Aircraft Accident/Incident Report

Stockton, Utah 84071
Saturday, April 25, 2009 10:04 MDT

NTSB Narrative Summary Released at Completion of Accident

The multi-engine fire bomber, which was not carrying retardant, was established at its cruise altitude while en route to a fire base where it would be used as part of the effort to fight a local fire. While en route, the flight crew encountered a forecast area of instrument meteorological conditions, whereupon they began a series of descents to lower altitudes in order to stay in visual flight rules (VFR) conditions beneath the clouds. During the last few minutes of their flight, the flight crew had descended to an altitude that was less than 1,300 feet above ground level (agl) over nearly level terrain. As they approached rapidly rising terrain at the end of the broad open valley they had been flying over, they inadvertently entered instrument meteorological conditions (IMC). Soon thereafter, while still in a nearly wings-level attitude, the airplane impacted a ridge about 240 feet below its top. The First Officer, who was flying at the time, had asked the Captain about ten minutes prior to the impact if their altitude was high enough to clear the upcoming terrain, but the Captain did not respond, and the First Officer did not challenge the Captain about the issue. Witnesses in the area reported low clouds with ceilings about 200 feet above ground level with a visibility of one-quarter mile or less, with rain and fog. One of the witnesses reported momentarily viewing the airplane flying "very low," while the others reported only being able to hear the airplane.

NTSB Probable Cause Narrative

The flight crew's failure to maintain terrain clearance during low altitude flight in low ceiling and visibility conditions. Contributing to the accident was the flight crew's failure to adequately monitor their location with respect to the rising terrain environment ahead, and, their lack of crew resource management communication as a crew.

Event Information

Type of Event Accident
Event Date 4/25/2009
Event Day of the Week Saturday
Time of Event 1004
Event Time Zone Mountain Daylight Time
Event City Stockton
Event State UTAH
Event Country --
Zipcode of the event site 84071
Event Date Year 2009
Event Date Month 4
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 402807N
Event Location Longitude 1122037W
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 Witness
Time of the weather observation
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID --
Elevation of weather observation facility --
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation --
Lighting Conditions Day
Lowest Ceiling Height 200
Lowest Non-Ceiling Height --
Sky/Lowest/Cloud Conditions --
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 0
Air Temperature at event time (in degrees celsius) 7
Dew Point at event time (in degress fahrenheit) --
Wind Direction (degrees magnetic) --
Variable Wind Indicator Variable
Wind Speed (knots) 8
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) --
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) 26817
NTSB Notification Source FAA NW Operations Center
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Aug 4 2011 1:25PM
User who most recently changed record broda
Basic weather conditions Instrument Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N442NA
NTSB Number WPR09GA216
Missing Aircraft Indicator --
Federal Aviation Reg. Part Public Use
Type of Flight Plan filed Company VFR
Flight plan Was Activated? Yes
Damage Substantial
Aircraft Fire Ground
Aircraft Explosion None
Aircraft Manufacturer's Full Name LOCKHEED
Aircraft Model P2V-7
Aircraft Series Identifier --
Aircraft Serial Number 150283
Certified Max Gross Weight 80000
Aircraft Category Airplane
Aircraft Registration Class --
Aircraft is a homebuilt? No
Flight Crew Seats 2
Cabin Crew Seats 1
Passenger Seats --
Total number of seats on the aircraft 3
Number of Engines 4
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Nov 14 2008 12:00AM
Airframe hours since last inspection --
Airframe Hours 3554
ELT Installed Yes
ELT Activated Unknown
ELT Aided Location of Event Site No
ELT Type C126
Aircraft Owner Name NEPTUNE AVIATION SERVICES INC
Aircraft Owner Street Address 5225 HWY 10 WEST BOX 17
Aircraft Owner City MISSOULA
Aircraft Owner State MT
Aircraft Owner Country USA
Aircraft Owner Zipcode 59808
Operator is an individual? No
Operator Name NEPTUNE AVIATION SERVICES INC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 5225 HWY 10 WEST BOX 17
Operator City MISSOULA
Operator State MT
Operator Country USA
Operator Zip code 59808
Operator Code --
Owner has at least one certificate Yes - certificate holder
Other Operator of large aircraft? No
Certified for Part 133 or 137 Operation Agriculture
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 Yes
Departure Point Same as Event No
Departure Airport Code KMSO
Departure City Missoula
Departure State MT
Departure Country USA
Departure Time 803
Departure Time Zone MDT
Destination Same as Local Flt --
Destination Airport Code KALM
Destination City Alamogordo
Destination State NM
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Aug 4 2011 1:57PM
User who most recently changed record broda
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 --