ANC09LA104

NTSB accident investigation · CASA 212-200 · Savoonga, AK · September 18, 2009

Accident · No injuriesLimited investigationFinal report
Date
September 18, 2009, 14:12 local (22:12 UTC)
Place
Savoonga, AK
Injuries
2 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N349TACASA 212-200
Defining event
Landing-landing roll: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report April 12, 2011
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration
FAA report
20090918049699A
Case key
74766

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 failure to maintain directional control during the landing roll in a gusting crosswind.

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: directional controlAircraft › Aircraft oper/perf/capability · Not attained/maintainedConstrucciones Aeronauticas C-212-CC: 1 caseAll aircraft: 3,958 casesProbable cause
Wind: crosswindEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeConstrucciones Aeronauticas C-212-CC: 1 caseAll aircraft: 1,008 cases

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 crew noted overcast skies, light rain, and a gusty crosswind prior to landing on runway 5, which was approximately 4,400 feet long by 100 feet wide and composed of gravel. The captain, who was the pilot flying, noted that he used full flaps during the landing approach and had to make significant corrections for the crosswind, which was reported to be from 010 degrees at 26 knots, gusting to 34 knots. The captain reported that during the landing roll, despite the use of differential power and other control adjustments, he could not maintain directional control and the airplane went off the right side of the runway. Postaccident inspection of the airplane revealed no preimpact mechanical malfunctions or failures that would have precluded normal operation. The airplane’s flight manual suggests not using full flaps while landing in strong crosswind due to controllability issues and also recommends that the pilot reduce the crosswind component if the runway conditions are slippery.

Factual narrative

On September 18, 2009, at 1412 Alaska daylight time, a Construcciones Aeronauticas SA (CASA) C-212-CC, N349TA, sustained substantial damage after veering off runway 05 during landing at Savoonga Airport (SVA), Savoonga, Alaska. Bering Air Inc., operated the airplane under the provisions of Title 14 Code of Federal Regulations (CFR) Part 135, as a cargo flight. The certificated airline transport pilot captain, and certificated commercial pilot first officer were not injured. Visual meteorological conditions prevailed, and a Defense Visual Flight Rules (DVFR) flight plan was in effect. The flight departed Nome Airport (OME), Nome, Alaska, at 1312. During a telephone interview with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC), the captain reported that he was the flying pilot on the accident leg, and that prior to departure they had checked the weather, and obtained the pertinent Notice to Airman (NOTAMs) for the destination airport. The captain reported that one of the NOTAMs identified a partial runway closure with construction crews in the vicinity. The flight took about an hour, with no problems encountered; they noted gusty wind conditions, light rain, and an overcast cloud condition. Twenty miles from the destination airport, the flight crew notified the construction crew of their intent to land. On approach, they overflew the runway at 500 feet to verify the NOTAM, and noted a graded and rough runway. The captain indicated that they flew a teardrop approach and noted that the winds were from the north. He stated that he had to "crab" the airplane into the wind while on final, and said that while on the landing roll, he tried to maintain aircraft control with forward pressure on the nose and applying differential power while the first officer turned the ailerons into the wind. The airplane was difficult to control, and it began to veer to the right side of the runway. The airplane continued to the right, exited the runway surface, and came to rest in a ditch adjacent to the landing runway. In the captain's written statement, he reported that the airplane was stabilized on a 3-mile final with 100 percent flaps, at an approach speed of 100 knots prior to touchdown. He calculated the crosswind component to be 16 knots gusting to 23 knots with the wind from the left. In the section titled: “Recommendation (How could this accident/incident been prevented?)” of NTSB form 6120.1, the captain recommended a lower crosswind limit for narrow runways, specifically that with runways less than 100 feet in width, the crosswind should be limited to 75 percent maximum demonstrated crosswind component. A Federal Aviation Administration (FAA) inspector responded to the site and reported that the right main landing gear tire was depleted of air; it was a serviceable tire, but near its wear limit. The inspector stated that the right wing sustained structural damage, and that there were no mechanical anomalies noted with theremaining aircraft systems. Automated Weather Observing System (AWOS) weather recorded from Savoonga at 1456 was, wind from 010 degrees at 26 knots gusting to 34 knots; visibility 5 statute miles, overcast sky conditions at 800 feet; temperature 04 degrees Celsius; dew point 02 degrees Celsius; the altimeter setting was 29.70 inches of Mercury. The Airport/Facility Directory indicated that the runway at Savoonga is 4,400 feet in length by 100 feet in width. The airport is unattended and the runway conditions are not monitored. A visual inspection of the runway is recommended prior to landing. The runway is comprised of gravel, with rocks up to 5 inches on the sides of the landing surface. Several Notices to Airmen (NOTAMs) were in effect at the time of the accident. One of the NOTAMs reported that the north half of runway 5/23 was closed. ADDITIONAL INFORMATION According to the airplane’s Operations Manual, under “Crosswind Speed Limits,” it notes a critical crosswind component has not been determined. However, the maximum crosswind component demonstrated during takeoffs and landings is 20 knots. In addition, a subheading titled “Slippery Runways,” in the Crosswind Landing section of the Operations Manual, recommends, in part, that the operators adjust the crosswind limit, reducing it by 25 to 75 percent, depending on slippery conditions. In the section of the Operations Manual titled Landings, subheading “Final Approach, Flaps,” it is recommended that flaps be at 15 degrees for a normal approach and landing, and suggests that full flaps not be deployed in strong crosswinds due to controllability in the flare.

Aircraft

Registration
N349TA
Reported as
CASA 212-200
Category
Airplane
Serial number
349
Airframe hours
9,906
Engines
Honeywell TPE331-10R511, 1,000 horsepower, turbo propHoneywell TPE331-10R511, 1,000 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Operator
Bering Air Inc.
Registered owner
Bering Air Inc.
Airworthiness certificate
Standard, Transport
Last inspection
100 hour · September 7, 2009 · 3 hours before
Departed
OME · Nome, AK
Destination
SVA · Savoonga, AK
Flight plan
VFR/IFR
Airport
SVA · Savoonga Airport, runway 05, 4,400 × 100 ft, gravel

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
51
Injuries
None
Certificates
Airline transport, Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
July 13, 2009
Seat
Left
Flight hours
29,025 total · 4,904 in this make and model · 28,425 as pilot in command · 254 in the last 90 days · 97 in the last 30 days
Role
Co-pilot
Age
29
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, With waivers/limitations
Last flight review
June 8, 2009
Seat
Right
Flight hours
1,100 total · 280 in this make and model · 300 as pilot in command · 300 in the last 90 days · 70 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
10° at 28 knots, gusting 33
Visibility
3 statute miles
Lowest ceiling
1,000 ft overcast
Temperature
39 °F, dew point 36 °F
Altimeter
29.70 inHg
Observed at
SVA

Docket · 13

The files NTSB released with the investigation on November 29, 2010, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.9 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.