Accident Details
Probable Cause and Findings
The pilot-in-command's failure to adequately monitor the instrument approach and the co-pilot's failure to intercept and maintain the proper NDB bearing on the approach. Contributing factors were the pilot-in-command's obstructed view of the NDB indicator and his overconfidence in his personal ability, the terrain (cliffs), low ceiling, and the flight crew's disregard of the minimum descent altitude.
Aircraft Information
Registered Owner (Historical)
Analysis
HISTORY OF FLIGHT
On July 7, 1998, about 1547 Alaska daylight time, a Swearingen SA-26AT Merlin-IIB airplane, N501FS, operated by F. S. Air Service, Inc., of Anchorage, Alaska, was destroyed when it impacted terrain about 5.5 miles west-northwest of the New Saint George Airport, Saint George, Alaska. The two occupants, both flight crewmembers, sustained fatal injuries. The pilot-in-command (PIC) was the president and owner of F. S. Air Service, Inc., and occupied the right pilot seat. The copilot was not qualified as a pilot-in-command of the SA-26AT, and occupied the left pilot seat. The flight was conducted under 14 CFR Part 91 as a positioning flight to pick up three passengers for an on-demand charter flight from Saint George. The flight departed Anchorage International Airport at 1240 under a VFR flight plan, and an IFR clearance was received approximately 100 nautical miles northeast of Saint George. Instrument meteorological conditions prevailed at Saint George at the time of the accident.
The last recorded radio communication from the airplane was at 1527, when the flight was cleared by the Anchorage Air Route Traffic Control Center (ARTCC) to perform the NDB/DME-A instrument approach.
A witness who was awaiting pickup by the accident airplane told the NTSB investigator-in-charge (IIC) that he was waiting at the airport and heard an airplane fly over the airport on a southwesterly course about 1545. He said that the airplane transmitted that it was F. S. Air beginning the approach. No other transmission was overheard. The witness stated that the ceiling was about 300 feet.
About 1600, the flight was reported overdue, and a search was initiated. The wreckage was located about 1630 by fishing boats near the northwest end of the island.
The main wreckage came to rest on a beach, at the bottom of an approximately 550 feet high cliff. The location was 5.5 nautical miles on a magnetic bearing of 285 degrees from the airport. Portions of the wreckage was consumed by a postcrash fire. Lightweight debris from the airplane was located on the top of the cliff.
DAMAGE TO AIRCRAFT
The airplane was destroyed by a combination of impact forces and postcrash fire.
PERSONNEL INFORMATION
Pilot-In-Command
The PIC was seated in the right seat. He held an airline transport pilot certificate with ratings for multiengine airplanes, and a commercial pilot certificate with ratings for single-engine land and sea airplanes, and multiengine seaplanes. He held type ratings in the CASA-212 and Lear Jet. He was authorized to fly as pilot-in-command under 14 CFR Part 135 in SA-26AT, SA-227, LR-35, CASA-212, SC-7, BE-18T, and PA-31 airplanes.
His most recent 14 CFR 135.293, 135.297, and 135.299 checks were completed on June 12, 1998, in a PA-31 airplane. This check was administered by a company check airman, and included an NDB approach.
Records of flight time were not up to date on the PIC. The most recent records available indicated that he had accumulated over 13,000 hours of flight experience, with over 5,000 hours in multiengine airplanes, more than 1,000 hours in instrument conditions, and over 250 in the SA-26AT. Company records indicated that in the previous 30 days, the pilot had flown 56 hours, 46 in the SA-26AT.
On the day prior to the accident (July 6), he had flown the same airplane to Saint George, and flown the NDB A approach in instrument conditions. During the flight on July 6, he was seated in the left seat of the SA-26AT.
Copilot
The copilot held an airline transport pilot certificate, with ratings for multiengine and single-engine land airplanes, and a commercial pilot certificate with ratings for single engine seaplanes. He had accumulated 3,989 total hours of flight experience at the time of the accident, of which about 900 were in multiengine airplanes, and 500 were in actual or simulated instrument conditions. In the previous 30 and 90 days, he had flown 41 and 66 hours for the company, respectively.
He held a first class medical certificate, with the restriction that "Holder shall wear corrective lenses." He possessed a Statement Of Demonstrated Ability (SODA) for defective distant vision of 20/200, which was correctable to 20/20 with lenses.
The copilot had accumulated 3 hours, 2 flights, 1 instrument approach, and 5 landings in the SA-26AT prior to the accident. In the previous 90 days he had performed 10 instrument approaches in company aircraft. No record was available to determine if any of these were non-precision or NDB type approaches. There was no record of the copilot having flown to Saint George previously.
