CHI96FA067

NTSB accident investigation · Cessna 560 · Eagle River, WI · December 30, 1995

Accident · FatalField investigationFinal report
Date
December 30, 1995, 14:43 local (20:43 UTC)
Place
Eagle River, WI
Injuries
2 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N991PCCessna 560
Weather
Instrument (IMC) · Day
Status
Completed · report July 11, 1996
Report
Approved by Office Director
FAA report
19951230042759A
Case key
10066

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 failure of the pilot to maintain airspeed while executing the circling approach. Factors were the descent below minimum descent altitude, the fog, the low ceiling and the icing 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.

Loss of control - in flightCircling (ifr)
Weather condition - icing conditionsFactor
Airspeed - not maintainedPilot in commandCause
Meteorological services,sched weather broadcast - inadequate
Altitude - disregardedPilot in commandFactor
Weather condition - fogFactor
Weather condition - low ceilingFactor
In flight collision with terrain/waterDescent - uncontrolled

Analysis

The airplane was circling to land on runway 22 after executing a VOR/DME approach. The airplane impacted the ground approximately one quarter mile northeast of the runway 22 threshold. The wreckage path covered a distance of approximately 350 feet. Control continuity was established. Airframe, engine and navaid examination revealed no abnormalities. The left wing and horizontal stabilizer leading edges had approximately one-eighth inch of rime ice adhering to their leading edges. Two witnesses reported seeing the airplane rolling from the left to the right. The Eagle River AWOS was not available on a VHF radio frequency, due to radio frequency congestion at the O'Hare International Airport, Chicago, Illinois.

Factual narrative

History of flight

On December 30, 1995, at 1443 central standard time (cst), a Cessna 560, N991PC, piloted by an Air Transport pilot, was destroyed when it collided with the terrain approximately one quarter mile north east of the runway 22 threshold, at the Eagle River Airport, Eagle River, Wisconsin. The airplane was circling to land on runway 22 after being cleared for the VOR/DME approach by Minneapolis center at approximately 1425 cst. The 14 CFR Part 91 flight was operating on an IFR flight plan. The pilot and copilot sustained fatal injuries in the accident. The airplane departed from Des Moines, Iowa, en route to Eagle River Airport, at 1343 cst.

Meteorological information

The local weather observation at 1359 cst for Rhinelander, Wisconsin, was given to the pilots of N991PC by Minneapolis Center. Rhinelander was reporting ceiling 300 overcast, visibility one mile, with fog. The automated weather observing system (AWOS) at Eagle River, Wisconsin, was recording a partial obscuration, ceiling 600 overcast, visibility one and one quarter miles, temperature 29, dew point 28. A Vilas county sheriff captain, reported precipitation in the form of freezing rain/sleet at the time of the accident.

Aids to navigation

A flight check was conducted of the Rhinelander VOR and the Eagle River NDB on January 1, 1996, by the Federal Aviation Administration (FAA). No abnormalities were noted in either facility.

Aerodrome information

The Eagle River Airport was equipped with a AWOS which was commissioned on December 1, 1995. The AWOS was recording the local weather, but was not transmitting the weather on a VHF frequency, at the time of the accident. The Great Lakes Office of the FAA was contacted by the investigator in charge (IIC) on February 8, 1996. The FAA reported to the IIC that due to radio frequency congestion at the O'Hare International Airport, Chicago, Illinois, no VHF frequency had been assigned to the AWOS station at Eagle River Airport.

The IIC contacted the Wisconsin Department of Transportation during the course of the investigation. During the last conversation with an employee of the Wisconsin Department of Transportation on May 10, 1996, no VHF frequency had been assigned to the AWOS station at Eagle River, Wisconsin, and the employee did not know when a frequency would be assigned.

Flight recorder

The airplane was equipped with a cockpit voice recorder (CVR) which was replayed and transcribed at the National Transportation Safety Board's office in Washington, D.C. on January 31, 1996. The final 20 minutes and 56 seconds of the CVR tape are included as a supplement to this report.

Wreckage and impact information

Wreckage documentation, control continuity and cockpit documentation were conducted on December 31, 1996. The airplane wreckage path followed a magnetic heading of 320 degrees, and covered a distance of approximately 350 feet. The left wing and horizontal stabilizer leading edges had approximately one eighth inch of rime ice adhering to their leading edges. The cockpit area of the fuselage sustained extensive crushing and came to rest inverted. Due to the amount of crushing which was sustained by the cockpit area, only limited cockpit documentation was possible on December 31, 1995. The airplane was moved to the Eagle River Airport on the evening of December 31, 1995. During the process of moving the aircraft to the Eagle River Airport fuel was observed running out of the wing tanks of N991PC.

On January 1, 1996, the instrument panel was removed from the wreckage and the areas which could not be documented on December 31, 1995, were documented on January 1, 1996. Airframe inspection revealed no abnormalities with the airplane.

The airplanes right wing was crushed, the nose gear and right landing gear were separated from the airframe. The fuselage fractured at the aft pressure bulkhead and main cabin door areas. Both the horizontal and vertical stabilizer had separated from the aircraft. The vertical stabilizer had folded down on top of the upper surface of the left horizontal stabilizer. All four wing flaps were separated from the wing.

Medical and pathological information

On January 1, 1996, an autopsy was performed on the pilot and copilot by the Vilas County Coroner, Route 2 Box 251, Manitowish Waters, Wisconsin. Toxicological testing conducted by the FAA, was negative for all tests conducted, on the pilot and copilot.

Tests and research

Examination of the engines on December 31, 1995 revealed the following. The thrust reversers for both engines were found in the closed position. Both engines contained a small area of ice approximately five inches in diameter, which had formed beneath the final turbine wheel. The right engine had separated from its mount and ingested a large amount of green insulation. Small pieces of insulation were found in the tail pipe area of the right engine. After preliminary examination both engines were placed in shipping containers and shipped to the manufacturer's overhaul facilities in Burlington, Vermont, for further examination.

At the manufacturer's facilities both engines were inspected on January 10 and 11, 1996. No abnormalities were noted and indications of power at impact were found on both engines. The full inspection report for both engines is included as a supplement to this report.

Five witnesses gave written statements to the IIC. Two witnesses reported seeing the airplane rolling from the left to the right. One witness wrote "It was teetering like a see-saw from side to side." A third witness wrote that N991PC was very low and started a left turn with approximately 90 degrees of bank angle, then banked 45 degrees to the right and struck the ground with the right wing tip. Two of these witnesses went up to the accident site and reported seeing fuel coming out of the airplane's fuel tanks.

Additional information

Parties to the investigation were the FAA, Pratt & Whitney, Cessna Aircraft Corporation and the Iowa Packing Company.

Aircraft

Registration
N991PC
Reported as
Cessna 560
Category
Airplane
Serial number
560-0043
Airframe hours
1,572
Engine
P&W JT-15D-5A, 2,900 lbs thrust, turbo jet
Damage
Destroyed
Flight
Business · Part 91
Registered owner
Iowa Packing
Airworthiness certificate
Standard, Normal
Last inspection
Continuous airworthiness · October 13, 1995 · 63 hours before
Departed
DSM · Des Moines, IA
Destination
EGV
Flight plan
IFR
Airport
EGV · Eagle River Union

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
70
Certificates
Flight instructor, Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
20,500 total

Weather

Conditions
Instrument (IMC) · Day
Wind
150° at 2 knots
Visibility
1.25 statute miles
Lowest ceiling
600 ft overcast
Temperature
28 °F, dew point 28 °F
Altimeter
29.00 inHg
Observed at
EGV

Docket · 15

The files NTSB released with the investigation on June 28, 2023, on NTSB’s docket system: statements, records, photos and specialists’ reports. 4.9 MB in all.

FAA reports on this event · 1

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