# NTSB ANC23FA042: Cessna 180, N91361, Shaktoolik, AK, June 16, 2023

- Type: NTSB accident investigation
- Classification: Accident · Fatal · Class 3 · Field · Final report
- Date: June 16, 2023, 11:35 local (19:35 UTC)
- Place: Shaktoolik, AK · Tundra-covered terrain, 35 west of Shaktoolik, AK
- Coordinates: 64.528214, -160.08637
- Nearby events: https://openairdocs.org/map.md?lat=64.5282&lon=-160.0864&mi=10
- Phase of flight: [Initial climb](https://openairdocs.org/ntsb-phases/350) (OpenAirDocs' grouping)
- Defining event: [Initial climb: Collision during takeoff/land](https://openairdocs.org/ntsb-events/490)
- Highest injury: Fatal
- Injuries: 2 fatal
- Status: Completed
- Report: Approved by Office Director
- Investigation class: Class 3
- NTSB office: Alaska Regional Office
- Parties: Continental, Textron, FAA/FSDO
- NTSB case key (mKey): 192387
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=ANC23FA042
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/192387/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=192387
- Page: https://openairdocs.org/ntsb/ANC23FA042

## Probable cause

The pilot’s encounter with gusting tailwind conditions during takeoff, which resulted in impact with a tree, a loss of control, and subsequent impact with terrain.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Object/animal/substance: tree(s)](https://openairdocs.org/ntsb-findings/03022020): Environmental issues › Physical environment · Effect on equipment (probable cause); cases with it: [Cessna 180H, 3 cases](https://openairdocs.org/ntsb-findings/03022020/cases.md?model=2072618), [All aircraft, 933 cases](https://openairdocs.org/ntsb-findings/03022020/cases.md)
- [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna 180H, 32 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=2072618), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md)
- [Wind: sudden wind shift](https://openairdocs.org/ntsb-findings/03034010): Environmental issues › Conditions/weather/phenomena · Effect on equipment (probable cause); cases with it: [Cessna 180H, 1 case](https://openairdocs.org/ntsb-findings/03034010/cases.md?model=2072618), [All aircraft, 114 cases](https://openairdocs.org/ntsb-findings/03034010/cases.md)
- [Wind: tailwind](https://openairdocs.org/ntsb-findings/03034015): Environmental issues › Conditions/weather/phenomena · Effect on equipment (probable cause); cases with it: [Cessna 180H, 4 cases](https://openairdocs.org/ntsb-findings/03034015/cases.md?model=2072618), [All aircraft, 594 cases](https://openairdocs.org/ntsb-findings/03034015/cases.md)
- [Terrain: mountainous/hilly terrain](https://openairdocs.org/ntsb-findings/03021010): Environmental issues › Physical environment · Effect on equipment (probable cause); cases with it: [Cessna 180H, 1 case](https://openairdocs.org/ntsb-findings/03021010/cases.md?model=2072618), [All aircraft, 329 cases](https://openairdocs.org/ntsb-findings/03021010/cases.md)
- [Terrain: sloped/uneven terrain](https://openairdocs.org/ntsb-findings/03021017): Environmental issues › Physical environment · Effect on equipment (probable cause); cases with it: [Cessna 180H, 2 cases](https://openairdocs.org/ntsb-findings/03021017/cases.md?model=2072618), [All aircraft, 270 cases](https://openairdocs.org/ntsb-findings/03021017/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Initial climb: Collision during takeoff/land](https://openairdocs.org/ntsb-events/490) (defining event); cases with it: [Cessna 180H, 4 cases](https://openairdocs.org/ntsb-events/490/sequence.md?model=2072618), [All aircraft, 1,309 cases](https://openairdocs.org/ntsb-events/490/sequence.md)

