- Date
- June 12, 1999, 17:35 local (Jun 13, 1999, 00:35 UTC)
- Place
- Enterprise, OR
- Injuries
- 2 fatal
- Damage
- Destroyed
- Phase of flight
- Maneuvering
- Aircraft
- N9458HCessna 182R
- Weather
- Day
- Status
- Completed · report May 16, 2001
- Report
- Approved by Office Director
- FAA report
- 19990612046919A
- Case key
- 46647
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 failure to maintain aircraft control while maneuvering in a canyon, and the mentor's failure to take adequate remedial action. Factors included box canyon terrain and high density altitude 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.
Analysis
The flight was part of a U.S. Air Force-sponsored mountain flying training clinic. The planned flight route included a contour search pattern into a series of drainages along the Minam River valley, including the canyon in which the accident occurred. A trainee at the clinic who flew the accident flight route with the accident flight 'mentor' on the accident aircraft's previous flight reported that he had refused to fly into most of the drainages on the route, believing that the aircraft did not have sufficient climb capability or space to turn around in the drainages. This trainee reported that the route segment where the accident occurred was flown at 90 knots with 10 degrees of flaps. When the accident flight failed to return to base at the scheduled time and contact could not be established with the aircraft, a search was begun. The aircraft wreckage was located approximately two days later, with both occupants found fatally injured at the accident site. A chart of the planned flight route showed that at the approximate location of the crash site, a 135-degree turn was to be made to climb out, exit the training route and return to base. The accident site, located at the 5,400-foot level on sloping terrain, was approximately 1/2 mile beyond the depicted turn point (i.e., further into the canyon than planned.) Investigators found damage and impact signatures at the accident site consistent with an uncontrolled, relatively low-speed impact with the terrain, and the aircraft's flaps at 10 to 15 degrees, but no evidence of pre-impact mechanical problems with the aircraft. Based on a METAR observation taken about the estimated time the crash occurred, density altitude at La Grande, Oregon (approximately 19 nautical miles from, and 2,700 feet below the accident site) was computed to be approximately 5,000 feet.
Factual narrative
History of flight
On June 12, 1999, approximately 1635 Pacific daylight time, N9458H, a Cessna 182R airplane registered to Civil Air Patrol (CAP) Inc. of Montgomery, Alabama, and operated by the Oregon Wing of the CAP as a public-use mountain search-and-rescue (SAR) training flight, departed Baker City, Oregon, on a scheduled 1.5-hour mission. The aircraft failed to return to Baker City at the scheduled time, and a search for the aircraft was initiated. The aircraft wreckage was located on June 14, 1999, in the Chaparral Creek canyon in the Eagle Cap Wilderness of the Wallowa-Whitman National Forest, approximately 12 nautical miles west-southwest of Enterprise, Oregon. The aircraft was found to be destroyed by impact forces and fire, and both aircraft occupants, consisting of a commercial pilot-in-command and an additional commercial pilot acting in the capacity of a mountain flying "mentor", were found fatally injured. Visual meteorological conditions were reported at Baker City and La Grande, Oregon, during the scheduled time frame of the accident flight, and a company visual flight rules (VFR) flight plan had been filed. There was no report of an emergency locator transmitter (ELT) activation.
The accident flight took place as part of a mountain flying training clinic being conducted by the CAP's Oregon Wing. The training clinic was assigned a U.S. Air Force training mission number, TOR0040-99. The accident flight was the pilot-in-command's second flight of the day (the pilot-in-command was a mountain flying trainee at the clinic), and the mentor's third flight of the day. The assigned route of flight, designated the "Red Route", included a contour search pattern into a series of canyons along the east bank of the Minam River (including the Chaparral Creek canyon), which proceeded in a generally south-to-north direction down the Minam River toward the accident area. A copy of a CAP chart depicting the Red Route indicated that in the vicinity of the accident site, a left turn of approximately 135 degrees was to be made to exit the route and return to Baker City. The accident site was approximately 1/2 mile north of the planned turn location (i.e., further into the canyon than the depicted ground track.)
According to route planning information furnished by the CAP, the Red Route was identified as the third hardest of five routes planned for use during the training clinic. The route description included the following: "Val semi U shape, room to turn at <1000' Val deep but wide, no need for 360 turns...." The route planning information indicated that elapsed flight time at the route exit point could be from 32 minutes to 1 hour after takeoff from Baker City.
According to the Alert Notice (ALNOT) issued for the accident flight, the estimated time en route for the flight was 1 hour and 30 minutes, with an estimated time of arrival back at Baker of 1805. The ALNOT was issued June 12, 1999, at 2017.
The accident occurred during the hours of daylight at 45 degrees 21.3 minutes North and 117 degrees 33.6 minutes West.
