ANC96LA049

NTSB accident investigation · Cessna 207 · Kotzebue, AK · April 17, 1996

Accident · Serious injuriesLimited investigationFinal report
Date
April 17, 1996, 12:53 local (20:53 UTC)
Place
Kotzebue, AK
Injuries
1 serious
Damage
Destroyed
Phase of flight
Initial climb
Aircraft
N6282HCessna 207
Weather
Instrument (IMC) · Day
Status
Completed · report September 19, 1996
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19960417007569A
Case key
2821

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

failure of the pilot to maintain sufficient altitude/clearance above terrain, after becoming spatially disoriented, while maneuvering after takeoff. Factors relating to the accident were: fog, snow, partial obscuration, 'flat' conditions of light, and the lack of a distinct horizon over ice/snow covered 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.

In flight encounter with weatherTakeoff - initial climb
Light condition - otherFactor
Weather condition - fogFactor
Weather condition - snowFactor
Weather condition - obscurationFactor
Flight into adverse weather - performedPilot in commandFactor
Visual illusionPilot in commandFactor
In flight collision with terrain/waterManeuvering
Maneuver - initiatedPilot in command
Descent - inadvertentPilot in command
Terrain condition - water,frozenFactor
Altitude/clearance - not maintainedPilot in commandCause
Spatial disorientationPilot in commandCause

Analysis

The pilot was departing a remote airport to begin a VFR cargo flight. The departure path took the airplane over ice covered terrain. The airport was considered to be below basic VFR conditions with light snow and fog, and the visual conditions in the area were considered to be 'flat' with the visibility from 2 to 3 miles. The pilot received a special VFR clearance out of the control zone by a flight service station specialist. After departure, witnesses observed the airplane climb to an estimated 500 feet above the ground and turn to the right. Shortly thereafter, the airplane banked to the right about 90 degrees, then descended to the ground in a wing and nose low attitude. A postaccident inspection of the airframe and engine did not reveal any mechanical malfunction.

Factual narrative

On April 17, 1996, at 1253 Alaska daylight time, a wheel equipped Cessna 207, N6282H, collided with terrain about 3/4 mile northwest of Kotzebue, Alaska. The airplane was being operated as a visual flight rules (VFR) cross-country cargo flight under Title 14 CFR Part 135 when the accident occurred. The airplane, registered to and operated by Yute Air Inc., Anchorage, Alaska, was destroyed. The certificated commercial pilot, the sole occupant, received serious injuries. Instrument meteorological conditions prevailed. A VFR flight plan was filed and company flight following procedures were in effect. The flight originated at the Ralph Wien Memorial Airport, Kotzebue, at 1252.

The operator reported that the airplane had just departed Kotzebue with a special visual flight rules clearance (SVFR) en route to Selawik, Alaska. Witnesses indicated that flat lighting conditions existed at the airport. After departure, witnesses observed the airplane climbing to about 500 to 700 feet above the ground and then enter a 90 degree bank to the right. The airplane descended in a right wing and nose low attitude and struck ice covered terrain.

A Federal Aviation Administration (FAA) inspector from the Fairbanks Flight Standards District Office (FSDO) was in Kotzebue at the time of the accident and responded to the accident site. He reported that the airplane collided with offshore ice on a northerly heading. The airplane wreckage was documented by the inspector who indicated that the airplane came to rest inverted with the nose oriented toward the northeast. The right wing was folded over the top and trailing aft of the left wing. The engine separated from the fuselage and was located forward of the wreckage. Portions of the airplane were located along a wreckage path from the initial point of impact to the point of rest. Following the accident, the pilot did not have any recollection of being involved in an accident.

The FAA inspector performed a weight and balance calculation by examining the operator's records of the flight. Most of the cargo was strewn along the wreckage path, but the airplane's nose cargo compartment still contained all of its loaded cargo. The nose compartment has a limit of 120 pounds. At the wreckage site, the nose compartment contained 144 pounds of cargo. The FAA inspector reported that the total weight and balance limits for the airplane were not exceeded.

At 1251, a special weather observation at Kotzebue was reporting, in part: Sky condition and ceiling, sky partially obscured, 2,800 feet scattered, measured 5,000 overcast; visibility, 2 1/2 miles variable, light snow and fog; wind 310 degrees at 7 knots; altimeter, 29.41 inHg; remarks, snow covering 1/10 of the surface, visibility variable between 2 to 3 miles.

The Kotzebue airport is located in Class E airspace. The weather conditions were below basic VFR conditions and the Kotzebue Automated Flight Service Station (AFSS) was in control of the airspace. Audio tapes of radio conversations between the Kotzebue AFSS and airplanes operating in the Kotzebue control zone were reviewed.

At 1248:56, the pilot of the accident airplane requested a special VFR departure. The Kotzebue AFSS specialist replied there would be a 10 minute delay pending the arrival of several VFR airplanes into Kotzebue. At 1251:24, the pilot advised that if the first arriving airplane was not too close, he could maintain separation from the airplane. At 1251:37, the AFSS specialist issued a special VFR clearance out of the Kotzebue control zone to the accident airplane. The specialist did not specify to the accident airplane pilot or other arriving airplanes to maintain visual separation from each other. There is no evidence that a loss of separation occurred between the accident airplane and the other arriving airplanes.

On April 30, 1996, the engine was examined at Sea Air Inc., Anchorage, Alaska. The examination revealed gear and valve train continuity. Thumb compression was evident in all cylinders. The magnetos produced spark at all cylinders. The left magneto was timed at 23 degrees before top dead center (BTDC) and the right magneto was timed at 24 degrees BTDC. The spark plug's massive electrodes exhibited a dry and grey appearance.

The engine driven fuel pump drive was intact and fuel was ejected from the body of the pump when the drive was hand rotated. The fuel metering unit inlet screen and the fuel manifold screen were both free of contaminants. The oil sump was crushed upward against the engine block and exhibited a longitudinal tear. The oil filter was free of any contaminants. The engine driven vacuum pump drive was intact but the pump could not be rotated by hand. Internal examination of the vacuum pump revealed the internal bloke was fractured. The individual vanes in the block were intact and moved within their respective slots.

Aircraft

Registration
N6282H
Reported as
Cessna 207
Category
Airplane
Serial number
20700465
Airframe hours
15,367
Engine
Continental IO-520-F, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Part 135
Registered owner
Yute Air Alaska
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · March 25, 1996 · 92 hours before
Departed
OTZ
Destination
WLK · Selawik, 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
27
Certificate
Commercial
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
1,815 total · 175 in this make and model · 1,639 as pilot in command · 195 in the last 90 days · 84 in the last 30 days · 5 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Day
Wind
310° at 7 knots
Temperature
16 °F, dew point 12 °F
Altimeter
29.00 inHg
Observed at
OTZ, 1 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.