Accident Details
Probable Cause and Findings
The pilot's failure to maintain the glidepath and appropriate airspeed during landing in icing conditions, which resulted in an aerodynamic stall and a hard landing.
Aircraft Information
Registered Owner (Current)
Analysis
HISTORY OF FLIGHTOn December 30, 2015 about 0900, central standard time, a Beech 200, airplane, N999VB, had a hard landing at the Gary/Chicago International Airport (GYY), near Gary, Indiana. The pilot and eight passengers were uninjured. The airplane sustained substantial damage during the hard landing. The airplane was registered to and operated by Cobb Aviation Services Inc. as a 14 Code of Federal Regulations (CFR) Part 135 non-scheduled domestic passenger flight. Visual meteorological conditions prevailed about the time of the accident, and the flight was operating on an instrument flight rules (IFR) flight plan. The flight originated from the Abraham Lincoln Capital Airport (SPI), near Springfield, Illinois, about 0800, and was destined for GYY.
Witnesses at on the ramp at SPI did not see anything unusual in reference to the airplane and pilot when the passengers boarded the airplane.
The pilot indicated that the airplane encountered structural icing conditions while enroute to GYY. He reported that during the landing, the airplane stalled at a higher airspeed "due to ice accumulation" and that there was no mechanical malfunction. The airplane subsequently landed hard.
Witnesses on the ramp at GYY observed that the airplane sustained a hard landing. One witness observed that fluid was leaking from the left side of the airplane near its wheels. Additionally, he noted that there was ice on the leading edge of both wings. PERSONNEL INFORMATIONThe pilot held a Federal Aviation Administration (FAA) airline transport pilot certificate with ratings for airplane single-engine and multiengine land, and instrument-airplane. The pilot also held a second-class medical certificate that was issued on June 26, 2015, with limitations that he must wear corrective lenses for near and distant vision. The pilot reported that he had accumulated 29,388 hours of total flight time of which 8,759 hours were in the same make and model as the accident airplane. He reported that his last flight review was conducted on November 23, 2015. The pilot reported that he attended a King Air recurrent training course. Additionally, the operator had a 14 CFR Part 135 Training Program. According to the operator's training material, pilots are taught stabilized approaches are to be flown prior to landing. The training material, in part, stated:
STABILIZED APPROACH
This training program uses the stabilized approach concept. All approach
profiles (VMC/IMC) listed in this chapter are based upon achieving a
stabilized approach, as depicted in the Flight Safety Foundation
Approach-and-Landing Accident Reduction (ALAR) Tool Kit, Section 7.1.
All flights must be stabilized by 1,000 [feet] above the airport
elevation in instrument meteorological conditions (IMC) and by 500
[feet] above the airport elevation in visual meteorological conditions
(VMC). An approach is stabilized when all of the following criteria are
met:
1. The aircraft is on the correct flight path;
2. Only small changes in heading/pitch are required to maintain the
correct flight path;
3. The aircraft speed is not more than V REF + 10 KT indicated airspeed
and not less than V REF;
4. The aircraft is in the correct landing configuration;
5. Sink rate is no greater than 1,000 [feet] per minute; if an approach
requires a sink rate greater than 1,000 [feet] per minute, a special
briefing should be conducted;
6. Power setting is appropriate for the aircraft configuration and is not
below the minimum power for approach as defined by the aircraft
operating manual;
7. All briefings and checklists have been conducted;
8. Specific types of approaches are stabilized if they also fulfill the
following:
a. Instrument landing system (ILS) approaches must be flown within
one dot of the glideslope and localizer
b. During a circling approach, wings should be level on final when the
aircraft reaches 300 [feet] above airport elevation;
9. Unique approach procedures or abnormal conditions requiring a
deviation from the above elements of a stabilized approach require a
special briefing.
An approach that becomes unstabilized below 1,000 [feet] above
airport elevation in IMC or 500 [feet] above airport elevation in VMC
requires an immediate missed approach or go-around.
The operator had published a Winter Operations Manual. The manual, in part, stated:
WINTER WEATHER FACTORS
ICING
Icing is a major weather problem. It is difficult to forecast and its
intensity can vary considerably. Rates of ice accumulation vary widely,
from less than 1/2 [inch] per hour to as high as one inch per minute.
