ANC07FA103

NTSB accident investigation · Short Bros. SC-7 · McGrath, AK · September 20, 2007

Accident · FatalField investigationFinal report
Date
September 20, 2007, 14:30 local (22:30 UTC)
Place
McGrath, AK
Injuries
1 fatal
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N2088ZShort Bros. SC-7
Weather
Visual (VMC) · Day
Status
Completed · report July 30, 2008
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA-AL-ANC FSDO 03, Arctic Circle Air Service Inc., Honeywell Aerospace
FAA report
20070920824569A
Case key
66757

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

A collision with trees during takeoff-initial climb for an undetermined reason.

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 collision with objectTakeoff - initial climb
Reason for occurrence undeterminedCause
Object - tree(s)

Analysis

The airline transport pilot was departing in a twin engine turboprop airplane on a ferry flight from a remote lodge airstrip that was about 1,000 feet long and 40 feet wide. The airplane had previously received substantial damage to the nose wheel assembly on a previous flight to the airstrip. Repairs were made to the airframe, and the pilot was departing for a maintenance facility. The pilot had flown in and out of the airstrip on numerous occasions, but not in the accident type airplane. The lodge owner reported that the pilot started both engines and taxied the length of the airstrip, stopping momentarily several times. The pilot ran the engines for about 20 minutes, and then began a takeoff to the south. The airplane appeared to accelerate and remain on the centerline of the airstrip, but did not liftoff until the very end of the airstrip. The owner did not notice any unusual sounds or appearance of the engines. After liftoff, the wheels of the airplane struck and broke off the tops of trees and shrubs, that were about 6 to 7 feet above the ground. The airplane immediately veered to the right, and went out of the lodge owner's sight, but he continued to hear the airplane hitting trees until final impact. The airplane crashed in a shallow lake, coming to rest about 300 feet from shore, in about 5 feet of water. The entire cockpit area, forward of the wings, was torn off the airframe. The validity of any postaccident cockpit and instrument findings was unreliable due to the extensive damage to the cockpit. Likewise, structural damage to the airframe precluded determining wing flap settings during takeoff. Performance calculations indicated that the airplane's takeoff distance would have been about 950 feet, although the lodge owner said that in his experience, the accident airplane was capable of lifting off about half way down the airstrip without difficulty. The circumstances of the takeoff indicated that the left engine had been producing sufficient power to chop through several trees during the crash. Testing and inspection of the right engine was inconclusive, and although it was run on a test stand at reduced power, full power could not be attained due to ingestion of foreign material during the test run.

Factual narrative

History of flight

On September 20, 2007, about 1430 Alaska daylight time, a Short Brothers SC-7 airplane, N2088Z, sustained substantial damage when it collided with trees during takeoff/initial climb from a remote lodge airstrip, about 82 miles east-northeast of McGrath, Alaska. The airplane was being operated as a visual flight rules (VFR) cross-country ferry flight under Title 14, CFR Part 91, when the accident occurred. The airplane was operated by Arctic Circle Air Service Inc., Fairbanks, Alaska. The airline transport certificated pilot received serious injuries during the accident, and was transported to a hospital in Anchorage, Alaska, where he died of his injuries on September 25, 2007. Visual meteorological conditions prevailed, and VFR company flight following procedures were in effect for the flight to Anchorage.

The airplane was departing from Mystic Lake Lodge, adjacent to Amos Lake, elevation 1,719 feet msl. The airplane had previously received substantial damage when the pilot landed at the accident airstrip on September 1, 2007 (reference NTSB report ANC07LA095). During that event, the nose wheel landing gear strut and tire were folded aft and upward, damaging the fuselage structure at the forward edge of the cockpit floor. Temporary repairs were made to the airframe, and a new nose gear assembly was installed by company maintenance personnel. The pilot was to fly the airplane to the company maintenance facility in Anchorage. The airplane was issued a ferry permit by the Federal Aviation Administration (FAA) Anchorage Flight Standards District Office (FSDO).

The lodge owner, who was the only person at the lodge, reported that the pilot started the airplane's turboprop engines and taxied the length of the airstrip, stopping momentarily several times. He indicated that the pilot ran the engines for about 20 minutes, and then began the takeoff run toward the south. The airplane appeared to accelerate and remain on the centerline of the airstrip, but did not lift off until the very end of the airstrip. The owner did not notice any unusual sounds or appearance of the engines. After liftoff, the wheels of the airplane struck and broke off the tops of trees and shrubs, that were about 6 to 7 feet above the ground. The airplane immediately veered to the right, and went out of the lodge owner's sight, but he continued to hear the airplane hitting trees until final impact. The airplane crashed into Amos Lake, coming to rest about 300 feet from shore in about 5 feet of water. The entire cockpit area, forward of the wings, was destroyed. The lodge owner rescued the pilot, and the pilot was transported from the lodge via helicopter.

The lodge owner indicated that in his experience, the accident airplane make and model was capable of lifting off about half way down the airstrip without difficulty.

Personnel information

Pilot Information

The pilot held an airline transport pilot certificate with airplane single-engine land, multiengine land ratings, and commercial privileges with an airplane single-engine sea rating. He also held a flight instructor certificate with airplane single-engine and multiengine, and instrument airplane ratings. His most recent first-class medical certificate was issued on April 17, 2007, and contained no limitations.

According to the Pilot/Operator Aircraft Accident Report, (NTSB Form 6120.1) submitted by the operator, the pilot's total aeronautical experience was about 15,000 hours, of which about 2,600 hours were in the accident airplane make and model. In the preceding 90 and 30 days prior to the accident, the pilot flew a total of 260 and 89 hours.

The operator reported that the pilot had flown to and from the accident airstrip on numerous occasions in a variety of airplanes, including a de Havilland DHC-3; however, the pilot had not flown from the airstrip in the accident airplane make and model.

Company Information

Operational control of company flights is listed in the company Flight Operations Manual, Section 4. Personnel listed are the director of operations, chief pilot, director of station operations, and station managers. In addition, flight coordinators are delegated operational control to coordinate aircraft loads, assignment of crews, acceptance and coordination of charter flights, and flight following.

The operator indicated that the company's flight operations manual states, among other items, that the pilot is responsible for familiarizing themselves with all available information concerning flights, including runway lengths, and takeoff and landing distances contained in each airplane's approved flight manual. In addition, the operations manual stipulates that "extreme caution and sound judgment must be exercised when operating into bush runways. This judgment is to be based on operating experience into the particular airport, taking into consideration such things as geographic location, prevailing temperatures, wind, known conditions of runway surface contaminations to include snow, water, mud and ice. If airport conditions become hazardous to safe operations, flights will be canceled until such time as safe operations can be resumed."

The operator reported that the accident pilot was the only one in the company to fly into and out of the accident airstrip. The company did not have a data base of airport information that included the accident airstrip. That knowledge resided with the accident pilot, and he would have been responsible for validating the accuracy of the runway length and condition.

Aircraft information

The airplane sustained damage to the nose gear assembly and adjacent fuselage on September 1, 2007. The operator submitted drawings and a repair plan to an FAA Airworthiness Inspector, and requested a ferry permit once the temporary repairs were concluded. The repairs consisted of a welded and bolted metal angle steel frame attached to the fuselage, and installation of a new nose gear assembly.

At the most recent inspection on August 30, 2007, the airplane had a total time in service of 10,730 hours. It was maintained under an Approved Aircraft Inspection Program (AAIP). The engines had 114 hours since their most recent inspection.

The left engine had a total time in service of 5,840 hours, and the right engine had a total time in service of 13,805 hours.

The engines have a negative torque sensing (NTS) system that automatically changes the pitch settings of the propeller blades in response to a loss of engine power. If an engine begins to lose power, the propeller blade pitch is changed to achieve a minimum drag configuration. The engines are not equipped with an auto-feather feature, nor an auto-relight feature.

The feather handles for each engine are located in the overhead panel. To feather an engine, the feather handle must be pulled and moved aft to engage a notch on the handle shaft, with a retaining notch on the panel. Via a series of connecting linkage, activation of the feather handle moves a mechanical fuel valve to "OFF" and activates the feather valve on the engine.

The propeller blades are spring-loaded to the feather position. Engine oil pressure is utilized to change the pitch angle of the blades, and a loss of oil pressure will result in the blades moving to a feather position under the action of their spring.

The airplane has a flight control locking feature that will prevent the flight control surfaces from moving when the airplane is parked. The engines cannot be started unless the flight control lock is placed into the "OFF" position.

The flap system, nose wheel steering, elevator trim, and brakes are hydraulic. A self-contained electric power pack, with an emergency accumulator, provides about 2,500 psi.

The takeoff flap position is 18 degrees, and the normal liftoff speed is 70 knots. Maximum flaps are 50 degrees.

Using a takeoff altitude of 1,719 feet at Amos Lake, an estimated temperature o

Aircraft

Registration
N2088Z
Reported as
Short Bros. SC-7
Category
Airplane
Serial number
SH-1963
Airframe hours
10,730
Engine
Garrett TPE331-2-201A, 715 horsepower, turbo prop
Damage
Substantial damage
Flight
Ferry · Part 91
Operator
Arctic Circle Air Service Inc.
Registered owner
Arctic Air Group
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · August 1, 2007
Departed
McGrath, AK
Destination
PANC · Anchorage, AK
Flight plan
Company 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
45
Injuries
Fatal
Certificates
Flight instructor, Commercial, Airline transport
Airplane ratings
Single-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
August 1, 2007
Seat
Left
Toxicology
Performed
Flight hours
15,000 total · 2,600 in this make and model · 15,000 as pilot in command · 260 in the last 90 days · 89 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
210° at 5 knots
Visibility
8 statute miles
Lowest ceiling
2,900 ft broken
Temperature
48 °F, dew point 46 °F
Altimeter
29.56 inHg
Observed at
PAMC, 82 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.

Other investigations on N2088Z · 1

Matched to the same aircraft by N-number and date.