ANC09LA012

NTSB accident investigation · Cessna 207 · Napaskiak, AK · November 14, 2008

Accident · Minor injuriesLimited investigationFinal report
Date
November 14, 2008, 17:10 local (21:10 UTC)
Place
Napaskiak, AK
Injuries
1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Maneuvering
Aircraft
N36CFCessna 207
Defining event
Maneuvering: Aerodynamic stall/spin
Weather
Instrument (IMC) · Dusk
Status
Completed · report May 12, 2009
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA AL-ANC FSDO 03
FAA report
20081114857439A
Case key
69454

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 continued flight into adverse weather and icing conditions, and his failure to maintain sufficient airspeed to avoid a stall, resulting in a loss of control and in-flight collision with terrain while on an approach to land.

Findings · 4

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.

Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 207: 1 caseAll aircraft: 1,681 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 207: 7 casesAll aircraft: 9,295 casesProbable cause
Temp/humidity/pressure: conducive to structural icingEnvironmental issues › Conditions/weather/phenomena · Response/compensationCessna 207: 1 caseAll aircraft: 103 casesProbable cause
Personnel issuesPersonnel issues › Action/decision · PilotCessna 207: 1 caseAll aircraft: 56 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

Prior to the accident flight, the operator reported that numerous flights from their base had been canceled or delayed due to poor weather earlier in the day. The weather improved in the afternoon, and the pilot departed on a commuter flight for his first destination, but did not land because of low visibility. The pilot continued to his second destination, and encountered light icing conditions while en route. After landing at his second stop, he deiced the airplane. The pilot then departed on the accident flight to return to his base, where the weather was reported as a ceiling of 500 feet overcast, with a visibility of 5 miles. After departure, the weather at the destination deteriorated, and the pilot decided to divert to an airport about 5 miles from his base. While maneuvering over the airport for landing, the pilot began a descending left turn toward the approach end of runway. The airplane stalled and mushed to the ground, about 250 feet short of the runway threshold. A postcrash fire erupted as the pilot and passenger were exiting the airplane. The pilot reported that when he arrived over the accident airport, the airplane had accumulated some ice, he was about 200 feet agl, and the visibility was about 1 mile. At the time of the accident, the destination airport was reporting, in part, a visibility of 3/4 statute mile in mist, 500 feet broken, with a temperature and dew point of 21 degrees F.

Factual narrative

On November 14, 2008, about 1710 Alaska Standard time, a Cessna 207 airplane, N36CF, sustained substantial damage when it collided with terrain while maneuvering for landing at Napaskiak, Alaska. The airplane was then consumed by a postcrash fire. The airplane was being operated as Flight 555 by Flight Alaska, dba Yute Air Alaska, Anchorage, Alaska, as a visual flight rules (VFR) commuter flight under Title 14, CFR Part 135, when the accident occurred. The commercial pilot received minor injuries, and the sole passenger was not injured. Instrument meteorological conditions prevailed in the area of the accident, and VFR company flight following procedures were in effect. The flight originated at the Quinhagak Airport, Quinhagak, Alaska, about 1625, and was en route to Bethel, Alaska. During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), on November 17, the director of operations for the operator reported that numerous flights from Bethel had been canceled or delayed due to poor weather earlier in the day. The weather improved in the afternoon with a ceiling of about 1,500 feet, and a visibility of 7 miles, and the pilot departed Bethel at 1452 for his first destination, Eek, Alaska. After departure, the pilot decided not to land at his first destination because of low visibility, and continued to Quinhagak. The pilot encountered light icing conditions while en route, and deiced the airplane after landing at Quinhagak. The pilot departed Quinhagak with one passenger about 1625, and told the director of operations that the Bethel Airport was reporting a ceiling of 500 feet overcast, with a visibility of 5 miles. After departure, the weather at Bethel deteriorated, and the pilot decided to land at Napaskiak. While maneuvering over the Napaskiak Airport, the pilot began a descending left turn toward the approach end of runway 02. The airplane stalled and mushed to the ground, about 250 feet short of the runway threshold. It collided with tall brush and the ground, and a postcrash fire erupted as the pilot and passenger were exiting the airplane. During a telephone conversation with the NTSB IIC on November 17, the pilot reported that when he arrived over the airport at Napaskiak, he was about 200 feet agl, and the visibility was about 1 mile. He indicated that the airplane had accumulated some ice. He said he began a left turn for the runway, but the left wing stalled, and the airplane mushed into the ground. The closest weather reporting facility is Bethel, which is located about 5 miles northwest of the accident. At 1705, an aviation routine weather report (METAR) was reporting, in part: Wind, 190 degrees (true) at 8 knots; visibility, 3/4 statute mile in mist; clouds and sky condition, 500 feet broken, 1,600 feet broken, 2,900 feet overcast; temperature, 21 degrees F; dew point, 21 degrees F; altimeter, 29.79 inHg.

Aircraft

Registration
N36CF
Reported as
Cessna 207
Category
Airplane
Serial number
20700269
Airframe hours
32,600
Engine
Continental IO-520F, 300 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Part 135
Operator
Flight Alaska, doing business as Yute Air Alaska
Registered owner
Bethel Leasing LLC
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · November 5, 2008 · 19 hours before
Departed
PAQH · Quinhagak, AK
Destination
PAPK · Napaskiak, AK
Flight plan
Company VFR
Airport
PAPK · Napaskiak

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
52
Injuries
Minor
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine sea, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
September 29, 2008
Seat
Left
Flight hours
3,481 total · 836 in this make and model · 2,220 as pilot in command · 80 in the last 90 days · 73 in the last 30 days · 6 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Dusk
Wind
180° at 8 knots
Visibility
0.75 statute miles
Lowest ceiling
500 ft broken
Temperature
21 °F, dew point 21 °F
Altimeter
29.79 inHg
Observed at
PABE, 5 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 N36CF · 3

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