ANC93LA121

NTSB accident investigation · Cessna 206G · Kelly River Bar, AK · July 19, 1993

Accident · No injuriesLimited investigationFinal report
Date
July 19, 1993, 14:45 local (22:45 UTC)
Place
Kelly River Bar, AK
Injuries
5 uninjured
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N756AHCessna 206G
Weather
Visual (VMC) · Day
Status
Completed · report November 18, 1994
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19930719025789A
Case key
2383

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 failure to assure that adequate takeoff distance was available. The rough/uneven terrain was a factor.

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.

In flight collision with terrain/waterTakeoff - initial climb
Terrain condition - rough/unevenFactor
Preflight planning/preparation - improperPilot in commandCause

Analysis

The pilot stated that he estimated the gravel River bar takeoff distance as 750 ft, and that it was adequate for takeoff. During takeoff with 20 deg of flaps, the airplane settled into the River and the airplane nosed over. Short-field takeoff data shows that a 3300-LB airplane would require a ground run of aprx 740 ft on a smooth paved surface at 15 deg c. the airplane was stc'd with extended wing tip fuel tanks which increased the max gross weight 200 lbs.

Factual narrative

History of flight

On July 19, at approximately 1445 Alaska daylight time, a wheel equipped Cessna 206U airplane, N756AH, failed in a takeoff attempt from a gravel river bar, impacted in the water and overturned. The airplane, on a VFR flight plan, was operated by Northwestern Aviation of Kotzebue, Alaska, under 14 CFR Part 135, as an on-demand air carrier. The location of the accident was on the Noatak River, approximately 62 miles north of Kotzebue. Visual meteorological conditions existed. The airline transport rated pilot and four passengers were not injured and the airplane sustained substantial damage.

The pilot told investigators that he had not landed on that part of Kelly Bar previously. After landing, he loaded four sportsmen clients and their equipment. He estimated the takeoff distance to be 750 feet; stating that he had "enough distance to takeoff." The pilot recalled back-taxiing to utilize all of the available run. In a statement provided to the NTSB, he said that he applied full power, with a flap setting of twenty degrees and released the brakes. The pilot also recalled the airplane to have become airborne momentarily and then settle, the main wheels hitting the water of the Noatak River. Upon impact, the aircraft nosed over, shearing the nose gear, propeller, and bending the left wing aft.

The length of that river bar is not shown on maps and investigators could not verify that 750 feet existed at that location.

In a telephone interview, the pilot told investigators, "there was no engine problem, I guess I didn't have enough airspeed." He was asked if the stall warning horn had alerted him to a pending stall, he replied, "this airplane has a wing tank mod, the stall warning horn is always on, on takeoff."

Aircraft information

The exact weight of the aircraft at the time of the accident was not available. The pilot did not compute a weight and balance and the weights of passengers and equipment were estimated. A takeoff gross weight of the airplane was estimated to be between 3200 and 3400 pounds.

Short field takeoff data for a 3300 pound aircraft at 15 degrees (C) was used by investigators as computation for performance. The "Short Field" data for a 3300 pound aircraft indicates that a ground run of approximately 740 feet would be required to become airborne from a smooth paved surface. Allowance for degradation of takeoff run is not shown for a gravel or rocky surface. The performance data on the charts has a footnote stating that takeoff ground roll on a dry grass surface must be increased by 15 percent.

Degradation of takeoff performance for a rocky or gravel surface was not estimated by investigators. No rough surface takeoff performance charts or documented flight tests for these conditions were found.

Meteorological information

The pilot stated that he had excellent visibility and light and variable winds. He recalled the temperature as being in the 50's. The nearest weather facility was a Kotzebue, approximately 75 miles to the south. An observation taken there at 1350 local is entered for information in the accident data for this report. Visual meteorological conditions existed at both locations.

Additional information

The airplane was equipped with Flint Aero extended wing tip fuel tanks, adding approximately 36 inches of effective wing span to the airplane. The Supplemental Type Certificate (STC SA4366WE) information provided with the modification, as an operational supplement, stated that the wing tip tanks increased the maximum gross weight of the airplane to 3800 (originally 3600). No information was provided regarding possible changes to stall speed, takeoff performance or climb performance. The STC was approved by the Supervisor, Flight Section, FAA Western Aircraft Certification Office, NW Mountain Region.

The STC certification data for the modification revealed that while the approval was issued by the FAA Flight Section, no actual flight performance tests were recorded. No information was recorded regarding possible changes to stall performance or required changes to original position or calibration of the stall warning sensor.

Investigators interviewed pilots of U206 airplanes from other companies that fly the Cessna 206 with the same wing tip tank modification. These pilots also reported that the stall warning horn is regularly heard during normal takeoff runs.

The NTSB contacted the manufacturer of the wing tip tank modification, who reported that they had no empirical or claimed data regarding performance with the STC. The manufacturer also stated that the extended center of gravity envelope (increasing the maximum gross takeoff weight to 3800 pounds) was provided by the Los Angeles office of FAA Certification.

The FAA Certification Office, Anchorage, Alaska, told the NTSB that the Los Angeles Certification Branch had "drawn the envelope larger for the STC holder and issued the CG information in March of 1993."

In a letter to the NTSB, the FAA Anchorage Certification Office also stated, in part, "Rotating to the range of pitch-up angles typically used for takeoff could then cause a U206G airplane modified in accordance with STC No. SA4366WE to experience an aural stall warning activation that an unmodified airplane would not experience."

Aircraft

Registration
N756AH
Reported as
Cessna 206G
Category
Airplane
Serial number
U20603932
Airframe hours
5,879
Engine
Continental IO-520-F9, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Registered owner
Northwestern Aviation
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · June 29, 1993 · 57 hours before
Destination
OTZ · Kotzebue, AK
Flight plan
VFR

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
31
Certificate
Airline transport
Airplane ratings
Single-engine land
Instrument ratings
Helicopter, Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
3,627 total · 208 in this make and model · 3,472 as pilot in command · 208 in the last 90 days · 147 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
25 statute miles
Lowest ceiling
None
Temperature
55 °F, dew point 55 °F
Altimeter
30.00 inHg
Observed at
OTZ, 75 nm away

FAA reports on this event · 1

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