GAA15CA005

NTSB accident investigation · Cessna 208B · Muskegon, MI · March 10, 2015

Accident · No injuriesData collectionFinal report
Date
March 10, 2015, 07:40 local (11:40 UTC)
Place
Muskegon, MI
Injuries
1 uninjured
Damage
Substantial damage
Phase of flight
Approach
Aircraft
N12155Cessna 208B
Defining event
Approach-IFR final approach: Abrupt maneuver
Weather
Instrument (IMC) · Night/dark
Status
Completed · report September 11, 2015
Report
Approved by Office Director
NTSB office
General Aviation Accidents
Parties
Federal Aviation Administration
FAA report
20150310002149A
Case key
90855

From the NTSB’s public API. By law, NTSB reports can’t be used as evidence in lawsuits over the accident.

On this page

Probable cause

The pilot's improper decision to continue the landing when the airplane was not in a safe position to land, resulting in the collision with ground-based approach lighting.

Findings · 4

NTSB’s coded findings. Those marked are part of the probable cause; the rest are factors or other findings. Under each, the cases with the same finding.

Performance/control parameters: heading/courseAircraft › Aircraft oper/perf/capability · Not attained/maintainedCessna 208B: 2 casesAll aircraft: 82 casesProbable cause
Object/animal/substance: runway/taxi/approach lightEnvironmental issues › Physical environment · Contributed to outcomeCessna 208B: 2 casesAll aircraft: 106 cases

Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event is the one that best describes the accident. Under each, the cases with the same event anywhere in their sequence.

Analysis

The pilot reported that he flew an autopilot coupled approach to minimums in instrument meteorological conditions (IMC). The pilot exited IMC at the decision height, disconnected the autopilot, and the approach lights became visible. The pilot determined he was right of the runway and as he maneuvered to realign the airplane with the runway, he struck elements of the approach light system. A postaccident examination revealed the airplane sustained substantial damage to the horizontal stabilizer. Effective at the time of this accident was a permanent Notice to Airmen (NOTAM) associated with the ILS runway 24 approach prohibiting a coupled autopilot approach from 1150 feet mean seal level to the surface. During a post-accident interview the pilot stated he was unaware of this NOTAM. The NOTAM had been in effect since February 21st, 2014 and the approach chart used did not note this approach restriction. Weather at the time of the accident was reported as winds from 250 degrees at 5 knots, ½ statute mile visibility, 200 feet overcast, temperature 32 degrees Fahrenheit, dew point 32 degrees Fahrenheit, and altimeter 30.04 inches of mercury. The pilot reported no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation.

Factual narrative

The pilot reported that he flew an autopilot coupled approach to minimums in instrument meteorological conditions (IMC). The pilot exited IMC at the decision height, disconnected the autopilot, and the approach lights became visible. The pilot determined he was right of the runway and as he maneuvered to realign the airplane with the runway, he struck elements of the approach light system. A postaccident examination revealed the airplane sustained substantial damage to the horizontal stabilizer. Effective at the time of this accident was a permanent Notice to Airmen (NOTAM) associated with the ILS runway 24 approach prohibiting a coupled autopilot approach from 1150 feet mean seal level to the surface. During a post-accident interview the pilot stated he was unaware of this NOTAM. The NOTAM had been in effect since February 21st, 2014 and the approach chart used did not note this approach restriction. Weather at the time of the accident was reported as winds from 250 degrees at 5 knots, ½ statute mile visibility, 200 feet overcast, temperature 32 degrees Fahrenheit, dew point 32 degrees Fahrenheit, and altimeter 30.04 inches of mercury. The pilot reported no preimpact mechanical failures or malfunctions with the airframe or engine that would have precluded normal operation.

Aircraft

Registration
N12155
Reported as
Cessna 208B
Category
Airplane
Serial number
208B0562
Built
1996
Airframe hours
11,243
Engine
Pratt and Whitney PT6A-114A, 675 horsepower, turbo prop
Damage
Substantial damage
Flight
Part 135
Operator
Martinaire Aviation, L.L.C., doing business as Martinaire
Registered owner
Aero Leasing INC
Airworthiness certificate
Standard, Normal
Last inspection
AAIP · March 3, 2015
Departed
KLAN · Lansing, MI
Destination
KMKG · Muskegon, MI
Flight plan
IFR
Airport
KMKG · Muskegon County Airport, runway 24, 6,501 × 150 ft, asphalt
Equipment
Auto-pilot, Stall warning system

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
71
Injuries
None
Certificates
Flight instructor, Commercial
Airplane ratings
Single-engine sea, Single-engine land, Multi-engine land
Instrument ratings
Airplane
Medical
Class 2, With waivers/limitations
Last flight review
November 7, 2014
Seat
Left
Restraint
3-point
Flight hours
8,316 total · 5,350 in this make and model · 8,020 as pilot in command · 19 in the last 90 days · 4 in the last 30 days · 2 in the last 24 hours

Weather

Conditions
Instrument (IMC) · Night/dark
Wind
210° at 5 knots
Visibility
0.5 statute miles
Lowest ceiling
200 ft
Temperature
34 °F, dew point 34 °F
Altimeter
30.04 inHg
Observed at
KMKG

Docket · 5

The files NTSB released with the investigation on May 26, 2015, on NTSB’s docket system: statements, records, photos and specialists’ reports. 1.8 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.