ANC24LA043

NTSB accident investigation · Cessna 207A · Bethel, AK · June 3, 2024

Accident · No injuriesClass 3 · LimitedFinal report
Date
June 2, 2024, 16:00 local (Jun 3, 2024, 00:00 UTC)
Place
Bethel, AK
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N9651MCessna 207A
Defining event
Takeoff: Aerodynamic stall/spin
Weather
Visual (VMC) · Day
Status
Completed
Report
Approved by Office Director
Investigation class
Class 3
NTSB office
Alaska Regional Office
Parties
FAA
FAA report
20240602005249A
Case key
194391

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 improper short-field takeoff procedure, which resulted in an aerodynamic stall and subsequent hard landing.

Findings · 3

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.

Use of equip/info: use of equip/systemPersonnel issues › Task performance · PilotCessna 207A: 2 casesAll aircraft: 1,391 casesProbable cause
Use of equip/info: aircraft controlPersonnel issues › Task performance · PilotCessna 207A: 11 casesAll aircraft: 9,295 casesProbable cause
Performance/control parameters: airspeedAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 207A: 2 casesAll aircraft: 1,681 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 performing a short-field takeoff procedure with an airplane that was near its maximum gross weight. The airplane’s operating handbook specified that the short-field takeoff procedure required the use of flaps until the airplane had reached an indicated airspeed greater than 80 knots. The pilot reported that, during the initial climb, he felt the airplane sink and saw the wing flaps retract in his peripheral vision. The pilot pushed the airplane’s nose down to gain airspeed; however, the airplane was too low to gain sufficient airspeed for continued flight, and subsequently landed hard on the runway, resulting in substantial damage to the fuselage and empennage. Examination of the flap system revealed that the flaps were fully retracted at the time of impact, and the flap position lever was also in the retracted position. An operational check of the flap control system was conducted in accordance with the airplane service manual and no abnormalities were observed. Given the position of the flaps and flap position lever at the time of the accident and the lack of anomalies during postaccident operational testing of the flap system, it is likely that the pilot either retracted the wing flaps during the takeoff initial climb at an altitude and airspeed that was insufficient to sustain flight, or attempted a short-field takeoff with the flaps improperly configured (retracted), which resulted in an aerodynamic stall and subsequent hard landing.

Factual narrative

On June 2, 2024, about 1600 Alaska daylight time, a Cessna 207A airplane, N9651M, was substantially damaged when it was involved in an accident near Bethel, Alaska. The commercial pilot was not injured. The airplane was operated by Grant Aviation as a Title 14 Code of Federal Regulations Part 135 cargo flight. According to the operator, the airplane was departing from Bethel Airport, Bethel, Alaska (BET), transporting cargo and mail to Kwigillingok, Alaska (GVV), when the accident occurred. The pilot reported that, while taxiing to the runway, he checked that the fuel selector was on the right tank, the engine cowl flaps were open, the wing flaps were extended to 10°, and the engine mixture was rich. He added that he elected to perform a short-field takeoff, and that the initial phase of the takeoff was normal. The airplane lifted off the runway around 64 knots. He flew the airplane in ground effect to build airspeed to 75 knots and then pitched the airplane to climb. The airplane climbed at a rate of about 500 to 600 ft per minute. About 200 ft mean sea level, he felt the airplane “sink” and saw the wing flaps moving up in his peripheral vision. The pilot noticed that the airspeed was dropping and he pushed the nose down to regain airspeed, but he was too low to regain enough airspeed for continued flight. The airplane landed hard on the runway surface, resulting in substantial damage to the fuselage and empennage. The airplane was about 70 lbs under its maximum gross weight at the time of the accident. According to the Cessna 207A Pilot’s Operating Handbook, the procedure for a short-field takeoff requires 10° of flaps, a minimum climb speed of 73 knots indicated airspeed (KIAS), and states that flaps should be retracted only when airplane’s speed is greater than 80 KIAS. Normal takeoff is performed with a climb speed of 80 to 90 KIAS. Examination of the wreckage revealed that power to the flap system was damaged during the impact with the runway. Before electrical power was applied to the flap system, a full visual inspection of the flap control assembly was performed. The flap control system was undamaged. The follow-up control, cam, flaps down and up operating switches were undamaged and in good condition. The wing flaps were retracted, and the flap position indicator was consistent with the fully retracted position. A multimeter was used to test each of the flap down/up operating switches and to determine the position of the flap control lever at the time of power loss to the flap system. The operating switches were found to be in good operating condition. Due to damage to the electrical system, a battery was used in the cockpit to connect directly to the flap system for testing. An operational check of the flap control system was conducted in accordance with the Cessna 207 series service manual and no abnormalities were observed. The flaps functioned normally during the operational check.

Aircraft

Registration
N9651M
Reported as
Cessna 207A
Category
Airplane
Serial number
20700715
Built
1981
Airframe hours
26,698.5
Engine
Teledyne Continental IO-520-F, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Operator
Grant Aviation Inc
Registered owner
Grant Aviation Inc
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · June 2, 2024 · 0.7 hours before
Destination
PAGG · Kwigillingok, AK
Flight plan
Company VFR
Airport
BET · Bethel Airport, runway 1L, 6,400 × 150 ft, asphalt
Equipment
Stall warning system, ADS-B, Satellite tracking device, Electronic flight bag or handheld device

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
24
Injuries
None
Certificate
Commercial
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Without waivers/limitations
Last flight review
January 14, 2024
Seat
Left
Restraint
3-point
Flight hours
911 total · 307 in this make and model · 816 as pilot in command · 210 in the last 90 days · 35 in the last 30 days · 0 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
350° at 11 knots, gusting 19
Visibility
10 statute miles
Lowest ceiling
8,500 ft broken
Temperature
66 °F, dew point 39 °F
Altimeter
29.32 inHg
Observed at
PABE
METAR
PABE 022353Z 35011G19KT 10SM BKN085 19/04 A2932 RMK AO2 SLP931 T01890039 10206 20144 57018

Docket · 7

The files NTSB released with the investigation on April 23, 2025, on NTSB’s docket system: statements, records, photos and specialists’ reports. 37.6 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 N9651M · 2

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