Flagstaff Pulliam Airport
Aircraft Accident/Incident Report

Flagstaff, Arizona 86001
Wednesday, January 31, 1996 13:05 MST

NTSB Narrative Summary Released at Completion of Accident

The pilot and 2 nurses departed IFR to transport a patient from another location. During the initial climb, the pilot observed a gear unsafe light. He requested clearance to an area of VFR conditions to address the gear problem. Subsequently, the gear was manually extended with safe gear indications. The flight department requested that the pilot return to base. The pilot obtained an IFR clearance to return for an ILS approach. After handoff to the tower, he was requested to report the FAF inbound after an eastbound procedure turn. That was the last communication from the pilot. Subsequently, the aircraft crashed on the southeast side of Humphreys Peak at an elevation of about 10,500 feet and about 10 miles west of the final approach course. Wreckage was scattered along a heading of 230 degrees. There was evidence that the airplane was in a steep descent when it crashed. Radar data revealed an outbound track west of the published course and no procedure turn. The weather was IMC with light snow and rain. Moderate to severe turbulence was forecast and confirmed by other pilots. The winds at 10,000 feet were forecast to be 50 knots out of the southwest. Moderate turbulence and light rime ice had been reported along the ILS approach course before to the accident time.

NTSB Probable Cause Narrative

failure of the pilot to follow prescribed IFR procedures and his failure to maintain control of the aircraft. Factors relating to the accident were: the adverse weather conditions with icing and turbulence.

Event Information

Type of Event Accident
Event Date 1/31/1996
Event Day of the Week Wednesday
Time of Event 1305
Event Time Zone Mountain Standard Time
Event City FLAGSTAFF
Event State ARIZONA
Event Country --
Zipcode of the event site 86001
Event Date Year 1996
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport FLAGSTAFF PULLIAM
Event Location Nearest Airport ID FLG
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 16
Degrees magnetic from airport 354
Airport Elevation 7011
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1255 Mountain Standard Time
Direction of event from weather observation facility (degrees) 174
Weather Observation Facility ID FLG
Elevation of weather observation facility 7011
Distance of event from weather observation facility (units?) 13
Time Zone of the weather observation MST
Lighting Conditions Day
Lowest Ceiling Height 1800
Lowest Non-Ceiling Height 600
Sky/Lowest/Cloud Conditions Thin Broken
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 4
Air Temperature at event time (in degrees celsius) 1
Dew Point at event time (in degress fahrenheit) -1
Wind Direction (degrees magnetic) 210
Variable Wind Indicator Unknown
Wind Speed (knots) 6
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) --
Intensity of Precipitation Unknown
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 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 639
NTSB Notification Source --
NTSB Notification Date Jan 31 1996 12:00AM
NTSB Notification Time 1300
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 8 2000 9:46AM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N300SP
NTSB Number LAX96FA105
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 Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name Beech
Aircraft Model E90
Aircraft Series Identifier E90
Aircraft Serial Number LW-166
Certified Max Gross Weight 10100
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 AAIP
Date of Last Inspection Jan 25 1996 12:00AM
Airframe hours since last inspection 53
Airframe Hours 5952
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name FLAGSTAFF MEDICAL CENTER
Aircraft Owner Street Address 1200 N. BEAVER ST
Aircraft Owner City FLAGSTAFF
Aircraft Owner State AZ
Aircraft Owner Country
Aircraft Owner Zipcode 86001
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 GDHA
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) Positioning
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code FLG
Departure City
Departure State AZ
Departure Country
Departure Time 1230
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code PHX
Destination City PHOENIX
Destination State AZ
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 21
Runway Length 6999
Runway Width 150
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight Medical Emergency