# NTSB ANC02LA098: de Havilland DHC-2, N64393, Ketchikan, AK, August 19, 2002 - Type: NTSB accident investigation - Classification: Accident · No injuries · Limited investigation · Final report - Date: August 19, 2002, 07:45 local (15:45 UTC) - Place: Ketchikan, AK - Coordinates: 55.349998, -131.666671 - Nearby events: https://openairdocs.org/map.md?lat=55.3500&lon=-131.6667&mi=10 - Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping) - Highest injury: No injuries - Injuries: 16 uninjured - Status: Completed, report June 25, 2003 - Report: Approved by Office Director - NTSB office: Alaska Regional Office - Parties: Federal Aviation Administration - NTSB case key (mKey): 55530 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ANC02LA098 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/55530/pdf - Page: https://openairdocs.org/ntsb/ANC02LA098 ## Probable cause (aircraft 2) The pilot's failure to maintain an adequate visual outlook during cruise climb, which resulted in a midair collision between the two airplanes. ## Probable cause (aircraft 1) The failure of the pilot of the other airplane to maintain an adequate visual lookout, which resulted in a midair collision between the two airplanes. ## Sequence of events In NTSB's coding before 2008 (https://www.ntsb.gov/GILS/Documents/codman.pdf). - Midair collision, cruise - normal - visual lookout - not maintained, pilot of other aircraft (cause) - Midair collision, climb - to cruise - visual lookout - not maintained, pilot in command (cause) ## Analysis (aircraft 2) Two airplanes operated by the same company, a float-equipped deHavilland DHC-2 Beaver, and a float-equipped deHavilland DHC-3 Turbine Otter, collided in midair as they were en route to the same remote destination. The Beaver sustained minor damage to the floats, and the Turbine Otter sustained substantial damage to the top portion of the wings, the fuselage, and vertical stabilizer. The collision occurred over an area of coastal channels and fjords. The pilot of the Beaver stated that his airplane was the first of three company airplanes to depart. Once airborne, and clear of the class E airspace, he changed radio frequencies to monitor a common traffic advisory frequency. He said that about 15 minutes after departure, while in level cruise flight, about 2,000 feet above the water, he felt a sudden thump, followed by a pronounced airframe shudder. He then observed the top of the left wing of the Turbine Otter to his left side, just under the floats of his airplane. He said that just after the two airplanes collided, the Turbine Otter made a left, descending turn, away from his airplane. He said that after determining that he still had full flight control, he elected to return to the operator's base of operation. The pilot of theTurbine Otter said that his airplane was the second of three airplanes. He said that he departed about 5 minutes after the Beaver, and proceeded on a northerly heading, while climbing the airplane to about 2,200 feet. He said that he changed radio frequencies to monitor a common traffic advisory frequency. He said that about 10 minutes after departure, he heard one of the passengers seated in the rear of the airplane yell "airplane." About two seconds later, the pilot heard a loud scrape on the top portion of the airplane. The pilot said that just after the impact, he experienced some difficulty in controlling the airplane, but was soon able to regain partial control, and subsequently made an emergency landing in the ocean waters in the channel. The pilot of theTurbine Otter reported that his airplane was about 10 knots faster than the Beaver. ## Analysis (aircraft 1) Two airplanes operated by the same company, a float-equipped deHavilland DHC-2 Beaver, and a float-equipped deHavilland DHC-3 Turbine Otter, collided in midair as they were en route to the same remote destination. The Beaver sustained minor damage to the floats, and the Turbine Otter sustained substantial damage to the top portion of the wings, the fuselage, and vertical stabilizer. The collision occurred over an area of coastal channels and fjords. The pilot of the Beaver stated that his airplane was the first of three company airplanes to depart. Once airborne, and clear of the class