Ted Stevens Anchorage Int'l Airport
Aircraft Accident/Incident Report

Anchorage, Alaska 99502
Monday, March 5, 2012 21:54 AST

NTSB Narrative Summary Released at Completion of Accident

As the medical transport flight descended below the cloud cover during dark night, instrument meteorological conditions while on approach, the flight crew discovered that the first officer's windscreen was entirely covered with ice and that she would not be able to continue the approach. Although the captain's windscreen was partially covered with ice, he could still see the runway, so he took control of the airplane and continued the approach. The flight crew then confirmed that the windscreen heating and alcohol anti-ice systems were on. As the airplane passed over the runway threshold, the captain's windscreen abruptly iced over, and he had no forward visibility as the airplane's main landing gear wheels touched down. Unable to see the runway ahead and with limited visibility to each side, the flight crew attempted to activate the engine thrust reversers to slow the landing roll, but the airplane subsequently veered to the right of the runway centerline, and the right wing collided with a snow berm. The pilots reported no preincident mechanical malfunctions or failures that would have precluded normal operation. About 15 minutes before the incident, the approach controller at an airport about 7 miles northeast of the incident airport advised the destination airport's north radar position controller that the pilot of another airplane had reported that he was "going around" due to severe icing on the airplane's canopy. No record was found indicating that this pilot report (PIREP) was relayed to the incident flight crew or other aircraft operating near the incident airport. Both airports are under the control of the same approach control facility. The meteorological conditions at the time of the accident were conducive to a very light freezing or frozen precipitation environment very close to or at the surface. Therefore, it is likely that the airplane encountered significant in-flight icing conditions during the approach and landing that exceeded the capabilities of the airplane's anti-ice systems. In addition, if the pilots had been made aware of the severe icing PIREP from the nearby airport, they likely would have had other options available for landing. The Federal Aviation Administration has indicated that it will form a PIREP working group to address issues associated with the dissemination of PIREPs.

NTSB Probable Cause Narrative

The flightcrew's loss of visual reference to the runway after encountering severe in-flight icing conditions, which resulted in a loss of control while landing and exceedence of the capabilities of the airplane's windscreen anti-ice systems. Contributing to this incident was the failure of the approach controller to relay a pilot report of severe icing conditions near the route of flight to the incident flight crew.

Event Information

Type of Event Incident
Event Date 3/5/2012
Event Day of the Week Monday
Time of Event 2154
Event Time Zone Atlantic Standard Time
Event City Anchorage
Event State ALASKA
Event Country --
Zipcode of the event site 99502
Event Date Year 2012
Event Date Month 3
MidAir Collision Indicator No
On Ground Collision occurred ? No
Event Location Latitude 611004N
Event Location Longitude 1500116W
Event Location Airport Ted Stevens Anchorage Int'l
Event Location Nearest Airport ID PANC
Indicates whether the acc/inc occurred off or on an airport On Airport
Distance from airport in statute miles 0
Degrees magnetic from airport 270
Airport Elevation 151
Weather Briefing Completeness --
Investigator's weather source Weather Observation Facility
Time of the weather observation 2153 Atlantic Standard Time
Direction of event from weather observation facility (degrees) --
Weather Observation Facility ID PANC
Elevation of weather observation facility 151
Distance of event from weather observation facility (units?) --
Time Zone of the weather observation AST
Lighting Conditions Night
Lowest Ceiling Height 4400
Lowest Non-Ceiling Height 1300
Sky/Lowest/Cloud Conditions Few
Sky Condition for Lowest Ceiling Overcast
Visibility Runway Visual Range (Feet) --
Visibility Runway Visual Value (Statute Miles) --
Visibility (Statute Miles) 9
Air Temperature at event time (in degrees celsius) -10
Dew Point at event time (in degress fahrenheit) -12
Wind Direction (degrees magnetic) 350
Variable Wind Indicator Wind direction could be determined
Wind Speed (knots) 4
Wind Velocity Indicator --
Wind Gust Indicator Not Gusting
Wind Gust (knots) --
Altimeter Setting at event time (in. Hg) 29.8
Density Altitude (feet) --
Intensity of Precipitation --
METAR weather report --
Event Highest Injury None
On Ground, Fatal Injuries --
On Ground, Minor Injuries --
On Ground, Serious Injuries --
Injury Total Fatal --
Injury Total Minor --
Injury Total None 6
Injury Total Serious --
Injury Total All --
Investigating Agency NTSB
NTSB Docket Number (internal use) 32122
NTSB Notification Source FAA ROC
NTSB Notification Date --
NTSB Notification Time --
Fiche Number and/or location -used to find docket information --
Date of most recent change to record Nov 22 2013 11:30AM
User who most recently changed record stam
Basic weather conditions Visual Meteorological Cond
FAA District Office --

Aircraft Involved

Aircraft #1

Aircraft Registration Number N544LM
NTSB Number ANC12IA024
Missing Aircraft Indicator --
Federal Aviation Reg. Part Part 135: Air Taxi & Commuter
Type of Flight Plan filed IFR
Flight plan Was Activated? Yes
Damage Minor
Aircraft Fire None
Aircraft Explosion None
Aircraft Manufacturer's Full Name BOMBARDIER LEARJET CORP.
Aircraft Model 35A
Aircraft Series Identifier --
Aircraft Serial Number 500
Certified Max Gross Weight --
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 10
Number of Engines 2
Fixed gear or retractable gear Retractable
Aircraft, Type of Last Inspection AAIP
Date of Last Inspection Feb 24 2012 12:00AM
Airframe hours since last inspection 150
Airframe Hours 12533
ELT Installed Yes
ELT Activated No
ELT Aided Location of Event Site Unknown
ELT Type C126
Aircraft Owner Name AERO AIR LLC
Aircraft Owner Street Address 2050 NE 25TH AVE
Aircraft Owner City HILLSBORO
Aircraft Owner State OR
Aircraft Owner Country USA
Aircraft Owner Zipcode 97124-5964
Operator is an individual? No
Operator Name AERO AIR LLC
Operator Same as Owner? Yes
Operator Is Doing Business As --
Operator Address Same as Owner? Yes
Operator Street Address 2050 NE 25TH AVE
Operator City HILLSBORO
Operator State OR
Operator Country USA
Operator Zip code 97124-5964
Operator Code --
Owner has at least one certificate Yes - certificate holder
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 Yes
Departure Point Same as Event No
Departure Airport Code PAEN
Departure City Kenai
Departure State AK
Departure Country USA
Departure Time 2130
Departure Time Zone AST
Destination Same as Local Flt crash at destination city
Destination Airport Code PANC
Destination City Anchorage
Destination State AK
Destination Country USA
Specific Phase of Flight --
Report sent to ICAO? --
Evacuation occurred --
Date of most recent change to record Nov 22 2013 11:30AM
User who most recently changed record stam
Since inspection or accident Time of Accident
Event Location Runway Number and Location 07R
Runway Length 12400
Runway Width 200
Sight Seeing flight No
Air Medical Flight Yes
Medical Flight Medical Emergency