Aircraft Accident/Incident Report

Ketchikan, Alaska 99901
Saturday, August 7, 1999 9:30 AKD

NTSB Narrative Summary Released at Completion of Accident

A pair of float equipped, twin engine airplanes were each parked parallel to a dock. The airplanes were separated by about eight feet, one in front of the other. Both airplanes, operated by the same company, were preparing to depart on sightseeing flights. The crew of first airplane, N288SA, was beginning a passenger briefing. The passengers were on board the airplane, but the engines had not been started. The crew of the second airplane, N224SA, had completed a briefing to their passengers, and had started the engines. N224SA was tethered to the dock by ropes attached to the floats at the forward and aft end of the airplane. Each rope was tended by a company dock handler. Due to a slight change in the manner the passengers arrived from a cruise ship, the passengers had not received a briefing booklet before boarding the airplane. A company representative approached the forward dock handler to hand the briefing booklets to the airplane crew. The aft dock handler observed this activity and mistook its meaning as a 'thumbs up' signal. He released the docking rope, allowing N224SA to begin moving forward under idle power. The and nose of N224SA collided with the tail of N288SA. N288SA received damage to the rudder and trim tab assembly. N224SA received minor damage to the left pitot tube, and the left side of the nose.

NTSB Probable Cause Narrative

A failure of ground handling personnel to verify a release procedure/directive, and removal of a second airplane's tiedown, and subsequent collision from a second airplane.

Event Information

Type of Event Accident
Event Date 8/7/1999
Event Day of the Week Saturday
Time of Event 930
Event Time Zone --
Event City KETCHIKAN
Event State ALASKA
Event Country --
Zipcode of the event site 99901
Event Date Year 1999
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? Yes
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 --
Degrees magnetic from airport --
Airport Elevation --
Weather Briefing Completeness Not pertinent
Investigator's weather source Weather Observation Facility
Time of the weather observation 853 Atlantic Daylight Time
Direction of event from weather observation facility (degrees) 210
Weather Observation Facility ID PAK
Elevation of weather observation facility 88
Distance of event from weather observation facility (units?) 1
Time Zone of the weather observation ADT
Lighting Conditions Day
Lowest Ceiling Height 0
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
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) 18
Dew Point at event time (in degress fahrenheit) 12
Wind Direction (degrees magnetic) 150
Variable Wind Indicator Unknown
Wind Speed (knots) 10
Wind Velocity Indicator Unknown
Wind Gust Indicator Unknown
Wind Gust (knots) 35
Altimeter Setting at event time (in. Hg) 29
Density Altitude (feet) --
Intensity of Precipitation Unknown
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries 0
On Ground, Minor Injuries 0
On Ground, Serious Injuries 0
Injury Total Fatal --
Injury Total Minor --
Injury Total None 34
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 1493
NTSB Notification Source --
NTSB Notification Date Aug 7 1999 12:00AM
NTSB Notification Time 955
Fiche Number and/or location -used to find docket information IMAGE
Date of most recent change to record Apr 7 2001 12:43PM
User who most recently changed record dbo
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft #2

Aircraft Registration Number N288SA N224SA
NTSB Number ANC99LA107A ANC99LA107B
Missing Aircraft Indicator N N
Federal Aviation Reg. Part Part 121: Air Carrier Part 121: Air Carrier
Type of Flight Plan filed Company VFR Company VFR
Flight plan Was Activated? -- --
Damage Substantial Minor
Aircraft Fire None None
Aircraft Explosion None None
Aircraft Manufacturer's Full Name de Havilland de Havilland
Aircraft Model DHC-6-300 DHC-6-300
Aircraft Series Identifier DHC-6-300 DHC-6-300
Aircraft Serial Number 389 247
Certified Max Gross Weight 125000 12500
Aircraft Category Airplane Airplane
Aircraft Registration Class U.S. Registered/U.S. Soil U.S. Registered/U.S. Soil
Aircraft is a homebuilt? No No
Flight Crew Seats -- --
Cabin Crew Seats -- --
Passenger Seats -- --
Total number of seats on the aircraft 19 19
Number of Engines 2 2
Fixed gear or retractable gear Fixed Fixed
Aircraft, Type of Last Inspection AAIP AAIP
Date of Last Inspection Jul 20 1999 12:00AM Jul 27 1999 12:00AM
Airframe hours since last inspection 61 37
Airframe Hours 33938 34290
ELT Installed Yes Yes
ELT Activated No No
ELT Aided Location of Event Site Unknown Unknown
ELT Type -- --
Aircraft Owner Name TWIN OTTER INTERNATIONAL, LTD TWIN OTTER INTERNATIONAL, LTD
Aircraft Owner Street Address 4511 W. CHEYENNE AVE, #5 4511 W. CHEYENNE AVE, #5
Aircraft Owner City N. LAS VEGAS N. LAS VEGAS
Aircraft Owner State NV NV
Aircraft Owner Country
Aircraft Owner Zipcode 89030 89030
Operator is an individual? -- --
Operator Name SEABORNE AVIATION INC. SEABORNE AVIATION INC.
Operator Same as Owner? No No
Operator Is Doing Business As -- --
Operator Address Same as Owner? No No
Operator Street Address 1601 TONGASS AVE. 1601 TONGASS AVE.
Operator City KETCHIKAN KETCHIKAN
Operator State AK AK
Operator Country
Operator Zip code 99901 99901
Operator Code S9BA S9BA
Owner has at least one certificate Yes - certificate holder Yes - certificate holder
Other Operator of large aircraft? No No
Certified for Part 133 or 137 Operation Unknown Unknown
Operator Certificate Number -- --
Indicates whether an air carrier operation was scheduled or not Non-scheduled Non-scheduled
Indicates Domestic or International Flight Domestic Domestic
Operator carrying Pax/Cargo/Mail Passenger Only Passenger Only
Type of Flying (Per_Bus / Primary) Unknown Unknown
Second Pilot on Board Yes Yes
Departure Point Same as Event Yes Yes
Departure Airport Code
Departure City
Departure State
Departure Country
Departure Time 0 0
Departure Time Zone
Destination Same as Local Flt dest & departure same, accident can occur anywhere dest & departure same, accident can occur anywhere
Destination Airport Code
Destination City
Destination State
Destination Country
Specific Phase of Flight Standing Standing
Report sent to ICAO? -- --
Evacuation occurred -- --
Date of most recent change to record Dec 20 2002 12:42PM Dec 20 2002 12:42PM
User who most recently changed record dbo dbo
Since inspection or accident -- --
Event Location Runway Number and Location 0 0
Runway Length -- --
Runway Width -- --
Sight Seeing flight Yes Yes
Air Medical Flight No No
Medical Flight -- --