau International Airport. The witnesses consistently reported that the airplane departed runway 08, and climbed to about 200 to 300 feet above the ground. During the climb, as the airplane approached the departure end of the runway, the nose of the airplane abruptly pitched up about 70 degrees, and drifted to the right. The witnesses added that the airplane continued to turn to the right as the nose of the airplane lowered momentarily. As the airplane flew very slowly, in a southerly direction, the landing gear was extended. The nose of the airplane pitched up again, the right wing dropped, and the airplane descended. One witness described the descent as: "The wings rocked back and forth as it descended, like a card in the wind, with the nose of the airplane slightly higher." The airplane descended into an area of tidal mud flats, and subsequently collided with shallow ocean water.
Crew information
The pilot held an airline transport pilot certificate with an airplane multiengine land rating, and a multiengine sea rating, limited to Visual Flight Rules (VFR) operations only. He also held commercial pilot privileges with single-engine land, and sea ratings. The pilot held a flight instructor certificate with airplane single-engine, and multiengine land ratings. The most recent first-class medical certificate was issued to the pilot on January 4, 2002, and contained the limitation that he wear corrective lenses. An additional limitation noted on the medical certificate read: " Not valid for any class after July 31, 2002."
No personal flight records were located for the pilot. On the pilot's medical certificate application, dated January 4, 2002, the pilot indicated that his total aeronautical experience consisted of 22,820 hours, of which 600 were accrued in the previous 6 months.
A review of available company records that were provided by the pilot's part-time employer indicated that the pilot had accrued about 22,000 hours of flight time, and 2,000 hours of night flight. The document provided by the employer was dated June 10, 2001.
Aircraft information
No aircraft records or log books were located for the accident airplane. Various acquaintances of the accident pilot reported to the NTSB IIC that a good friend of the accident pilot, who was also an experienced aircraft mechanic, routinely provided maintenance services on the accident airplane. The acquaintances added that the accident pilot stored his maintenance records in a large file cabinet located in a leased hangar where the airplane was routinely housed and maintained.
On April 12, with the permission of the hangar's owner, the NTSB IIC, accompanied by an FAA operations inspector from the Juneau Flight Standards District Office, as well as an officer from the Juneau Police Department, examined the file cabinet where the records were reportedly stored. The file cabinet was found empty, with the exception of empty hanging file folders.
On April 12, the NTSB IIC conducted a brief interview with the aircraft mechanic who routinely provided maintenance services on the accident airplane. When asked by the NTSB IIC about the location of the accident airplane's log books and historical records, the mechanic reported that all of the airplane's records were on board the airplane at the time of the accident.
The NTSB IIC conducted interviews with personnel from the Juneau Fire Department, Juneau Police Department, and other rescue personnel who initially responded to the accident scene. None of the personnel interviewed reported seeing anything in the airplane wreckage that appeared to be aircraft records. A review of photos taken by rescue personnel failed to show anything that resembled aircraft records.
Meteorological information
The closest official weather observation station is located at the Juneau International Airport. On April 10, 2002, at 1638, a special weather observation was reporting, in part: Wind, 240 degrees at 8 knots; visibility, 10 statute miles; ceiling and clouds, clear; temperature, 42 degrees F; dew point, 26 degrees F; altimeter, 29.73 in Hg.
Communications
Review of the air-ground radio communications tapes maintained by the FAA at the Juneau International Airport, revealed the pilot contacted the Juneau Air Traffic Control Tower (ATCT), about 1610. According to FAA air traffic control transcripts, the pilot stated: "Juneau Tower, eight six Quebec, ready at alpha." The ATCT specialist on duty responded by saying: "November.. hu.. Beech...eight six Quebec, Juneau Tower, runway eight at Alpha, cleared for takeoff." The pilot said: Thank you, eight six Quebec." No further radio contact from the accident airplane was received.
A transcript of the air-ground radio communications between the pilot, and the Juneau ATCT specialist on duty, is included in the public docket of this report.
Aerodrome information
The Juneau International Airport is equipped with a single hard-surface runway on a 080 to 260 degree magnetic orientation. Runway 08 is 8,456 feet long by 150 feet wide. The airport elevation is 19 feet msl.
Wreckage and impact information
The NTSB IIC examined the airplane wreckage at the accident site on April 11. On April 11 and 12, the wreckage was moved by helicopter to a hangar located at the Juneau International Airport. After the airplane was recovered, the NTSB IIC, and a Federal Aviation Administration (FAA) airworthiness inspector from the Juneau Flight Standards District Office (FSDO), conducted a detailed examination of the airplane wreckage.
The airplane impacted shallow water in an area of tidal mud flats, about one-half mile south of the Juneau International Airport. Prior to the NTSB IIC's arrival on April 11, the airplane wreckage had been subjected to two tidal cycles, which completely submerged the airplane. The longitudinal axis of the fuselage was oriented on a magnetic heading of approximately 010 degrees. (All heading/bearings noted in this report are oriented toward magnetic north.)
All of the airplane's major components were found at the main wreckage area. The left wing remained attached to its fuselage attach point, and exhibited extensive span wise leading edge aft cru
Aircraft
- Registration
- N686Q
- Reported as
- Beech E18S
- Category
- Airplane
- Serial number
- BA-400
- Engine
- Pratt & Whitney R-985-AN-14B, 450 horsepower, reciprocating
- Damage
- Destroyed
- Flight
- Personal · Part 91
- Operator
- Charles T. Madsen
- Registered owner
- Aleutian Air Limited
- Airworthiness certificate
- Standard, Normal
- Departed
- JUN · Juneau, AK
- Destination
- AK
- Airport
- JNU · Juneau International Airport, runway 08, 8,456 × 150 ft, asphalt
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
- Airline transport
- Airplane ratings
- Multi-engine sea, Single-engine land, Multi-engine land, Single-engine sea
- Instrument ratings
- Airplane
- Medical
- Class 1, Valid Medical--w/ waivers/lim
- Last flight review
- June 13, 2001
- Seat
- Left
- Toxicology
- Performed
- Flight hours
- 22,820 total
Weather
- Conditions
- Visual (VMC) · Day
- Wind
- 240° at 8 knots
- Visibility
- 10 statute miles
- Temperature
- 43 °F, dew point 27 °F
- Altimeter
- 29.72 inHg
- Observed at
- JUN
Docket · 13
The files NTSB released with the investigation on February 24, 2003, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.2 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.