Individually Owned: 150,657
Corporate Owned: 137,281
Portland International Airport
Aircraft Accident/Incident Report
Portland, Oregon 97218
Saturday, February 16, 2008 8:28 PST
NTSB Narrative Summary Released at Completion of Accident
Prior to initiating the first ILS approach to runway 10R, the pilot was advised by the tower controller that the runway visual range (RVR) was 600 feet, followed by being given a landing clearance. A little more than 2 minutes later the pilot declared a missed approach and was given radar vectors for a second ILS approach. After turning inbound on the localizer the pilot was advised that the runway visual range was 600 feet, midfield 800 feet, and roll out 800 feet. The pilot was then cleared to land. When the tower controller observed the airplane turning to the south of the runway on her radar display, she issued missed approach instructions, which was followed by an inaudible transmission. There were no further transmissions from the pilot. The airplane impacted the top of an 85-foot tall tree with its right wingtip, 3,200 feet southeast of the approach end of the runway, then continued on the collision course before impacting the ground about 845 feet from the initial impact point with the tree. The airplane was subsequently consumed by fire. The weather minimums for the approach required a ceiling of 200 feet and an RVR of 1,800 feet or one-half mile; the decision altitude was 224 feet msl. The FAA published missed approach procedure instructed the pilot to climb to 900 feet, then climbing right turn to 4,000 feet, intercept the 160 degree radial of the VORTAC, and proceed to a DME fix and hold. The airplane's turn to the southeast was consistent with the missed approach course of 160 degrees; however, a climb to 900 feet is required prior to commencing the right turn, as outlined on approach plate's missed approach instructions. It appears the pilot likely misinterpreted the missed approach instructions by making the right hand turn prior to initiating a climb to 900 feet, which resulted in the subsequent impact with the tree. No preimpact anomalies were found during an examination of the airframe and engine. The airplane's avionics components revealed that they were too thermally and impact-damaged to provide any data. No anomalies were found during a post accident examination of the instrument landing system components.
NTSB Probable Cause Narrative
The pilot's failure to follow the missed approach procedure. Contributing to the accident were the fog and below landing minimums visibility conditions.
Event Information
| Type of Event | Accident |
| Event Date | 2/16/2008 |
| Event Day of the Week | Saturday |
| Time of Event | 828 |
| Event Time Zone | Pacific Standard Time |
| Event City | Portland |
| Event State | OREGON |
| Event Country | -- |
| Zipcode of the event site | 97218 |
| Event Date Year | 2008 |
| Event Date Month | 2 |
| MidAir Collision Indicator | No |
| On Ground Collision occurred ? | No |
| Event Location Latitude | 453502N |
| Event Location Longitude | 1223705W |
| Event Location Airport | Portland International |
| Event Location Nearest Airport ID | PDX |
| Indicates whether the acc/inc occurred off or on an airport | On Airport |
| Distance from airport in statute miles | 0.75 |
| Degrees magnetic from airport | -- |
| Airport Elevation | 30 |
| Weather Briefing Completeness | -- |
| Investigator's weather source | Weather Observation Facility |
| Time of the weather observation | 753 Pacific Standard Time |
| Direction of event from weather observation facility (degrees) | 10 |
| Weather Observation Facility ID | PDX |
| Elevation of weather observation facility | 30 |
| Distance of event from weather observation facility (units?) | 1 |
| Time Zone of the weather observation | PST |
| Lighting Conditions | Day |
| Lowest Ceiling Height | 100 |
| Lowest Non-Ceiling Height | 100 |
| Sky/Lowest/Cloud Conditions | Thin Broken |
| Sky Condition for Lowest Ceiling | Broken |
| Visibility Runway Visual Range (Feet) | 600 |
| Visibility Runway Visual Value (Statute Miles) | -- |
| Visibility (Statute Miles) | 0.25 |
| Air Temperature at event time (in degrees celsius) | 1 |
| Dew Point at event time (in degress fahrenheit) | 1 |
| Wind Direction (degrees magnetic) | 240 |
| Variable Wind Indicator | Wind direction could be determined |
| Wind Speed (knots) | 3 |
| Wind Velocity Indicator | -- |
| Wind Gust Indicator | Not Gusting |
| Wind Gust (knots) | -- |
| Altimeter Setting at event time (in. Hg) | 30.35 |
| 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) | 24848 |
| NTSB Notification Source | Regional Operations Center |
| NTSB Notification Date | Feb 16 2007 12:00AM |
| NTSB Notification Time | -- |
| Fiche Number and/or location -used to find docket information | -- |
| Date of most recent change to record | Jan 26 2009 9:23AM |
| User who most recently changed record | grol |
| Basic weather conditions | Instrument Meteorological Cond |
| FAA District Office | Portland, Oregon |
Aircraft Involved |
|
|---|---|
Aircraft #1 |
|
| Aircraft Registration Number | N621ER |
| NTSB Number | SEA08FA078 |
| 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 | LANCAIR |
| Aircraft Model | LC41 |
| Aircraft Series Identifier | 550FG |
| Aircraft Serial Number | 41527 |
| Certified Max Gross Weight | 3600 |
| 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 | 4 |
| Number of Engines | 1 |
| Fixed gear or retractable gear | Retractable |
| Aircraft, Type of Last Inspection | Annual |
| Date of Last Inspection | Jul 1 2007 12:00AM |
| Airframe hours since last inspection | 86 |
| Airframe Hours | 383 |
| ELT Installed | Yes |
| ELT Activated | No |
| ELT Aided Location of Event Site | No |
| ELT Type | Unknown |
| Aircraft Owner Name | Richard E. Otoski |
| Aircraft Owner Street Address | -- |
| Aircraft Owner City | Klamath Falls |
| Aircraft Owner State | OR |
| Aircraft Owner Country | USA |
| Aircraft Owner Zipcode | 97603 |
| Operator is an individual? | No |
| Operator Name | Richard E. Otoski |
| Operator Same as Owner? | Yes |
| Operator Is Doing Business As | -- |
| Operator Address Same as Owner? | Yes |
| Operator Street Address | -- |
| Operator City | Klamath Falls |
| Operator State | OR |
| Operator Country | USA |
| Operator Zip code | 97603 |
| Operator Code | -- |
| Owner has at least one certificate | None |
| Other Operator of large aircraft? | No |
| 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 | LMT |
| Departure City | Klamath Falls |
| Departure State | OR |
| Departure Country | USA |
| Departure Time | 630 |
| Departure Time Zone | PST |
| Destination Same as Local Flt | crash at destination city |
| Destination Airport Code | PDX |
| Destination City | Portland |
| Destination State | OR |
| Destination Country | USA |
| Specific Phase of Flight | Approach - final approach fix (FAF)/outer marker to threshold (IFR) |
| Report sent to ICAO? | -- |
| Evacuation occurred | -- |
| Date of most recent change to record | Dec 29 2008 3:15PM |
| User who most recently changed record | stam |
| Since inspection or accident | Time of Accident |
| Event Location Runway Number and Location | 10R |
| Runway Length | 11000 |
| Runway Width | 150 |
| Sight Seeing flight | No |
| Air Medical Flight | No |
| Medical Flight | -- |