ANC97FA001

NTSB accident investigation · de Havilland DHC-2 · Ketchikan, AK · October 13, 1996

Accident · FatalField investigationFinal report
Date
October 13, 1996, 14:55 local (22:55 UTC)
Place
Ketchikan, AK
Injuries
3 fatal
Damage
Destroyed
Phase of flight
Enroute
Aircraft
N64276de Havilland DHC-2
Weather
Day
Status
Completed · report March 31, 1998
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19961013031949A
Case key
2925

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

continued flight by the pilot into adverse weather condition, and his failure to maintain adequate altitude/clearance from mountainous terrain. Factors related to the accident were the high/mountainous terrain, and weather conditions that included low ceilings.

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 weatherCruise
Terrain condition - high terrainFactor
Weather condition - low ceilingFactor
Flight into adverse weather - performedPilot in commandCause
In flight collision with terrain/waterManeuvering
Terrain condition - mountainous/hillyFactor
Altitude/clearance - not maintainedPilot in commandCause

Analysis

The pilot and two passengers departed for a remote area on an on-demand charter flight in a float-equipped airplane. An emergency locator transmitter signal was heard in the area of the intended destination about 55 minutes after departure. The flight was reported overdue and search personnel located the wreckage at an elevation of about 2,850 feet in mountainous terrain about 2 and 1/2 hours after departure. The airplane collided with terrain below the top of a steep ridge. Search personnel reported the weather conditions in the area included low ceilings. The conditions deteriorated during subsequent rescue operations. The area forecast included an AIRMET for marginal VFR conditions with mountain obscuration due to clouds and precipitation.

Factual narrative

History of the Flight

On October 13, 1996, about 1455 Alaska daylight time, a float equipped deHavilland DHC-2, N64276, collided with terrain about 38 miles north of Ketchikan, Alaska. The airplane was being operated as a visual flight rules (VFR) cross-country on-demand passenger flight under Title 14 CFR Part 135 when the accident occurred. The airplane, operated by Seaside Air Service, Ketchikan, was destroyed. The certificated commercial pilot and two passengers received fatal injuries. A VFR flight plan was filed. The flight originated at the Ketchikan Harbor Seaplane base at 1358.

The flight was for the purpose of transporting the passengers to a remote area for goat hunting. After departure, the pilot filed a VFR flight plan at 1204 with the Ketchikan Automated Flight Service Station (AFSS). The pilot indicated the planned destination was Reflection Lake, located about 43 miles north of Ketchikan. There was no further communications from the airplane.

The U.S. Coast Guard reported that an emergency locator transmitter (ELT) signal was detected in the area of the accident about 1455. Local area pilots became concerned and began search operations. The flight was officially declared overdue at 1636 and the wreckage was located about 1640. Search personnel reported that the airplane struck the side of a steep canyon wall about 2,850 feet mean sea level. The wreckage then tumbled down the side of the canyon about 300 feet.

The accident occurred during the hours of daylight at latitude 55 degrees, 59.021 minutes north and longitude 131 degrees, 42.176 minutes west.

Crew Information

The pilot held a commercial pilot certificate with airplane single-engine land, multi-engine land, single-engine sea, and instrument airplane ratings. The most recent second-class medical certificate was issued to the pilot on October 30, 1995, and contained the limitation the pilot must wear lenses for distant vision and possess glasses for near vision.

No personal flight records were located for the pilot. Review of the pilot/operator report submitted to the Safety Board, and the operator's flight and duty time record, revealed the pilot's total aeronautical experience was estimated at 17,000 hours, of which 8,500 hours were accrued in the accident airplane make and model. In the preceding 90 and 30 days prior to the accident, the pilot accrued a total of 219 and 46 hours respectively.

Aircraft Information

The airplane had accumulated a total time in service of 12,474.7 hours. Examination of the maintenance records revealed that the most recent annual inspection was accomplished on January 11, 1996, 493.8 hours before the accident. In addition, a 100-hour inspection was completed on September 25, 1996, 19.7 hours before the accident.

The engine had accrued a total time in service of 7,909.6 hours of operation. The maintenance records note that a major overhaul was accomplished on November 30, 1994, 1,071.9 hours of operation before the accident. Annual and 100-hour inspections were accomplished on the dates specified above for the airframe.

Meteorological Information

The closest official weather observation station is Ketchikan, Alaska, which is located about 38 nautical miles south of the accident site. At 1447, an aviation routine weather report (METAR) was reporting in part: wind, light and variable at 3 knots; visibility, 20 miles; sky condition and ceiling, 2,200 feet scattered, 3,500 feet broken, 6,000 feet broken, 12,000 feet overcast; temperature, 10 degrees C; dew point, 6 degrees C; altimeter, 29.71 inHg.

The terminal area forecast (TAF) for the Ketchikan area issued on October 13, 1997, at 0933, was valid from 1000, October 13, 1996, until 1000 on October 14, 1997. The forecast was reporting in part: Wind, 150 degrees (true) at 12 knots, gusts to 20 knots; visibility greater than 6 statute miles in light rain showers; sky condition and ceiling, 1,500 feet scattered, 3,000 feet broken, 4,500 overcast; temporary changes expected within the valid period: visibility, 3 statute miles in light rain showers and mist; sky condition and ceiling, 500 feet scattered, 1,500 feet scattered.

The National Weather Service, Alaska Aviation Weather Unit, Anchorage, issued a area weather synopsis on October 13, 1996, at 1145. The synopsis, valid until October 14, 1996, at 0600, was reporting in part: A 982 millibar low near Whittier, Alaska, will remain nearly stationary through 0600, October 14, 1996. A 998 millibar low, 180 miles southwest of Sitka, Alaska, will be in the vicinity of Yakutat, Alaska, by 1600, October 13, 1996, and near Burwash, Yukon Territory, Canada, by 2400. An associated trough from the low to near Annette Island, Alaska, will extend from Yakutat to Skagway, Alaska, and southeast by 2400.

The synopsis for southern, southeast Alaska, valid until October 13, 1996, at 2400, included a meteorological notice to airmen (AIRMET). The synopsis was reporting in part: Airmet for mountain obscuration. Mountains temporarily obscured in clouds and precipitation, no change. Sky condition and ceiling, 2,000 scattered, 3,000 broken, 5,000 overcast, merging layers up to 30,000 feet. Light rain showers. Isolated areas, 1,000 feet scattered, 2,000 feet broken, 3,500 feet overcast. Visibility, 5 statute miles in light rain showers and mist. Surface winds, southeast with gusts to 20 knots. Outlook, valid from October 13, 1996, at 2400, to October 14, 1996, at 1800; marginal VFR conditions, ceilings with rain showers. Turbulence; isolated moderate turbulence below 6,000 feet. Icing and freezing level; light isolated moderate mixed icing in clouds and precipitation, 500 feet to 15,000 feet. Freezing level, 5,000 feet.

A pilot who initially spotted the wreckage reported that he had been in the area of the accident about 1100. At that time, the weather conditions were 2,000 feet scattered, visibility 10 to 15 miles, and no rain. When he arrived in the area of the wreckage at 1640, the weather conditions were 4,000 feet overcast, visibility 15 to 20 miles. While waiting for rescue helicopters to arrive in the area, the weather conditions deteriorated and lowered to 2,800 feet overcast with rain and snow squalls. The weather conditions continued to deteriorate with increasing snow and rain.

Communications

Review of the air-ground radio communications tapes maintained by the FAA at the Ketchikan AFSS revealed that the airplane successively and successfully communicated with the positions of "inflight #1" and "inflight #2." No unusual communications were noted between any FAA facility and the accident airplane during the review of the tapes.

A transcript of the air to ground communications between the airplane and the Ketchikan AFSS is included in this report.

Wreckage and Impact Information

The National Transportation Safety Board investigator-in-charge (IIC), along with an FAA Inspector from the Juneau Flight Standards District Office, attempted to reach the accident site on October 14 and 15, 1996, by helicopter. Low ceilings, with rain and snow, prevented the helicopter from reaching the scene. The accident site was then covered by snow. No further attempts to reach the accident site were made due to the onset of winter. On July 24, 1997, the NTSB IIC again attempted to reach the accident site by helicopter. Low ceilings and rain again prevented the helicopter from reaching the accident site.

Members of the Ketchikan Search and Rescue Squad (KVRS), a volunteer search and rescue organization, assisted Alaska State Troopers with the initial response to the accident scene. The team utilized technical rescue techniques, including the use of climbing ropes, to retrieve the occupants of the airplane. The KVRS members described the accident scene as a near vertical rock face. They reported the airplane fuselage was lodged in two large trees, about 1/2 way down the face o

Aircraft

Registration
N64276
Reported as
de Havilland DHC-2
Category
Airplane
Serial number
1025
Airframe hours
12,475
Engine
P&W R-985-39A, 450 horsepower, reciprocating
Damage
Destroyed
Flight
Part 135
Registered owner
Seaside Air Service
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · September 25, 1996 · 20 hours before
Departed
5KE · AK
Destination
Rowena Lake, AK
Flight plan
VFR

Flight crew

As NTSB recorded them. NTSB leaves out names.

Role
Pilot
Age
48
Certificate
Commercial
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
17,000 as pilot in command

Weather

Conditions
Day
Temperature
48 °F

FAA reports on this event · 1

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