Pilot Debrief

CESSNA TU206F near Bernard, ID — 2021-08-28

Final reportWPR21FA330
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Date
2021-08-28
Location
Bernard, ID, USA
Aircraft
CESSNA TU206F
Registration
N922MA
Category
Airplane
Highest injury
Fatal
Fatalities
2
Phase of flight
Climb

Probable cause

The pilot’s decision to continue the flight into a canyon that exceeded the performance capabilities of the airplane, which resulted in an impact with trees an terrain.

NTSB narrative

The pilot departed on a scenic air tour flight with two passengers over an area of mountainous terrain. After surveying the desired location, the pilot chose to fly up a canyon (drainage) to return to the departure airport. The pilot stated that he could not completely recall the events of the accident flight but reported that as the airplane neared the top of the canyon, he realized that the rate of climb was insufficient to clear the terrain ahead, and he initiated a 180° turn. He stated that he remembered extending the wing flaps but did not remember when. After starting the turn, the airplane encountered a downdraft and descended into trees. Data from an onboard GPS device indicated that the airplane entered the canyon at an altitude about 6,000 ft about 4 minutes before the impact. The airplane continued to climb until the final 3 seconds of recorded data. During the last approximate 2 minutes of recorded data, the airplane climbed from an altitude about 7,000 ft to about 8,300 ft. The airplane’s pitch attitude, which had not previously exceeded about 9° nose-up during the flight, exceeded 10° nose-up for much of the final minute of the flight and increased to a maximum of 17° nose-up about 5 seconds before the end of the data. During the final minute of the flight, the speed remained below 80 knots, ultimately decreasing to below 65 knots during the final 15 seconds of recorded data. A performance analysis indicated that, given the airplane’s gross weight and the atmospheric conditions present at the time of the accident, the airplane would have required nearly 2 additional minutes to reach and clear the top of the canyon. Postaccident examination of the wreckage did not reveal any preimpact mechanical anomalies. The wing flaps were found fully extended at the accident site. Full flap extension would have adversely affected the airplane’s climb performance; however, the point at which the flaps were fully extended could not be determined. The pilot had extensive low-level flight experience in military jets; however, he had about 28 total hours and about 3 months of experience in the accident airplane, and the accident flight was his first scenic flight with passengers. Review of weather conditions indicated light wind conditions with no evidence of mountain wave activity. The density altitude in the area of the accident site was near 10,000 ft. The circumstances of the accident are consistent with the pilot’s decision to continue into a canyon that exceeded the climb performance of the airplane, which resulted in impact with terrain during an attempted course reversal.

Analysis

Primary failure mode
Loss of control
First missed decision gate
Pilot should have turned back before reaching the peak to avoid downdraft.

NTSB coding

Evidence available

  • Photos
  • 21 docket documents
View NTSB final reportView NTSB docket

Docket documents21

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