Aircraft Accident/Incident Report

Ketchikan, Alaska 99901
Thursday, August 16, 2007 17:30 AKD

NTSB Narrative Summary Released at Completion of Accident

The float-equipped airplane was departing from a remote bay 20 miles north of Ketchikan, Alaska, to return air taxi passengers to Ketchikan after a ground tour. The accident pilot, who reported that he had 17,000 flight hours and 7,000 hours in the make and model of the accident airplane, said that southeasterly winds had begun to increase while he was waiting at the bay for the passengers to return from the tour. He said that, unlike when he had landed about 2.5 hours earlier, it was no longer “nice and calm” when the passengers returned. The pilot noticed choppy waves in parts of a nearby cove. To avoid some of the wind and waves, the pilot elected to take off toward the interior of the bay, in the direction of rising terrain. The pilot said that he had never taken off in that direction before. The pilot also said that he had intended to make a shallow, right-climbing turn toward the mouth of the bay and away from the terrain, but shortly after takeoff, he saw numerous choppy waves concentrated along his proposed departure flightpath, which he said indicated to him that strong winds were likely along that path. The pilot decided to change his plan and continue flying straight temporarily, away from the waves, and to make a left, 180-degree turn inside the bay, which was surrounded by high terrain. The pilot indicated that when the turn was initiated, the airplane was about 400 feet above the water, and he did not recall the indicated airspeed. The attempted 180-degree turn was within the airplane’s performance capabilities but placed it closer to rising terrain. While attempting this turn, the pilot encountered a downdraft, was unable to climb above the terrain, and stalled the airplane about 60 feet above the ground. The downdraft likely made it more difficult to avoid descending into the rising terrain. A weather study by the National Transportation Safety Board confirmed that there was a gust front in the area and an abrupt wind change about the time of the accident. Pilots flying nearby also reported low-level windshear, strong winds, and turbulence. No mechanical anomalies were discovered during postaccident inspections by the Safety Board.

NTSB Probable Cause Narrative

An inadvertent aerodynamic stall resulting from the pilot's poor decision-making and inadequate planning and execution when he took off toward nearby rising terrain, in strong winds, under circumstances where his options for maneuvering were severely limited and where his safety margin was, thus, insufficient.

Event Information

Type of Event Accident
Event Date 8/16/2007
Event Day of the Week Thursday
Time of Event 1730
Event Time Zone --
Event City Ketchikan
Event State ALASKA
Event Country --
Zipcode of the event site 99901
Event Date Year 2007
Event Date Month 8
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 554200N
Event Location Longitude 1313800W
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 1753 Atlantic Daylight Time
Direction of event from weather observation facility (degrees) 180
Weather Observation Facility ID KTN
Elevation of weather observation facility 88
Distance of event from weather observation facility (units?) 20
Time Zone of the weather observation ADT
Lighting Conditions Day
Lowest Ceiling Height --
Lowest Non-Ceiling Height 1700
Sky/Lowest/Cloud Conditions Few
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) 17
Dew Point at event time (in degress fahrenheit) 12
Wind Direction (degrees magnetic) 140
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 17
Wind Velocity Indicator --
Wind Gust Indicator Gusting
Wind Gust (knots) 31
Altimeter Setting at event time (in. Hg) 29.86
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 5
Injury Total Minor --
Injury Total None --
Injury Total Serious 4
Injury Total All 9
Investigating Agency NTSB
NTSB Docket Number (internal use) 23890
NTSB Notification Source Alaska State Troopers
NTSB Notification Date Aug 16 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 5 2008 2:37PM
User who most recently changed record johb
Basic weather conditions Visual Meteorological Cond
FAA District Office FAA AAI-100

Aircraft Involved

Aircraft #1

Aircraft Registration Number N345KA
NTSB Number ANC07MA083
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed Company VFR
Flight plan Was Activated? Yes
Damage Destroyed
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name de Havilland
Aircraft Model DHC-2
Aircraft Series Identifier --
Aircraft Serial Number 1306
Certified Max Gross Weight 5500
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 9
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection 100 Hour
Date of Last Inspection Aug 1 2007 12:00AM
Airframe hours since last inspection --
Airframe Hours 22409
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type --
Aircraft Owner Name Seawind Aviation, Inc.
Aircraft Owner Street Address P.O. Box 9172
Aircraft Owner City Ketchikan
Aircraft Owner State AK
Aircraft Owner Country USA
Aircraft Owner Zipcode 99901
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 K5WA
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 Passenger Only
Type of Flying (Per_Bus / Primary) --
Second Pilot on Board No
Departure Point Same as Event No
Departure Airport Code --
Departure City KETCHIKAN
Departure State AK
Departure Country USA
Departure Time 1730
Departure Time Zone ADT
Destination Same as Local Flt crash at destination city
Destination Airport Code 5KE
Destination City Ketchikan
Destination State AK
Destination Country USA
Specific Phase of Flight Takeoff - initial climb
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Jul 8 2008 4:09PM
User who most recently changed record STAM
Since inspection or accident Last Inspection
Event Location Runway Number and Location 120
Runway Length --
Runway Width --
Sight Seeing flight Yes
Air Medical Flight No
Medical Flight --