CHI98FA119

NTSB accident investigation · Cessna 208B · Bismarck, ND · April 7, 1998

Accident · FatalField investigationFinal report
Date
April 7, 1998, 08:38 local (13:38 UTC)
Place
Bismarck, ND
Injuries
1 fatal
Damage
Destroyed
Phase of flight
Approach
Aircraft
N868FECessna 208B
Weather
Instrument (IMC) · Dawn
Status
Completed · report April 20, 2000
Report
Approved by Office Director
FAA report
19980407046779A
Case key
10736

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 adequate airspeed during the approach which resulted in an inadvertant stall. Factors associated with the accident were the icing conditions and the pilot's low level experience in this make and model of airplane.

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 flightApproach - faf/outer marker to threshold (ifr)
Weather condition - icing conditionsFactor
Airspeed - inadequatePilot in commandCause
Lack of experiencePilot in commandFactor
Stall - inadvertentPilot in commandCause
In flight collision with terrain/waterDescent - uncontrolled
Terrain condition - ground

Analysis

The airplane was making an instrument landing system approach in instrument meteological icing conditions when control was lost. The airplane impacted the terrain 1.6 miles from the approach end on the runway. The airplane contacted the terrain with the left wing first prior to cartwheeling and coming to rest approximately 120 feet from the point of first impact. The pilot had 19 hours total flight time in Cessna 208's of which 1.9 hours were in actual instrument meteorological conditions.

Factual narrative

History of flight

On April 7, 1998, at 0838 central daylight time (cdt), a Cessna 208B, N868FE, registered to Federal Express Corporation, and operated by Corporate Air, of Billings, Montana, as FedEx Flight 8738, was destroyed following a loss of control and collision with the terrain. The airplane was on the ILS approach to Runway 31 at the Bismarck Municipal Airport, Bismarck, North Dakota, when the accident occurred. The commercial pilot received fatal injuries. The 14 CFR Part 135 flight was operating on an IFR flight plan. Instrument meteorological conditions prevailed.

The flight departed Grand Forks, North Dakota, at 0728 cdt, with 2,710 pounds of cargo on a regular scheduled flight to Bismarck. Two other Corporate Air flights, also being operated as FedEx cargo flights, departed Grand Forks shortly after N868FE. Both of these airplanes were destined for Bismarck.

N868FE was cleared to climb to 6,000 feet mean sea level (msl) after takeoff from Grand Forks. Shortly after takeoff the pilot requested a climb to 8,000 feet msl due to icing. The pilot was issued a climb to 7,000 feet msl. N868FE then contacted Minneapolis Air Route Traffic Control Center and stated to the controller that he was not picking up any more ice at 7,000 feet msl and that he was on top of the clouds. The pilot informed the controller that the ice he had picked up was mixed and that it was like wet droplets running back over the wing and freezing.

The pilot of N868FE was instructed to contact Bismarck Approach Control who issued vectors and cleared N868FE for the ILS Runway 31 approach. The pilot then contacted the Bismarck Air Traffic Control Tower and was cleared to land at 0836 cdt. The pilot acknowledged the clearance at 0837 cdt. There was no further radio contact with the N868FE.

Personnel information

The pilot was born December 6, 1956. He was the holder of a commercial pilot certificate with single, multi-engine, and instrument ratings. He also held a second class medical issued on November 14, 1997. The medical certificate contained the limitation that the holder shall wear corrective lenses.

A review of the pilot's last logbook revealed his most recent biennial flight review was on December 24, 1997. He had accumulated a total of 2,265 hours of flight time, 18.9 hours of which were in a Cessna 208B airplane at the time of the accident.

The pilot had 1.9 hours of actual instrument time in a Cessna 208 and 4.7 hours of simulated instrument time in a Cessna 208.

The pilot completed the Flight Safety International Caravan I Initial Pilot Training Course on March 27, 1998.

Aircraft information

N868FE was a Cessna 208B, serial number 208B0193. The airplane had accumulated 6,140 hours of time in service at the time of the accident. The engine also had 6,140 hours of total time at the time of the accident. The most recent inspection was conducted on February 26, 1998, 45 hours prior to the accident.

Meteorological information

Another Corporate Air pilot departed Grand Forks approximately 5 to 10 minutes after N868FE. His destination was also Bismarck. He stated both flights had filed to fly at 6,000 feet msl. He stated he was cleared to 8,000 feet msl after departure for separation purposes. He reported the tops were at 6,700 feet msl with light mixed icing in the clouds which accumulated to 1/8 to 1/4 inch. He reported hearing the pilot of N868FE request a higher altitude because he was picking up ice at 6,000 feet msl. He stated the pilot of N868FE was cleared to 7,000 feet msl. He recalled center asking the pilot of N868FE if he was out of the ice. The pilot reported that he was now on top and that he had been picking up light mixed ice in the clouds and that some of it was running back and freezing aft on the wing. This pilot stated that en route the tops lowered to about 4,000 feet msl and he was clear of the clouds until he began the descent into Bismarck. He stated he encountered light mixed ice during the approach into Bismarck which had accumulated 1/8 to 1/4 inch. He stated he recalled the ice melting away during the ILS approach.

A third Corporate Air pilot was also flying from Grand Forks to Bismarck around the same time. He stated he also picked up light mixed ice during the departure from Grank Forks so he requested a higher altitude and was subsequently cleared to 8,000 feet msl. He stated that at 7,000 feet msl he was out of the icing conditions, but was still in instrument conditions. By 8,000 feet msl he was between layers. Approximately 35 miles northeast of Bismarck his "...flight conditions deteriorated." He was in instrument conditions at 8,000 feet msl and began picking up light clear/mixed icing during the descent through 7,600 feet msl. He reported he continued to pick up ice through 5,000 feet msl and as he descended through 4,000 feet msl the ice began to melt. He stated that after landing he noted the unprotected areas of his airplane had 3/8 to 1/2 inch of ice on them and the protected areas had approximately 1/4 in of ice. The pilot landed at 0850 cdt.

A pilot, flying a Cessna T210, who departed from Bismarck an hour before the accident stated the weather information forecast the chance of light to occasional moderate icing in clouds between the freezing level and 14,000 feet msl. After departure from Bismarck he encountered cloud bases at about 1,000 feet above the ground (agl) or 2,700 msl. There were several layers of clouds as he departed to the northwest. The lowest layer had a base at 3,500 msl and tops at 6,000 msl. In this layer the outside air temperature was about +2C with liquid precipitation. As the rain hit the leading edge of the wings, it moved back aft of the de-icing boots. The rain started to freeze and stick to the bottom side of both wings. The pilot reported the ice adhered to the left wing from the pitot mast inboard from approximately mid chord, aft to the end of the flaps. From the pitot mast outboard, the ice formed from the trailing edge of the de-icing boots, back to the end of the ailerons. This freezing precipitation ended about 6,000 msl. From approximately 6,000 msl to about 7,000 msl, he was still in IMC with light rime icing. The 1/4 to 1/2 inch of ice did not shed off the wings when the pilot inflated the boots. The pilot recycled the boots two or three times, but the ice remained. He could see the ribs on the boots expanded and ice flex, but the it did not shed off the leading edge of the wings.

Reported weather at Bismarck, at 0840 cdt, was an overcast ceiling at 400 feet, visibility 8 statute miles, wind was from 010 degrees at 12 knots, temperature and dewpoint were both 33 degrees F, and the altimeter was 29.85".

Flight recorders

The airplane was equipped with a Power Analyzer and Recorder (PAR) unit which is a light weight, compact monitoring system designed to provide the airplane operator with real time performance data and a non-volatile record of engine/airframe performance. The PAR unit accumulates, stores, and outputs the records of all starts, shutdowns, limit exceedences and other specified data for engine conditions checks and trend analysis. See attached PAR Incident Investigation Report for details.

Wreckage and impact information

The NTSB on-scene investigation began at 1200 on April 8, 1998. The airplane impacted the terrain in an field approximately 1.6 miles from the end of Runway 31. The initial impact ground scar contained pieces of red lens cover from the left wing. The engine contacted the ground shortly thereafter at which point one propeller blade separated. Pieces of the right wing were located in the third ground scar, which was relatively in line with the first ground scar. The engine, cockpit, overhead panel, and the left wing separated from the fuselage shortly after this impact. The main portion of the wreckage came to rest shortly thereafter. The fu

Aircraft

Registration
N868FE
Reported as
Cessna 208B
Category
Airplane
Serial number
208B0193
Airframe hours
6,140
Engine
P&W PT 6A-114, 600 horsepower, turbo prop
Damage
Destroyed
Flight
Part 135
Operator
Corporate Air, Inc., doing business as Federal Express
Registered owner
Federal Express Corporation
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · February 26, 1998 · 45 hours before
Departed
GFK · Grand Forks, ND
Destination
BIS
Flight plan
IFR
Airport
BIS · Bismarck Municipal, runway 31, 8,794 × 150 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
41
Certificates
Commercial, Flight instructor
Airplane ratings
Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, Valid Medical--w/ waivers/lim
Seat
Left
Toxicology
Performed
Flight hours
2,265 total · 19 in this make and model · 2,103 as pilot in command · 71 in the last 90 days · 19 in the last 30 days · 1 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Dawn
Wind
10° at 12 knots
Visibility
8 statute miles
Lowest ceiling
400 ft overcast
Temperature
34 °F, dew point 34 °F
Altimeter
29.00 inHg
Observed at
BIS, 1 nm away

Docket · 38

The files NTSB released with the investigation on November 18, 1999, on NTSB’s docket system: statements, records, photos and specialists’ reports. 14.2 MB in all.

Pilot/Operator Aircraft Accident Report, NTSB Form 6120.1/2Item 1 · .PDF · 388 KBSupplement CItem 2 · .PDF · 431 KBSupplement DItem 3 · .PDF · 529 KBMaterials Laboratory Factual ReportItem 4 · .PDF · 71 KBHazardous Materials Group Factual ReportItem 5 · .PDF · 792 KBWitness StatementsItem 6 · .PDF · 151 KBILS Runway 31 Approach at BismarckItem 7 · .PDF · 110 KBWeather Information and Pilot Reports Regarding WeatherItem 8 · .PDF · 632 KBATC Information and TranscriptsItem 9 · .PDF · 1.0 MBN868FE Weight and Balance InformationItem 10 · .PDF · 173 KBFlight 8738 Load InformationItem 11 · .PDF · 153 KBCorrespondence from Cessna Aircraft CompanyItem 12 · .PDF · 152 KBExcerpts Corporate Air Flight Operations and Training ManualsItem 13 · .PDF · 454 KBPAR Incident Investigation ReportItem 14 · .PDF · 1.5 MBPIC Activity ReportItem 15 · .PDF · 81 KBPilot Training RecordsItem 16 · .PDF · 174 KBFederal Express Icing TipsItem 17 · .PDF · 306 KBPropeller Teardown ReportItem 18 · .PDF · 222 KBPratt and Whitney Engine Teardown ReportItem 19 · .PDF · 1.5 MBAircraft Maintenance InformationItem 20 · .PDF · 382 KBReceipt for Return of Pilot's LogbookItem 21 · .PDF · 56 KBStatement of Party Representatives to NTSB InvestigationItem 22 · .PDF · 450 KBToxicological ReportItem 23 · .PDF · 66 KBPhoto 1. Aerial View of Wreckage Path.Item 24 · .PDF · 249 KBPhoto 2. View of First Impact Ground Scar.Item 25 · .PDF · 351 KBPhoto 3. View of Slash in Dirt Found Near a Propeller Blade.Item 26 · .PDF · 344 KBPhoto 4. View of Wreckage From Point of First Impact.Item 27 · .PDF · 258 KBPhoto 5. View of Right Side of N868FE.Item 28 · .PDF · 248 KBPhoto 6. View of Rear of N868FE and Separated Empennage.Item 29 · .PDF · 271 KBPhoto 7. Quartering Rear View of N868FE.Item 30 · .PDF · 290 KBPhoto 8. View of Damage to Right Horizontal Stabilizer and Elevator.Item 31 · .PDF · 220 KBPhoto 9. Closeup View of Right Wing.Item 32 · .PDF · 309 KBPhoto 10. View of Separated Empennage.Item 33 · .PDF · 327 KBPhoto 11. View of Right Wing and Fuselage.Item 34 · .PDF · 291 KBPhoto 12. View Looking at Front of N868FE and Empennage.Item 35 · .PDF · 288 KBPhoto 13. Front Side of Propeller Blades.Item 36 · .PDF · 358 KBPhoto 14. Back Side of Propeller Blades.Item 37 · .PDF · 404 KBPhoto 15. View of N868FE Fuselage and Empennage Pieced Back Together.Item 38 · .PDF · 165 KB

FAA reports on this event · 1

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