Minot International Airport
Aircraft Accident/Incident Report

Minot, North Dakota 58702
Thursday, February 24, 1994 9:49 CST

NTSB Narrative Summary Released at Completion of Accident

THE PUBLIC USE FLIGHT WAS BEING OPERATED BY THE INDIAN HEALTH SERVICE OF THE U.S. DEPARTMENT OF HEALTH & HUMAN SERVICES. IT DEPARTED VFR FROM DEVIL'S LAKE, NORTH DAKOTA, WITH AN INTENDED DESTINATION OF ROLLA, NORTH DAKOTA. THE PILOT ATTEMPTED TWO VISUAL APPROACHES AT ROLLA, BUT ENCOUNTERED WHITEOUT CONDITIONS DUE TO A SNOW STORM. HE OBTAINED AN IFR CLEARANCE & DIVERTED TO MINOT. HE FLEW TWO ILS APPROACHES TO RUNWAY 31 AT MINOT & REPORTED A MISSED APPROACH AFTER EACH. RADIO CONTACT WAS LOST AFTER THE SECOND APPROACH. ABOUT AN HOUR LATER, A SNOW PLOW OPERATOR FOUND WRECKAGE ON THE AIRPORT. INVESTIGATION REVEALED THE PLANE HAD IMPACTED TO THE RIGHT OF RUNWAY 31 WITH THE GEAR RETRACTED & THE FLAPS EXTENDED 15 DEG. THE 0959 WEATHER WAS IN PART: 600' OBSCURED, VISIBILITY 1/2 MILE VARIABLE IN SNOW, WIND 110 DEG AT 11 KTS. NO PREIMPACT MECHANICAL ANOMALY WAS FOUND WITH THE AIRPLANE OR ENGINES.

NTSB Probable Cause Narrative

FAILURE OF THE PILOT TO MAINTAIN PROPER ALTITUDE DURING A MISSED APPROACH. FACTORS RELATED TO THE ACCIDENT WERE: THE UNFAVORABLE WEATHER AND SNOW COVERED TERRAIN.

Event Information

Type of Event Accident
Event Date 2/24/1994
Event Day of the Week Thursday
Time of Event 949
Event Time Zone Central Standard Time
Event City MINOT
Event State NORTH DAKOTA
Event Country --
Zipcode of the event site 58702
Event Date Year 1994
Event Date Month 2
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport MINOT INTERNATIONAL
Event Location Nearest Airport ID MOT
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 0
Degrees magnetic from airport 0
Airport Elevation 1715
Weather Briefing Completeness Partial - limited by pilot
Investigator's weather source Weather Observation Facility
Time of the weather observation 959 Central Standard Time
Direction of event from weather observation facility (degrees) 270
Weather Observation Facility ID MOT
Elevation of weather observation facility 1715
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation CST
Lighting Conditions Day
Lowest Ceiling Height 600
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Obscured
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0.5
Air Temperature at event time (in degrees celsius) -14
Dew Point at event time (in degress fahrenheit) -16
Wind Direction (degrees magnetic) 110
Variable Wind Indicator Unknown
Wind Speed (knots) 11
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) --
Intensity of Precipitation Heavy
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal 4
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 42
NTSB Notification Source --
NTSB Notification Date Feb 24 1994 12:00AM
NTSB Notification Time 1215
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 6 2000 10:39AM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N4071Q
NTSB Number CHI94GA093
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 401A
Aircraft Series Identifier 401A
Aircraft Serial Number 401A-0115
Certified Max Gross Weight 6300
Aircraft Category Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 6
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Nov 11 1993 12:00AM
Airframe hours since last inspection 33
Airframe Hours 4220
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name B & L AVIATION, INC.
Aircraft Owner Street Address RR2 BOX 4590
Aircraft Owner City RAPID CITY
Aircraft Owner State SD
Aircraft Owner Country
Aircraft Owner Zipcode 57701
Operator is an individual? --
Operator Name U.S. DEPT OF HEALTH & HUMAN SV
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address INDIAN HEALTH SERVICE
Operator City RAPID CITY
Operator State SD
Operator Country
Operator Zip code 57701
Operator Code
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Unknown
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Public Use
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code DVL
Departure City DEVIL'S LAKE
Departure State ND
Departure Country
Departure Time 800
Departure Time Zone CST
Destination Same as Local Flt crash at destination city
Destination Airport Code MOT
Destination City
Destination State
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 2 2001 10:34AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 31
Runway Length 7493
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --