ANC89LA125

NTSB accident investigation · Cessna T210N · Golovin, AK · July 19, 1989

Accident · Minor injuriesLimited investigationFinal report
Date
July 18, 1989, 20:37 local (Jul 19, 1989, 04:37 UTC)
Place
Golovin, AK
Injuries
4 minor, 4 uninjured
Damage
Substantial damage
Phase of flight
Takeoff
Aircraft
N6539NCessna T210N
Weather
Visual (VMC) · Day
Status
Completed · report July 9, 1990
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19890718023069A
Case key
5227

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 poor judgement, his inadequate preflight planning/preparation, and his selection of the taxiway (wrong runway) for takeoff. Contributing factors were: the pilot's physical condition (fatigue), his self induced pressure, the weather conditions, and the uneven terrain.

Sequence of events

NTSB’s coding before 2008: each occurrence and phase of flight, and the causes and factors under it. The codes are defined in NTSB’s coding manual.

On ground/water encounter with terrain/waterTakeoff
Judgment - poorPilot in commandCause
Fatigue(flight and ground schedule)Pilot in commandFactor
Fatigue(lack of sleep)Pilot in commandFactor
Self-induced pressurePilot in commandFactor
Preflight planning/preparation - inadequatePilot in commandCause
Weather condition - drizzle/mistFactor
Weather condition - unfavorable windFactor
Weather condition - tailwindFactor
Wrong runway - selectedPilot in commandCause
Terrain condition - rough/unevenFactor
Seat belt - not usedPassenger
Shoulder harness - not usedPassenger
Shoulder harness - not usedPilot in command

Analysis

The plt mistook the twy for the rwy & began his takeoff on the twy. When he realized his error, his speed was too fast to negotiate the turn onto the rwy or stop & too slow to fly. Subsequently, the acft went off an embankment on the opposite side of the rwy & was damaged. There were 8 persons aboard the 6-place acft. The 2 extra persons were not using seat belts. One (a 10 yr old boy) was sitting between the 2 front seats without a belt & another (a 10 yr old girl) was sitting on the lap of another passenger. Also, shoulder harnesses were available for 2 front seat pax, but they were not using them. The plt had been on an irregular schedule & had very little sleep in the preceding 2 or 3 days. Also, he was rprtd to be under pressure to return to nome to resume a record setting around-the-world flt involving his 11 year old son. The twy angled to the apch end of rwy 2 from the west-southwest. The wind was rprtd to be variable from the south at 10 to 15 KTS with gusts to 25 KTS.

Aircraft

Registration
N6539N
Reported as
Cessna T210N
Category
Airplane
Serial number
21063095
Airframe hours
3,275
Engine
Continental TSIO-520-R, 295 horsepower, reciprocating
Damage
Substantial damage
Fire
On-Ground
Flight
Personal · Part 91
Operator
Aliengena, Gary A.
Registered owner
Riteway Leasing Co., Inc
Airworthiness certificate
Standard, Normal
Last inspection
Annual · April 3, 1989 · 145 hours before
Destination
OME · Nome, AK
Airport
GLV · Golovin, runway 2, 2,720 × 60 ft, gravel

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
39
Certificate
Private
Airplane ratings
Single-engine land
Instrument ratings
Airplane
Medical
Class 3, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
1,500 total · 1,100 in this make and model · 1,460 as pilot in command · 120 in the last 90 days · 50 in the last 30 days · 3 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
200° at 15 knots, gusting 25
Visibility
3 statute miles
Lowest ceiling
900 ft overcast
Temperature
55 °F, dew point -0 °F

FAA reports on this event · 1

The FAA’s own accident and incident reports, matched to the aircraft by N-number and date.