E airspace, he changed radio frequencies to monitor a common traffic advisory frequency. He said that about 15 minutes after departure, while in level cruise flight, about 2,000 feet above the water, he felt a sudden thump, followed by a pronounced airframe shudder. He then observed the top of the left wing of the Turbine Otter to his left side, just under the floats of his airplane. He said that just after the two airplanes collided, the Turbine Otter made a left, descending turn, away from his airplane. He said that after determining that he still had full flight control, he elected to return to the operator's base of operation. The pilot of theTurbine Otter said that his airplane was the second of three airplanes. He said that he departed about 5 minutes after the Beaver, and proceeded on a northerly heading, while climbing the airplane to about 2,200 feet. He said that he changed radio frequencies to monitor a common traffic advisory frequency. He said that about 10 minutes after departure, he heard one of the passengers seated in the rear of the airplane yell "airplane." About two seconds later, the pilot heard a loud scrape on the top portion of the airplane. The pilot said that just after the impact, he experienced some difficulty in controlling the airplane, but was soon able to regain partial control, and subsequently made an emergency landing in the ocean waters in the channel. The pilot of theTurbine Otter reported that his airplane was about 10 knots faster than the Beaver. ## Factual narrative (aircraft 2) On August 19, 2002, about 0745 Alaska daylight time, a float-equipped deHavilland Beaver DHC-2 airplane, N64393, and a float-equipped deHavilland DHC-3 Turbine Otter airplane, N409PA, collided in midair about 12 miles north of Ketchikan, Alaska. The DHC-3 Turbine Otter sustained substantial damage to both wings, fuselage, and vertical stabilizer. The DHC-2 Beaver sustained minor damage to the floats. Both airplanes were operated by Promech, Inc., of Ketchikan. The certificated airline transport pilot and four passengers aboard the DHC-2 Beaver were not injured. The certificated airline transport pilot of the DHC-3 Turbine Otter and the ten passengers aboard were not injured. Both aircraft were being operated under Title 14, CFR Part 135, as on-demand air taxi flights in visual meteorological conditions. Both airplanes departed the Ketchikan Harbor Seaplane Base between 0730 and 0735, en route to Neets Bay. Both airplanes were carrying cruise ship passengers en route to a bear viewing area located within Neets Bay. During telephone interviews with the National Transportation Safety Board investigator-in-charge on August 19, the pilots of the two airplanes disclosed the following information: The pilot of the DHC-2 Beaver stated that his airplane was the first of three company airplanes to depart from the Ketchikan Harbor Seaplane Base, en route to Neets Bay. He said that once he was airborne, and clear of the class E airspace to the north, he changed radio frequencies to monitor the common traffic advisory frequency, 122.9. He added that the second company airplane, the DHC-3 Turbine Otter, departed about 3 minutes after his departure. The pilot reported that about 15 minutes after departure, while on a northerly heading in level cruise flight at 2,000 feet msl over Behm Channel, he felt a sudden thump, followed by a pronounced airframe shudder. He said that he originally thought this was just the airplane flying through turbulence, but immediately observed the top of the left wing of the DHC-3 Turbine Otter to his left side, just under the floats of his airplane. He said that just after the two airplanes collided, the DHC-3 Turbine Otter made a left, descending turn, away from his airplane. The pilot said that after determining that he still had full flight control, he elected to return to Ketchikan. He added that he tried to contact the pilot of the DHC-3 Turbine Otter, but did not receive a response. The pilot said that a postaccident inspection of his airplane disclosed minor damage to the underside of both floats. The pilot of the DHC-3 Turbine Otter said that his airplane was the second of three airplanes en route to Neets Bay. He said that after an uneventful takeoff