Aircraft Accident/Incident Report

Nome, Alaska 99762
Saturday, April 3, 1993 10:11 AST

NTSB Narrative Summary Released at Completion of Accident

PIREPS PROVIDED TO THE PILOT BY FSS PRIOR TO TAKEOFF INDICATED THAT FOG & LOW VISIBILITY HAD BEEN ENCOUNTERED ON THE PILOT'S ROUTE TO THE EAST, FORCING AIRPLANES TO RETURN TO NOME. IN ADDITION, AS THE FLIGHT TAXIED FOR TAKEOFF, THE PILOT WAS TOLD '... VFR IS NOT RECOMMENDED TO THE EAST...' THE AIRPLANE IMPACTED FLAT SNOW COVERED TERRAIN IN A STEEP LEFT WING DOWN ATTITUDE APRX 4 MI EAST OF THE DEPARTURE END OF THE RUNWAY. THE AREA WAS A TREELESS, SNOW COVERED FLAT COASTAL PLAIN BORDERED BY A SEA FROZEN WITH WHITE ICE. THE PILOT HAD RETURNED TO WORK 4/1 AFTER A 30-DAY SUSPENSION FOLLOWING A TAKEOFF ACCIDENT, AND WAS ASSIGNED ONLY TO CESSNA 207 'VFR ONLY' AIRPLANES. THE POI DID NOT DISCUSS THE EARLIER ACCIDENT OR THE PILOT WITH THE OPERATOR'S MANAGEMENT.

NTSB Probable Cause Narrative

THE PILOT INITIATED VFR FLIGHT INTO INSTRUMENT METEOROLOGICAL AND WHITEOUT CONDITIONS. FACTORS WHICH CONTRIBUTED TO THE ACCIDENT WERE: INADEQUATE SUPERVISION OF THE PILOT BY THE COMPANY, INADEQUATE OVERSIGHT BY THE FEDERAL AVIATION ADMINISTRATION, THE PILOT'S SELF-INDUCED PRESSURE TO CONDUCT THE FLIGHT, AND THE EXISTING WEATHER CONDITIONS AND SNOW COVERED TERRAIN.

Event Information

Type of Event Accident
Event Date 4/3/1993
Event Day of the Week Saturday
Time of Event 1011
Event Time Zone Atlantic Standard Time
Event City NOME
Event State ALASKA
Event Country --
Zipcode of the event site 99762
Event Date Year 1993
Event Date Month 4
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 0
Degrees magnetic from airport 0
Airport Elevation 0
Weather Briefing Completeness Partial - limited by pilot
Investigator's weather source Witness
Time of the weather observation 1007 Atlantic Standard Time
Direction of event from weather observation facility (degrees) 90
Weather Observation Facility ID OME
Elevation of weather observation facility 0
Distance of event from weather observation facility (units?) 5
Time Zone of the weather observation AST
Lighting Conditions Day
Lowest Ceiling Height 500
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Partial Obscuration
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 0.25
Air Temperature at event time (in degrees celsius) -2
Dew Point at event time (in degress fahrenheit) -3
Wind Direction (degrees magnetic) 70
Variable Wind Indicator Unknown
Wind Speed (knots) 13
Wind Velocity Indicator Unknown
Wind Gust Indicator Not Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) 0
Intensity of Precipitation Light
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 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 524
NTSB Notification Source --
NTSB Notification Date Apr 3 1993 12:00AM
NTSB Notification Time 1152
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Dec 11 2000 1:13PM
User who most recently changed record dbo
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N6467H
NTSB Number ANC93FA050
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Company VFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 207
Aircraft Series Identifier 207
Aircraft Serial Number 20700531
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 2
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Mar 31 1993 12:00AM
Airframe hours since last inspection 9
Airframe Hours 11854
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name RYAN AIR SERVICE
Aircraft Owner Street Address 1205 EAST INT'L AIRPORT RD
Aircraft Owner City ANCHORAGE
Aircraft Owner State AK
Aircraft Owner Country
Aircraft Owner Zipcode 99518
Operator is an individual? --
Operator Name RYAN AIR SERVICE, INC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 1205 E. INT'L AIRPORT RD.
Operator City ANCHORAGE
Operator State AK
Operator Country
Operator Zip code 99518
Operator Code UATA
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/Cargo
Type of Flying (Per_Bus / Primary) Unknown
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code OME
Departure City
Departure State
Departure Country
Departure Time 0
Departure Time Zone
Destination Same as Local Flt --
Destination Airport Code ELI
Destination City ELIM
Destination State AK
Destination Country
Specific Phase of Flight Cruise
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 0
Runway Width 0
Sight Seeing flight No
Air Medical Flight No
Medical Flight --