Butler Airport
Aircraft Accident/Incident Report

Nikiski, Alaska 99635
Tuesady, July 9, 1991 17:20 AKD

NTSB Narrative Summary Released at Completion of Accident

AFTER TAKING OFF FROM A BEACH WITH A HEAVY LOAD OF CLAMS, THE PILOT RADIOED THAT THE AIRPLANE'S CARGO DOOR HAD COME AJAR AND THE FLAPS WERE STUCK AT THE 10 DEGREE POSITION. HE CONTINUED THE FLIGHT TO THE HOME STRIP. AFTER A GO-AROUND AT THE 1900 FT HOME BASE STRIP, THE AIRPLANE WAS SEEN TO MAKE A STEEP LEFT, THEN A RIGHT TURN. THE AIRPLANE THEN DESCENDED FROM WITNESSES VIEW AND CRASHED INTO A WOODED AREA. THE LOWER LOCKING ROD OF THE AFT CARGO DOOR WAS FOUND TO BE BENT. TESTS SHOWED THE PILOT'S BLOOD HAD AN ALCOHOL LEVEL OF 342 MG/DL (0.342%) AND HIS URINE HAD AN ALCOHOL LEVEL OF 246 MG/DL (0.246%). ALSO, A METABOLITE OF NICOTINE AND DOXYLAMINE (AN OVER-THE-COUNTER ANTIHISTAMINE SLEEP-AID) WERE DETECTED IN THE PILOT'S BLOOD. A 5000 FT RUNWAY WAS LOCATED LESS THAN A MILE FROM THE HOME BASE STRIP.

NTSB Probable Cause Narrative

POOR JUDGEMENT OF THE PILOT, DUE TO IMPAIRMENT FROM CONSUMPTION OF ALCOHOL, AND HIS FAILURE TO MAINTAIN ADEQUATE AIRSPEED, WHILE MANEUVERING DURING AN ABORTED LANDING (GO-AROUND). FACTORS RELATED TO THE ACCIDENT WERE: THE OPEN CARGO DOOR, DISABLED FLAPS, AND THE PILOT'S DISTRACTION (DIVERTED ATTENTION).

Event Information

Type of Event Accident
Event Date 7/9/1991
Event Day of the Week Tuesday
Time of Event 1720
Event Time Zone --
Event City NIKISKI
Event State ALASKA
Event Country --
Zipcode of the event site 99635
Event Date Year 1991
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport BUTLER
Event Location Nearest Airport ID NONE
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 Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1647 Atlantic Daylight Time
Direction of event from weather observation facility (degrees) 160
Weather Observation Facility ID ENA
Elevation of weather observation facility 92
Distance of event from weather observation facility (units?) 10
Time Zone of the weather observation ADT
Lighting Conditions Day
Lowest Ceiling Height 18000
Lowest Non-Ceiling Height 2600
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) 40
Air Temperature at event time (in degrees celsius) 16
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) 330
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 608
NTSB Notification Source --
NTSB Notification Date --
NTSB Notification Time 0
Fiche Number and/or location -used to find docket information 44409
Date of most recent change to record Feb 26 2001 8:04AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N3941G
NTSB Number ANC91FA094
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
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 U206C
Aircraft Series Identifier U206C
Aircraft Serial Number U206-0941
Certified Max Gross Weight 3600
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 1
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Unknown
Date of Last Inspection May 9 1991 12:00AM
Airframe hours since last inspection 118
Airframe Hours 3878
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name DAHMEN SEAFOODS, INC.
Aircraft Owner Street Address P. O. BOX 7498
Aircraft Owner City NIKISKI
Aircraft Owner State AK
Aircraft Owner Country
Aircraft Owner Zipcode 99635
Operator is an individual? --
Operator Name DAHMEN SEAFOODS, INC.
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address P. O. BOX 7498
Operator City NIKISKI
Operator State AK
Operator Country
Operator Zip code 99635
Operator Code
Owner has at least one certificate None
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) Business
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code NONE
Departure City POLLY CREEK
Departure State AK
Departure Country
Departure Time 1700
Departure Time Zone ADT
Destination Same as Local Flt crash at destination city
Destination Airport Code NONE
Destination City
Destination State
Destination Country
Specific Phase of Flight Landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Feb 26 2001 8:04AM
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 --