## Analysis

The pilot and passenger were departing downhill in a southwesterly direction from a remote, sloped airstrip located on a mountain ridgeline. According to a witness, the pilot had three trips planned to the airstrip that day, transporting hunters and gear to a nearby village. The witness stated that, upon the pilot’s return to the airstrip following the first flight of the day, he reported to the pilot that, since his previous departure, the winds had increased and were “gusting and changing a lot.” He watched the initial portion of the takeoff roll; nothing appeared abnormal, and he did not watch the remainder of the takeoff. He stated that, during previous departures, the airplane would typically dip out of sight below the departure end of the airstrip before continuing its climb out of the valley. When he did not see the airplane continue the climb, he went to the edge of the ridgeline and saw that the airplane had impacted tundra about 300 ft below the airstrip. A small cluster of trees was present about 2/3 of the way down the left side of the 750-ft-long airstrip. One tree was fractured and displayed fragments of red paint that matched the accident airplane’s paint color. The left horizontal stabilizer displayed a concave dent perpendicular to the leading edge about 1 ft outboard of the stabilizer root. Tree sap and embedded tree fibers were observed in the leading edge of the horizontal stabilizer. Examination of the airframe and engine revealed no evidence of any preimpact mechanical failures or malfunctions that would have precluded normal operation. Review of weather information indicated the presence of north/northeasterly surface wind conditions in the area of the accident site. Another pilot, who responded to the accident site about 45 minutes after the accident, reported that the wind was “unusual” and variable, gusting 10-12 knots from the north before gusting 5 knots from the south and repeating. Based on the available information, it is likely that the pilot encountered gusting tailwind conditions during the takeoff, which resulted in the airplane veering left and impacting a tree, followed by a loss of control and impact with terrain.

## Factual narrative

According to the Pilot’s Operating Handbook (POH), the Cessna 180’s maximum takeoff gross weight is 2,800 pounds. The airplane’s weight and balance listed the airplane’s empty weight as 1,969 pounds. Based on weight of the occupants, cargo, and fuel, the estimated gross weight of the airplane at takeoff was 2,578 pounds, about 222 pounds under the maximum gross weight of the airplane. According to another pilot that had flown into the airstrip, it was locally identified as the “Major Ed” airstrip, located in hilly and mountainous terrain. The airstrip was situated atop a 300 ft tall ridgeline at an elevation of 1,560 ft. The airstrip sloped from about 15°, increasing to about 35° down before a shear vertical drop. On June 16, 2023, about 1135 Alaska daylight time, a Cessna 180H airplane, N91361, was substantially damaged when it was involved in an accident near Shaktoolik, Alaska. The pilot and passenger were fatally injured. The airplane was operated as a Title 14 Code of Federal Regulations Part 135 on-demand charter flight. The airplane was operated by Golden Eagle Outfitters, Inc. in support of a remote bear hunting excursion. Two hunting guides were waiting on a remote off-airport mountain ridgeline airstrip near their camp to be picked up and flown to Unalakleet Airport (PAUN) after a hunting trip. An hour before the accident, the pilot departed with two hunters/clients and told the guides he would be back to pick them up. When the pilot returned, he boarded one of the guides and some of their gear, then arranged to return for the other and the remaining gear. The guide who witnessed the accident stated that the winds “were gusting and changing a lot” and increased during the hour they waited for the pilot’s return. He stated he had flown with the pilot many times and had witnessed the pilot perform takeoffs and landings from the airstrip many times. The airstrip was about 750 ft long and situated atop a down-sloping, rock- and grass-covered ridgeline. The airplane normally landed uphill on about a 060° heading, then departed in the opposite direction, downhill, on a heading about 240°. During previous departures, after takeoff, the airplane would dip below the airstrip off the departure end, out of sight, then climb back into view and out of the valley. The witness watched the initial portion of the downhill takeoff roll, and nothing appeared abnormal, so he turned away and did not watch the remainder of the takeoff. When he did not hear the engine noise during climbout or see the airplane climbing, he ran to the ridgeline’s edge and saw the airplane had impacted the tundra 300 ft below the airstrip. He sent an SOS alert from his personal GPS tracker, then hiked down to the airplane to check for survivors. An autopsy of the pilot was performed by the Alaska State Medical Examiner, Anchorage, Alaska. According to the autopsy report, the cause of death was multiple blunt force injuries and the manner of death was accident. Toxicologytesting performed at the FAA Forensic Sciences Laboratory found no drugs of abuse. The pilot departed from and was returning to Unalakleet Airport (PAUN), located 42 miles southwest of the accident site, at an elevation of 27 ft. Shaktoolik Airport (PFSH) had the closest official weather station to the accident site, about 31 miles west-southwest at an elevation of 24 ft. The observations from the PFSH automated weather observation system around the accident time identified visual meteorological conditions with a northerly wind between 15 and 20 knots, while PAUN identified southwesterly winds between 5 to 10 knots and visual meteorological conditions. Weather data retrieved from the National Weather Service Aviation Weather Center experimental website indicated a 10- to 15-knot northeast wind over the accident site. The winds and temperature aloft forecast valid for the closest point to the accident site was 020° and 13 knots at 3,000 ft. A search of archived information indicated that the accident pilot did not request weather information from Alaskan Flight Services. It is unknown what weather information, if any, the accident pilot checked or received before or during the accident flight. A pilot who responded to the accident site about 45 minutes after the accident said that the winds were “unusual” that day. Winds were variable, gusting 10 to 12 knots from the north, calmed, then gusted 5 knots from the south, and then the pattern repeated. Examination of the airstrip revealed a small cluster of trees about 2/3 of the distance from the beginning of the airstrip, on the left side and downslope. One 12-ft tree, about 4 inches in diameter, was fractured about 4 ft from its base. The separated portion of the tree was found next to its trunk and displayed fragments of red paint that matched the accident airplane’s paint color. Figure 1. View of the fractured tree with fragments of red paint. Examination of the wreckage revealed that it impacted tundra in a steep, nose-down, wings-level attitude about 1,200 ft from the broken tree. The wings were displaced by impact and the right wing leading edge was uniformly crushed aft along its span. The upper and lower wing skins were crushed aft in compression. Flight control continuity was established through several breaks to the flight control surfaces. All breaks and separations were consistent with impact and overstress failure. The engine was separated from the airframe and came to rest inverted behind the left wing. The propeller hub was fractured, and the propeller blades were separated from the hub. The left horizontal stabilizer displayed a concave dent perpendicular to the leading edge about 1 ft outboard of the stabilizer root. Tree sap and embedded tree fibers were observed in the leading edge of the horizontal stabilizer. The right horizontal stabilizer and elevator did not exhibit leading edge impact signatures, and the elevator remained attached. The engine was separated and locatedforward of the initial ground impact point and behind the left wing. It came to rest upside down; the oil pan was crushed upward. The fuel boost pump was observed fractured into pieces. The fuel lines were also fragmented. The engine exhibited heavy impact damage to the nose and sump and, except for the impact damage, the internal components of the engine were intact. The internal engine components exhibited normal operating signatures. The crankshaft flange was impact fractured. The crankshaft would not rotate by hand until the case was opened due to impact damage. The right magneto was removed and produced spark when tested. The left magneto would not rotate. It was disassembled and the stator in the housing was displaced from its location, which was adjacent to impact damage on the external housing. Figure 2. View of the aft crushing on the horizontal stabilizer. A Garmin Aera 760 portable GPS unit was removed from the airplane and sent to the National Transportation Safety Board (NTSB) Vehicle Recorders Laboratory for further examination and data download. The device was opened, and the memory chip was dislodged from the circuit board and significant damage was observed. The data from the chip was downloaded; however, the accident flight was not captured.

## Aircraft

- Registration: [N91361](https://openairdocs.org/deregistered/N91361-2024-07-05), registration cancelled 2024-07-05, S/N 18052045, built 1969 (OpenAirDocs)
- Reported make and model: CESSNA 180 (H)
- Registry model: [Cessna 180H](https://openairdocs.org/model/cessna-180h) (registry code 2072618) (OpenAirDocs)
- Registry engine: [Continental O-470 series](https://openairdocs.org/engine/continental-o-470-series) (registry code 17026, reciprocating) (OpenAirDocs)
- Category: Airplane
- Serial number: 18052045
- Year built: 1969
- Airframe hours: 16920.9
- Engines: CONT MOTOR IO-520 SERIES 300 horsepower reciprocating
- Damage: Substantial damage
- Flight: Business, Part 135
- Operator: James B. Tweto, doing business as Golden Eagle Outfitters, Inc.
- Airworthiness certificate: Standard, Normal
- Last inspection: 100 hour, October 13, 2022
- Departed: PAUN, Unalakleet, AK
- Destination: PAUN, Unalakleet, AK
- Flight plan: Company VFR
- Equipment: Stall warning system

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 68; injuries: fatal; commercial, airline transport; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 2, with waivers/limitations; last flight review February 6, 2023; seat: left; restraint: 3-point; toxicology performed; flight hours: 27,625 total, 5,825 in this make and model

## Weather

- Conditions: Visual (VMC), Day
- Wind: 10° at 15 knots
- Visibility: 10 statute miles
- Lowest ceiling: 11,000 ft overcast
- Temperature: 54 °F, dew point 43 °F
- Altimeter: 29.65 inHg
- Observed at: FSH, 31 nm away
- METAR: PFSH 161856Z AUTO 01015KT 10SM OVC110 12/06 A2965 RMK AO2 SLP040 T01170061 PNO $

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 20230616005029A](https://openairdocs.org/incident/20230616005029A), Jun 16, 2023: Cessna 180H, Shaktoolik, AK, Destroyed, 2 fatal. Aircraft took off from a mountain top airstrip with reported tail/varying winds. On takeoff the aircraft hit a small group of trees with the left rear…

## Other investigations on N91361 (2)

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

- [NTSB ANC92LA025](https://openairdocs.org/ntsb/ANC92LA025), Jan 6, 1992: Cessna 180 (N91361), Atmautluak, AK, substantial damage. Probable cause: THE PILOT SELECTED UNSUITABLE TERRAIN. FACTORS CONTRIBUTING TO THE ACCIDENT WERE THE DAWN LIGHT CONDITION AND THE SNOW ON THE RUNWAY.
- [NTSB ANC76AA057](https://openairdocs.org/ntsb/ANC76AA057), Dec 23, 1975: Cessna 180 (N91361), Pilot Station, AK, substantial damage

## Docket (14 files)

The files NTSB released with the investigation on July 22, 2025, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=192387. 104 MB in all.

- Weather factual report (item 1, PDF, 21 pages, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15944493&FileExtension=pdf&FileName=ANC23FA042_weatherfactualSuffernfinal-Rel.pdf
- Weather - attachment 1 (item 2, GIF, 6.0 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15945315&FileExtension=gif&FileName=attachment1_animation_SAT_VIS_1900to2030utc_CODNEXLAB-GOES-West-subregional-AlaskaWest-02-20_30Z-20230616_latlon-map_noBar-10-1n-10-100-Rel.gif
- Weather - attachment 2 (item 3, ZIP, 3.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15944941&FileExtension=zip&FileName=attachment2_20230616%20AAWU%20Graphics-Rel.zip
- Weather - attachment 3 (item 4, ZIP, 12.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=15944503&FileExtension=zip&FileName=attachment3_FAAwxcameras-Rel.zip
- GPS device - specialist's factual report (item 5, PDF, 17 pages, 13 photos, 2.3 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=17442260&FileExtension=pdf&FileName=GPS%20Device%20-%20Specialist%27s%20Factual%20Report-Rel.pdf
- Pilot/operator aircraft accident report, NTSB form 6120.1 (item 6, PDF, 9 pages, 52.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=18784860&FileExtension=pdf&FileName=NTSB%206120_Redacted-Rel.pdf
- Witness statements (item 7, PDF, 4 pages, 171 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=18786036&FileExtension=pdf&FileName=Witness%20Statements-Rel.pdf
- Airframe and engine examination (item 8, PDF, 10 pages, 1.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=18898034&FileExtension=pdf&FileName=Airframe%20and%20Engine%20Examination-Rel.pdf
- Pilot training records (item 9, PDF, 3 pages, 2.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=18797897&FileExtension=pdf&FileName=Pilot%20Training%20Forms_Redacted-Rel.pdf
- Maintenance record (item 10, PDF, 11 pages, 12.4 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=18839574&FileExtension=pdf&FileName=Maintenance%20Records_redacted-Rel.pdf
- POH excerpt (item 11, PDF, 1 page, 568 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=18859878&FileExtension=pdf&FileName=Pages%20from%20180H%20OH-Rel.pdf
- Fuel record (item 12, PDF, 1 page, 558 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=18859462&FileExtension=pdf&FileName=NTSB%20info_redacted-Rel.pdf
- Toxicological report (item 13, PDF, 1 page, 156 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=18806513&FileExtension=pdf&FileName=Toxigology_Redacted-Rel.pdf
- Photos (item 14, PDF, 10 pages, 6.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=18824798&FileExtension=pdf&FileName=Photos-Rel.pdf

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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