Aircraft Accident/Incident Report

Kenai, Alaska 99611
Tuesady, January 9, 2007 10:35 AST

NTSB Narrative Summary Released at Completion of Accident

The commercial certificated pilot prepared for a VFR cross-country nonscheduled cargo flight under Title 14, CFR Part 135, by preflighting the wheel-equipped airplane and starting the engine. The airplane had been parked on the airport ramp overnight, with an electric engine heater and an engine cover on. A portion of the flight was over ocean waters to a remote village. After engine start, the pilot contacted the company owner and reported that the engine oil pressure appeared to be low, but within the operating range. The owner and the pilot discussed the possible reasons, such as cold ambient temperatures, which was about -20 degrees F. The pilot then departed, and reported to his company that the engine pressure was good. About 10 minutes later, he declared an emergency and stated he was ditching in the water, about 18 miles west of the departure airport. Retrieved track data from the pilot's GPS showed the airplane's maximum altitude was 1,439 feet msl, while crossing the ocean in an area that was about 22 miles wide. A review of the manufacturer's maximum glide distance chart revealed that from an altitude of about 1,500 feet, the airplane could glide about 2.1 nautical miles. The airplane was located about two hours after the accident, floating nose down next to a segment of pan ice, about 8.8 miles from the initial accident location. The pilot was not recovered with the airplane, and subsequent searches did not locate him. Following recovery of the airplane, examination of the engine revealed a 8 X 5 inch hole in the top of the case, adjacent to the number 2 cylinder. The number 2 connecting rod was broken from its crankshaft journal, and broken from the bottom of the piston. The number 1 connecting rod bearing was missing from its normal position on the crankshaft journal and the rod had evidence of high heat. Evidence of oil starvation and high heat signatures to several crankshaft and connecting rod bearings was found throughout the engine, along with a large amount of fragmented bearing material. The pilot was not wearing any personal flotation equipment, and the expected survival time in the 29 degree F ocean water was about 30 minutes. The company's operations manual does not contain a written policy requiring pilot's to maintain sufficient altitude to reach shore when crossing ocean waters.

NTSB Probable Cause Narrative

The total loss of engine power during cruise flight due to the disintegration of engine bearings and the fracture of a connecting rod, which resulted in a ditching into ice covered ocean water. Factors contributing to the survivability of the accident were the pilot's improper decision to fly over frigid water without sufficient altitude to reach a suitable landing area, the lack of written policy and procedures by the operator requiring sufficient altitude to reach shore when crossing ocean waters, temperature extremes consisting of sub-zero air and below freezing water temperatures, and the lack of personal flotation/survival equipment.

Event Information

Type of Event Accident
Event Date 1/9/2007
Event Day of the Week Tuesday
Time of Event 1035
Event Time Zone Atlantic Standard Time
Event City Kenai
Event State ALASKA
Event Country --
Zipcode of the event site 99611
Event Date Year 2007
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 604055N
Event Location Longitude 1514333W
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 --
Investigator's weather source Weather Observation Facility
Time of the weather observation 1044 Atlantic Standard Time
Direction of event from weather observation facility (degrees) 96
Weather Observation Facility ID PAEN
Elevation of weather observation facility 99
Distance of event from weather observation facility (units?) 18
Time Zone of the weather observation AST
Lighting Conditions Day
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) -29
Dew Point at event time (in degress fahrenheit) -33
Wind Direction (degrees magnetic) 38
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 6
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.56
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 1
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 1
Investigating Agency NTSB
NTSB Docket Number (internal use) 22766
NTSB Notification Source FAA Regional Operations Center
NTSB Notification Date Jan 9 2007 12:00AM
NTSB Notification Time --
Fiche Number and/or location -used to find docket information DMS
Date of most recent change to record Dec 20 2007 6:59AM
User who most recently changed record NTSB\johb
Basic weather conditions Visual Meteorological Cond
FAA District Office FAA-AL-ANC FSDO 03

Aircraft Involved

Aircraft #1

Aircraft Registration Number N9941M
NTSB Number ANC07FA013
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Company VFR
Flight plan Was Activated? --
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name Cessna
Aircraft Model 207A
Aircraft Series Identifier --
Aircraft Serial Number 20700748
Certified Max Gross Weight 3800
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats --
Cabin Crew Seats --
Passenger Seats --
Total number of seats on the aircraft 1
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Nov 1 2006 12:00AM
Airframe hours since last inspection 64
Airframe Hours 13774
ELT Installed Yes
ELT Activated Yes
ELT Aided Location of Event Site Yes
ELT Type --
Aircraft Owner Name Alaska Aircraft Leasing LLC
Aircraft Owner Street Address 6381 NW Aileron CT.
Aircraft Owner City Silverdale
Aircraft Owner State WA
Aircraft Owner Country USA
Aircraft Owner Zipcode 98383
Operator is an individual? No
Operator Name Air Supply Alaska Inc.
Operator Same as Owner? No
Operator Is Doing Business As --
Operator Address Same as Owner? No
Operator Street Address P.O. Box 874
Operator City Kenai
Operator State AK
Operator Country USA
Operator Zip code 99611
Operator Code K58C
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 No
Departure Point Same as Event Yes
Departure Airport Code PAEN
Departure City Kenai
Departure State AK
Departure Country USA
Departure Time 1023
Departure Time Zone AST
Destination Same as Local Flt --
Destination Airport Code 9K2
Destination City Kokhanok
Destination State AK
Destination Country USA
Specific Phase of Flight Emergency descent/landing
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Nov 30 2007 12:29PM
User who most recently changed record STAM
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 --