Personnel information
The pilot-in-command, the trainee on the accident flight, held a commercial pilot certificate with airplane single-engine land and instrument airplane ratings. He also held advanced and instrument ground instructor ratings. He held a second-class medical certificate issued October 27, 1998, with a restriction requiring that the pilot must have available glasses for near vision. CAP reported that the pilot had 1,350 hours total time including 1,347.5 hours in single-engine airplanes and 1,200 hours as pilot-in-command. According to documentation furnished by CAP, the pilot held a CAP aeronautical rating of Senior Pilot, and was a qualified mission pilot. CAP records indicated that the pilot completed an FAA flight review on November 10, 1998. CAP records also showed that he satisfactorily completed a CAP recurrent pilot flight evaluation in a Cessna 182R aircraft on April 13, 1999, and a CAP mission pilot checkout on September 11, 1998, in what was described on the checkout record as a "well planned and flown check flight." The September 11, 1998, mission pilot checkout form indicated that the checkout included evaluation of mountainous terrain procedures including establishing search altitude, contour search procedures, and canyon search procedures. CAP also reported that the pilot was a participant in the FAA Wings Program and was at level 4 or 5 as of March 18, 1998.
The mentor held a commercial pilot certificate with airplane single-engine land, airplane multiengine land, and instrument airplane ratings. CAP reported that he had 6,300 hours total time including 3,600 hours in single-engine airplanes. CAP records indicated that the mentor held a CAP aeronautical rating of Command Pilot, and that he had qualified as a mission pilot and mission check pilot. The mentor had most recently satisfactorily completed a CAP annual pilot standardization flight evaluation and mission pilot check pilot evaluation in a Cessna 182 aircraft on April 17, 1999, according to records furnished by CAP. Additionally, according to CAP records, he completed an FAA flight review on September 1, 1998. His most recent mission pilot checkout, according to CAP records, was on July 12, 1997. The record of this checkout indicated that mountainous terrain procedures were evaluated including establishing search altitude, contour search procedures, and canyon search procedures.
According to a letter from the FAA Aeromedical Certification Division to the mentor dated May 25, 1999, furnished to the NTSB investigator-in-charge (IIC) by CAP, the mentor had a history of coronary artery disease that required bypass surgery in December 1998. The FAA letter was a response to an application by the mentor for unlimited second-class medical certification on April 13, 1999, and outlined testing and documentation requirements for the FAA's consideration for various classes of special-issuance medical certification. A check of the FAA airman registry on June 18, 1999, gave the status of the mentor's medical certificate application as "pending."
Aircraft information
The aircraft, a 1981 Cessna 182R, had 2,063.5 hours airframe total time, according to CAP's report to the NTSB. CAP reported that the aircraft had undergone an annual inspection on April 12, 1999, approximately 60 flight hours prior to the accident, and a 50-hour inspection on June 6, 1999, approximately 10 flight hours before the accident. According to CAP, the aircraft's Continental O-470-U engine had 1,035.3 hours since major overhaul.
The aircraft's estimated gross weight and center of gravity (CG) at the time of the accident was computed to be approximately 2,458 pounds, with an estimated center of gravity of 37.8 inches aft of datum. The gross weight and CG estimate was computed based on the following factors: 1) aircraft basic empty weight at delivery of 1,821.9 pounds and moment of 67,112 inch-pounds (per Cessna delivery documents); 2) pilot and mentor total weight of 396 pounds in pilot seats (weights from FAA airman registry); 3) takeoff fuel of 50 gallons (per statement of another training clinic crewmember who had knowledge of aircraft's fuel state at takeoff on accident flight; see ADDITIONAL INFORMATION section below); 4) estimated fuel burn of 10 gallons from takeoff to accident (1 hour estimated flight time at 10 gallons per hour); and 5) fuel weight 6 pounds per gallon. The aircraft's maximum takeoff gross weight is 3,100 pounds. At a gross weight of 2,458 pounds, the aircraft's forward CG limit is approximately 35.0 inches, and its aft CG limit is approximately 46.0 inches.
According to the 1981 Cessna 182R Information Manual, the aircraft's power-off stall speed at gross weight of 3,100 pounds, flaps 10 degrees, and 0 degrees bank angle is 46 knots indicated airspeed (KIAS). According to the manual, this equat
Aircraft
- Registration
- N9458H
- Reported as
- Cessna 182R
- Category
- Airplane
- Serial number
- 18267953
- Airframe hours
- 2,064
- Engine
- Continental O-470-U, 230 horsepower, reciprocating
- Damage
- Destroyed
- Fire
- On-Ground
- Flight
- Public aircraft · Public use
- Registered owner
- Civil Air Patrol Inc.
- Airworthiness certificate
- Standard, Normal
- Last inspection
- Annual · April 12, 1999 · 60 hours before
- Departed
- BKE · Baker City, OR
- Flight plan
- Company VFR
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
- 68
- Certificate
- Commercial
- Airplane ratings
- Single-engine land
- Instrument ratings
- Airplane
- Medical
- Class 2, Valid Medical--w/ waivers/lim
- Seat
- Left
- Toxicology
- Performed
- Flight hours
- 1,350 total · 1,200 as pilot in command
Weather
- Conditions
- Day
- Wind
- 130° at 7 knots
- Visibility
- 10 statute miles
- Lowest ceiling
- None
- Temperature
- 86 °F, dew point 37 °F
- Altimeter
- 30.00 inHg
- Observed at
- LGD, 19 nm away
Docket · 37
The files NTSB released with the investigation on May 1, 2001, on NTSB’s docket system: statements, records, photos and specialists’ reports. 7.1 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.