from the Ketchikan Harbor Seaplane Base, about 5 minutes after the DHC-2 Beaver, he proceeded on a northerly heading, about 2,200 feet above the waters of Behm Channel. He said that just before the impact, he heard one of the passengers seated in the rear of the airplane yell "airplane." About two seconds later, the pilot heard a loud scrape on the top portion of the airplane. He then started a descending left turn, while attempting to transmit a "mayday" radio call on the common traffic advisory frequency, 122.9. The pilot said that just after the impact, he experienced some difficulty in controlling the airplane, but was soon able to regain partial control, and subsequently made an emergency landing in the ocean waters of Behm Channel. After assessing the damage to the airplane, he elected to step-taxi the airplane back to Ketchikan. A postaccident inspection revealed substantial damage to the top portions of both wings, fuselage, and vertical stabilizer. All of the airplane's communications antennas that were mounted on top of the wings and fuselage were destroyed during the collision. The pilot of the DHC-3 Turbine Otter reported that his airplane was about 10 knots faster than the DHC-2 Beaver. ## Factual narrative (aircraft 1) On August 19, 2002, about 0745 Alaska daylight time, a float-equipped deHavilland Beaver DHC-2 airplane, N64393, and a float-equipped deHavilland DHC-3 Turbine Otter airplane, N409PA, collided in midair about 12 miles north of Ketchikan, Alaska. The DHC-3 Turbine Otter sustained substantial damage to both wings, fuselage, and vertical stabilizer. The DHC-2 Beaver sustained minor damage to the floats. Both airplanes were operated by Promech, Inc., of Ketchikan. The certificated airline transport pilot and four passengers aboard the DHC-2 Beaver were not injured. The certificated airline transport pilot of the DHC-3 Turbine Otter and the ten passengers aboard were not injured. Both aircraft were being operated under Title 14, CFR Part 135, as on-demand air taxi flights in visual meteorological conditions. Both airplanes departed the Ketchikan Harbor Seaplane Base between 0730 and 0735, en route to Neets Bay. Both airplanes were carrying cruise ship passengers en route to a bear viewing area located within Neets Bay. During telephone interviews with the National Transportation Safety Board investigator-in-charge on August 19, the pilots of the two airplanes disclosed the following information: The pilot of the DHC-2 Beaver stated that his airplane was the first of three company airplanes to depart from the Ketchikan Harbor Seaplane Base, en route to Neets Bay. He said that once he was airborne, and clear of the class E airspace to the north, he changed radio frequencies to monitor the common traffic advisory frequency, 122.9. He added that the second company airplane, the DHC-3 Turbine Otter, departed about 3 minutes after his departure. The pilot reported that about 15 minutes after departure, while on a northerly heading in level cruise flight at 2,000 feet msl over Behm Channel, he felt a sudden thump, followed by a pronounced airframe shudder. He said that he originally thought this was just the airplane flying through turbulence, but immediately observed the top of the left wing of the DHC-3 Turbine Otter to his left side, just under the floats of his airplane. He said that just after the two airplanes collided, the DHC-3 Turbine Otter made a left, descending turn, away from his airplane. The pilot said that after determining that he still had full flight control, he elected to return to Ketchikan. He added that he tried to contact the pilot of the DHC-3 Turbine Otter, but did not receive a response. The pilot said that a postaccident inspection of his airplane disclosed minor damage to the underside of both floats. The pilot of the DHC-3 Turbine Otter said that his airplane was the second of three airplanes en route to Neets Bay. He said that after an uneventful takeoff from the Ketchikan Harbor Seaplane Base, about 5 minutes after the DHC-2 Beaver, he proceeded on a northerly heading, about 2,200 feet above the waters of Behm Channel. He said that just before the impact, he heard one of the passengers seated in the rear of the airplane yell "airplane." About