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N115CX accident description

Alaska map... Alaska list
Crash location 59.896111°N, 156.506111°W
Reported location is a long distance from the NTSB's reported nearest city. This often means that the location has a typo, or is incorrect.
Nearest city Iliamna, AK
59.752750°N, 154.822135°W
59.3 miles away
Tail number N115CX
Accident date 25 Jun 2014
Aircraft type Dehavilland Dhc 2
Additional details: None

NTSB Factual Report

On June 25, 2014, about 1447 Alaska daylight time, a float-equipped de Havilland DHC-2 airplane, N115CX, registered to RBG Bush Planes, LLC, struck a boat operator after takeoff from the Mulchatna River about 50 miles west of Iliamna, Alaska. The airline transport pilot was uninjured, the boat operator sustained serious injuries, and the airplane sustained minor damage. The flight was operated under the provisions of 14 Code of Federal Regulations (CFR) Part 91 with no flight plan filed. Visual meteorological conditions prevailed. The flight was en route to Ekwok, Alaska.

The pilot and the boat operator were part of a group of four people that included another pilot in a separate airplane and another boat operator in a separate boat. The four were working together to move two open, 18-foot skiffs downriver to Ekwok.

The pilot reported on NTSB form 6120.1 that the two boat operators departed in the two boats and headed downriver before he started his airplane. He stated that he started his airplane and, after clearing the area, he gave the airplane full throttle and proceeded westbound. He stated that, "after reaching step, I consciously thought of maintaining a low altitude after lifting off to maintain ground effect while I bled off the flaps and increased airspeed." He stated that, after takeoff, he "maintained…altitude while traveling down river." He said that he saw one boat off his right side and believed that the other boat would also remain off to his right side. The pilot stated that, shortly after he passed the first boat, he "felt the plane start to sink." The pilot stated that, when he pulled back slightly on the yoke to arrest the sinking movement, he "felt the back of the float strike something." The airplane had struck and seriously injured one of the boat operators. The pilot stated that he "continued on, gained altitude, and immediately returned to see one boat in the middle of the river spinning in circles." The pilot then landed the airplane on the river to assist the injured boat operator, and the injured boat operator's boat collided with the airplane.

A review of GPS data from the airplane's Garmin GPSMap 496 unit revealed that, after takeoff, the airplane's flight path followed the main channel and bends of the Mulchatna River, heading generally southwest and remaining low over the river. Topographical map data showed that the width of the river channel over which the airplane flew varied generally from about 340 to 400 feet, and the river banks and terrain were generally level and wooded with no rapidly rising terrain. The GPS data showed that the straight-line distance (not accounting for river bends) between the airplane's initial data point and the area on the river were the airplane's path began a circling, climbing turn over the land was about 1.6 nautical miles.

The other company pilot who was participating in the mission in the other airplane on the day of the accident was interviewed by the NTSB IIC and FAA inspectors. The other company pilot reported that he had departed from the river in his airplane after the accident airplane departed and that the accident airplane was not in his sight at the time that the collision with the boat operator occurred. In response to questioning as to whether there were any mission-related or airplane performance-related reasons that would require the accident airplane to be flown below 500 feet agl over the river in the area in which the collision occurred or within 500 ft of the boat operators, the other company pilot responded, "no." A review of information provided by the Alaska State Troopers revealed that the other boat operator described to a Trooper that his boat was a few hundred yards upriver of the accident boat operator when he saw the collision occur. He said that the accident airplane came from behind him and flew directly over him at an altitude of about 15 to 20 feet then proceeded toward the other boat operator. He said that the airplane "dropped down lower" and ran straight into the boat operator. In response to the Trooper's questions, the other boat operator described the event as a "buzz job" and said that the pilot "has buzzed us before."

Title 14 CFR 91.119(c) states that, when flying over areas that are not congested, and except when necessary for takeoff or landing, no person may operate an aircraft below "an altitude of 500 feet above the surface, except over open water or sparsely populated areas. In those cases, the aircraft may not be operated closer than 500 feet to any person, vessel, vehicle, or structure." Title 14 CFR 91.13 states that "no person may operate an aircraft in a careless or reckless manner so as to endanger the life or property of another."

According to company maintenance personnel, the damage to the airplane was sustained during the post-landing collision with the boat.

ADDITIONAL INFORMATION:

The initial GPS data point for the accident flight was at 1443:28 in a slough east of the main river channel at a groundspeed of 0 knots and a GPS data altitude of 240 feet. Between 1444:24 and 1445:56, the airplane's path proceeded into the main river channel and extended southwest on the river as the airplane accelerated from 3 kts to 53 kts groundspeed; GPS data altitudes during this time were between 257 and 273 ft msl. Between 1446:15 and 1446:58 as the airplane accelerated from 71 kts to 95 kts, the airplane's path continued southwest over the river; GPS data altitudes during this time were 281 ft msl, 286 ft msl, then 273 feet msl. The data showed that, after 1446:58, the airplane's path began to enter a left turn and gain altitude, diverging from the river, heading over the land, and reaching a GPS data altitude of 344 ft msl during the next 9 seconds. The data showed that the flight path then continued as circling maneuvers over the river and the land that concluded with a descent over the river with a groundspeed that slowed below airplane flying speed (26 kts at 1448:30); all subsequent GPS data points for the airplane showed groundspeeds below airplane flying speed. The airplane's path proceeded to the general area that it had previously overflown and circled. A review of data points for the airplane captured after the airplane slowed below flying speed showed a GPS data altitude of 270 ft msl for a data point near the general area of the river that the airplane had previously overflown and circled (the data point was captured at 1449:14 and showed a groundspeed of 28 kts).

NTSB Probable Cause

The pilot’s improper decision to operate the airplane at low altitude and deliberately in close proximity to the boat operators, which resulted in a collision with a boat operator.

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