N995WA

Destroyed
Fatal

de Havilland DHC-2S/N: 1100

Accident Details

Date
Tuesday, July 24, 2007
NTSB Number
ANC07FA068
Location
Ketchikan, AK
Event ID
20070801X01084
Coordinates
55.551387, -130.685562
Aircraft Damage
Destroyed
Highest Injury
Fatal
Fatalities
5
Serious Injuries
0
Minor Injuries
0
Uninjured
0
Total Aboard
5

Probable Cause and Findings

The pilot's decision to continue under visual flight rules into an area of instrument metrological conditions. Contributing to the accident was the pilot's inadequate weather evaluation, and the FAA's inadequate surveillance of the commercial air tour operator.

Aircraft Information

Registration
N995WA
Make
DE HAVILLAND
Serial Number
1100
Engine Type
Turbo-shaft
Year Built
1957
Model / ICAO
DHC-2DH2T
Aircraft Type
Fixed Wing Single Engine
No. of Engines
1

Registered Owner (Historical)

Name
SALE REPORTED
Address
1990 VAUGHN RD STE 350
Status
Deregistered
City
KENNESAW
State / Zip Code
GA 30152
Country
United States

Analysis

HISTORY OF FLIGHT

On July 24, 2007, about 1405 Alaska daylight time, a float-equipped de Havilland DHC-2 airplane, N995WA, was destroyed when it impacted mountainous tree-covered terrain, about 40 miles northeast of Ketchikan, Alaska. The airplane was being operated as a visual flight rules (VFR) sightseeing flight under the provisions of 14 Code of Federal Regulations (CFR) Part 135, when the accident occurred. The airplane was operated by Venture Travel LLC, dba Taquan Air Service, of Ketchikan. The airline transport pilot and the four passengers were fatally injured. Instrument meteorological conditions (IMC) were reported in the area at the time of the accident. The flight departed Ketchikan about 1319, for a tour through Misty Fjords National Monument. A company VFR flight plan was in effect.

During a telephone conversation with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on July 24, the operator's president reported that the accident airplane departed Ketchikan as the second of three float-equipped de Havilland DHC-2 airplanes on air tour flights over the Misty Fjords National Monument. He said each airplane departed from Ketchikan about 5 minutes apart, and the standard route of flight was northeast, over an area of remote inland fjords, coastal waterways, and mountainous tree-covered terrain. The 1 hour and 15 minute flightseeing tour included a landing on one of the inland ocean fjords before returning to Ketchikan.

During an interview with the NTSB IIC on July 26, the pilot of the first tour airplane stated that initial weather conditions along his flight route consisted of about 10 miles visibility with an overcast layer about 1,500 feet msl. As the flight of three progressed into mountainous terrain, while approaching an area known as Punchbowl Lake, the pilot reported "there were lots of misty clouds hanging around the cliffs." The flight continued along the preplanned flight route, towards a shallow mountain pass known to local tour pilots as "the cut." The first pilot said that before entering the cut, he transmitted a radio message on a common radio frequency asking other tour pilots flying in the area if the cut was open, meaning was the weather good enough to fly through it. He said that an unknown pilot responded, saying that the cut was open, and that he would need to be about 2,500 msl to get through. The first pilot said that after passing through the cut he encountered low clouds, rain and fog, with a visibility of 2 to 3 miles. He said that he was able to maintain VFR flight conditions by descending to about 700 feet msl, over an ocean fjord. According to the pilot of the first tour airplane, he estimated that the second airplane, the accident flight, was about 5 to 7 minutes behind him.

In an interview with the NTSB IIC on July 26, the pilot of the third tour airplane stated that he was about 5 minutes behind the accident airplane as his airplane approached Punchbowl Lake. He said he heard the first airplane's pilot radio call inquiring about the weather conditions in the cut, as well as the unknown pilot's response concerning current conditions within the cut. Additionally, he recalled hearing a standard position report from the accident airplane's pilot reporting that he was over Punchbowl Lake. The pilot of the third airplane stated that just after entering the cut, he encountered "a wall of weather" which blocked his intended flight route. He said that the weather conditions consisted of low clouds, rain, and fog. He said he turned around, took an alternate route, and completed his tour.

When the accident airplane failed to return to Ketchikan by 1435, and company dispatch personnel were unable to establish radio contact, a company aerial search was initiated. The flight was officially reported overdue to the Federal Aviation Administration (FAA) at 1500.

About 1730, the pilot of a Ketchikan based helicopter operator that joined the aerial search, discovered the airplane's fragmented wreckage in an area of steep, tree-covered terrain, about 2,500 feet msl.

