Flagstaff Pulliam Airport
Aircraft Accident/Incident Report

Flagstaff, Arizona 86001
Friday, January 23, 2009 6:55 MST

NTSB Narrative Summary Released at Completion of Accident

The purpose of the flight was for the pilots to attend a business meeting. The left-seated pilot, a private pilot, owned the airplane and the right-seated pilot held an instrument rating; it could not be determined who was the pilot-in-command at the time of the accident. The left-seated pilot had a self-induced stress of completing the flight and attending the meeting as he was concerned about his company's financial health. The right-seated pilot's pressure to depart likely stemmed from him dedicating over a year preparing items to be presented in the meeting. The left-seated pilot had great confidence in the right-seated pilot's flying ability and history in operating in inclement environments, which most likely contributed to his decision to depart in poor weather conditions. An audio recording of the airplane just prior to the accident revealed that the engine was producing high power and the airplane was traveling at an airspeed of about 130 knots. The airplane crashed into a hill bordering an interstate about 10 miles south of the departure airport and in the direction of the destination. The wreckage distribution was consistent with the airplane in a relatively level flight attitude during a high speed impact. An airline pilot, who departed about 30 minutes after the accident airplane, stated that the cloud layer was about 1,000 feet above ground level (agl). At the time of the accident, the departure airport's weather observation facility reported a broken cloud layer at 800 feet; an overcast layer at 1,500 feet and remarked that a cloud ceiling varied between 700 feet and 1,100 feet. Recordings between the Automated Flight Service Station (AFSS) and the left-seated pilot revealed that he was open to perform the flight as an instrument flight rules (IFR) operation, but opted not to. Just prior to the flight the AFSS briefer reiterated that visual flight rules (VFR) flight was not recommended. Post accident examinations revealed no mechanical anomalies with the airframe or engine that would have precluded normal operation.

NTSB Probable Cause Narrative

The pilot's loss of situational awareness and failure to maintain clearance from hilly terrain while flying in an area of a low cloud ceiling. Contributing to the accident was the pilot's decision to continue flight due to a self-induced pressure.

Event Information

Type of Event Accident
Event Date 1/23/2009
Event Day of the Week Friday
Time of Event 655
Event Time Zone Mountain Standard Time
Event City Flagstaff
Event State ARIZONA
Event Country --
Zipcode of the event site 86001
Event Date Year 2009
Event Date Month 1
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 345910N
Event Location Longitude 1114122W
Event Location Airport Flagstaff Pulliam Airport
Event Location Nearest Airport ID FLG
Indicates whether the acc/inc occurred off or on an airport Off Airport/Airstrip
Distance from airport in statute miles 10
Degrees magnetic from airport --
Airport Elevation 7015
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 659 Mountain Standard Time
Direction of event from weather observation facility (degrees) 195
Weather Observation Facility ID FLG
Elevation of weather observation facility 7015
Distance of event from weather observation facility (units?) 9
Time Zone of the weather observation MST
Lighting Conditions Night/Dark
Lowest Ceiling Height 800
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions Clear
Sky Condition for Lowest Ceiling Broken
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 10
Air Temperature at event time (in degrees celsius) 4
Dew Point at event time (in degress fahrenheit) 4
Wind Direction (degrees magnetic) --
Variable Wind Indicator --
Wind Speed (knots) --
Wind Velocity Indicator Calm
Wind Gust Indicator --
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 30.23
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 2
Injury Total Minor --
Injury Total None --
Injury Total Serious --
Injury Total All 2
Investigating Agency NTSB
NTSB Docket Number (internal use) 26250
NTSB Notification Source AWP ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Dec 10 2009 11:10AM
User who most recently changed record johb
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N8298Z
NTSB Number WPR09FA096
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 91: General Aviation
Type of Flight Plan filed None
Flight plan Was Activated? No
Damage Substantial
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name CESSNA
Aircraft Model 205
Aircraft Series Identifier --
Aircraft Serial Number 205-0298
Certified Max Gross Weight 3300
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 2
Cabin Crew Seats --
Passenger Seats 4
Total number of seats on the aircraft 6
Number of Engines 1
Fixed gear or retractable gear Fixed
Aircraft, Type of Last Inspection Annual
Date of Last Inspection May 16 2008 12:00AM
Airframe hours since last inspection --
Airframe Hours 5017
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site No
ELT Type Unknown
Aircraft Owner Name Frank Protiva
Aircraft Owner Street Address --
Aircraft Owner City Flagstaff
Aircraft Owner State AZ
Aircraft Owner Country USA
Aircraft Owner Zipcode 86001
Operator is an individual? Yes
Operator Name Frank Protiva
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address --
Operator City Flagstaff
Operator State AZ
Operator Country USA
Operator Zip code 86001
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) Business
Second Pilot on Board Yes
Departure Point Same as Event Yes
Departure Airport Code FLG
Departure City Flagstaff
Departure State AZ
Departure Country USA
Departure Time 645
Departure Time Zone MST
Destination Same as Local Flt --
Destination Airport Code 2V6
Destination City Yuma
Destination State AZ
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Oct 27 2009 5:46PM
User who most recently changed record coos
Since inspection or accident Last Inspection
Event Location Runway Number and Location N/A
Runway Length --
Runway Width --
Sight Seeing flight No
Air Medical Flight No
Medical Flight --