Aircraft Accident/Incident Report

Sitka, Alaska 99835
Thursday, July 3, 2003 16:00 AKD

NTSB Narrative Summary Released at Completion of Accident

The pilot of the twin-engine accident airplane was on an IFR flight plan in instrument meteorological conditions when the right side nose baggage door opened. The pilot expressed concerns to air traffic control about baggage exiting the compartment and striking the right propeller. He requested a diversion to the nearest airport with an instrument approach. The flight was diverted as requested, and was cleared for a nonpercision instrument approach to a coastal airport adjacent to mountainous terrain. The flight was authorized to a lower altitude when established on the approach. A review of the radar track information disclosed that the pilot did not fly the published approach, but abbreviated the approach and turned the wrong direction, toward higher terrain, north of the approach course. The airplane was discovered in mountainous terrain, about 1,100 msl, and 1.5 miles north of the approach course. The crash path was initially at a shallow angle in the treetops, until the airplane struck larger trees. Postaccident inspection of the airplane disclosed no evidence of any preimpact mechanical problems, other than the baggage door, which was still attached to the airplane.

NTSB Probable Cause Narrative

The pilot's failure to follow IFR procedures by not following the published approach procedures, which resulted in an in-flight collision with terrain. Factors contributing to the accident were a low ceiling, and the pressure induced by conditions/events (the open baggage door).

Event Information

Type of Event Accident
Event Date 7/3/2003
Event Day of the Week Thursday
Time of Event 1600
Event Time Zone --
Event City Sitka
Event State ALASKA
Event Country --
Zipcode of the event site 99835
Event Date Year 2003
Event Date Month 7
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 570552N
Event Location Longitude 1352208W
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 Full
Investigator's weather source Weather Observation Facility
Time of the weather observation 1540 Atlantic Daylight Time
Direction of event from weather observation facility (degrees) 340
Weather Observation Facility ID PASI
Elevation of weather observation facility 21
Distance of event from weather observation facility (units?) 3
Time Zone of the weather observation ADT
Lighting Conditions Day
Lowest Ceiling Height 2600
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 0
Air Temperature at event time (in degrees celsius) 12
Dew Point at event time (in degress fahrenheit) 11
Wind Direction (degrees magnetic) 200
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 7
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.83
Density Altitude (feet) --
Intensity of Precipitation Light
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 5
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 5
Investigating Agency NTSB
NTSB Docket Number (internal use) 16205
NTSB Notification Source FAA Anchorage, ROC
NTSB Notification Date Jul 3 2003 12:00AM
NTSB Notification Time 1733
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Sep 29 2004 1:02PM
User who most recently changed record NTSB\MONR
Basic weather conditions Instrument Meteorological Cond
FAA District Office Juneau FSDO-05

Aircraft Involved

Aircraft #1

Aircraft Registration Number N777DX
NTSB Number ANC03FA066
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 421C
Aircraft Series Identifier --
Aircraft Serial Number 421C0048
Certified Max Gross Weight 7450
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 Annual
Date of Last Inspection May 29 2003 12:00AM
Airframe hours since last inspection --
Airframe Hours 7981
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Bowl Aviation LLC.
Aircraft Owner Street Address --
Aircraft Owner City Colorado Springs
Aircraft Owner State CO
Aircraft Owner Country USA
Aircraft Owner Zipcode 80906
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 --
Owner has at least one certificate None
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Personal
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code CYPR
Departure City Prince Rupert
Departure State --
Departure Country CA
Departure Time 1512
Departure Time Zone ADT
Destination Same as Local Flt crash at destination city
Destination Airport Code SIT
Destination City Sitka
Destination State AK
Destination Country USA
Specific Phase of Flight Approach - final approach fix (FAF)/outer marker to threshold (IFR)
Report sent to ICAO? No
Evacuation occurred No
Date of most recent change to record Aug 13 2004 4:59PM
User who most recently changed record PETL
Since inspection or accident Last Inspection
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --