FTW98LA353

NTSB accident investigation · de Havilland DH-8-202 · Telluride, CO · July 27, 1998

Accident · No injuriesLimited investigationFinal report
Date
July 27, 1998, 16:50 local (22:50 UTC)
Place
Telluride, CO
Injuries
27 uninjured
Damage
Substantial damage
Phase of flight
Other
Aircraft
N449YVde Havilland DH-8-202
Weather
Visual (VMC) · Day
Status
Completed · report February 11, 2000
Report
Approved by Office Director
FAA report
19980727030109A
Case key
44122

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 inadequate chocks and inadequate chocking procedures by the operator. Factors were the unavailability of the parking brake and sloping terrain.

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.

On ground/water collision with objectOther
Terrain condition - downhillFactor
Misc eqpt/furnishings,wheel chocks - inadequateCause
Procedures/directives - inadequateCompany/operator managementCause
Parking brakes - unavailablePilot in commandFactor

Analysis

During pre-start preparation, while parked nose in on a 2-degree up-slope, a Bombardier DH-8 aircraft jumped the nose wheel chocks and rolled backwards approximately 70 feet into a parked Beech 1900. The parking brake accumulator had bled off and the crew was in the process of recharging the accumulator when the accident occurred. The investigation revealed that the chocks were too small, and the minimal weight on the nose wheel where the chocks were placed was not sufficient to ensure that nose wheel rolling over the chocks.

Factual narrative

On July 27, 1998, at 1650 mountain daylight time, a Bombardier DH-8-202, N449YV, operating as America West flight 5181 from Telluride, Colorado, to Montrose, Colorado, sustained substantial damage when it collided with a parked Beech 1900D at Telluride, Airport, Telluride, Colorado. The airline transport certificated captain, first officer, flight attendant, and the 27 passengers on the DH-8 were not injured. There were no people on the Beech 1900D. The flight was operating under Title 14 CFR Part 121 and an IFR flight plan was filed. Visual meteorological conditions prevailed.

According to the attached damage evaluation report provided by Field Aviation Company, Inc., Calgary, Canada, both skin (pressure vessel) and airframe damage was sustained during the impact sequence by the DH-8.

According to information provided by the captain on NTSB Form 6120.1/2 (Pilot Operator Aircraft Accident Report), prior to beginning the before start checklist, he attempted to transfer hydraulic fluid from the right system to the left system. When the checklist items were confirmed, it was determined that the parking brake pressure was zero. The captain said they decided to attempt to re-pressurize the parking brake accumulator with a manual pump located in the right wheel well. The first officer had risen from his seat to accomplish this when the aircraft began to roll backwards. It rolled backward approximately 70 feet across the down sloping ramp and collided with an unmanned, empty, parked, Beech 1900D aircraft operated by Great Lakes Aviation.

The investigation did not reveal a reason for the loss of accumulator pressure on the DH-8

According to information provided by FAA personnel the method the crew was using to transfer hydraulic fluid is not an approved procedure. The slope of the ramp where the event occurred was approximately two degrees and investigation revealed that the DH-8 jumped the chocks, which were on the nose landing gear wheel.

According to information provided by Mesa Airlines and Beech Aircraft, parking across the slope was not feasible due to aircraft not being level, which created lateral fueling imbalance. Mesa Airlines has since changed their chocking procedures by using larger chocks and placing them on the main landing gear. It was determined during the investigation that the nose landing gear often does not have sufficient weight resting on it to prevent jumping the chocks.

Aircraft

Registration
N449YV
Reported as
de Havilland DH-8-202
Category
Airplane
Serial number
449
Airframe hours
4,223
Engine
P&W PW-123D, 2,150 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 121
Operator
Mesa Air Group, Inc., doing business as America West
Registered owner
First Security Bank
Airworthiness certificate
Standard, Transport
Last inspection
Continuous airworthiness · July 25, 1998 · 18 hours before
Departed
TEX · CO
Destination
MTJ · Montrose, CO
Flight plan
IFR
Airport
TEX · Telluride Regional

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
34
Certificate
Airline transport
Airplane ratings
Multi-engine land, Single-engine land
Instrument ratings
Airplane
Medical
Class 1, Valid Medical--w/ waivers/lim
Seat
Left
Flight hours
6,950 total · 26 in this make and model · 4,907 as pilot in command · 54 in the last 90 days · 26 in the last 30 days · 4 in the last 24 hours

Weather

Conditions
Visual (VMC) · Day
Visibility
5 statute miles
Lowest ceiling
4,000 ft overcast
Temperature
61 °F
Altimeter
30.00 inHg
Observed at
TEX, 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.

Other investigations on N449YV · 1

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