Aircraft Accident/Incident Report

Ketchikan, Alaska 99903
Friday, March 10, 1995 7:45 AST

NTSB Narrative Summary Released at Completion of Accident

PRIOR TO DEPARTING ON A SCHEDULED AIR TAXI FLIGHT WITH TWO PASSENGERS, THE PILOT OBTAINED A WEATHER BRIEFING THAT INCLUDED AIRMETS FOR MOUNTAIN OBSCURATION, IFR AND ICING CONDITIONS. VFR FLIGHT WAS NOT RECOMMENDED. A COMPANY FLIGHT THAT DEPARTED BEFORE THE ACCIDENT FLIGHT, RETURNED TO THE COMPANY BASE DUE TO LOW CEILINGS, AFTER THE ACCIDENT FLIGHT DEPARTED. THE FLIGHT DEPARTED ON A VFR FLIGHT PLAN AND ENCOUNTERED LOW CEILINGS IN THE AREA OF MOUNTAINOUS TERRAIN. THE PILOT BEGAN MANEUVERING AROUND THE TERRAIN AND DURING A PERIOD OF OBSCURATION, COLLIDED WITH SEVERAL TREES. THE COMPANY OPERATIONS MANUAL SPECIFIES THAT THE PILOT IS RESPONSIBLE FOR THE CONDUCT OF THE FLIGHT; HOWEVER, PROCEDURES ARE INCLUDED THAT DETAIL THE DISPATCH RESPONSIBILITIES, DISSEMINATION OF WEATHER INFORMATION, AND THE DIRECTOR OF OPERATIONS RESPONSIBILITY TO MONITOR AND CANCEL FLIGHTS IF NECESSARY.

NTSB Probable Cause Narrative

THE PILOT'S CONTINUED VISUAL FLIGHT RULES (VFR) FLIGHT INTO INSTRUMENT METEOROLOGICAL CONDITIONS (IMC). FACTORS IN THE ACCIDENT WERE FOG AND LOW CEILINGS, AND A FAILURE OF THE OPERATOR TO FOLLOW THEIR PROCEDURES SPECIFIED IN THE COMPANY OPERATIONS MANUAL.

Event Information

Type of Event Accident
Event Date 3/10/1995
Event Day of the Week Friday
Time of Event 745
Event Time Zone Atlantic Standard Time
Event City KETCHIKAN
Event State ALASKA
Event Country --
Zipcode of the event site 99903
Event Date Year 1995
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport
Event Location Nearest Airport ID
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Partial - limited by pilot
Investigator's weather source Weather Observation Facility
Time of the weather observation 751 Atlantic Standard Time
Direction of event from weather observation facility (degrees) 135
Weather Observation Facility ID KTN
Elevation of weather observation facility 88
Distance of event from weather observation facility (units?) 28
Time Zone of the weather observation AST
Lighting Conditions Day
Lowest Ceiling Height 1900
Lowest Non-Ceiling Height 1000
Sky/Lowest/Cloud Conditions Scattered
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 5
Air Temperature at event time (in degrees celsius) 2
Dew Point at event time (in degress fahrenheit) 0
Wind Direction (degrees magnetic) 0
Variable Wind Indicator Unknown
Wind Speed (knots) 0
Wind Velocity Indicator Calm
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 28
Density Altitude (feet) --
Intensity of Precipitation Light
METAR weather report --
Event Highest Injury Serious
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None --
Injury Total Serious 3
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 139
NTSB Notification Source --
NTSB Notification Date Mar 10 1995 12:00AM
NTSB Notification Time 822
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 7 2000 4:08PM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N6478H
NTSB Number ANC95LA034
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed VFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 207A
Aircraft Series Identifier 207A
Aircraft Serial Number 20700538
Certified Max Gross Weight 3800
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 7
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Mar 8 1995 12:00AM
Airframe hours since last inspection 1
Airframe Hours 16116
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name KETCHIKAN AIR SERVICE INC.
Aircraft Owner Street Address 1600 AIRPORT TERMINAL BUILDING
Aircraft Owner City KETCHIKAN
Aircraft Owner State AK
Aircraft Owner Country
Aircraft Owner Zipcode 99901
Operator is an individual? --
Operator Name
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address
Operator City
Operator State
Operator Country
Operator Zip code
Operator Code EKQA
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 Scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Passenger Only
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code KTN
Departure City
Departure State AK
Departure Country
Departure Time 720
Departure Time Zone AST
Destination Same as Local Flt --
Destination Airport Code WRG
Destination City WRANGELL
Destination State AK
Destination Country
Specific Phase of Flight Maneuvering
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 0
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --