Dodge City Regional Airport
Aircraft Accident/Incident Report

Dodge City, Kansas 67801
Tuesady, February 17, 2004 2:57 CST

NTSB Narrative Summary Released at Completion of Accident

The emergency medical services (EMS) airplane was destroyed by terrain impact and post impact fire about 7 nautical miles (nm) west of its destination airport, Dodge City Regional Airport (DDC), Dodge City, Kansas. The 14 Code of Federal Regulations Part 91 positioning flight departed the Wichita Mid-Continental Airport (ICT), Wichita, Kansas, about 0215 central standard time and was en route to DDC. Night visual meteorological conditions prevailed when the accident occurred about 0257 central standard time. The flight had been on an instrument flight rules (IFR) flight plan, but the pilot cancelled the IFR flight plan about 34 nm east of DDC and initiated a descent under visual flight rules. Radar track data indicated that the airplane maintained a magnetic course of about 265 degrees during the flight from ICT to DDC. The rate of descent was about 850 to 950 feet per minute. During the descent, the airplane flew past the airport on a 270 degree course. Witnesses in the area reported hearing the engine noise of a low-flying airplane followed by the sound of impact. One of the witnesses described the engine noise as sounding like the engines were at "full throttle." The on-site inspection revealed that the airplane impacted the terrain in a gear-up, wings-level attitude. The inspection of the airplane revealed no anomalies to the airframe or engines. A review of the pilot's 72-hour history before the accident revealed that it had been 14 hours and 32 minutes from the time the pilot reported for duty about 1225 central standard time until the time of the accident. It had been 20 hours 57 minutes from the time the pilot awoke (0600) on the morning before the accident until the time of the accident. No evidence of pilot impairment due to carbon monoxide, drugs, or medical incapacitation was found. The accident occurred during a time of day that was well past the pilot's normal bedtime and also at a time of day when the physiological need to sleep is especially strong. The findings from a Safety Board's human performance analysis indicates that the pilot was likely fatigued. A review of 14 CFR 135.267 indicated that the pilot had adhered to the flight time limitations and rest requirements specified in the regulation.

NTSB Probable Cause Narrative

The pilot failed to maintain clearance with terrain due to pilot fatigue (lack of sleep).

Event Information

Type of Event Accident
Event Date 2/17/2004
Event Day of the Week Tuesday
Time of Event 257
Event Time Zone Central Standard Time
Event City Dodge City
Event State KANSAS
Event Country --
Zipcode of the event site 67801
Event Date Year 2004
Event Date Month 2
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 374750N
Event Location Longitude 1000642W
Event Location Airport DODGE CITY REGIONAL
Event Location Nearest Airport ID DDC
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 5
Degrees magnetic from airport 340
Airport Elevation 2594
Weather Briefing Completeness Unknown
Investigator's weather source Weather Observation Facility
Time of the weather observation 253 Central Standard Time
Direction of event from weather observation facility (degrees) 340
Weather Observation Facility ID DDC
Elevation of weather observation facility 2594
Distance of event from weather observation facility (units?) 5
Time Zone of the weather observation CST
Lighting Conditions Night/Dark
Lowest Ceiling Height --
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling None
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) -6
Dew Point at event time (in degress fahrenheit) -8
Wind Direction (degrees magnetic) 320
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 0
Altimeter Setting at event time (in. Hg) 30.46
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury Fatal
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal 3
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 3
Investigating Agency NTSB
NTSB Docket Number (internal use) 19444
NTSB Notification Source FAA
NTSB Notification Date Feb 17 2004 12:00AM
NTSB Notification Time 530
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Jan 26 2006 12:42PM
User who most recently changed record NTSB\JOHB
Basic weather conditions Visual Meteorological Cond
FAA District Office Wichita, KS FSDO

Aircraft Involved

Aircraft #1

Aircraft Registration Number N777KU
NTSB Number CHI04FA066
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 Ground
Aircraft Manufacturer's Full Name Beech
Aircraft Model B90
Aircraft Series Identifier --
Aircraft Serial Number LJ377
Certified Max Gross Weight 9705
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 8
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Feb 1 2004 12:00AM
Airframe hours since last inspection 8
Airframe Hours 9005.7
ELT Installed Yes
ELT Activated --
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Ballard Aviation Inc.
Aircraft Owner Street Address 6601 W. Pueblo
Aircraft Owner City Wichita
Aircraft Owner State KS
Aircraft Owner Country USA
Aircraft Owner Zipcode 67209
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 IJAF
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 --
Indicates Domestic or International Flight --
Operator carrying Pax/Cargo/Mail --
Type of Flying (Per_Bus / Primary) Positioning
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code ICT
Departure City Wichita
Departure State KS
Departure Country USA
Departure Time 215
Departure Time Zone CST
Destination Same as Local Flt --
Destination Airport Code DDC
Destination City Dodge City
Destination State KS
Destination Country USA
Specific Phase of Flight Descent - normal
Report sent to ICAO? Yes
Evacuation occurred No
Date of most recent change to record Oct 24 2005 7:50AM
User who most recently changed record SULP
Since inspection or accident Time of Accident
Event Location Runway Number and Location NA
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight --