Accident Details
Probable Cause and Findings
The check airman's delayed remedial action and initiation of a recovery procedure after a simulated pitch trim excursion, which resulted in a loss of airplane control.
Aircraft Information
Registered Owner (Historical)
Analysis
On April 8, 2014, about 1557 Alaska daylight time, a Cessna 208B Caravan airplane, N126AR, was destroyed after impacting terrain about 22 miles southeast of Kwethluk, Alaska. The airplane was being operated by Hageland Aviation Services, Inc., dba Ravn Connect, Anchorage, Alaska, as a visual flight rules training flight under the provisions of 14 Code of Federal Regulations (CFR) Part 91. The two crewmembers on board were fatally injured. Day, visual meteorological conditions prevailed at the time of the accident, and company flight-following procedures were in effect. The local training flight departed from Bethel Airport, Bethel, Alaska at 1535.
The flight was intended to be the first training flight of the newly hired second-in-command (SIC) pilot. The SIC was operating from the airplane's right seat during the training.
About 1745, personnel from Hageland Aviation in Bethel notified the Hageland Operational Control Center (OCC) in Palmer, Alaska, that the airplane was overdue. At 1754, the OCC called the Kenai Flight Service Station to initiate search and rescue operations. A company airplane was dispatched from Bethel to assist in the search, and, at 1839, the pilot of that airplane visually confirmed that the accident airplane had crashed. The Alaska State Troopers in Bethel, assisted by the Alaska Army National Guard, arrived at the accident scene at 2105 and confirmed that both pilots had died.
The National Transportation Safety Board (NTSB) investigator-in-charge, an inspector from the Federal Aviation Administration (FAA) Anchorage Flight Standards District Office, an investigator from Textron Aviation, and a representative of the operator traveled to the accident scene on the morning of April 10, 2014.
PERSONNEL INFORMATION
The check airman, age 42, held an airline transport pilot certificate with a multiengine land rating and commercial privileges for airplane single-engine land. His most recent FAA first-class airman medical certificate was issued on February 25, 2014, without limitations. His most recent FAA 14 CFR 135.293 and 135.297 proficiency checks were dated March 15, 2014, with approvals for single pilot, instrument flight rules, and lower-than-standard takeoff minimums. His last reported flight time to the company indicated that he had a total flight time of 14,417 hours, with 5,895 hours in the accident airplane type. The check airman's personal logbooks were not located.
The SIC, age 46, held a commercial pilot certificate, with single-engine land, multiengine land, and instrument ratings. He also held a single-engine airplane flight instructor certificate and an advanced ground instructor certificate. His most recent FAA second-class medical certificate was dated May 30, 2013, with a limitation that the pilot must wear corrective lenses for near and distant vision. He reported on his pilot qualification form that he had a total flight time of 593 hours, with no flight time in the accident airplane type. The SIC's personal logbooks were not located.
AIRCRAFT INFORMATION
The accident airplane was a Cessna 208B Caravan, registration number N126AR, serial number 208B1004, manufactured in 2002. At the time of the accident, the airplane had accumulated 11,206 total flight hours and was maintained under an approved aircraft inspection program. The most recent inspection of the airframe and engine was completed on March 13, 2014.
The airplane was equipped with a Pratt & Whitney PT6A-114A turbine engine that was rated at 675-shaft horsepower. The engine was overhauled 4,286 hours before the accident.
Electric Trim System
The airplane was equipped with a Bendix/King KFC-150 Autopilot System that incorporated a three-axis autopilot and an electric pitch trim system, which provided autotrim during autopilot operation and electric trim to the pilot. According to the Bendix/King supplement to the Cessna 208 Operating Handbook, the trim system is designed to withstand any single in-flight malfunction. Trim faults are visually and aurally annunciated.
In Section 3 of the flight manual supplement, the emergency procedures for an electric trim malfunction (either manual electric or autotrim) were as follows:
1. A/P DISC/TRIM INTER Switch – PRESS and HOLD throughout recovery.
2. ELEV TRIM Circuit Breaker – PULL OFF.
3. Aircraft – RETRIM manually.
WARNING – When disconnecting the autopilot after a trim malfunction, hold the control wheel firmly; up to 45 pounds of force on the control wheel may be necessary to hold the aircraft level.
The supplement also provided the following information:
MAXIMUM ALTITUDE LOSS DUE TO AUTOPILOT MALFUNCATION
• Cruise, Climb, and Descent - 500 ft
• Maneuvering - 100 ft
• Approach - 100 ft
METEOROLOGICAL INFORMATION
The nearest official reporting station was Bethel Airport, located about 27 miles northeast of the accident site. At 1553, about 3 minutes before the accident, a meteorological aerodrome report was reporting wind from 020 degrees (true) at 8 knots, visibility 10 statute miles, sky condition clear, temperature 19 degrees F, dew point 3 degrees F, and altimeter 28.87 inches of Mercury.
COMMUNICATIONS
There were no communications with the accident airplane at the time of the accident.
FLIGHT RECORDERS
The accident airplane was not equipped, nor was it required to be equipped, with a cockpit voice recorder or a flight data recorder.
Automatic Dependent Surveillance-Broadcast (ADS-B) Tracking and Recording
The airplane was equipped with ADS-B technology. In typical applications, an airplane equipped with ADS-B uses an ordinary GPS receiver to derive its precise position from the Global Navigation Satellite System constellation and then combines that position with any number of aircraft parameters, such as speed, heading, altitude, and flight number. This information is then simultaneously broadcast to other aircraft equipped with ADS-B and to ADS-B ground or satellite communications transceivers, which then relay the aircraft's position and additional information to air route traffic control centers (ARTCC) in real time.
A review of ADS-B data received by the Anchorage ARTCC showed that, after departure, the airplane flew northeast and began a series of maneuvers with track, altitude, and speed variations consistent with a training flight. About 21 minutes into the flight, when the airplane was about 3,400 ft mean sea level (msl), a slight fluctuation in altitude, followed by an initial upset, occurred. The airplane continued a rapid and steep descent until ground impact.
WRECKAGE AND IMPACT INFORMATION
The accident site was situated on a land thumb in a bend of the Kwethluk River at an elevation of about 75 ft msl. Ground scars extended from an area of frozen tundra and through an area of heavy willows, among which the airplane was found resting upright supported by a number of toppled willow trees. An extensive postcrash fire consumed the majority of the airplane's fuselage; the worst fire damage was situated near the forward fuselage and cockpit area.
The initial impact crater and wreckage path were oriented on a heading of about 128 degrees magnetic. Fragments of the belly pod structure and belly pod contents were sprayed forward from the initial impact point and scattered along the wreckage path. One of the main landing gear tires was the farthest piece of wreckage, located about 330 ft ahead of the main wreckage. Initial ground impact scars were about 200 ft west of the main wreckage. The fuselage was oriented on a heading of about 250 degrees magnetic.
An area of topped willow trees just behind and adjacent to the initial ground impact was determined to be the initial point of impact with an object. Initial strikes suggest an approximate 33-degree nose-down attitude at impact. A mark in the tundra that was about the same distance from the airplane centerline as the left main landing gear was also noted at the main impact area. A slight discoloration that resembled the shape and size of the left wing was also present at the initial impact area.
The propeller was separated from the airplane and located between the airplane and initial impact crater. Two of the three blades were loose in the hub, and one blade was fractured inside the hub and separated. Two blades exhibited torsional and aft bending. The separated blade was missing about 12 inches of its outboard section and had several large gouges in its leading edge.
Numerous sections of the severely fragmented airplane were located throughout the wreckage path. (See the wreckage plot and GPS coordinates for documented major portions of the wreckage in the public docket for this accident).
The main wreckage area consisted of the empennage, main fuselage, and cabin. The empennage was severely damaged during the impact but was relatively free of fire damage. The main fuselage, cabin, and cockpit area were mostly consumed by the postcrash fire. No identifiable instruments, gauges, or other equipment were recovered in the main fire-damaged area. Several pieces of instruments and the instrument panel were located throughout the wreckage path, but their condition at the time of impact could not be determined.
Both wings were separated from the fuselage and were located just west of the main wreckage area. Both wings had severe impact and thermal damage. The landing gear and wheel assemblies were separated from the fuselage and were fragmented.
The engine was separated from the fuselage and was located about 67 ft east of the main wreckage. The engine case was crushed, and several portions of the case and accessories were fragmented or separated.
MEDICAL AND PATHOLOGICAL INFORMATION
Check Airman
A postmortem examination was conducted on the check airman under the authority of the Alaska State Medical Examiner, Anchorage, Alaska, on April 11, 2014. The cause of death for the pilot was attributed to multiple blunt force injuries.
The FAA Civi...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# ANC14FA022