ANC04FAMS2

NTSB accident investigation · de Havilland DHC-2 · Sitka, AK · September 20, 2004

Accident · FatalMissing aircraftFinal report
Date
September 20, 2004, 11:15 local (19:15 UTC)
Place
Sitka, AK
Injuries
5 fatal
Damage
Destroyed
Phase of flight
Unknown
Aircraft
N712TSde Havilland DHC-2
Weather
Visual (VMC) · Day
Status
Completed · report June 8, 2005
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA-AL-JNU FSDO 05
FAA report
20040920029619A
Case key
60250

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

Reason for occurrence is undetermined. The airplane is missing.

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.

Missing aircraftUnknown
Reason for occurrence undeterminedCause

Analysis

The commercial certificated pilot, with four passengers, departed for a remote lodge on an on-demand air taxi flight in an amphibious float-equipped airplane. The airplane was the second of two company airplanes to depart for the lodge. The route of flight would have transited around the north end, from the west side to the east side of a large island. The first company airplane completed the flight, but the accident airplane did not arrive at the lodge, and was reported overdue. Throughout the morning, before the accident flight, the pilot received two telephonic weather briefings from the local FAA flight service station, which included an AIRMET for mountain obscuration, and two pilot reports from the first pilot. In addition, the pilot visited the FSS for another weather briefing. The weather conditions along the route of flight had reported visibilities as low as 2 miles, and ceilings as low as 200 feet due to rain and mist, and wind of 35 to 40 knots. The area of the accident flight is characterized by steep mountainous island terrain, numerous ocean channels, and an extensive shoreline, containing small coves and bays. The area frequently has low ceilings and reduced visibility due to rain, fog, and mist. The island is one of several barrier islands between the north Pacific Ocean and mainland Alaska. The western coastal portion of the island is exposed to open ocean. The eastern coastal portion of the island is adjacent to a wide strait, which separates the island from several inner islands. The area of operations for the accident airplane has no low-level radar coverage, intermittent radio communications, and limited weather reporting capability. The company's operations manual states that aircraft may not be released for a flight at any location unless there is agreement about the parameters of the flight with the pilot-in-command, and any of the following: Director of operations; chief pilot; or trained individuals granted the authority by the director of operations. The airplane has been declared missing, and is presumed to have crashed; the occupants are presumed to have received fatal injuries.

Factual narrative

History of flight

On September 20, 2004, at 1035 Alaska daylight time, an amphibious float-equipped de Havilland DHC-2 airplane, N712TS, departed the Sitka Rocky Gutierrez Airport, Sitka, Alaska, for a remote lodge located near the Warm Springs Bay Seaplane Base, Baranof, Alaska. The airplane did not arrive at the lodge, and was reported overdue at 1335. The airplane is missing and is presumed to have crashed about 1115 Alaska daylight time. The airplane was being operated as a visual flight rules (VFR) on-demand passenger flight under Title 14, CFR Part 135, when the accident occurred. The airplane was operated by Harris Aircraft Services, Inc., Sitka. The commercial certificated pilot and the 4 passengers are presumed to have received fatal injuries. Visual meteorological conditions prevailed, and a VFR flight plan was filed.

The chief pilot for the operator reported that the accident flight was the second of two company airplanes that were transporting passengers to and from the Warm Springs Lodge, located on the east side of Baranof Island. The chief pilot indicated that when flights cannot fly directly from east to west, over the center of the island to Baranof, they typically follow one of two routes around the north end of the island. One route follows the shoreline via Salisbury Sound, Peril Strait, Rose Channel, Deadman Reach, Rodman Bay, Hanus Bay, Portage Arm along Chatham Strait, and Waterfall Cove to Warm Springs Bay. The second route cuts overland from Rose Channel, through a low pass along Adams Creek, to Rodman Bay. The second route cuts off the shoreline around the Duffield Peninsula, located at the north end of Baranof Island.

The accident airplane pilot telephoned the Federal Aviation Administration (FAA) Sitka Flight Service Station (FSS) at 0618, and inquired about the weather conditions for the day by stating, in part: "Could I just know what the weather is doing outside, and the terminal [forecast] for the day, and maybe the coastal and inside waters." The flight service station specialist replied, "Right now, it's still too dark to look out the window, but the ASOS is reporting wind out of the east at 16 [knots], gusts to 23 [knots]; visibility 3 [statute miles]; few clouds at 3,000, ceiling 3,600 overcast in rain and mist; temperature 11 [degrees C], dew point 9 [degrees C]; altimeter 29.75, and we have a pretty good storm blowing outside, and basically we got a low pressure system that's moving onshore throughout the day with conditions deteriorating as the day goes on. You know on the inside, and it's already started here, so far nobody's IFR, it's just rain and wind and turbulence."

The pilot stated, "Oh just (unintelligible), is it gonna be worse on the inside? I'm heading over to Warm Springs this morning." The FSS specialist replied, "I don't have any observations over there, but it sounds like it's still Okay on the inside. I'm looking at Kake (Alaska) and they've got visibility ten [miles] and it's not raining there yet. They are reporting 100 [feet] scattered and they do have wind already; wind out of the southeast at 12 [knots] gusting to 19 [knots], and that usually, Kake doesn't report a whole lot of wind." The specialist continued by stating, "But like I said, no (unintelligible) conditions you know. Visibility, at least on the inside so far has been Okay, and the clouds have been Okay, it's just the rain and the wind. It's already picked up on the inside, and it's just forecast to get worse throughout the day."

