ANC18LA025

NTSB accident investigation · Dehavilland Beaver DHC 2 · Kodiak, AK · January 24, 2018

Accident · No injuriesLimited investigationFinal report
Date
January 24, 2018, 12:20 local (21:20 UTC)
Place
Kodiak, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N1544Dehavilland Beaver DHC 2
Defining event
Landing: Loss of control on ground
Weather
Visual (VMC) · Day
Status
Completed · report June 3, 2020
Report
Approved by Office Director
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20180124013959A
Case key
96798

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 landing for reasons that could not be determined based on the available evidence.

Findings · 2

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/maintainedDehavilland BEAVER DHC-2: 3 casesAll aircraft: 3,958 casesProbable cause
Not determinedNot determined › Not determined · Unknown/Not determinedDehavilland BEAVER DHC-2: 1 caseAll aircraft: 2,247 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 was landing at an unimproved airstrip after an on-demand flight. He stated that, after a normal touchdown, as he applied the brakes during the ground roll, the airplane "veered hard to the right." He added power in an attempt to gain control of the airplane. Subsequently, the airplane departed the airstrip to the right, traveled through bushes and trees, and came to rest against an embankment. The right wing came to rest against the terrain, and the right main landing gear separated from the gear box, which resulted in substantial damage. The pilot further stated that before the accident flight, the brake system had been flushed and bled due to two brake failures earlier in the day. During the removal of the landing gear components for recovery of the airplane, the brake system was compromised, and no fluid was retained for testing for possible contamination.

Factual narrative

On January 24, 2018, about 1220 Alaska standard time, a tailwheel equipped DeHavilland DHC-2 airplane, N1544, sustained substantial damage following a loss of directional control while landing on an unimproved airstrip, near Kazakof Bay on Afognak Island, Alaska. The airplane was registered to and operated by Andrew Airways Incorporated as a 14 Code of Federal Regulations (CFR) Part 135 on-demand visual flight rules flight when the accident occurred. The commercial pilot sustained no injuries. Visual meteorological conditions prevailed and company flight following procedures were in effect. The flight departed Kodiak Airport (PADQ), Kodiak, Alaska about 1200 for the approximately 23 nautical mile flight to Kazakof Bay. According to the pilot, after overflying the unimproved airstrip, he landed to the west into an estimated 7 knot wind. The touchdown was normal, however when he applied the brakes during the ground roll, the airplane "veered hard to the right." He then added power in an attempt to gain control of the airplane. Subsequently, the airplane exited the unimproved airstrip to the right, traveled through alder bushes and small spruce trees, and came to rest against a dirt embankment. The right wing came to rest against the terrain and the right main landing gear separated from the gear box, resulting in substantial damage. The pilot stated that prior to the accident flight, the brake system had been flushed and bled due to two brake failures earlier in the day. The owner stated that the pilot had reported a "soft brake" on the left side on the previous flight. When the airplane was inspected by maintenance personnel, the brake system was bled and water was observed within the purged fluid. The owner further stated that during the summer, the brake cylinders were left in place while the airplane was on floats and suspected this may have been how the water entered the brake system. Prior to the airplane being operated on wheels, the hydraulic fluid was flushed from the system to ensure any water was removed. During the removal of the landing gear components for recovery of the airplane, the brake system was compromised, and no fluid was retained for testing for possible contamination. The closest official weather observation station 22 miles away is PADQ. At 1153, a METAR was reporting, in part, wind 280° at 16 knots, gusting 32 knots; visibility 10 statute miles; clouds and ceiling clear; temperature 21° F; dew point 5° F; altimeter 29.76 inches of Mercury.

Aircraft

Registration
N1544
Reported as
Dehavilland Beaver DHC 2 (NO SERIES)
Category
Airplane
Serial number
1230
Built
1958
Damage
Substantial damage
Flight
Part 135
Operator
Andrew Airways Inc
Registered owner
Andrew Airways Inc
Airworthiness certificate
Standard, Normal
Departed
ADQ · Kodiak, AK
Destination
Kodiak, 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

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
56
Injuries
None
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
May 29, 2017
Seat
Left
Flight hours
18,641 total · 12,800 in this make and model · 141 in the last 90 days

Weather

Conditions
Visual (VMC) · Day
Wind
280° at 16 knots, gusting 32
Visibility
10 statute miles
Lowest ceiling
None
Temperature
21 °F, dew point 5 °F
Altimeter
29.75 inHg
Observed at
PADQ, 22 nm away

Docket · 5

The files NTSB released with the investigation on December 23, 2019, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.0 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.

Other investigations on N1544 · 2

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