M. Graham Clark Airport
Aircraft Accident/Incident Report

Branson, Missouri 65615
Thursday, December 9, 1999 15:12 CST

NTSB Narrative Summary Released at Completion of Accident

Prior to takeoff from Lambert Field/St. Louis International Airport, St. Louis, Missouri, the pilot contacted the operations manager at M. Graham Clark Airport, Point Lookout, Missouri, and asked about the current weather conditions there. The operations manager told the pilot that the weather was "pretty poor." The airplane took off from St. Louis, at 1411 cst. At 1447:12 cst, the pilot checked in with Springfield Approach Control. The pilot was told to expect the ILS approach to runway 2 at the Springfield-Branson Regional Airport. At 1501:01 cst, the pilot requested to go to Point Lookout and shoot the GPS to runway 11. Springfield Approach instructed the pilot to descend to 3,000 feet msl and cleared him for the approach. At 1507:08 cst, Springfield radar showed the airplane crossing the initial waypoint at 3,000 feet msl, and turn to 116 degrees approach heading. At 1507:17 cst, the airplane descended to 2,500 feet msl. At 1508:51 cst, Springfield Approach cleared the pilot to change to advisory frequency. "Call me back with your cancellation or your miss." The pilot responded, "Okay we're, we're RAWBE inbound and we will call you on the miss or cancellation." The operations manager at M. Graham Clark Airport said that he heard the pilot on the airport's common frequency radio say, "Citation 525KL is RAWBE inbound on the GPS 11 approach." At 1509:01 cst, Springfield radar showed the airplane begin a descent out of 2,500 feet msl. The last radar contact was at 1509:48 cst. The airplane was five nautical miles from the airport on a 296 degree radial, at 2,100 feet msl. At 1530 cst, the operations manager heard Springfield approach trying to contact the airplane. The operations manager initiated a search for the airplane. At 1430 cst, the weather observation at the M. Graham Clark Airport was 300 feet overcast, rain and mist, 3/4 miles visibility, temperature 53 degrees F, winds variable at 3 knots, altimeter 29.92 inches HG. Approach minimum weather for the GPS RWY11 straight in approach to Point Lookout are a minimum ceiling of 600 feet and visibility of 1 mile for a category B aircraft. An examination of the airplane wreckage revealed no anomalies. The results of FAA toxicology testing of specimens from the pilot revealed concentrations of Doxepin in kidney and liver. The Physicians' Desk Reference states that "... drowsiness may occur with the use of this drug, patients should be warned of the possibility and cautioned against driving a car or operating dangerous machinery while taking the drug." The physician who prescribed the Doxepin to the pilot said that he was using it to treat the pilot's "irritable bowel" condition. According to his wife, the pilot had not slept well for several nights, up to the day of the accident, due to problems he was having with the FAA. A friend, who spoke with the pilot just before the accident flight, confirmed the pilot saying "I haven't slept for three days." The friend stated further that the pilot "wasn't himself that day."

NTSB Probable Cause Narrative

the pilot descended below the minimum altitude for the segment of the GPS approach. Factors relating to the accident were low ceilings, rain, and pilot fatigue.

Event Information

Type of Event Accident
Event Date 12/9/1999
Event Day of the Week Thursday
Time of Event 1512
Event Time Zone Central Standard Time
Event City BRANSON
Event State MISSOURI
Event Country --
Zipcode of the event site 65615
Event Date Year 1999
Event Date Month 12
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude --
Event Location Longitude --
Event Location Airport M. GRAHAM CLARK AIRPORT
Event Location Nearest Airport ID PLK
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 4
Degrees magnetic from airport 290
Airport Elevation 938
Weather Briefing Completeness Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1451 Central Standard Time
Direction of event from weather observation facility (degrees) 157
Weather Observation Facility ID HRO
Elevation of weather observation facility 1364
Distance of event from weather observation facility (units?) 25
Time Zone of the weather observation CST
Lighting Conditions Day
Lowest Ceiling Height 200
Lowest Non-Ceiling Height 0
Sky/Lowest/Cloud Conditions Unknown
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) 0
Visibility Runway Visual Value (Statute Miles) 0
Visibility (Statute Miles) 2
Air Temperature at event time (in degrees celsius) 53
Dew Point at event time (in degress fahrenheit) 53
Wind Direction (degrees magnetic) 100
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) 1304
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 6
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 6
Investigating Agency NTSB
NTSB Docket Number (internal use) 1783
NTSB Notification Source --
NTSB Notification Date Dec 9 1999 12:00AM
NTSB Notification Time 1950
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 N525KL
NTSB Number CHI00FA040
Missing Aircraft Indicator N
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? --
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 525
Aircraft Series Identifier 525
Aircraft Serial Number 525-0136
Certified Max Gross Weight 11500
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 6
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Oct 30 1999 12:00AM
Airframe hours since last inspection 30
Airframe Hours 783
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site Unknown
ELT Type --
Aircraft Owner Name COLLEGE OF THE OZARKS
Aircraft Owner Street Address HANGAR 1
Aircraft Owner City POINT LOOKOUT
Aircraft Owner State MO
Aircraft Owner Country
Aircraft Owner Zipcode 65726
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) Business
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code STL
Departure City ST. LOUIS
Departure State MO
Departure Country
Departure Time 1411
Departure Time Zone CST
Destination Same as Local Flt --
Destination Airport Code PLK
Destination City POINT LOOKOUT
Destination State MO
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 11
Runway Length 3739
Runway Width 100
Sight Seeing flight No
Air Medical Flight No
Medical Flight --