ANC20LA046

NTSB accident investigation · Cessna A185 · Nuiqsut, AK · May 15, 2020

Accident · FatalClass 3 · LimitedFinal report
Date
May 14, 2020, 22:00 local (May 15, 2020, 06:00 UTC)
Place
Nuiqsut, AK
Injuries
1 fatal, 1 serious
Damage
Substantial damage
Phase of flight
Enroute
Aircraft
N5454ECessna A185
Weather
Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
Federal Aviation Administration
FAA report
20200514006749A
Case key
101276

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 controlled flight into flat snow-covered terrain in weather conditions that were conducive to flat light conditions.

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.

Light condition: flat lightEnvironmental issues › Conditions/weather/phenomena · Contributed to outcomeCessna A185F: 1 caseAll aircraft: 42 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 pilot was conducting a commercial flight in his wheel/ski-equipped airplane with one passenger onboard in support of an arctic research project. He had overflown a potential landing site on a snow-and-ice-covered lake at a low altitude, and the area was determined to be unsuitable for landing. According to the passenger, after overflying the area the pilot initiated a left turn, toward the shoreline to return to their destination and subsequently impacted the ground. GPS data from the accident flight revealed that the airplane flew along the north shore of the lake at a GPS altitude of about 136 ft variable to 232 ft before initiating a left turn and descending until it impacted terrain. The passenger stated that the pilot had not voiced any concerns before the accident with regard to any preaccident mechanical failures or malfunctions that would have precluded normal operation and the plane sounded “good” during the accident flight. While the passenger reported a cabin and potential vegetation and terrain features visible in the left turn just before impact, it is likely that cloud conditions and snow-covered terrain present in the area resulted in flat light conditions, which would have hindered the pilot’s ability to perceive terrain features and closure rates.

Factual narrative

FAA Handbook 8086-23, Seaplane, Skiplane, and Float/Ski Equipped Helicopter Operations Handbook and states, in part: Pilots routinely encounter three types of lighting conditions when flying skiplanes. They are flat light, whiteout and nighttime. Flat lighting is due to an overcast or broken sky condition with intermittent sunlight. Hills, valleys and snow mounds take on varying shade of white, and may appear taller, shorter, or wider than they really are. This indirect lighting alters depth perception. The pilot may not realize that depth perception has been compromised and this can cause serious consequences when operating ski planes near hilly terrain. When flat light is encountered, avoid or discontinue flight operations, especially at an unfamiliar strip. No maintenance records were located for the accident airplane. On May 14, 2020, about 2200 Alaska daylight time, a Cessna A185F, N5454E sustained substantial damage when it was involved in an accident about 72 miles northwest of Nuiqsut, Alaska. The pilot was fatally injured, and the passenger sustained serious injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 135 on-demand passenger flight. The flight was operated by Webster’s Flying Service as a day, visual flight rules flight to support a research project being conducted by the University of Alaska Fairbanks. The airplane had departed Fairbanks International Airport, Fairbanks, Alaska on Wednesday May 13, 2020, and was repositioned to a cabin located on Teshekpuk Lake, North Slope Borough, Alaska, in support of the project. According to the passenger, the “Old Knarl Cabin,” located on the northwest corner of Teshekpuk Lake, was being used as a remote arctic research facility and their base of operations. One flight had been completed earlier in the day and returned to the Old Knarl Cabin at about 1700 Alaska daylight time. After dinner, the pilot checked the weather via satellite internet and filed an FAA flight plan. About 1945, they departed for multiple off-airport landing sites located in the vicinity of Teshekpuk Lake. Upon their return, they elected to fly over the North Slope Borough Wildlife Cabin located on the northern shore of Teshekpuk Lake and assess the area as a possible landing site. The cabin was overflown at an altitude estimated to be 200-300 ft above ground level (AGL) and the area was determined to be unsuitable for landing. He said that after overflying the cabin and proceeding over the lake, they entered a left turn towards the shoreline, for the 4-mile flight back to the Old Knarl Cabin and subsequently impacted the ground. The passenger stated that flat light conditions would have been a concern out on the lake where no terrain features were visible; however, off the pilot’s side of the airplane and in the left turn, the cabin and vegetation sticking through the snow would have been visible to the pilot providing some definition to the white-on-white background. Following theaccident, the passenger manually activated the airplane’s emergency locator transmitter and sent a distress signal via his personal satellite communicator. The passenger said the pilot had not voiced any concerns before the accident with regard to any preaccident mechanical failures or malfunctions that would have precluded normal operation and the plane sounded “good”. GPS data logs downloaded for the accident flight revealed a date and time that did not correspond to the accident flight. However, a data log was discovered that corresponded to the last flight and ended near the accident location. That data log revealed that the airplane flew along the north shore of Teshekpuk Lake at a GPS altitude of about 136 ft variable to 232 ft before initiating a left turn and descending. The last fully recorded in-flight data point was when the airplane was at a GPS altitude of 232 ft and 89 knots groundspeed on a track of 335° (see figure). Figure - Last minutes of flight ground track. The pilot’s personal flight records were not located. On the application for his most recent medical certificate, he indicated about 28,132 hours of total flight experience, of which 0 were in the previous 6 months. Due to its remote arctic location, at the date of this report, the wreckage had not been recovered and therefore, a detailed wreckage examination was not conducted. The wreckage and accident site were evaluated using available photographs provided by North Slope Borough Police Department. The airplane impacted on its left side in a nose low attitude and came to rest inverted in an area of flat snow-covered terrain. An area believed to be the initial impact site was marked by disturbed snow and small wreckage debris followed. The three-blade propeller separated from the engine’s crankshaft and was located within the debris field. Two blades exhibited torsional bending. One blade exhibited substantial torsional twisting and S-bending.

Aircraft

Registration
N5454E
Reported as
Cessna A185 (F)
Category
Airplane
Serial number
18503974
Built
1980
Airframe hours
15,202.9
Engine
Continental IO-520, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Webster James M
Registered owner
Webster James M
Airworthiness certificate
Standard, Normal
Last inspection
Annual · January 17, 2020
Departed
Nuiqsut, AK
Destination
Nuiqsut, AK
Flight plan
VFR
Equipment
Handheld GPS

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
76
Injuries
Fatal
Certificates
Flight instructor, Commercial
Airplane ratings
Multi-engine sea, Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Seat
Left
Toxicology
Performed
Flight hours
26,132 total

Weather

Conditions
Day
Wind
40° at 9 knots
Visibility
10 statute miles
Lowest ceiling
700 ft overcast
Temperature
25 °F
Altimeter
30.43 inHg
Observed at
PAQT, 72 nm away

Docket · 6

The files NTSB released with the investigation on November 18, 2021, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.7 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.