CHI04LA278

NTSB accident investigation · Cessna 208B · Gwinner, ND · September 24, 2004

Accident · Serious injuriesLimited investigationFinal report
Date
September 23, 2004, 23:45 local (Sep 24, 2004, 04:45 UTC)
Place
Gwinner, ND
Injuries
1 serious
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N7392BCessna 208B
Weather
Visual (VMC) · Night/dark
Status
Completed · report March 30, 2005
Report
Approved by Office Director
Parties
FAA-Fargo FSDO
FAA report
20040923026149A
Case key
60227

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 failure to maintain altitude during the circling maneuver. Contributing factors were the pilot's improper decision to execute the approach when weather conditions were below minimums and the low light (dark night) conditions.

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 collision with terrain/waterCircling (ifr)
In-flight planning/decision - improperPilot in commandFactor
Altitude - not maintainedPilot in commandCause
Light condition - dark nightFactor
Air/ground communications - not available
Terrain condition - open field
Gear collapsedCircling (ifr)

Analysis

The airplane was substantially damaged when it impacted an open field about 1-1/2 miles south of the destination airport. The pilot had executed an instrument approach and was circling to land when the accident occurred. Night instrument meteorological conditions prevailed at the time. The area south and east of the airport was sparsely populated. The pilot reported that he obtained the Automated Weather Observing System (AWOS) broadcast for the destination via the aircraft radio while en route. He stated the reported visibility was above that required for the Non-Directional Beacon (NDB) approach, however, the ceiling was below the minimum descent altitude (MDA). He reported that he attempted to contact air traffic control (ATC) with the intention of diverting. He was not able to contact ATC and elected to continue to the destination. The pilot reported that he flew the entire NDB approach and stated: "When I arrived at the MDA, I saw the runway, directly below and a little to my left. My plan, at the time, was to circle left and land." He stated after that point he had no further recollection of the events surrounding the accident. The pilot reported that there were no failures or malfunctions associated with the aircraft. Two witnesses reported seeing lights from an airplane near the airport. One recalled that the weather was "foggy and a heavy mist." The other witness stated: "When I saw the plane it was very low but I thought it was going around for the landing because it looked like the plane had its right wing higher, and I could see part of the belly of the plane, which made it look like it was banking around." Flight control continuity was confirmed during a post-accident examination. The airport AWOS recorded an overcast sky at 400 feet above ground level (agl). The MDA for the instrument approach as 694 feet above field elevation.

Factual narrative

On September 23, 2004, at 2345 central daylight time, a Cessna 208B (Caravan), N7392B, operated by Eagle Air Cargo, Inc. and piloted by an airline transport pilot, was substantially damaged during an in-flight collision with terrain near Gwinner-Roger Melroe Field Airport (GWR), Gwinner, North Dakota. The flight was operating under 14 CFR Part 135 on an instrument flight rules (IFR) flight plan. Night instrument meteorological conditions prevailed at GWR at the time of the accident. The pilot sustained serious injuries. The flight departed Fergus Falls Municipal Airport (FFM), Fergus Falls, Minnesota, at 2307. The intended destination was GWR.

The pilot reported that the flight originated in Escanaba, Michigan. He noted that due to excessive headwinds en route and a lack of Jet-A fuel at GWR, he elected to land at FFM. After re-fueling and filing an IFR flight plan, he departed for GWR.

The pilot noted that he obtained the GWR Automated Weather Observing System (AWOS) broadcast via the aircraft radio while en route. He stated the GWR AWOS reported visibility was above that required for the Non-Directional Beacon (NDB) approach, however, the ceiling was below the minimum descent altitude (MDA). He reported that he attempted to contact air traffic control (ATC) with the intention of diverting to Fargo. However, he was not able to contact ATC and elected to continue to GWR.

The pilot reported that he flew the entire NDB approach to GWR. He stated: "When I arrived at the MDA, I saw the runway, directly below and a little to my left. My plan, at the time, was to circle left and land." He stated after that point he had no further recollection of the events surrounding the accident. The pilot reported that there were no failures or malfunctions associated with the aircraft.

Two witnesses about 2 miles south of the city of Gwinner reported seeing lights from an airplane near the Gwinner airport. They stated that it was about 2345. One recalled that the weather was "foggy and a heavy mist." The other witness stated: "When I saw the plane it was very low but I thought it was going around for the landing because it looked like the plane had its right wing higher, and I could see part of the belly of the plane, which made it look like it was banking around."

The aircraft impacted an open field about 1-1/2 miles south of GWR. The distance from the point of initial impact to the aircraft was approximately 450 feet. The cargo pod was separated and located in the debris path. The aircraft was upright, resting on the bottom, right side of the fuselage and the right wing tip. The right main landing gear strut was bent aft approximately 60 degrees. The outboard section of the right wing was bent upward about 20 degrees. Each wing appeared to be rotated forward approximately 10 degrees over the entire span about each wing root. The right aileron was damaged. The left horizontal stabilizer exhibited leading edge crushing.

The engine remained attached to the firewall, however, the engine mount was damaged and the engine was dislocated to the right. The propeller blades were twisted. The outboard portion of one blade separated about mid-span. The separated blade was in the debris path.

The cargo consisted of 64 loose castings. Each casting weighed approximately 46.75 lbs. Partition nets were installed between cargo zones 1 and 2 and between cargo zones 3 and 4. The forward net was torn from the lower anchor points and the castings were piled against the aft side of the cockpit cargo barrier.

A Federal Aviation Administration inspector confirmed flight control continuity during a post-accident examination. The altimeter was set to 29.70 when observed after the accident.

Weather recorded by the GWR AWOS at 0445 was: Wind from 250 degrees at 8 knots; overcast sky at 400 feet above ground level (agl); temperature and dew point were 10 degrees Celsius; and the altimeter setting was 29.70 inches of Mercury.

Instrument approaches available at GWR were an NDB or global positioning system (GPS) approach to runway 34. The MDA was 1,960 feet mean sea level (MSL), which was 694 feet above field elevation. The required visibility was 1 statute mile.

The airport is located about 1 mile southeast of the city of Gwinner. With the exception of the city, the area surrounding the airport is sparsely populated with several small lakes.

The National Transportation Safety Board (NTSB) investigator-in-charge reviewed a tape of the communications between the accident aircraft and Minneapolis Air Route Traffic Control Center. During the aircraft's descent into GWR, the controller was unable to maintain voice contact with N7392B. The ATC approach clearance was relayed through another aircraft operating in the vicinity of GWR. The pilot who relayed the clearance reported that it was received and read back correctly.

14 CFR Part 135.225, IFR: Takeoff, approach and landing minimums, stated: "No pilot may begin an instrument approach procedure to an airport unless . . . the latest weather report issued by that weather reporting facility indicates that weather conditions are at or above the authorized landing minimums for that airport."

Aircraft

Registration
N7392B
Reported as
Cessna 208B
Category
Airplane
Serial number
208B0045
Airframe hours
11,945.1
Engine
Pratt & Whitney Canada PT6A-114, 600 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Operator
Eagle Air Cargo Inc.
Registered owner
Avon Capital Corp.
Airworthiness certificate
Standard, Normal
Last inspection
Annual · June 15, 2004 · 40.9 hours before
Departed
FFM · Fergus Falls, MN
Destination
GWR · Gwinner, ND
Flight plan
IFR
Airport
GWR · Gwinner-Roger Melroe Field, runway 16, 5,000 × 60 ft, asphalt

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
60
Injuries
Serious
Certificate
Airline transport
Airplane ratings
Single-engine land, Single-engine sea, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--no waivers/lim.
Last flight review
July 13, 2004
Seat
Left
Flight hours
17,420 total · 50 in this make and model · 15,200 as pilot in command

Weather

Conditions
Visual (VMC) · Night/dark
Wind
250° at 8 knots
Visibility
5 statute miles
Lowest ceiling
400 ft overcast
Temperature
50 °F, dew point 50 °F
Altimeter
29.70 inHg
Observed at
GWR, 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.