PERSONNEL INFORMATION

The pilot held an airline transport pilot certificate with an airplane multiengine land rating, and commercial pilot privileges with airplane single-engine, airplane single-engine-sea rating. In addition, he held a commercial rotorcraft helicopter certificate, and instrument helicopter rating. He also held a flight instructor certificate with airplane single-engine land ratings. The pilot's most recent second-class medical certificate was issued on April 2, 2007, and contained the limitation that he must wear corrective lenses for near/distant and intermediate vision.

In the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1) submitted by the operator, the pilot's total aeronautical experience was listed as 5,273 hours, with 178 hours in the accident airplane make and model. The report noted that in the preceding 90 and 30 days prior to the accident, the pilot accrued a total of 178 hours and 91.7 hours.

According to operator's president, the accident pilot flew for other Part 135 and Part 121 operators in Arizona, flying de Havilland DHC-6 and DHC-8 airplanes, before being hired by Taquan Air Service.

A review of the accident pilot's personal pilot logbook, which was provided to the NTSB by a family member, revealed that on April 11, 2007, just before being hired by Taquan Air Service, the pilot obtained a single-engine sea rating from Kenmore Air, Kenmore, Washington. During his 3-day training course, he received about 3.1 hours of instruction flight time in a float-equipped Piper PA-18, followed by an .8-hour check ride.

During an interview with the NTSB IIC on July 26, Taquan Air Service's chief pilot said that the accident pilot first reported to work in Ketchikan on April 30, and he immediately began his initial ground and flight training.

A review of company training records revealed that the pilot completed his initial ground training on May 4, which consisted of 34 hours of ground instruction, and included 2 hours of instruction concerning Controlled Flight Into Terrain (CFIT) avoidance. Taquan Air Service's chief pilot provided the CFIT avoidance training. Additionally, the pilot received 8 hours of ground training in the use and operation of the Capstone equipment installed in all Taquan Air Service airplanes. Taquan Air Service's director of operations provided the Capstone use and operation training.

On May 9, the pilot completed his initial flight training in float-equipped de Havilland DHC-2 airplanes. The pilot's most recent FAA Part 135.293 and 135.299 check ride was on May 9. Taquan Air Service's director of operations, the FAA approved company check airman, administered the check ride. Once the pilot completed the company's training program and passed a check ride, the pilot was officially hired. At that time, his total flight experience was reported to be 5,100 flight hours, with 10 hours of single-engine sea flight time, and 7 flight hours of flight time in Alaska.

From May 14, through May 29, the pilot received 10.5 flight hours of Initial Operating Experience (IOE) in float-equipped de Havilland DHC-2 airplanes, while flying to various locations served by Taquan Air Service. During the pilot's IOE period he flew with Taquan Air Service's director of operations, and chief pilot. On May 29, the pilot received a 1.1-hour route check along the Misty Fjords tour route, which was accomplished by Taquan Air Service's director of operations. The pilot was then assigned to fly float-equipped De Havilland DHC-2 airplanes at the company base in Ketchikan, eventually accruing 178 flight hours.

The pilot's normally scheduled duty day was from 0545 to 1945. In the three days prior to the accident, the pilot was off duty on July 21 and 22. On July 23, his duty day started at 0700, and he flew 2.5 hours. On the accident date of July 24, he flew 2.2 hours. The accident flight was the pilot's third Misty Fjords tour flight that day.

AIRCRAFT INFORMATION

According to the Pilot/Operator Aircraft Accident Report (NTSB Form 6120.1) submitted by the operator, the airplane had a total time in service of 17,356.0 flight hours. The most recent annual inspection of the engine and airframe was on May 26, 2007. The last recorded inspection of the engine and airframe was a 100-hour inspection, on July 21, 2007, about 20 hours before the accident. The engine was overhauled on May 31, 2005, by Covington Aircraft Engines, Inc., and had about 182.1 hours since overhaul. The airplane was equipped with Edo 4930 floats.

The FAA implemented national automatic dependent surveillance-broadcast (ADS-B) technology in Alaska, and the accident airplane was equipped with an avionics package as part of that program. Formerly known as Capstone, the joint industry/FAA program (which includes ground-based stations, satellites, and aircraft avionics) currently provides pilots with situational awareness by displaying the airplane's position over terrain, while using GPS technology, coupled with an instrument panel mounted, moving map display. Additionally, the Capstone equipment installed in the accident airplane provided the pilot with color shading on the moving map, which depicts terrain elevation changes. Terrain displayed on the pilot's moving map that is within 300 feet of the airplane will be displayed in red, alerting the pilot of close proximity to terrain.

Although the effort in Alaska to utilize ADS-B is projected to also have the capability of presenting weather radar and textual observations to pilots, these enhancements were not fully implemented at the time of the accident.

METEOROLOGICAL INFORMATION

The closest official weather observation station was Ketchikan, 40 miles west-southwest of the accident site. On July 24, at 1353, an Aviation Routine Weather Report (METAR) was reporting, in...

Data Source

Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ANC07FA068