The copilot was a part-time employee of the company. He had received salaried pay and completed monthly flight and duty time records as a pilot for F. S. Air Service, Inc., since April of 1998. On his FAA medical certificate application, FAA Form 8600-8, dated April 16, 1998, he lists his occupation as "Part Time Pilot" and his employer as "F.S. Air."
He completed initial company training as a pilot on April 17, 1998, and successfully completed 135.293 checkrides as a second-in-command on the Lear-35 and SA-227. He had not completed a check as second-in-command for the SA-26AT.
The 135.293 check flight report for the SA-227 on June 5, 1998, indicated that the copilot performed an ILS precision approach. There were no records that he performed an NDB or ADF nonprecision approach on either check flight.
AIRCRAFT INFORMATION
The airplane had accumulated 7,804 hours in service. It was maintained under an Approved Aircraft Inspection Program (AAIP), and 10 hours had been flown since the previous inspection.
The navigation equipment included VOR/DME receivers, an NDB/ADF receiver, a radio altimeter, and a Global Positioning System (GPS). The GPS was not integrated to provide flight guidance information to the pilot's heading indicator, flight director, or autopilot.
Each pilot position had standard flight instruments, Radio Magnetic Indicators (RMIs), and Distance Measuring Equipment (DME) displays. The GPS and radio altimeter display was visible from either pilot position. The fixed card NDB/ADF display was located on the lower left side of the left control column, visible to the left seat pilot, but partially obstructed from the view of the right seat pilot.
METEOROLOGICAL INFORMATION
The weather reporting for the New Saint George Airport was provided by an Automated Surface Observing System (ASOS). There is no official weather observer on the island. The ASOS information is available from the FAA Flight Service Stations, via aircraft radio, or telephone.
Between 1053 and the time of the accident, 10 observations were recorded. The ceilings for all ten of these observations varied between 100 feet and 300 feet, with visibility ranging from 1/4 mile to 10 miles.
The weather reported at 1453 ADT was a measured ceiling of 100 feet overcast, with 2 1/2 miles visibility in fog, temperature and dew point both at 46 degrees Fahrenheit, and winds from 210 degrees at 11 knots.
The weather reported at 1553 was a ceiling of 1,000 feet broken, 1,400 feet overcast, visibility of 10 miles. The temperature was 47 degrees Fahrenheit, dew point was 46 degrees Fahrenheit, and winds of 200 degrees at 7 knots.
A U. S. Fish and Wildlife biologist who arrived at the top of the cliff about 2000, told the NTSB IIC that the prevailing winds were southwest at 10 miles per hour, which created an updraft along the cliffs.
AIDS TO NAVIGATION
Navigation to the airport is provided by a nondirectional beacon (NDB) and a DME transmitter, located at the south end of the runway. The outbound course to be followed on the NDB/DME-A approach is 245 degrees magnetic after crossing the NDB. After performing a course reversal turn south of the outbound course, the inbound course to be flown is 065 degrees magnetic.
The minimum altitudes specified for the approach segments are 1,700 feet msl until crossing the final approach fix (FAF) inbound to the airport, at which time the minimum descent altitude (MDA) is 880 feet.
Radar service at Saint George island is provided by an FAA ARTCC radar located on Saint Paul island, about 40 miles northwest. The radar plot provided by this FAA radar site depicts the ground track of the flight proceeding outbound established on the specified course, executing a procedure turn to reverse direction, and continuing to the north of the final approach course about three miles. The final ground track for the airplane was 065 degrees, and paralleled the final approach course.
The airplane's altitude from the ARTCC radar was 1,900 feet until beginning the course reversal turn, then a descent to 600 feet occurred.
The last radar altitude received was 600 feet, at position 56 degrees 36 minutes 40 seconds North latitude, 169 degrees 47 minutes 29 seconds West longitude. This position was about one mile from the accident site. Five more position returns, without altitude transmissions from the airplane's encoding altimeter were received. The last position was 56 degrees 36 minutes 41 seconds North latitude, 169 degrees 42 minutes 21 seconds West longitude. The floor of radar coverage from Saint Paul Island in the vicinity of the accident is about 600 feet.
Three hours after the accident, the crew of a Coast Guard C-130 which had searched for the overdue airplane, flew the NDB/DME-A approach in VFR conditions. The aircraft commander of the C-130, told the NTSB IIC that the course guidance appeared normal, and that his airplane's position cross checked on course both visually, and with his on board GPS guidance system.
The FAA conducted a postaccident flight inspection of the NDB/DME-A approach on July 9, 1998. No anomalies were noted on the Flight Inspection Report, FAA Form 8240-19. All items checked were noted as "SAT," and the instrument approach procedure was noted as "SATISFACTORY."
COMMUNICATIONS
At 1200 ADT, the pilot received an abbreviated weath...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ANC98FA091