Experiments have shown that ice accumulation of 1/2 inch on some
airfoils will reduce lift by as much as 50 [percent], increase drag by an
equal amount, and greatly increase stalling speed. There are only two
requirements for ice formation on aircraft:
1. Temperature 0 Celsius or less
2. Visible moisture
Water droplets below 0 Celsius are called "supercooled" water droplets,
and have been found as low as -19 Celsius. Supercooled water increases
the rate of icing and is essential to rapid accretion. Supercooled water is
in an unstable liquid state; when an aircraft strikes a supercooled drop,
part of the drop freezes instantaneously. The latent heat of fusion
released by the freezing portion raises the temperature of the
remaining portion to the melting point. Aerodynamic effects may cause
the remaining portion to freeze. The way in which the remaining
portion freezes determines the type of icing. The types of structural
icing are clear, rime, and a mixture of the two. Each type has its
identifying features. The heaviest icing will occur between 0 and -10
Celsius. ...
APPROACH AND LANDING
When there is risk of ice accretion, proper use of the anti-icing systems
must be observed. If they are left OFF inadvertently or they malfunction,
the resultant accumulation of ice will increase stall speeds. Therefore,
the safety margin between stalling speed and approach and landing
reference speeds will be reduced. It should be remembered that speed
adjustments made in recognition of this effect will correspondingly
increase landing distance. ...
PERFORMANCE CALCULATIONS
It is imperative that each flight crewmember be completely familiar with
all performance considerations for their specific aircraft type and weigh
these carefully in their planning. All performance charts and calculations
should be consulted and completed fully and accurately. They should
then be applied to all applicable operations. AIRCRAFT INFORMATIONN999VB was a 1980 model Beech Super King Air 200, all-metal, low-wing, twin-turboprop monoplane with serial number BB-645. The airplane's design incorporates fully cantilevered wings and a T-tail empennage. The airplane was approved for operations in known icing conditions. However, a warning in the airplane flight manual, in part, stated:
Due to distortion of the wing airfoil, ice accumulations on the leading
edges can cause a significant loss in rate of climb and in speed
performance, as well as increases in stall speed. Even after cycling
deicing boots, the ice accumulation remaining on the boots and
unprotected areas of the airplane can cause large performance losses.
For the same reason, the aural stall warning system may not be
accurate and should not be relied upon. Maintain a comfortable margin
of airspeed above the normal stall airspeed. In order to minimize ice
accumulation on unprotected surfaces of the wing; maintain a
minimum of 140 knots during operations in sustained icing conditions.
In the event of windshield icing, reduce airspeed to 226 knots or below.
Prior to a landing approach, cycle the deicing boots to shed any
accumulated ice. METEOROLOGICAL INFORMATIONA National Transportation Safety Board's (NTSB) meteorologist gathered weather data from multiple sources and produced a Group Chairman's Weather Study Report. His report, in part, stated that the National Weather Service (NWS) Surface Analysis Chart for 0900 depicted a cold front stretching from southern Minnesota eastward into central Michigan. A surface low-pressure center with a pressure of 1020-hectopascals (hPa) was located in northwestern Lower Michigan with a stationary front stretching eastward from the low pressure center into southern Canada. The station models around the accident site depicted air temperatures in the low 30's to mid 20's Fahrenheit (F), with temperature-dew point spreads of 5 degrees F or less, a west to southwest wind between 5 and 10 knots, cloudy skies, light snow reported to the west of the accident site, and freezing rain reported to the northeast of the accident site.
The NWS Storm Prediction Center Constant Pressure Charts for 0600, in part, depicted low-level troughs to the west-southwest of the accident site around the accident time with temperatures below freezing. It showed that the entire atmosphere from the surface through about 30,000 feet above mean sea level (msl) was below freezing indicating that any precipitation that would fall would likely be in the form of snow.
At 0845, the recorded weather at GYY was: Wind 250 degrees at 7 knots, visibility 10 miles, overcast clouds at 1,300 feet, temperature 0 degrees C, dew point -4 degrees C, and altimeter setting 30.20 inches of mercury. Additionally, observations from GYY and from an airport near GYY indicated that marginal VFR conditions, which are ceilings between 1,000 and 3,000 feet above ground level (agl) and visibility between 3 to 5 miles, were present around accident airport subsequent to the accident flight.
The 0600 sounding taken at Lincoln, Illinois, indicated a moist vertical environment from the surface through 5,500 feet msl, then a dry layer between 5,500 and 7,000 feet, then relatively moist conditions again from 7,000 feet through 14,000 feet. The sounding indicated icing (clear, rime, and mixed) between 2,000 and 4,000 feet msl and between 8,000 feet and 12,000 feet msl. The sounding was also close to saturation between -4°...
Data Source
Data provided by the National Transportation Safety Board (NTSB). For more information on this event, visit the NTSB Records Search website. NTSB# CEN16LA076