# NTSB GAA17CA191: Cessna 208, N865MA, Kalaupapa, HI, March 11, 2017 - Type: NTSB accident investigation - Classification: Accident · Minor injuries · Class 4 · Data collection · Final report - Date: March 11, 2017, 08:30 local (18:30 UTC) - Place: Kalaupapa, HI - Coordinates: 21.211111, -156.97361 (estimated) - Nearby events: https://openairdocs.org/map.md?lat=21.2111&lon=-156.9736&mi=10 - Phase of flight: [Approach](https://openairdocs.org/ntsb-phases/500) (OpenAirDocs' grouping) - Defining event: [Approach-VFR go-around: Loss of control in flight](https://openairdocs.org/ntsb-events/240) - Highest injury: Minor injuries - Injuries: 2 minor, 7 uninjured - Status: Completed, report October 17, 2017 - Report: Approved by Office Director - Investigation class: Class 4 - Basic report with no Prelim publish - NTSB office: General Aviation Accidents - Parties: FAA - NTSB case key (mKey): 94884 - NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=GAA17CA191 - NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/94884/pdf - NTSB docket: https://data.ntsb.gov/Docket?ProjectID=94884 - Page: https://openairdocs.org/ntsb/GAA17CA191 ## Probable cause The pilot's attempted aborted landing late in the landing sequence because she saw another airplane on the runway facing her with its propeller turning, which resulted in a hard landing, a subsequent loss of directional control, and ground loop. ## Findings NTSB's coded findings; those marked are part of the probable cause. - [Performance/control parameters: directional control](https://openairdocs.org/ntsb-findings/01062020): Aircraft › Aircraft oper/perf/capability · Not attained/maintained (probable cause); cases with it: [Cessna 208B, 8 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md?model=2073701), [All aircraft, 3,958 cases](https://openairdocs.org/ntsb-findings/01062020/cases.md) - [Use of equip/info: aircraft control](https://openairdocs.org/ntsb-findings/02063040): Personnel issues › Task performance · Pilot (probable cause); cases with it: [Cessna 208B, 19 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md?model=2073701), [All aircraft, 9,295 cases](https://openairdocs.org/ntsb-findings/02063040/cases.md) - [Object/animal/substance: aircraft](https://openairdocs.org/ntsb-findings/03022040): Environmental issues › Physical environment · Effect on operation (probable cause); cases with it: [Cessna 208B, 1 case](https://openairdocs.org/ntsb-findings/03022040/cases.md?model=2073701), [All aircraft, 116 cases](https://openairdocs.org/ntsb-findings/03022040/cases.md) - [Aircraft capability: climb capability](https://openairdocs.org/ntsb-findings/01061010): Aircraft › Aircraft oper/perf/capability · Capability exceeded (probable cause); cases with it: [Cessna 208B, 1 case](https://openairdocs.org/ntsb-findings/01061010/cases.md?model=2073701), [All aircraft, 183 cases](https://openairdocs.org/ntsb-findings/01061010/cases.md) ## Sequence of events The events NTSB coded, in order, by phase of flight. The defining event best describes what happened. - [Approach-VFR pattern final: Attempted remediation/recovery](https://openairdocs.org/ntsb-events/060); cases with it: [Cessna 208B, 3 cases](https://openairdocs.org/ntsb-events/060/sequence.md?model=2073701), [All aircraft, 1,422 cases](https://openairdocs.org/ntsb-events/060/sequence.md) - [Approach-VFR go-around: Loss of control in flight](https://openairdocs.org/ntsb-events/240) (defining event); cases with it: [Cessna 208B, 7 cases](https://openairdocs.org/ntsb-events/240/sequence.md?model=2073701), [All aircraft, 5,002 cases](https://openairdocs.org/ntsb-events/240/sequence.md) - [Landing: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Cessna 208B, 20 cases](https://openairdocs.org/ntsb-events/470/sequence.md?model=2073701), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md) ## Analysis **This report was modified on September 17, 2020. Please see the public docket for this accident to view the original report.** The pilot of the commuter airplane reported that she was going to establish an approach and landing on runway 05 at an airport with a single runway and no taxiways. While on a 7-mile final, she communicated with the pilot of an airplane that was on short final for the same airport. The pilot that was on short final reported that he would report when he was clear of the runway, and he did. The commuter pilot acknowledged the other pilot's clear-of-runway transmission and initiated the approach. As the pilot began the transition to land, she noticed that the airplane that she had communicated with was not clear of the runway. The airplane on the ground was near the runway 23 numbers with the propeller turning facing toward her landing airplane. She aborted the landing, but the airplane did not climb. The airplane impacted the runway hard and bounced. She reported that, when the airplane touched down after the bounce, she "applied left rudder pedal to steer the aircraft off the runway and out of the way of the other aircraft's possible flight path." The airplane exited the left side of the runway and ground-looped to the left. The airplane sustained substantial damage to the right side of the fuselage and the right wing. Markings on the runway show the propeller struck the runway multiple times in a low pitch configuration before it became feathered. After the groundloop, the pilot of the airplane near the runway 