Aviation Crash Map

Cessna U206 N1749R

27 July 2017 · Port Alsworth, Alaska, United States · Fatal

Summary

On 27 July 2017 at about 17:23 local time, a Cessna U206 registered N1749R, operated by Alaska Skyways, Inc., was involved in an accident near Port Alsworth, Alaska, United States. One person was on board and one died. The aircraft was destroyed. The NTSB has published a probable cause for this accident; it is quoted in full below.

The record

Date
at 17:23
Classification
Accident
Location
Port Alsworth, Alaska, United States
Coordinates
60.3714, -154.2422
Aircraft
Cessna U206
Registration
N1749R
Category
Airplane
Year built
1979
Engines
1
Operating rule
Part 135: Air Taxi & Commuter
Phase of flight
Not recorded
Route
Anchorage → Kautumn Lodge
Aircraft damage
Destroyed
Weather
IMC
Light
Day
NTSB number
ANC17FA039

People

1 person died.

On board Died Serious Minor Uninjured
1 1 0 0 0

Probable cause

The pilot's decision to continue visual flight into an area of instrument meteorological conditions, which resulted in a loss of visual reference and subsequent controlled flight into terrain. Contributing to the accident was (1) the inadequate preflight weather planning by the pilot and duty officer (2) the operator's inadequate operational control structure, and (3) the inadequate oversight of the operator's operational control structure by the Federal Aviation Administration.

Quoted verbatim from the NTSB record. This site does not paraphrase or interpret it.

Read the full NTSB narrative

The instrument-rated commercial pilot was conducting a visual flight rules (VFR) on-demand cargo flight over remote, mountainous terrain in an airplane that was not equipped for instrument flight. Low cloud ceilings and visibility prevailed in the area of the accident site from about 30 minutes before the pilot departed through the accident time. Based on the weather conditions in the area and tracking data from onboard the airplane, it is likely that the pilot encountered low cloud ceilings and low visibility conditions en route and attempted to descend in order to continue toward the destination; the airplane impacted trees and terrain in a level attitude consistent with controlled flight into terrain.  The flight occurred during the pilot's first season flying in Alaska. It is likely due to the pilot's lack of flight experience in remote areas and his first season flying in Alaska, poor decision making occurred with his decision to descend in an area of low cloud ceiling and low visibility in mountainous terrain in order to continue toward the destination as opposed to turning around, climbing, or diverting the route of flight. Postaccident examination of the airplane revealed no evidence of preimpact mechanical anomalies that would have precluded normal operation. The company president/director of operations (DO) was out of the country when the accident occurred. Per the DO, either himself or the office manager, as the duty officer, are the ones that exercise operational control over the company's flights. On the day of the accident, the office manager, was exercising first-tier operational control (per the two-tiered operational control concept) over the flight as the duty officer. The office manager, who held a private pilot license, was not listed by name in the company's general operations manual (GOM) or in the Federal Aviation Administration (FAA)-issued operations specifications as an individual who could exercise operational control over a flight. The FAA states that individuals who exercise operational control must be qualified through training, experience, and expertise. The operator did not have an operational control training program. The operator had an operational control organizational structure in place, that was accepted by the FAA, that allowed the office manager to exercise operational control when he was not qualified, nor was he listed by name in the GOM. The operator having an organizational structure in place that allowed any company employee to perform as a duty officer who can exercise first-tier operational control without meeting the requirements of the 14 CFR Part 119 and 14 CFR Part 135, showed a lack of understanding of operational control; in addition to, a loss of operational control with the air carrier due to hands off management resulting in inadequate controls over its own operation and an exercise of operational control by unapproved persons. The pilot nor the office manager received an official weather briefing during the flight release process, nor were they required to by the company's GOM. An Aviation Routine Weather Report (METAR), originating about 12 miles southwest of the accident site was issued about 1 hour and 10 minutes prior to the flight's departure. Few clouds at 300 ft above ground level (agl), a broken ceiling at 1,500 ft agl, and remarks, "estimate pass closed" (the remark refers to the Lake Clark Pass) were listed. The office manager reported that he and the pilot did not assess the METAR that morning. Additionally, the office manager reported that he viewed FAA weather camera images prior to the flight's departure for the Lake Clark Pass area and noticed it had "some fog" but he reported, "it looked like it was just fog right over the camera because everywhere else was blue sky." If an official weather briefing was received, unfavorable weather conditions for the morning of the flight affecting the proposed route would have been observed and communicated to the pilot, particularly with the available METAR data. Information in the official weather briefing from the National Weather Service flying weather chart showed marginal VFR weather for the area encompassing the route of flight and the accident site. A review of FAA weather camera images, from multiple directions, prior to the flight's departure indicated complete mountain obscuration conditions affecting the proposed route with low visibility underneath the overcast cloud layer with all the higher terrain refences obscured by clouds, which would be unfavorable for VFR operations in that area. It is likely the pilot, who was exercising second-tier operational control, did not sufficiently assess the weather for the proposed flight route near Lake Clark Pass during the preflight planning process. The FAA principal operations inspector (POI) assigned to oversee the operator stated that he was saturated with certificate management duties and did not have adequate time to devote to the accident operator. Had the POI had adequate time to devote to the accident operator, the operational control deficiencies may have been identified and corrected.

Quoted verbatim from the NTSB record.

Other Cessna U206 accidents

Date Aircraft Location Operator Outcome Died
5 Sep 2017 Cessna U206
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10 Dec 2017 Cessna U206
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1 Sep 2017 Cessna U206
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5 Sep 2017 Cessna U206
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All 254 records for this type

Other accidents in this area

Date Aircraft Location Operator Outcome Died
3 Mar 2017 Beechcraft G18
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17 Sep 2017 Cessna A185
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28 Oct 2017 Cessna 182
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6 Mar 2017 Cessna R172K
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31 Aug 2017 Cessna 150
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All 170,864 records in United States