two seconds later, the pilot heard a loud scrape on the top portion of the airplane. He then started a descending left turn, while attempting to transmit a "mayday" radio call on the common traffic advisory frequency, 122.9. The pilot said that just after the impact, he experienced some difficulty in controlling the airplane, but was soon able to regain partial control, and subsequently made an emergency landing in the ocean waters of Behm Channel. After assessing the damage to the airplane, he elected to step-taxi the airplane back to Ketchikan. A postaccident inspection revealed substantial damage to the top portions of both wings, fuselage, and vertical stabilizer. All of the airplane's communications antennas that were mounted on top of the wings and fuselage were destroyed during the collision. The pilot of the DHC-3 Turbine Otter reported that his airplane was about 10 knots faster than the DHC-2 Beaver. ## Aircraft 1 - Registration: [N64393](https://openairdocs.org/deregistered/N64393-2020-10-31), registration cancelled 2020-10-31, S/N 845, built 1954 (OpenAirDocs) - Reported make and model: de Havilland DHC-2 - Registry model: [Dehavilland BEAVER DHC-2](https://openairdocs.org/model/dehavilland-beaver-dhc-2) (registry code 2800108) (OpenAirDocs) - Registry engine: [Pratt & Whitney R-985 series](https://openairdocs.org/engine/pratt-whitney-r-985-series) (registry code 52008, reciprocating) (OpenAirDocs) - Category: Airplane - Serial number: 845 - Airframe hours: 29665.3 - Engines: Pratt & Whitney R-985-14-B 450 horsepower reciprocating - Damage: Minor damage - Flight: Part 135 - Registered owner: PROMECH, Inc. - Airworthiness certificate: Standard, Normal - Last inspection: 100 hour, August 9, 2002, 43.8 hours before - Departed: 5KE, Ketchikan, AK - Destination: 5KE, Ketchikan, AK - Flight plan: Company VFR ## Aircraft 2 - Registration: N409PA (not matched to a registry record) - Reported make and model: de Havilland DHC-3 - Category: Airplane - Serial number: 409 - Airframe hours: 9541.3 - Engines: Pratt & Whitney PT6A-135A 750 horsepower turbo prop - Damage: Substantial damage - Flight: Part 135 - Operator: PROMECH, Inc. - Registered owner: Pantechnicon Avaition, Inc. - Airworthiness certificate: Standard, Normal - Last inspection: AAIP, August 5, 2002, 62.3 hours before - Departed: 5KE, Ketchikan, AK - Destination: 5KE, Ketchikan, AK - Flight plan: Company VFR ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot, aircraft N64393; age 34; injuries: none; airline transport; airplane ratings: multi-engine land, single-engine sea, multi-engine sea, single-engine land; instrument ratings: airplane; medical: class 1, valid medical--w/ waivers/lim; last flight review May 3, 2002; seat: left; flight hours: 6,000 total, 550 in this make and model, 4,200 as pilot in command, 260 in the last 90 days, 100 in the last 30 days, 6 in the last 24 hours - Pilot, aircraft N409PA; age 55; injuries: none; airline transport; airplane ratings: multi-engine land, single-engine land, multi-engine sea, single-engine sea; instrument ratings: airplane; medical: class 1, valid medical--w/ waivers/lim; last flight review May 23, 2002; seat: left; flight hours: 8,530 total, 80 in this make and model, 8,372 as pilot in command, 271 in the last 90 days, 101 in the last 30 days, 6 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 210° at 8 knots - Visibility: 10 statute miles - Lowest ceiling: 3,500 ft broken - Altimeter: 30.01 inHg ## FAA reports on this event (2) The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs). - [Accident 20020819022189A](https://openairdocs.org/incident/20020819022189A), Aug 19, 2002: Dhav DHC2*, Ketchikan, AK, No damage. (-23) On 08/19/2002 at approx 0735 a promech inc. DHC-2, N64393, departed the Ketchikan Alaska seaplane harbor for a neets bay bear watch tour with a total of… - [Accident 20020819022179A](https://openairdocs.org/incident/20020819022179A), Aug 19, 2002: Dhav DHC3, Ketchikan, AK, No damage. (-23) On 08/19/2002 at approx 0735 a promech inc. DHC-2, N64393, departed the Ketchikan Alaska seaplane harbor for a neets bay bear watch tour with a total of… From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- 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.