Spokane Int'l Airport
Aircraft Accident/Incident Report

Spokane, Washington 99001
Monday, January 8, 1996 19:07 PST

NTSB Narrative Summary Released at Completion of Accident

The pilot (plt) received abbreviated weather (wx) briefing for emergency medical service (EMS)/air ambulance flight (flt). Before flt, he expressed anxiety about possible low visibility for landing & timely transport of dying patient. During ILS runway 3 approach (rwy 3 apch), aircraft (acft) remained well above the glide slope until close to the middle marker; acft's speed decreased from 153 to 100 kts, while vertical speed increased from 711'/min to about 1,250'/min descent. About 1 mi from rwy & 500' agl (in fog), acft abruptly turned left of localizer course & gradually descended with no distress call from plt. Acft hit a pole, then flew into a building & burned. Low ceiling, fog & dark night conditions prevailed. Plt (recent ex-military helicopter plt) had logged/reported 3500 hrs of flt time & about 150 hrs in multiengine airplanes, but there was evidence he lacked experience with actual instrument apchs in fixed-wing acft; he had difficulty with instrument flying during recent training & FAA check flts. No preimpact mechanical problem was found with acft/engines. No ILS anomalies were found. Flt nurse was using cellular phone, but no evidence was found of interference with acft's navigational system. Visibility & ceiling at destination were less than forecast at time of plt's preflt wx briefing. Paramedic was only survivor.

NTSB Probable Cause Narrative

failure of the pilot to follow proper IFR procedures, by failing to maintain proper alignment with the localizer course during the ILS approach and/or by failing to follow the proper missed approach procedure. Factors relating to the accident were: darkness; adverse weather conditions; and pressure on the pilot to complete the EMS flight, due to the circumstances and conditions that prevailed.

Event Information

Type of Event Accident
Event Date 1/8/1996
Event Day of the Week Monday
Time of Event 1907
Event Time Zone Pacific Standard Time
Event City SPOKANE
Event State WASHINGTON
Event Country --
Zipcode of the event site 99001
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 SPOKANE INT'L
Event Location Nearest Airport ID GEG
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 2
Degrees magnetic from airport 97
Airport Elevation 2372
Weather Briefing Completeness Partial - limited by pilot
Investigator's weather source Weather Observation Facility
Time of the weather observation 1905 Pacific Standard Time
Direction of event from weather observation facility (degrees) 97
Weather Observation Facility ID GEG
Elevation of weather observation facility 2372
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation PST
Lighting Conditions Night/Dark
Lowest Ceiling Height 100
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) 3000
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0.25
Air Temperature at event time (in degrees celsius) 34
Dew Point at event time (in degress fahrenheit) 34
Wind Direction (degrees magnetic) 50
Variable Wind Indicator Unknown
Wind Speed (knots) 4
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30
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 1
Injury Total All 4
Investigating Agency NTSB
NTSB Docket Number (internal use) 1504
NTSB Notification Source --
NTSB Notification Date Jan 8 1996 12:00AM
NTSB Notification Time 1945
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Jul 25 2001 4:45AM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N117AC
NTSB Number SEA96FA040
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion Ground
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 401A
Aircraft Series Identifier 401A
Aircraft Serial Number 401A0040
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 5
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Oct 4 1995 12:00AM
Airframe hours since last inspection --
Airframe Hours 5800
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name RMA, INC.(DBA SPOKANE AIRWAYS)
Aircraft Owner Street Address P.O. BOX 19125
Aircraft Owner City SPOKANE
Aircraft Owner State WA
Aircraft Owner Country
Aircraft Owner Zipcode 99219
Operator is an individual? --
Operator Name PACIFIC STATES CHARTER SERVICE
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address 505 S. ZINSER
Operator City KENNEWICK
Operator State WA
Operator Country
Operator Zip code 99336
Operator Code PS7A
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 Non-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 No
Departure Airport Code PSC
Departure City PASCO
Departure State WA
Departure Country
Departure Time 1829
Departure Time Zone PST
Destination Same as Local Flt crash at destination city
Destination Airport Code GEG
Destination City
Destination State
Destination Country
Specific Phase of Flight Approach
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jul 25 2001 4:05AM
User who most recently changed record dbo
Since inspection or accident --
Event Location Runway Number and Location 3
Runway Length 9000
Runway Width 150
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight Medical Emergency