ANC09LA022

NTSB accident investigation · Dehavilland DHC-2 / U-6A · Kenai, AK · February 20, 2009

Accident · No injuriesLimited investigationFinal report
Date
February 20, 2009, 15:15 local (19:15 UTC)
Place
Kenai, AK
Injuries
3 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N5342GDehavilland DHC-2 / U-6A
Defining event
Takeoff: Collision during takeoff/land
Weather
Visual (VMC) · Day
Status
Completed · report March 23, 2010
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration
FAA report
20090220046779A
Case key
73387

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 flight instructor’s decision to attempt a touch-and-go landing toward rising terrain and with a tailwind, resulting in an in-flight collision with terrain during takeoff.

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.

Info processing/decision: decision making/judgmentPersonnel issues › Action/decision · Instructor/check pilotDehavilland BEAVER U-6A: 3 casesAll aircraft: 3,098 casesProbable cause
AircraftAircraft › Aircraft oper/perf/capability · Capability exceededDehavilland BEAVER U-6A: 2 casesAll aircraft: 63 cases
Terrain: sloped/uneven terrainEnvironmental issues › Physical environment · Decision related to conditionDehavilland BEAVER U-6A: 1 caseAll aircraft: 270 casesProbable cause
Wind: tailwindEnvironmental issues › Conditions/weather/phenomena · Decision related to conditionDehavilland BEAVER U-6A: 1 caseAll aircraft: 594 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 certificated flight instructor was familiarizing the second pilot with ski operations in a ski-equipped airplane during an instructional flight. The flight instructor reported that he took the flight controls from the second pilot to demonstrate a touch-and-go landing on a frozen, snow-covered lake. After landing to the east, the instructor said that he kept the tail of the airplane up and the airspeed just below flying speed in order to make ski tracks on the lake to check the snow conditions. About midway along the lake the instructor added full engine power and the airplane became airborne but failed to climb sufficiently to avoid colliding with an area of rising, tree-covered terrain at the departure end of the lake. The airplane sustained substantial damage to the wings, fuselage, and empennage. Postaccident examination revealed no preaccident mechanical anomalies. The instructor noted that after the accident he noticed occasional strong gusts of wind from the west.

Factual narrative

On February 20, 2009, about 1515 Alaska standard time, a wheel/ski-equipped de Havilland DHC-2/U-6A (Beaver) airplane, N5342G, sustained substantial damage during takeoff from a remote frozen lake, about 10 miles northeast of Kenai, Alaska. The airplane was being operated as a visual flight rules (VFR) local area proficiency/instructional flight under Title 14, CFR Part 91, when the accident occurred. The airplane was operated by the Civil Air Patrol Inc. (CAP), Anchorage, Alaska. The three people aboard, the first pilot, a certificated flight instructor in the right seat, the second pilot in the left seat, and a pilot-rated passenger, were not injured. Visual meteorological conditions prevailed, and CAP flight following procedures were in effect. The flight originated at the Kenai Municipal Airport, Kenai, about 1415. During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), on February 20, the flight instructor reported that the purpose of the flight was to familiarize the second pilot with ski operations of a de Havilland DHC-2 airplane. He said that after the second pilot completed a series of touch-and-go landings to the west on the frozen snow-covered lake, he took the flight controls to demonstrate the next touch-and-go landing to the east. The flight instructor reported that after landing to the east, he kept the tail of the airplane up and the airspeed just below flying speed in order to make ski tracks on the lake to check the snow conditions. He said that as the airplane passed the midpoint of the lake, he applied full engine power for takeoff and the airplane became airborne, but it failed to climb sufficiently to avoid colliding with an area of rising, tree-covered terrain at the departure end of the lake. The airplane sustained substantial damage to the wings, fuselage, and empennage. In the pilot’s written statement to the NTSB, he characterized wind conditions as calm while on an easterly approach, but he reported an occasional strong gust of wind out of the west following the accident. The closest weather reporting facility is the Kenai Municipal Airport, 10 miles southwest of the accident site. At 1453, an automated weather observation system was reporting, in part: Wind, 190 degrees (true) at 3 knots, visibility, 10 statute miles; clear; temperature, 30 degrees F; dew point, 21 degrees F; altimeter, 30.51 inHg. On March 2, 2009, following recovery of the airplane’s wreckage to Anchorage, a wreckage examination was done under the direction of the NTSB IIC. Also present were three members of the CAP’s safety assessment team, and two aviation safety inspectors from the Federal Aviation Administration’s Anchorage Flight Standards District Office. No preaccident mechanical anomalies were discovered during the wreckage exam.

Aircraft

Registration
N5342G
Reported as
Dehavilland DHC-2 / U-6A
Category
Airplane
Serial number
854
Airframe hours
9,483
Engine
Pratt & Whitney R-985, 450 horsepower, reciprocating
Damage
Substantial damage
Flight
Instructional · Part 91
Operator
Civil Air Patrol - Alaska Wing
Registered owner
Civil Air Patrol Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · October 16, 2008 · 8 hours before
Departed
ENA · Kenai, AK
Destination
ENA · Kenai, 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 · 2

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
63
Injuries
None
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
August 20, 2008
Seat
Right
Flight hours
14,300 total · 9,000 in this make and model · 13,900 as pilot in command · 15 in the last 90 days · 5 in the last 30 days · 1 in the last 24 hours
Role
Student pilot
Age
56
Injuries
None
Certificate
Private
Airplane ratings
Single-engine sea, Single-engine land
Medical
Class 3, Without waivers/limitations
Last flight review
March 13, 2008
Seat
Left
Flight hours
799 total · 30 in this make and model · 620 as pilot in command · 10 in the last 90 days · 8 in the last 30 days

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 3 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
30 °F, dew point 21 °F
Altimeter
30.51 inHg
Observed at
ENA, 10 nm away

Docket · 1

The files NTSB released with the investigation on December 11, 2009, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.0 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.