The pilot commented, "Yeah, I knew it was, I just was trying to make sure the forecast hadn't changed. Actually, last night when I called, the forecast was actually for it to, the visibility, to pick up and the rain to die down late morning. Is that still the case, or is it gonna get worse?" The specialist replied, "For the Sitka terminal forecast, they have visibility dropping down to 4 [miles] at 0600 and then picking back up to better than 6 [miles] at 1100, and then it's dropping back down to 3 [miles] after 1600, but the wind and the rain are supposed to stick around all day."

The pilot said, "Okay, are they gonna increase?" The specialist replied, "Yes, by 1600 they have wind out of the south at 25 [knots], gusting to 40 [knots], with wind shear at 2,000 [feet]." The pilot inquired, "What do they report for after 1100?" The reply was, "Wind. After 1100 at Sitka, wind 110 [degrees] at 15 [knots]. Visibility greater than 6 [miles] in rain; 1,000 [feet] scattered, ceiling 2,500 broken, 3,500 overcast." The briefing was concluded at 0621.

About 0745, Sitka FSS personnel reported that the pilot received an over-the-counter abbreviated weather briefing at the flight service station. In a written statement, the FSS specialist reported that he provided the accident airplane pilot with radar and satellite image loops, the forecast for coastal and inside waters, the Aviation Routine Weather Reports (METAR) for Kake, and a pilot report for the Kake area, received at the FSS at 0802. The FSS specialist also reported that during the pilot's visit, the operator called the pilot on his cell phone, and the pilot commented over the phone, "Conditions are getting worse on the inside, around Kake." The briefing was concluded about 0815.

The chief pilot reported that the first company airplane, N60TF, departed Sitka, located on the west side of Baranof Island, at 0930 and followed the shoreline to Rose Channel, overland via Adams Creek to Rodman Bay, and then along the shoreline via Portage Arm and the Chatham Strait to Baranof, located on the east side of the island. The chief pilot said that the first airplane transited Adams Creek about 1,200 to 1,500 feet msl. The summit of the pass is about 500 feet msl. After the first airplane arrived at the Warm Springs Lodge, the pilot asked the lodge owner to telephone Harris Aircraft Services and provide a weather report of the conditions along the route. The weather report to the operator included comments of low ceilings near Salisbury Sound, and from Hidden Falls to Warm Springs, and fog along the shoreline near Deadman Reach, which is located at the north end of the island. After loading passengers at the lodge, N60TF departed for a return flight to Sitka via Adams Creek.

At 0949, the accident airplane pilot again telephoned the Sitka FSS. He asked the FSS specialist to notify him if the first company airplane (N60TF) called with a pilot report. The FSS specialist agreed to call, and he provided the pilot with additional weather data by stating, "I got an updated terminal forecast if you want me to read it to you now." The pilot agreed, and the specialist stated, in part: "Yeah, they changed their mind about that whole 1100 thing...What I've got is wind, 120 [degrees] at 16 [knots], gusts 24 [knots]; visibility, 3 [miles] in rain and mist; 2,500 scattered, ceiling 3,500 overcast; and between now and 1200, occasional visibility greater than 6 [miles] in light rain; ceiling 2,500 broken; and then after 1500, wind picking up again to 160 [degrees] at 25 [knots], gusts 40 [knots]; visibility, 3 [miles] in rain and mist; ceiling, 1,200 broken, 2,500 overcast, with the wind shear at 2,000 [feet], wind 170 [degrees] at 50 [knots]."

At 1010, Sitka FSS personnel telephoned the operator and relayed a pilot report to the accident pilot from N60TF by stating, "Just got a call from Ron (the pilot of N60TF); could barely hear him; I'm not sure, I think he's on the edge of my range there. He said Peril Strait, ceilings 1,000 [feet]; visibility, 8 [miles]; wind, 140 [degrees] at 40 [knots], gusts higher; and Salisbury Sound, flight visibility got down to 2 [miles]...It looks like conditions have improved since then, but it looks like they're going back down soon...Conditions change pretty, pretty rapidly, going up and down." The accident pilot confirmed with the specialist that N60TF was still on his way to Warm S

Aircraft

Registration
N712TS
Reported as
de Havilland DHC-2
Category
Airplane
Serial number
948
Airframe hours
16,155
Engine
Pratt & Whitney R985-AN14B, 450 hp, reciprocating
Damage
Destroyed
Flight
Part 135
Operator
Harris Aircraft Services Inc.
Registered owner
Seair Adventures LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 1, 2004 · 20 hours before
Departed
PASI · Sitka, AK
Destination
BNF · Baranof, AK
Flight plan
VFR

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
25
Injuries
Fatal
Certificate
Commercial
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
February 2, 2004
Seat
Left
Flight hours
2,878 total · 500 in this make and model · 2,695 as pilot in command · 280 in the last 90 days · 100 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
140° at 35 knots, gusting 40
Visibility
2 statute miles
Lowest ceiling
200 ft overcast
Temperature
55 °F, dew point 52 °F

Docket · 7

The files NTSB released with the investigation on March 17, 2005, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.5 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.