ANC23FA001

NTSB accident investigation · Cessna A185F · Fairbanks, AK · October 6, 2022

Accident · FatalClass 3 · FieldFinal report
Date
October 5, 2022, 17:58 local (Oct 6, 2022, 01:58 UTC)
Place
Fairbanks, AK · Float Pond
Injuries
1 fatal
Damage
No damage
Phase of flight
Taxi
Aircraft
N217CCessna A185F
Defining event
Taxi-into takeoff position: Nose over/nose down
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20221005016789A
Case key
106074

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 improperly maintained floats, which allowed water to fill the front compartments and resulted in the airplane nosing over during taxi. Contributing to the fatal injury of the pilot was the improperly secured cargo, which prevented the pilot from egressing the airplane following the nose-over.

Findings · 1

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.

Landing gear system: wheel/ski/floatAircraft › Aircraft systems · Incorrect service/maintenanceCessna A185F: 6 casesAll aircraft: 48 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 of the float-equipped airplane was departing from a pond. He aborted the first attempt and was taxiing back to attempt a second takeoff. Witnesses saw the floats almost fully submerged under the water as the airplane taxied and stated that the pitch attitude of the airplane was unusually nose-low. The pilot reduced engine power and the airplane nosed over. The airplane was not damaged; however, several hundred pounds of unsecured cargo inside the airplane shifted during the nose-over and likely resulted in the pilot’s inability to egress and his subsequent drowning. During a postaccident examination, two unsealed holes were found under the float bumpers that would have allowed water to enter the front compartment of each float. It is likely that the front compartments in both floats filled with water and resulted in the nose-over during taxi.

Factual narrative

About 95 pounds of cargo was located in the left float hatch. A total of about 838 pounds of cargo was in the airplane. On October 05, 2022, about 1758 Alaska daylight time, a Cessna 185F, N217C, was not damaged when it was involved in an accident near Fairbanks, Alaska. The pilot was fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 personal flight. A witness located next to the waterway stated that the pilot attempted and subsequently aborted the first takeoff. The pilot then began taxiing back to the point of the initial takeoff run. The witness stated that the engine appeared to be operating at full power during the takeoff attempt. During the taxi back following the aborted takeoff, the airplane’s attitude was nose-low and the floats were almost completely submerged underwater. Another witness on the other side of the float pond noted that the accident airplane’s floats looked almost fully submerged under water as the airplane taxied. The witness said that the airplane was using more than normal power to taxi in the water and that the elevators appeared to be in the full nose-up position. He then heard the engine power decrease, saw the airplane start to nose over, heard the power increase, and then observed the airplane completely nose over into the water. When the airplane was pulled up on the shore, a witness observed four large streams of water coming out of the front of both floats. Unrestrained cargo in the cabin shifted forward during the event sequence and rescuers were unable to free the pilot from the cockpit. About 690 pounds of cargo had to be removed before rescuers could free the pilot from the airplane. The airplane sustained no impact damage in the accident. All damage to the airframe was sustained during the recovery and rescue attempt of the pilot. During a postaccident examination of the floats, two unplugged holes were found under each front float bumper. The pilot’s son said that when the airplane arrived in Alaska, the standard float bumpers were not installed and a tire-type material was installed as a bumper instead. The correct smaller bumpers were installed at the time of the accident, with new-looking sealant around the bumper. 4 holes had been added to the front of each float to attach the larger, tire-type bumper; however, only the two side holes had been plugged and sealed. The two lower holes were left open. A Federal Aviation Administration inspector examined the underside of each float and found patches that did not appear to be watertight on the bottom. A witness stated that the pilot kept this airplane on the shore when it was not in use.

Aircraft

Registration
N217C
Reported as
Cessna A185F
Category
Airplane
Serial number
18503558
Built
1978
Airframe hours
5,666.5
Engine
Cont Motor IO 520 SERIES, 285 horsepower, reciprocating
Damage
No damage
Flight
Personal · Part 91
Airworthiness certificate
Standard, Normal
Last inspection
Annual · November 20, 2021
Airport
AK28 · Chena Marina, runway 36W, 4,000 × 200 ft, water
Equipment
Unknown

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
75
Injuries
Fatal
Certificate
Private
Airplane ratings
Single-engine land, Single-engine sea
Medical
Class 3, With waivers/limitations
Toxicology
Performed

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
10 statute miles
Temperature
43 °F, dew point 30 °F
Altimeter
29.94 inHg
Observed at
AFA, 1 nm away
METAR
PAFA 060153Z 00000KT 10SM FEW100 SCT200 06/M01 A2994 RMK AO2 SLP146 T00611006

Docket · 6

The files NTSB released with the investigation on October 5, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 2.8 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.