ANC98FA152

NTSB accident investigation · Cessna 207 · Kotzebue, AK · September 17, 1998

Accident · FatalField investigationFinal report
Date
September 17, 1998, 14:30 local (22:30 UTC)
Place
Kotzebue, AK
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Unknown
Aircraft
N1809QCessna 207
Weather
Visual (VMC) · Day
Status
Completed · report March 30, 2000
Report
Approved by Office Director
NTSB office
Alaska Regional Office
FAA report
19980917025379A
Case key
44012

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 continued VFR flight into instrument meteorological conditions. Factors associated with the accident were low ceilings, mountainous/hilly terrain features, rain, and fog.

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 weatherUnknown
Weather condition - low ceilingFactor
Vfr flight into imc - continuedPilot in commandCause
Weather condition - fogFactor
Weather condition - rainFactor
In flight collision with terrain/waterUnknown
Terrain condition - mountainous/hillyFactor

Analysis

The airline transport pilot departed on a CFR Part 135 cargo/mail flight for a remote coastal village. When the flight did not reach the destination, an aerial search was initiated. The wreckage was located the following day in mountainous terrain, 21 miles from the departure airport. The airplane had collided with rising terrain. An AIRMET for mountain obscuration in clouds and precipitation was issued for the pilot's planned route of flight. A pilot that departed about 20 minutes after the accident airplane's departure, had a similar route of flight. He characterized the weather conditions along the accident airplane's route as 'very low visibility with rain, fog and varied layers of cloud cover.' This pilot stated that he changed his route in order to avoid the worsening weather conditions. He added that with satisfactory weather conditions, and given the intended destination of the accident airplane, the standard route of flight would be directly over the mountain that the accident airplane collided with.

Factual narrative

History of flight

On September 17, 1998, about 1430 Alaska daylight time, a wheel equipped Cessna 207 airplane, N1809Q, was destroyed during a collision with mountainous terrain, about 21 miles northwest of Kotzebue, Alaska. The airplane was being operated as a visual flight rules (VFR) on-demand cargo/U.S. mail flight under Title 14, CFR Part 135, when the accident occurred. The airplane was registered to, and operated by, Village Aviation, Bethel, Alaska. The solo certificated airline transport pilot received fatal injuries. Visual meteorological conditions prevailed at the time of departure, and a VFR flight plan was filed. The flight originated at the Ralph Wien Memorial Airport, Kotzebue, about 1423, and was en route to Point Hope, Alaska.

Witnesses reported that the accident airplane departed Kotzebue headed to the north, a routine departure that limits flight over open water. The airplane was reported overdue when it failed to arrive. An aerial search was initiated about 1730. An emergency locator transmitter (ELT) signal was detected, but poor weather conditions kept the searchers from reaching the accident airplane.

The airplane wreckage was located the following day, about the 1,800 feet msl level of Mount Noak, latitude 67.09.69 north, and longitude 163.02.33 west.

According to the company's director of operations, the accident pilot had previously flown a round trip to Kivalina, Alaska, earlier in the day. Kivalina is located about 80 miles northwest of Kotzebue, along the same route of flight as the accident airplane's route of flight. The operator said that the accident pilot logged 1.5 hours during the earlier flight. A flight manifest provided by the operator indicated that the pilot returned to Kotzebue at 1355, reloaded the airplane, and departed at 1423, en route to Point Hope.

Radar data provided by the FAA disclosed a radar track in the area of the accident that matched the departure time and heading of the accident flight. The radar track indicated that a target at 1425:35, departed to the north from Kotzebue, and turned to the left, heading about 300 degrees. The last radar target at 1431:10, still on a heading of about 300 degrees, terminates about 4 miles southeast from the crash site. A copy of the ARTCC controller's computer screen is included in this report.

Personnel information

The pilot held an airline transport pilot certificate with an airplane multiengine land rating. The pilot also held commercial pilot privileges with an airplane single-engine land, and airplane single-engine sea ratings. The most recent first-class medical certificate was issued to the pilot on May 5, 1998, and contained the limitation that the holder must wear corrective lenses.

The pilot was hired by Village Aviation on October 5, 1997. On October 13, 1997, the pilot completed his initial part 135 check ride in accordance with FAR 135.293 and 135.299.

Aircraft information

The engine had accumulated a total time in service of 2,550.9 hours, and 1,000.9 since major overhaul.

Meteorological information

The closest weather observation facility is Kotzebue, which is 21 nautical miles southeast of the accident site. On September 17, 1998, at 1353, an Aviation Routine Weather Report (METAR) was reporting in part: Wind, 110 degrees (true) at 15 knots; Visibility, 9 statute miles; ceiling, 4,100 overcast; temperature, 46 degrees F; dew point, 44 degrees F; altimeter, 29.33 inHg. Witnesses located in Kotzebue reported that weather conditions to the northwest, and specifically in the direction of Mount Noak, were much worse than that being reported at the airport.

Noatak, Alaska, is located 24 miles north of the accident site. At 1355, an unaugmented AWOS was reporting, in part: Wind, 040 degrees (true) at 5 knots; visibility, 10 statute miles; clouds, 200 feet scattered, 900 feet scattered, 1,600 feet overcast; temperature, 44 degrees F; dew point, 39 degrees F; altimeter, 29.35 inHg.

Point Hope, Alaska, the pilot's intended destination, is located about 109 miles northwest of the accident site. At 1355, an unaugmented AWOS was reporting, in part: Wind, 360 degrees (true) at 11 knots; visibility, 5 statute miles; clouds, 1,600 feet overcast; temperature, 39 degrees F; dew point, 37 degrees F; altimeter, 29.37 inHg.

An area forecast for the Northern Seward Peninsula valid until 0000, was reporting, in part: Clouds and weather, 1,500 feet scattered, 2,500 feet scattered, 4,500 feet broken, 7,000 feet overcast, tops at 14,000 feet with increasing layers to 25,000 feet, with occasional light rain.

An AIRMET valid until 1800, was forecasting mountain obscuration in clouds and precipitation along the pilot's planned route of flight from Kotzebue to Point Hope.

The terminal forecast for Kotzebue valid from 0400 until September 18, at 0400, was reporting, in part: Wind, 180 degrees at 10 knots: Visibility greater that 6 statute miles; clouds and sky condition, 4000 feet scattered, 8000 feet broken. Temporary changes expected between the valid forecast times, light rain showers; clouds and sky condition, 4000 feet broken.

A pilot that departed from Kotzebue about 20 minutes after the accident airplane's departure, had a similar route of flight. He characterized the weather conditions along the route as "very low visibility with rain, fog and varied layers of cloud cover." The pilot stated that he changed his route in order to avoid worsening weather conditions. He added that with satisfactory weather conditions, and given the intended destination of the accident airplane, the standard route of flight would be directly over the mountain that the accident airplane collided with.

Communications

Review of recorded telephone communications between the pilot and the Fairbanks FSS, revealed that at 0817:06, the pilot called the flight service station specialist at the preflight position. During the course of the conversation, the pilot requested, and received, current and forecast weather conditions for the surrounding area, and along the intended route of flight. The FAA flight service station specialist advised the pilot that weather conditions in the area were forecast to deteriorate, including the possibility of occasional mountain obscuration. The pilot filed a VFR flight plan for the accident flight at 1420:08.

A complete transcript of the recorded conversations between the pilot, and the Fairbanks FSS, is included in this report.

Wreckage and impact information

The NTSB investigator-in-charge examined the airplane wreckage at the accident site on September 18. The airplane was located in an area of rolling hills, at an elevation of about 1800 feet msl. The area consisted of rocks, about 12 inches in diameter, and was situated on about a 20-25 degree slope.

The main fuselage, and associated debris path was oriented on a 300 degree heading. (All headings/bearings noted in this report are magnetic).

About 100 feet downhill from the main wreckage site was a crater measuring about 8 feet in diameter, and 3 feet deep. This crater is believed to be the point of original impact.

The debris path between the crater, and the main wreckage site displayed signs of extensive fuselage fragmentation. Debris consisting of small pieces of plexiglas, aluminum, a door frame assembly, and various landing gear components, were in the debris path.

All of the airplane's major components were located at the main wreckage site. Both wings had extensive leading edge crushing, extending about 12 inches aft of the leading edge. The right wing remained attached to the main fuselage attach points. The left wing was separated from the attach points, and came to rest on the right side of the main wreckage, alongside the right wing.

The main cockpit/cabin area of the fus

Aircraft

Registration
N1809Q
Reported as
Cessna 207
Category
Airplane
Serial number
20700787
Airframe hours
12,268
Engine
Continental IO-520F, 300 horsepower, reciprocating
Damage
Destroyed
Flight
Part 135
Registered owner
Village Aviation, Inc.
Airworthiness certificate
Standard, Normal
Last inspection
100 hour · August 26, 1998 · 71 hours before
Departed
OTZ · AK
Destination
PHO · Point Hope, 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
59
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land, Single-engine sea
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
8,891 total · 446 in this make and model · 4,400 as pilot in command · 98 in the last 90 days · 54 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Wind
110° at 15 knots
Visibility
9 statute miles
Lowest ceiling
4,100 ft overcast
Temperature
46 °F, dew point 45 °F
Altimeter
29.00 inHg
Observed at
OTZ, 21 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.

Other investigations on N1809Q · 1

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