ANC03LA019

NTSB accident investigation · Swearingen SA-226T · Soldotna, AK · December 19, 2002

Accident · No injuriesLimited investigationFinal report
Date
December 18, 2002, 21:10 local (Dec 19, 2002, 01:10 UTC)
Place
Soldotna, AK
Injuries
4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N55ZPSwearingen SA-226T
Weather
Visual (VMC) · Night
Status
Completed · report November 25, 2003
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration
FAA report
20021218035119A
Case key
56246

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 flightcrew's selection of an unsuitable landing area, which resulted in a loss of directional control and an on ground encounter with terrain. A factor associated with the accident was a snow-covered, unplowed runway.

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.

Loss of control - on ground/waterLanding - roll
Unsuitable terrain or takeoff/landing/taxi area - selectedFlightcrewCause
Terrain condition - snow coveredFactor
Directional control - not possiblePilot in command
Airport facilities,runway/landing area condition - not maintainedFactor
On ground/water encounter with terrain/waterLanding - roll
Terrain condition - drop-off/descending embankment

Analysis

The two certificated airline transport pilots were positioning the airplane for a medical transport flight. The captain said that during his preflight weather briefing, the dispatcher informed him that there was a current Notice to Airmen (NOTAM) concerning 6 inches of loose snow on the runway at the destination airport. The dispatcher said that he had called the airport maintenance manager, at his home, in order to check on the current status of the runway. According to the dispatcher, the airport manager confirmed that there were 6 inches of snow on the runway, and stated that the runway would not be plowed until the next morning. The dispatcher reported to the captain that the airport maintenance manager said: "there were small planes going in and out of there all day, and that conditions were okay." According to the airport maintenance manager, he received a call from the operator's dispatcher, at home, requesting an updated report on the runway conditions. He said that he confirmed that there was still about 5-1/2 inches of snow on the runway, and that it would not be removed until early the next morning. He said that he told the dispatcher: "landing would be at your own risk." The captain said that just after touchdown, the airplane's main landing gear dug into the deep snow, and the airplane experienced a rapid deceleration. He said that the airplane tracked down the centerline on the runway for about 900 feet, but eventually veered to the left. The left propeller struck a runway edge light, and the airplane continued off the left side of the runway, down an embankment, and into an area of tree-covered terrain. The airplane sustained substantial damage to the fuselage. Both flight crewmembers noted that there were no preaccident mechanical anomalies with the airplane.

Factual narrative

On December 18, 2002, about 2110 Alaska standard time, a Swearingen SA-226T airplane, N55ZP, operated by F.S. Air Service, Inc., of Anchorage, Alaska, sustained substantial damage when the airplane departed from the runway and encountered terrain during landing at the Soldotna Airport, Soldotna, Alaska. The airplane was being operated as a medical transport positioning flight under Title 14, CFR Part 91, when the accident occurred. The medical transport was being conducted as a part of Aero-Med International, Yukon-Kuskokwim Health Corporation. The two certificated airline transport pilots, and the two flight nurses aboard, were not injured. Visual meteorological conditions prevailed at the time of the accident, and an instrument flight rules (IFR) flight plan was filed. The captain canceled the IFR flight plan prior to commencing the visual approach. The flight originated at the Ted Stevens Anchorage International Airport, Anchorage, about 2040.

During a telephone conversation with the National Transportation Safety Board investigator-in-charge (IIC) on December 20, the captain of the accident airplane reported that the airplane was being positioned in order to transport a patient to Anchorage. He stated that prior to leaving Anchorage, both flight crewmembers received a detailed weather briefing via the operator's on-site dispatch center. The captain said that during his preflight weather briefing, the dispatcher informed him that there was a current Notice to Airmen (NOTAM) concerning 6 inches of loose snow on the runway at the Soldotna Airport. The dispatcher explained to the captain that he had just called the airport maintenance manager, at his home, in order to check on the current status of the runway. According to the operator's dispatcher, the airport manager confirmed that there were 6 inches of snow on the runway, and that the runway would not be plowed until the next morning. The dispatcher reported to the captain that the airport maintenance manager said: "there were small planes going in and out of there all day, and that conditions were okay." The captain explained that as the flight approached the Soldotna Airport, and the airport environment came into view, he canceled the flight's IFR flight plan, and proceeded on a visual approach to runway 25. The captain said that just after touchdown, the airplane's main landing gear dug into the deep snow, and the airplane experienced a rapid deceleration. He said that the airplane tracked down the centerline on the runway for about 900 feet, but eventually veered to the left. He said that he attempted to correct the veer, but the airplane continued to the left, and the left propeller struck a runway edge light. The airplane continued off the left side of the 5,000-foot long by 130-foot wide runway, down an embankment, and into an area of tree-covered terrain. The airplane sustained substantial damage to the fuselage. The captain reported that after he exited the airplane, and during his inspection of the runway surface condition, a layer of ice between the snow and the paved surface of the runway was noted. He added that the combination of the ice-covered runway and the snow made it so slick that it was difficult to walk or stand on.

During a telephone conversation with the IIC on December 20, the Soldotna Airport Maintenance Manager said that he received a call from the F.S. Air dispatcher, at home, about 2000, on December 18, requesting an updated report on the runway conditions at the Soldotna Airport. He said that he confirmed that there was still about 5-1/2 inches of snow on the runway, and that it would not be removed until early the next morning. He said that he told the dispatcher: "landing would be at your own risk."

According to the operator's director of operations, the dispatcher's phone lines were not recorded at the time of the accident. He added that following this accident, telephone-recording capabilities were installed on the dispatcher's incoming and outgoing telephone lines.

The closest weather observation station is located at the Soldotna Airport. On December 18, at 2135, an Aviation Routine Weather Report (METAR) was reporting, in part: Sky conditions and ceiling, 1500 feet few; visibility, 10 statute miles; wind, 100 degrees at 4 knots; temperature, 9 degrees F; dew point, 7 degrees F; altimeter, 29.90.

Notice to airmen (NOTAM) 12-008, was issued for the Soldotna Airport at 1547, stating, in part: Soldotna Airport, 6 inches of loose snow on runway (while in effect).

The Federal Aviation Administration's Airport/Facility Directory, Alaska Supplement, airport remarks for the Soldotna Airport, states, in part: "Airport remarks, Unattended. Runway condition not monitored, recommend visual inspection prior to landing."

Both flight crewmembers noted that there were no preaccident mechanical anomalies with the airplane.

Aircraft

Registration
N55ZP
Reported as
Swearingen SA-226T
Category
Airplane
Serial number
T-299
Airframe hours
5,688.8
Engine
Garrett TPE 331-100, 1,000 horsepower, turbo prop
Damage
Substantial damage
Flight
Positioning · Part 91
Registered owner
F S Air Service Inc
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · December 10, 2002 · 13.4 hours before
Departed
ANC · Anchorage, AK
Destination
SXQ · Soldotna, AK
Flight plan
IFR
Airport
SXQ · Soldotna, runway 25, 5,000 × 130 ft, ice

Flight crew · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
27
Injuries
None
Certificate
Airline transport
Airplane ratings
Single-engine sea, Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Last flight review
November 26, 2002
Seat
Left
Flight hours
4,200 total · 900 in this make and model
Role
Co-pilot
Age
39
Injuries
None
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Right
Flight hours
3,800 total · 350 in this make and model

Weather

Conditions
Visual (VMC) · Night
Wind
100° at 4 knots
Visibility
10 statute miles
Temperature
9 °F, dew point 7 °F
Altimeter
29.89 inHg
Observed at
PASX

FAA reports on this event · 1

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