ANC97LA138

NTSB accident investigation · Cessna U206E · Mcgrath, AK · September 2, 1997

Accident · Serious injuriesLimited investigationFinal report
Date
September 1, 1997, 16:30 local (Sep 2, 1997, 00:30 UTC)
Place
Mcgrath, AK
Injuries
1 serious, 1 minor, 1 uninjured
Damage
Substantial damage
Phase of flight
Landing
Aircraft
N9129MCessna U206E
Weather
Visual (VMC) · Day
Status
Completed · report September 4, 1998
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19970901025879A
Case key
3059

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 flare and improper recovery from a bounced landing, which resulted in overload failure of the nose gear and a nose over. Factors associated with the accident were: the pilot's failure to follow procedures and directives by neglecting to tie down and secure the load, and his failure to ensure that the passengers had seatbelts available and utilized them.

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.

Hard landingLanding - flare/touchdown
Flare - improperPilot in commandCause
Recovery from bounced landing - improperPilot in commandCause
Nose gear collapsedLanding - flare/touchdown
Landing gear,nose gear - overload
Nose overLanding
Procedures/directives - not followedPilot in commandFactor
Misc eqpt/furnishings,cargo restraints - not connectedFactor
Load tie-down/security - not usedPilot in commandFactor
Seat belt - not availablePassengerFactor
Seat belt - not usedPilot passengerFactor
Shoulder harness - not usedPilot passengerFactor

Analysis

The airplane landed hard and bounced into the air. During the subsequent touchdown, the nose wheel separated, and the airplane nosed over onto its back. Metallurgical examination of the nose wheel strut and forks revealed overstress fractures. The cargo was not secured, and struck the back seat passenger during the nose over. The aft passenger sustained serious neck injuries. The cargo was loaded on top of the aft seatbelts, making them unavailable to the aft passenger. The front seat, pilot-rated, passenger did not use the available lap belt or shoulder harness.

Factual narrative

On September 1, 1997, about 1630 Alaska daylight time, a Cessna U206E airplane, N9129M, was substantially damaged when it nosed over during landing at the Tatitna landing strip, seventy three miles east of McGrath, Alaska. The airline transport certificated pilot was uninjured. The front seat passenger sustained minor injuries. The back seat passenger sustained a serious neck injury.

The airplane was operated by Alaska Air Taxi, of Anchorage, Alaska. The flight was conducted under 14 CFR Part 135 as an on demand air taxi from Anchorage to the Tatitna strip. The flight departed Lake Hood strip at 1530. Visual meteorological conditions prevailed at the time of the accident, and a company flight plan was filed.

The pilot said that upon landing, the nose gear collapsed and the airplane nosed over onto its back.

Witnesses on the ground, and the passengers, observed the airplane land hard and bounce into the air. The passengers said the airplane bounced twice, and on the third touchdown, nosed over. Both passengers stated that the landing was slightly downwind.

The engine and empennage both separated from the airplane.

The nose landing gear assembly had been installed on the airplane twelve days prior to the accident. Inspection of the nose wheel, strut, and forks, revealed permanent deformation to the left. Further microscopic inspection of the failed components at the NTSB metallurgical laboratory revealed fractures typical of right to left overstress. A small region of fatigue was observed at the forward bolt hole of the right fork.

Neither passenger had their seatbelt fastened. Both passengers said that the cargo was not restrained, and had been placed on top of the rear seat passenger's lap belt, and that there was no belt available for the rear seat occupant. The passenger seated in the right, front seat said that his belt and shoulder harness were both available, but he did not wear them. During the accident sequence, the cargo struck the rear seat passenger.

Aircraft

Registration
N9129M
Reported as
Cessna U206E
Category
Airplane
Serial number
U20601529
Airframe hours
7,824
Engine
Continental IO-520-F, 300 horsepower, reciprocating
Damage
Substantial damage
Flight
Part 135
Registered owner
Jack Barber
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 8, 1997 · 44 hours before
Departed
Z41 · Lake Hood Strip, AK
Destination
AK48 · Tatitna, AK
Flight plan
Company VFR
Airport
AK48 · Tatitna, runway 24, 1,200 × 12 ft, gravel

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
44
Certificate
Airline transport
Airplane ratings
Single-engine land, Multi-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--no waivers/lim.
Seat
Left
Flight hours
12,500 total · 1,500 in this make and model · 340 in the last 90 days · 121 in the last 30 days · 7 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
Calm
Visibility
20 statute miles
Lowest ceiling
5,000 ft broken

FAA reports on this event · 1

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

Other investigations on N9129M · 2

Matched to the same aircraft by N-number and date.