23 numbers attempted to take off. He was contacted via radio transmission by the airport manager and told that the runway was closed until further notice. According to a Federal Aviation Administration (FAA) safety inspector, the FAA’s postaccident examination of the accident airplane determined that there were no preimpact mechanical anomalies with the airplane that would have prevented normal operation. ## Aircraft - Registration: [N865MA](https://openairdocs.org/aircraft/N865MA), registered now, S/N 208B0996, built 2002 (OpenAirDocs) - Reported make and model: CESSNA 208 - Registry model: [Cessna 208B](https://openairdocs.org/model/cessna-208b) (registry code 2073701) (OpenAirDocs) - Registry engine: [Pratt & Whitney PT6A series](https://openairdocs.org/engine/pratt-whitney-pt6a-series) (registry code 52032, turbo-prop) (OpenAirDocs) - Category: Airplane - Serial number: 208B0996 - Year built: 2002 - Engines: P&W PT6A SER 675 horsepower turbo prop - Damage: Substantial damage - Flight: Part 135 - Operator: Schuman Aviation Co. Ltd, doing business as Makana Kai Air - Registered owner: Schuman Aviation Co. Ltd - Airworthiness certificate: Standard, Normal; Standard, Commuter - Departed: PHNL, Honolulu, HI - Destination: PHLU, Kalaupapa, HI - Airport: LUP, Kalaupapa, runway 05, 2,700 × 75 ft, asphalt - Equipment: Stall warning system, Electronic primary flight display, Auto-pilot, Angle of attack indicator ## Flight crew As NTSB recorded them. NTSB leaves out names. - Pilot; age 49; injuries: minor; commercial, flight instructor; airplane ratings: multi-engine land, single-engine land; instrument ratings: airplane; medical: class 1, with waivers/limitations; last flight review February 28, 2017; seat: left; toxicology performed; flight hours: 2,002 total, 31 in this make and model, 1,674 as pilot in command, 44 in the last 90 days, 24 in the last 30 days, 4 in the last 24 hours ## Weather - Conditions: Visual (VMC), Day - Wind: 200° at 6 knots - Visibility: 10 statute miles - Temperature: 81 °F, dew point 70 °F - Altimeter: 29.98 inHg - Observed at: PHMK, 8 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 (OpenAirDocs). - [Accident 20170311002999A](https://openairdocs.org/incident/20170311002999A), Mar 11, 2017: Cessna 208B, Kalaupapa, HI, Destroyed. N865MA departed honolulu international airport for Kalaupapa Airport (phlu). Upon arriving at phlu, the pilot performed a 360 degree turn for spacing purpose… ## Other investigations on N865MA (1) From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. - [NTSB OPS16IA009](https://openairdocs.org/ntsb/OPS16IA009), Feb 26, 2016: Cessna 208B (N865MA), Honolulu, HI, incident, no damage. Probable cause: The air traffic controller's decision to clear an aircraft to land on a runway occupied by another aircraft that had previously been instructed to line up and wait. Contributing to the runway… ## Docket (10 files) The files NTSB released with the investigation on September 1, 2017, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=94884. 43.5 MB in all. - Pilot/operator aircraft accident report, NTSB form 6120.1 (item 1, PDF, 9 pages, 4.7 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=5494945&FileExtension=pdf&FileName=6120_1_Redacted-Rel.pdf - Memorandum for record a�� NTSB form 6120.1 pilot's complete statement (item 2, PDF, 3 pages, 125 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=5495035&FileExtension=pdf&FileName=Memorandum%20for%20Record-%20NTSB%20Form%206120.1%20PIC%20Statement-Rel.pdf - Pic's written statement to operator (item 3, PDF, 2 pages, 467 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=5494415&FileExtension=pdf&FileName=Von%20Brentano%20Statement%20to%20Schuman-Rel.pdf - Photos (item 4, PDF, 2 pages, 223 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=5494831&FileExtension=pdf&FileName=Photos-Rel.pdf - Changes to GAA17CA191 report (item 5, PDF, 2 pages, 164 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=11688211&FileExtension=pdf&FileName=Changes%20to%20GAA17CA191%20Report-Rel.pdf - Record of conversation with FAA (item 6, PDF, 1 page, 124 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=11689057&FileExtension=pdf&FileName=64735%20Record-postaccident-examination-Rel.pdf - NTSB - adopted original board report (item 7, PDF, 5 pages, 667 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=11698193&FileExtension=pdf&FileName=GAA17CA191%20Original%20Final%20Report%2012-10-Rel.pdf - NTSB - adopted revised final board report (item 8, PDF, 6 pages, 233 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=11698666&FileExtension=pdf&FileName=GAA17CA191%20Revised%20Final%20Report%20FINAL-Rel.pdf - GAA17CA191 kalaupapa petition letter for reconsideration (item 9, PDF, 104 pages, 36.6 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=11701906&FileExtension=pdf&FileName=GAA17CA191%20Kalaupapa%20Petition_Redacted-Rel.pdf - GAA17CA191 kalaupapa petition response correspondence (item 10, PDF, 5 pages, 181 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=11762134&FileExtension=pdf&FileName=GAA17CA191%20Kalaupapa%20Petition%20Response%20FINAL%2012-29-20-Rel.pdf From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model. --- OpenAirDocs.org is an independent research project of [Contrail Labs](https://contraillabs.com/). It is not affiliated with the FAA or the NTSB. Source documents are U.S. government works in the public domain.