ANC08LA031

NTSB accident investigation · Cessna 208B · Bethel, AK · January 15, 2008

Accident · Minor injuriesLimited investigationFinal report
Date
January 15, 2008, 14:39 local (18:39 UTC)
Place
Bethel, AK
Injuries
1 minor, 4 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N454SFCessna 208B
Defining event
Landing-flare/touchdown: Collision with terr/obj (non-CFIT)
Weather
Visual (VMC) · Day
Status
Completed · report August 28, 2008
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA-AL-ANC FSDO 03
FAA report
20080115010999A
Case key
67395

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot's selection of unsuitable terrain for landing. Contributing to the accident were snow-covered terrain, blowing snow and flat lighting conditions.

Findings · 3

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Runway/land/takeoff/taxi surface: snow/slush/ice covered surfaceEnvironmental issues › Physical environment · Not specifiedCessna 208B: 4 casesAll aircraft: 219 casesProbable cause
Light conditionEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeCessna 208B: 1 caseAll aircraft: 15 casesProbable cause

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The airline transport pilot was planning to land on an asphalt runway that had localized drifting and blowing snow. Instead, the airplane touched down in a snow-covered area of the airport between the runway and the adjacent taxiway. The pilot said that blowing snow and flat lighting conditions contributed to his difficulty in discerning the correct location of the runway. He said he "aimed for the darker area between the runway and the taxiway, believing this was the runway." The director of operations for the operator said that the depression between the runway and the taxiway had been filled with snow by runway maintenance personnel during snow removal operations. He indicated that the area had the illusion of a hard surface, but landing during reduced visibility due to blowing snow required the pilot to take advantage of any and all available resources, such as requesting the activation of the runway lights, and/or using the instrument landing system (ILS) localizer as a means of aligning the airplane with the centerline of the runway.

Factual narrative

On January 15, 2008, about 1439 Alaska Standard time, a Cessna 208B airplane, N454SF, sustained substantial damage when it collided with snow-covered terrain during the landing flare at the Bethel Airport, Bethel, Alaska. The airplane was being operated as a visual flight rules (VFR) cross-country air medical flight under Title 14, CFR Part 135, when the accident occurred. The airplane was operated by Grant Aviation Inc., Anchorage, Alaska. The airline transport certificated pilot, a paramedic passenger, and two medical patients/passengers, were not injured. A second paramedic passenger received minor injuries. Visual meteorological conditions prevailed, and VFR company flight following procedures were in effect. The flight originated at the Sheldon Point Airport, Sheldon Point, Alaska, about 1315.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), on January 15, the director of operations for the operator reported that the pilot was planning to land on runway 18 at Bethel. Instead, the airplane touched down in a snow-covered area of the airport, between the runway and the adjacent taxiway, collapsing the nose landing gear.

On January 17, the director of maintenance for the operator reported that the airplane sustained structural damage to the firewall and forward fuselage bulkhead.

At 1437, a special weather observation at Bethel was reporting, in part: Wind, 160 degrees (true) at 17 knots; visibility, 10 statute miles; clouds and sky condition, 1,400 feet scattered, 2,900 feet scattered, 3,500 feet broken; temperature, 30 degrees F; dew point, 27 degrees F; altimeter, 29.36 inHg; remarks, occasional localized low drifting snow and blowing snow.

In the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1) submitted by the operator, the pilot reported that during the landing approach, blowing snow and flat lighting conditions contributed to his difficulty in discerning the correct location of the runway. He said he "aimed for the darker area between the runway and the taxiway, believing this was the runway."

In the "Recommendation (How could this accident have been prevented)" portion of the NTSB Form 6120.1, the director of operations said that the depression between the runway and the taxiway had been filled with snow by runway maintenance personnel during snow removal operations. He indicated that the area had the illusion of a hard surface, and landing during reduced visibility due to blowing snow required the pilot to take advantage of any and all available resources to ensure a successful outcome. He suggested that pilots could request air traffic control tower (ATC) personnel to activate the runway lighting, and the pilot could also use the instrument landing system (ILS) localizer as a means of aligning with the centerline of the runway.

Aircraft

Registration
N454SF
Reported as
Cessna 208B
Category
Airplane
Serial number
208B0797
Airframe hours
8,612
Engine
Pratt & Whitney Canada PT6A-114A, 675 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Registered owner
Grant Aviation Inc.
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · January 1, 2008 · 2 hours before
Departed
SXP · Sheldon Point, AK
Destination
PABE · Bethel, AK
Flight plan
Company VFR
Airport
PABE · Bethel, runway 18, 6,400 × 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
40
Injuries
None
Certificates
Commercial, Airline transport
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
September 1, 2007
Seat
Left
Flight hours
9,300 total · 850 in this make and model · 8,900 as pilot in command · 110 in the last 90 days · 30 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
160° at 17 knots
Visibility
10 statute miles
Lowest ceiling
3,500 ft broken
Temperature
30 °F, dew point 27 °F
Altimeter
29.36 inHg
Observed at
PABE

Docket · 1

The files NTSB released with the investigation on August 8, 2008, on NTSB’s docket system: statements, records, photos and specialists’ reports. 752 KB 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.

Other investigations on N454SF · 3

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