ANC03LA029

NTSB accident investigation · Cessna 208 · Kotzebue, AK · March 2, 2003

Accident · Minor injuriesLimited investigationFinal report
Date
March 2, 2003, 15:04 local (19:04 UTC)
Place
Kotzebue, AK
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N205BACessna 208
Weather
Instrument (IMC) · Day
Status
Completed · report July 23, 2003
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA-AL-FAI FSDO 01
FAA report
20030302002949A
Case key
56559

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's continued VFR flight into instrument meteorological conditions, and his failure to maintain altitude/clearance above the ground, resulting in a collision with snow and ice covered terrain during the final approach phase of a VFR landing. Factors in the accident were whiteout conditions and snow-covered terrain.

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 weatherApproach - vfr pattern - final approach
Weather condition - whiteoutFactor
Vfr flight into imc - continuedPilot in commandCause
In flight collision with terrain/waterApproach - vfr pattern - final approach
Terrain condition - snow coveredFactor
Altitude/clearance - not maintainedPilot in commandCause

Analysis

Prior to departing on an air taxi flight, the airline transport certificated pilot obtained a weather briefing and filed a VFR flight plan for a trip from his home base, to several remote villages, and return. The area forecast contained an AIRMET for IFR conditions and mountain obscuration due to clouds and light snow. The terminal forecast contained expected conditions that included visibilities ranging from 3 to 3/4 mile in blowing snow, a vertical visibility of 500 feet, and wind speeds from 14 to 22 knots. During the filing of the flight plan, an FAA flight service station specialist advised that VFR flight was not recommended. The pilot acknowledged the weather information and departed. When the pilot took off on the return flight from an airport 128 miles east of his home base, the pilot reported that the visibility at his base was greater than 6 miles. As he neared his home base, the visibility had decreased and other pilots in the area were requesting special VFR clearances into the Class E surface area. The pilot requested a special VFR clearance at 1441, but had to hold outside the surface area for other VFR and IFR traffic. At 1453, a METAR at the airport included a wind 080 of 26 knots, and a visibility of 1 mile in blowing snow. While holding about 7 miles north of the airport, the pilot provided a pilot report that included deteriorating weather conditions east of the airport. Once the pilot was cleared to enter the surface area at 1458, he was provided with an airport advisory that included wind conditions of 25 knots, gusting to 33 knots. While the pilot was maneuvering for the approach, a special aviation weather observation at 1501 included a wind condition of 26 knots, and a visibility of 3/4 mile in blowing snow. The pilot said he established a GPS waypoint 4 miles from the runway and descended to 1,000 feet. He continued inbound and descended to 300 feet. At 1 mile from the airport, the pilot said he looked up from the instrument panel but could not see the airport. He also stated that he was in a whiteout condition. The airplane collided with the snow-covered sea ice, about 1 mile from the approach end of the runway threshold at 1504.

Factual narrative

On March 2, 2003, about 1504 Alaska standard time, a Cessna 208 airplane, N205BA, sustained substantial damage when it collided with ice and snow-covered terrain during the final approach phase of a visual flight rules (VFR) landing, about 1 mile from the approach end of runway 08 at the Ralph Wien Memorial Airport, Kotzebue, Alaska. The airplane was being operated by Bering Air, Nome, Alaska, as a VFR cross-country positioning flight under Title 14, CFR Part 91, when the accident occurred. The airline transport certificated pilot, the sole occupant, received minor injuries. Instrument meteorological conditions prevailed at the airport, and the airplane was operating under a special VFR clearance. The flight originated at the Shungnak Airport, Shungnak, Alaska, at 1358, and a VFR flight plan was filed.

The director of operations for the operator reported the airplane was returning to Kotzebue from Shungnak without passengers at the conclusion of an on-demand air taxi flight. Shungnak is located about 128 miles east of Kotzebue.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on March 3, 2003, the pilot reported that when he departed from Shungnak, the visibility at Kotzebue was greater than 6 miles. As he neared Kotzebue, the visibility had decreased and several airplanes in the area were requesting special VFR clearances into the Class E surface area. He requested a special VFR clearance but had to hold outside the area for other VFR and IFR traffic. Once he was cleared to enter the surface area, the pilot said he established a GPS waypoint 4 miles from the runway and descended to 1,000 feet. He continued inbound and descended to 300 feet. At 1 mile from the airport, the pilot said he looked up from the instrument panel but could not see the airport. He also stated that he was in a whiteout condition. The airplane collided with the snow-covered sea ice, short of the runway threshold.

A review of a transcript of the air/ground radio communications tapes maintained by the Federal Aviation Administration (FAA) at the Kotzebue Flight Service Station (FSS) facility revealed that about 1120, the pilot obtained area weather information and filed a VFR flight plan for a 4.5 hour flight departing from Kotzebue, stopping at several remote villages and returning. The pilot inquired from the FSS specialist about anticipated weather conditions by stating, in part: "...what time do they figure that low weather is suppose to hit us?" The specialist replied: "...in the terminal [forecast] it says one o'clock, but I think it's going to be later than that. Deering, [Alaska, about 50 miles south of Kotzebue] and Buckland, [Alaska, about 65 miles southeast of Kotzebue] have some lower ceilings, but their winds aren't really that strong yet, so might be a little holding off a little longer than what they had." The pilot replied, in part: "Okay, we'll kind of keep track of it..."

The FSS specialist informed the pilot that: "Caravan 5BA roger, and due to the airmets, I do have to tell you VFR flight [is] not recommended." The specialist then provided a pilot weather report from the area of Ambler, Alaska, that indicated the ceiling was 3,000 feet overcast, the visibility was unrestricted, the wind at 1,500 feet was 090 degrees at 30 knots, but calm at the surface. Ambler is located 112 miles east-northeast of Kotzebue. The FSS specialist then provided a Kotzebue airport advisory that included an altimeter setting of 29.54 inHg. The pilot acknowledged the weather information and departed from Kotzebue about 1123.

At 1441, the pilot contacted the Kotzebue FSS via radio and stated, in part: "and Kotzebue, Caravan 205BA, I got your weather and stuff, and I'll hold outside your Class Echo surface area until arrival of the IFR inbound, and then I'd like to get a special, maintaining separation with the outbound Charlie Foxtrot." The pilot then indicated he was holding 10 miles to the northeast. At 1445, the pilot told the FSS specialist he was holding at Pipe Spit (located about 7.5 miles northeast of the Kotzebue airport).

At 1449, the pilot contacted the Kotzebue FSS and stated, in part: "...5 Bravo Alphas losing visibility over there at Pipe Spit, I'm going over to the mouth of the Noatak [river] area." The mouth of the Noatak is about 7.5 miles north of the Kotzebue airport. At 1452, the pilot provided a pilot report of the weather conditions to the FSS specialist by stating: "Yeah, it's pretty grim out to the east right now (unintelligible) northwest towards Noatak, Kivalina is still real good, but I'm getting where I can't see Lockhart Point from the mouth of the Noatak." Lockhart Point is about 5 miles north of the Kotzebue airport.

At 1453, an Aviation Routine Weather Report (METAR) at Kotzebue was reporting, in part: Wind, 080 degrees (true) at 26 knots; visibility, 1 statute mile, runway 08 visibility variable from 5,500 to greater than 6,000 feet in light snow and blowing snow; clouds and sky condition, few at 1,300 feet, 2,000 feet broken, 2,700 feet overcast; temperature, 30 degrees F; dew point, 29 degrees F; altimeter, 29.51 inHg; remarks, peak wind 080 degrees at 33 knots at 1427, snow began at 1434.

At 1458, the Kotzebue FSS specialist issued a clearance to the pilot by stating, in part: " ATC clears Caravan 205BA to enter the Kotzebue surface area. Maintain special VFR conditions at or below 1,500 feet.... Report landing complete...Airport advisory, wind 080 [degrees] at 25 [knots], gusting to 33 [knots], favoring runway 08; altimeter 29.51." The pilot acknowledged the clearance.

At 1501, a special aviation weather observation stated, in part: Wind, 080 degrees (true) at 26 knots; visibility, 3/4 statute mile, runway 08 visibility variable from 3,500 to greater than 6,000 feet in light snow and blowing snow; clouds and sky condition, 1,100 feet broken, 2,000 feet overcast; temperature, 30 degrees F; dew point, 29 degrees F; altimeter, 29.50 inHg.

At 1504, FSS personnel picked up an emergency locator transmitter (ELT) signal and attempted to contact the pilot. The pilot acknowledged that he had crashed. FSS personnel notified search and rescue personnel and kept in radio contact with the pilot. At 1514, the pilot commented: "...I'm alright, bumped my head and bleeding a little bit, but other than that I must not a had the altimeter set quite right. I still got it showing couple hundred feet here so I must a misheard you or mis misaligned it or something."

A transcript of the air to ground communications between the airplane and the Kotzebue FSS facility is included in the public docket of this accident.

At 1507, a special weather observation stated, in part: Wind, 080 degrees (true) at 27 knots; visibility, 1/2 statute mile, runway 08 visibility variable from 2,800 to 4,500 feet in snow and blowing snow; clouds and sky condition, 700 feet broken, 1,800 feet overcast; temperature, 30 degrees F; dew point, 29 degrees F; altimeter, 29.50 inHg. At 1511, visibility for runway 08 was reported to be 2,400 to 3,500 feet in snow and blowing snow.

An area forecast issued at 0545 for the northern Seward Peninsula, and the lower Kobuk Valley, valid until 2400, stated, in part: "...AIRMETS are valid until 1200. AIRMET for IFR conditions and mountain obscuration, northern Seward Peninsula, mountains occasionally obscured in clouds and light snow, no change. Clouds and weather for northern Seward Peninsula, valid until 1800, 2,000 feet scattered, 1,500 feet broken, tops at 12,000 feet, layers above to 28,000 feet. Occasionally, 2,000 feet overcast; visibility, 3 to 5 statute miles in light snow. Elsewhere, 5,000 feet scattered, 10,000 feet, broken, layers above to 28,000 feet. Outlook, valid from 1800 to 1200 on March 3, 2003; IFR with ceilings due to snow and blowing snow and wind. Turbulence, nothing significant. Ici

Aircraft

Registration
N205BA
Reported as
Cessna 208
Category
Airplane
Serial number
208B0890
Airframe hours
2,082
Engine
Pratt & Whitney Canada PT6A-14A, 675 horsepower, turbo prop
Damage
Substantial damage
Flight
Positioning · Part 91
Registered owner
Bering Air Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · January 31, 2003 · 82 hours before
Departed
SHG · Shungnak, AK
Destination
PAOT · Kotzebue, AK
Flight plan
VFR
Airport
PAOT · Ralph Wein Memorial Airport, runway 08, 5,900 × 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
53
Injuries
Minor
Certificates
Commercial, Airline transport
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
25,600 total · 4,200 in this make and model · 24,900 as pilot in command · 180 in the last 90 days · 60 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
62° at 26 knots
Visibility
0.75 statute miles
Lowest ceiling
1,100 ft broken
Temperature
30 °F, dew point 28 °F
Altimeter
29.50 inHg
Observed at
PAOT, 1 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.