ANC93LA127

NTSB accident investigation · Beech D18S · Kodiak, AK · July 25, 1993

Accident · Minor injuriesLimited investigationFinal report
Date
July 25, 1993, 14:08 local (22:08 UTC)
Place
Kodiak, AK
Injuries
1 minor
Damage
Substantial damage
Phase of flight
Initial climb
Aircraft
N2053DBeech D18S
Weather
Visual (VMC) · Day
Status
Completed · report June 30, 1994
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19930725025349A
Case key
2388

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 improper in flight planning/decision. A factor was the partial loss of power on one engine.

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.

Airframe/component/system failure/malfunctionTakeoff - initial climb
Landing gear,normal retraction/extension assembly - failure,partial
Loss of engine power(partial) - nonmechanicalCruise - normal
Lubricating system,oil tank - ruptured
Fluid,oil - exhaustion
1 engine - failure,partialFactor
DitchingDescent - emergency
Terrain condition - water
Climb - not possiblePilot in command
In-flight planning/decision - improperPilot in commandCause

Analysis

The pilot said that about 10 minutes after takeoff, and while cruising at about 800 feet AGL, the right engine oil pressure began decreasing and the temperature increasing. About 2 minutes later the right engine started running rough and backfiring, so he shut it down. Meanwhile he mistakenly turned into a small bay instead of toward his departure airport. Because of the high terrain and houses on his left he attempted a slow turn to the right. When the airplane got into a low airspeed buffet, and the pilot thought it was about to go inverted, he cut power on the left engine, leveled the wings, and ditched in the shallow water near the shoreline. Investigation found that during the after takeoff gear retraction the right main landing gear retraction chain broke and punctured the right engine's oil tank, which allowed all the oil to drain out. No mechanical problems were found with either of the two engines.

Factual narrative

On July 25, 1993, at 1408 Alaska daylight time, a wheel equipped Beech D18S airplane, N2053D, operated by Fresh Alaskan Seafoods Transported, ditched in shallow water adjoining the beach about 2 miles northwest of Kodiak, Alaska. The airline transport pilot, the sole occupant, received minor injuries, and the airplane was substantially damaged. The business flight, operating under 14 CFR Part 91, departed Kodiak Municipal Airport at 1330. Visual meteorological conditions existed, and a company VFR flight plan was filed.

Shortly after the accident, during a telephone conversation, the pilot stated the following in part: "Approximately 10 minutes after taking off from Kodiak, and while cruising at about 800 feet agl, the right engine oil pressure began decreasing, and the oil temperature began increasing. I did a 180 degree turn and headed back toward Kodiak. A couple minutes later the right engine started running rough and backfiring, so I shut it down. Then I turned into what I thought was the channel to Kodiak, but it was actually Mill Bay. I realized that I might not be able to clear the houses and high terrain on the left so I started a slow right turn. The airplane was not able to maintain altitude and slowly descended to about 50 feet. I realized that I did not have sufficient room to complete the turn in the bay. I started getting low speed buffeting and I thought the airplane was about to go inverted, so I reduced the throttle on the left engine and leveled the wings in preparation for ditching in the shallow water along the beach. A second later the right wing tip hit the water and the airplane cartwheeled."

Aircraft

Registration
N2053D
Reported as
Beech D18S
Category
Airplane
Serial number
A-947
Airframe hours
6,400
Engine
P&W R985-14B, 450 horsepower, reciprocating
Damage
Substantial damage
Flight
Business · Part 91
Operator
Louvring, Frederick S., doing business as Fresh Ak Seafoods Trans.
Registered owner
Kindblade, Stanley J.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · July 23, 1993 · 2 hours before
Departed
ADQ
Destination
09AK · Larsen Bay, AK
Flight plan
Company 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
51
Certificates
Airline transport, Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
17,000 total · 1,800 in this make and model · 10,000 as pilot in command · 20 in the last 90 days · 20 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
190° at 8 knots, gusting 15
Visibility
15 statute miles
Lowest ceiling
None
Temperature
63 °F, dew point 54 °F
Altimeter
29.00 inHg
Observed at
ADQ, 7 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.