ANC12LA002

NTSB accident investigation · Cessna 207A · Kwigillingok, AK · November 7, 2011

Accident · Minor injuriesLimited investigationFinal report
Date
November 7, 2011, 18:30 local (22:30 UTC)
Place
Kwigillingok, AK
Injuries
3 minor, 3 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N6314HCessna 207A
Defining event
Initial climb: Loss of control in flight
Weather
Visual (VMC) · Dusk
Status
Completed · report November 26, 2012
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration - Operations
FAA report
20111107030069A
Case key
82065

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

The pilot's failure to abort the takeoff when he realized the airplane could not attain sufficient takeoff and climb performance and his improper decision to depart from an airport where night operations were prohibited.

Findings · 6

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 surfaceEnvironmental issues › Physical environment · Contributed to outcomeCessna 207A: 3 casesAll aircraft: 253 cases
Light condition: darkEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeCessna 207A: 1 caseAll aircraft: 448 cases
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 207A: 11 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: climb rateAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 207A: 1 caseAll aircraft: 265 casesProbable cause
Action: incorrect action performancePersonnel issues › Action/decision · PilotCessna 207A: 2 casesAll aircraft: 1,386 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 pilot departed on a scheduled commuter flight at night from an unlit, rough and uneven snow-covered runway with five passengers and baggage. During the takeoff roll, the airplane bounced twice and became airborne, but it failed to climb. As the airplane neared the departure end of the runway, it began to veer to the left, and the pilot applied full right aileron, but the airplane continued to the left as it passed over the runway threshold. The airplane subsequently settled into an area of snow and tundra-covered terrain about 100 yards south of the runway threshold and nosed over. Official sunset on the day of the accident was 48 minutes before the accident, and the end of civil twilight was one minute before the accident. The Federal Aviation Administration's (FAA) Airport/Facility Directory, Alaska Supplement listing for the airport, includes the following notation: "Airport Remarks - Unattended. Night operations prohibited, except rotary wing aircraft. Runway condition not monitored, recommend visual inspection prior to using. Safety areas eroded and soft. Windsock unreliable." A postaccident examination of the airplane and engine revealed no mechanical anomalies that would have precluded normal operation. Given the lack of mechanical deficiencies with the airplane's engine or flight controls, it is likely the pilot failed to maintain control during the takeoff roll and initial climb after takeoff.

Factual narrative

On November 7, 2011, about 1830 Alaska standard time (AST), a Cessna 207 airplane, N6314H, sustained substantial damage during a collision with snow-covered terrain following a loss of control shortly after takeoff from Runway 15 at the Kwigillingok Airport, Kwigillingok, Alaska. The airplane was being operated as Flight 166, by Hageland Aviation Services, Inc., dba ERA Alaska, Anchorage, Alaska, as a visual flight rules (VFR) scheduled commuter flight under the provisions of 14 Code of Federal Regulations (CFR) Part 135. Of the six people aboard, the commercial pilot and two passengers were not injured, and three passengers sustained minor injuries. Night, visual meteorological conditions (VMC) prevailed, and VFR company flight following procedures were in effect. Flight 166 originated in Bethel, Alaska, and it had completed scheduled stops in Kongiganak, Alaska, and Kwigillingok. The accident occurred while returning to Bethel, the flight's final destination for the day. During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on November 8, the pilot reported that before departing on Runway 15, an unlighted, rough and uneven 1,840 foot-long, by 30 foot-wide snow-covered runway, he checked the airport windsock, and noted that a correction for a 5 to 10 knot left quartering crosswind would be required. He said that during the takeoff roll, the airplane bounced twice and became airborne, but it failed to climb. As the airplane neared the departure end of the runway, it began to veer to the left. The pilot said he applied full right aileron to correct the veer, but the airplane continued to the left as it passed over the runway threshold. He said that once he knew the airplane was not going to climb, he lowered the flaps in an attempt to cushion the off-airport landing. The airplane subsequently settled into an area of snow, and tundra-covered terrain, about 100 yards south of the runway threshold, and nosed over. Sunset on the day of the accident was 1742; the end of civil twilight was 1829. The Federal Aviation Administration's (FAA) Airport/Facility Directory, Alaska Supplement listing for the Kwigillingok Airport, includes the following notation: "Airport Remarks - Unattended. Night operations prohibited, except rotary wing aircraft. Runway condition not monitored, recommend visual inspection prior to using. Safety areas eroded and soft. Windsock unreliable." In the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1) submitted by the operator, the pilot's total aeronautical experience was listed as 1,833 hours, with 349 hours in the accident airplane make and model. The report noted that in the preceding 90 and 30 days prior to the accident, the pilot accrued a total of 390 hours and 107 hours. According to the operator's chief pilot, the estimated gross weight of the airplane at takeoff was 3,680 pounds, or approximately 120 pounds below the maximum takeoff gross weight of 3,800pounds. The closest weather reporting facility was the Kipnuk Airport, Kipnuk, Alaska, about 26 miles west of the accident site. At 1856, an Aviation Routine Weather Report (METAR) was reporting, in part: Wind, 010 degrees (true) at 4 knots; visibility, 10 statute miles.; clouds and sky condition, clear; temperature, 19 degrees F; dew point, 18 degrees F; altimeter, 30.14 inches Hg. A pilot flying a Cessna 208 that departed about 30 minutes before the accident airplane departed, reported wind to be from the east-southeast, at 10 knots, but favoring Runway 15. The wreckage was recovered from the accident site and transported to Alaska Claims Services, Inc., in Wasilla, Alaska. On January 26, 2012, a wreckage examination and layout was done under the direction of the NTSB IIC. Also present were air safety investigators from Continental Motors, Cessna Aircraft, the FAA, and the director of safety for Hageland Aviation Services. There were no preaccident mechanical problems discovered with the airplane's engine or flight controls.

Aircraft

Registration
N6314H
Reported as
Cessna 207A
Category
Airplane
Serial number
20700478
Engine
Cont Motor IO 520 SERIES, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Hageland Aviation Services, doing business as Era Alaska
Registered owner
Icecap LLC Trustee
Airworthiness certificate
Standard, Normal
Departed
GGV · Kwigillingok, AK
Destination
BET · Bethel, AK
Flight plan
Company VFR
Airport
GGV · Kwigillingok, runway 15, 1,840 × 30 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
27
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Seat
Left
Flight hours
1,833 total · 349 in this make and model · 349 as pilot in command · 390 in the last 90 days · 107 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Dusk
Wind
10° at 4 knots
Visibility
10 statute miles
Lowest ceiling
None
Temperature
19 °F, dew point 18 °F
Altimeter
30.13 inHg
Observed at
PAKI, 26 nm away

Docket · 4

The files NTSB released with the investigation on July 27, 2012, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.3 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.