Bethel Airport
Aircraft Accident/Incident Report

Bethel, Alaska 99559
Tuesady, October 16, 2001 21:29 AKD

NTSB Narrative Summary Released at Completion of Accident

The captain and first officer were conducting a localizer DME back course approach to runway 36 in a twin-engine turboprop airplane during a night cargo flight under IFR conditions. The minimum visibility for the approach was one mile, and the minimum descent altitude (MDA) was 460 feet msl (338 feet agl). Prior to leaving their cruise altitude, the first officer listened to the ATIS information which included an altimeter setting of 29.30 inHg. No other altimeter information was received until the crew reported they were inbound on the approach. At that time, tower personnel told the crew that the visibility was one mile in light snow, the wind was from 040 degrees at 22 knots, and the altimeter setting was 29.22 inHg. The crew did not reset the airplane altimeters from 29.30 to 29.22. At the final approach fix (5 miles from the runway), the captain began a descent to the MDA. Thirty-six seconds before impact, the first officer cautioned the captain about the airplane's high airspeed. Due to strong crosswinds, the captain disconnected the autopilot 22 seconds before impact. He said he pushed the altitude hold feature on the flight director at the MDA. Eighteen seconds before impact, the airplane leveled off about 471 feet indicated altitude, but then descended again 9 seconds later. The descent continued until the airplane collided with the ground, 3.5 miles from the runway. The crew said that neither the airport, or the snow-covered terrain, was observed before impact. The crew reported that the landing lights were off. The airplane was not equipped with a ground proximity warning system.

NTSB Probable Cause Narrative

The captain's continued descent below the minimum descent altitude which resulted in impact with terrain during an instrument landing approach. Factors contributing to the accident were the flightcrew's failure to reset the altimeters to the correct altimeter setting, and meteorological conditions consisting of snow obscuration that limited visibility, and the ambient night light conditions.

Event Information

Type of Event Accident
Event Date 10/16/2001
Event Day of the Week Tuesday
Time of Event 2129
Event Time Zone --
Event City BETHEL
Event State ALASKA
Event Country --
Zipcode of the event site 99559
Event Date Year 2001
Event Date Month 10
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 604642N
Event Location Longitude 1615012W
Event Location Airport BETHEL
Event Location Nearest Airport ID PABE
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 3.5
Degrees magnetic from airport 180
Airport Elevation 123
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 2132 Atlantic Standard Time
Direction of event from weather observation facility (degrees) 360
Weather Observation Facility ID PABE
Elevation of weather observation facility 123
Distance of event from weather observation facility (units?) 3
Time Zone of the weather observation AST
Lighting Conditions Night/Dark
Lowest Ceiling Height 800
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 1
Air Temperature at event time (in degrees celsius) -4
Dew Point at event time (in degress fahrenheit) -6
Wind Direction (degrees magnetic) 42
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 22
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 28
Altimeter Setting at event time (in. Hg) 29.21
Density Altitude (feet) --
Intensity of Precipitation Light
METAR weather report --
Event Highest Injury Minor
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor 2
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 12708
NTSB Notification Source FAA REGIONAL OPERATIONS CENTER
NTSB Notification Date Oct 16 2001 12:00AM
NTSB Notification Time 2152
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Apr 1 2003 4:20PM
User who most recently changed record NTSB\MONR
Basic weather conditions Instrument Meteorological Cond
FAA District Office FAA-AL-ANC FSDO 03

Aircraft Involved

Aircraft #1

Aircraft Registration Number N120AX
NTSB Number ANC02LA002
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Embraer
Aircraft Model 120ER
Aircraft Series Identifier --
Aircraft Serial Number 120-164
Certified Max Gross Weight 26433
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 4
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection Continuous Airworthiness
Date of Last Inspection Oct 13 2001 12:00AM
Airframe hours since last inspection 115
Airframe Hours 26295
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name ALASKA CENTRAL EXPRESS INC.
Aircraft Owner Street Address 5901 LOCKHEED AVE.
Aircraft Owner City ANCHORAGE
Aircraft Owner State AK
Aircraft Owner Country USA
Aircraft Owner Zipcode 99502
Operator is an individual? No
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 YADA
Owner has at least one certificate --
Other Operator of large aircraft? --
Certified for Part 133 or 137 Operation --
Operator Certificate Number --
Indicates whether an air carrier operation was scheduled or not Non-scheduled
Indicates Domestic or International Flight Domestic
Operator carrying Pax/Cargo/Mail Cargo
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board Yes
Departure Point Same as Event No
Departure Airport Code PANC
Departure City ANCHORAGE
Departure State AK
Departure Country USA
Departure Time 1949
Departure Time Zone ADT
Destination Same as Local Flt crash at destination city
Destination Airport Code PABE
Destination City BETHEL
Destination State AK
Destination Country USA
Specific Phase of Flight Approach - final approach fix (FAF)/outer marker to threshold (IFR)
Report sent to ICAO? Yes
Evacuation occurred No
Date of most recent change to record Dec 3 2002 11:31AM
User who most recently changed record SNYG
Since inspection or accident Time of Accident
Event Location Runway Number and Location 36
Runway Length 6398
Runway Width 150
Sight Seeing flight No
Air Medical Flight No
Medical Flight --