Dillingham Airfld Airport
Aircraft Accident/Incident Report

Mokuleia, Hawaii 96791
Saturday, May 22, 1999 19:30 HST

NTSB Narrative Summary Released at Completion of Accident

Following the 12th sport parachute jump of the day, which occurred after sunset, ground witnesses observed the airplane descend into the ocean in a left wing low, nose down attitude. They did not hear the engines sputtering or popping, or see the airplane make any erratic movements during its descent. Skydivers indicated that the two previous flights had been conducted at altitudes of at least 18,000 feet, and the accident flight and subsequent jump were made at 20,000 feet. During this final jump flight, one of the skydivers stated he had a hard time breathing and felt nauseous. The skydivers also noted that the pilot was unable to maintain a steady course and did not respond well to minor course corrections. No supplemental oxygen was found onboard the airplane during the recovery or subsequent inspection phases of the investigation. No skydiver observed the pilot using supplemental oxygen. The airplane manufacturer noted that the pressurization system would have been rendered inoperable due to a non-sealed cockpit door. Hypoxia is defined as a physiological condition where a person is bereft of needed oxygen. Judgment is poor and reaction time delayed. Total incapacitation coupled with a loss of consciousness can occur with little or no warning. The airframe, engines, and propellers were examined with no preexisting impact anomalies found.

NTSB Probable Cause Narrative

The pilot's incapacitation due to the effects of hypoxia from repeated flights to altitudes above 18,000 feet msl without supplemental oxygen.

Event Information

Type of Event Accident
Event Date 5/22/1999
Event Day of the Week Saturday
Time of Event 1930
Event Time Zone Hawaii Standard Time
Event City MOKULEIA
Event State HAWAII
Event Country --
Zipcode of the event site 96791
Event Date Year 1999
Event Date Month 5
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude
Event Location Longitude
Event Location Airport DILLINGHAM AIRFLD AIRPORT
Event Location Nearest Airport ID HDH
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 3
Degrees magnetic from airport 180
Airport Elevation --
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 1853 Hawaii Standard Time
Direction of event from weather observation facility (degrees) 125
Weather Observation Facility ID HNL
Elevation of weather observation facility 13
Distance of event from weather observation facility (units?) 25
Time Zone of the weather observation HST
Lighting Conditions Dusk
Lowest Ceiling Height 5500
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 26
Dew Point at event time (in degress fahrenheit) 18
Wind Direction (degrees magnetic) 40
Variable Wind Indicator Unknown
Wind Speed (knots) 7
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 1619
NTSB Notification Source --
NTSB Notification Date May 22 1999 12:00AM
NTSB Notification Time 2327
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Jan 10 2001 10:04AM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N301DK
NTSB Number LAX99LA190
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Beech
Aircraft Model B90
Aircraft Series Identifier B90
Aircraft Serial Number LJ-372
Certified Max Gross Weight 9650
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 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection May 20 1999 12:00AM
Airframe hours since last inspection --
Airframe Hours --
ELT Installed Unknown
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name PAC INT'L SKYDIVING CENTER
Aircraft Owner Street Address P.O. BOX 729
Aircraft Owner City HALEIWA
Aircraft Owner State HI
Aircraft Owner Country
Aircraft Owner Zipcode 96712
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
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) Unknown
Second Pilot on Board No
Departure Point Same as Event Yes
Departure Airport Code HDH
Departure City
Departure State
Departure Country
Departure Time 1915
Departure Time Zone HST
Destination Same as Local Flt dest & departure same, accident can occur anywhere
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jan 10 2001 12:27PM
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 --