PILATUS PC-12/45 near Butte, MT — 2009-03-22
- Date
- 2009-03-22
- Location
- Butte, MT, USA
- Airport
- BTM
- Aircraft
- PILATUS PC-12/45
- Registration
- N128CM
- Category
- Airplane
- Highest injury
- Fatal
- Fatalities
- 14
Probable cause
(1) the pilot's failure to ensure that a fuel system icing inhibitor was added to the fuel before the flights on the day of the accident; (2) his failure to take appropriate remedial actions after a low fuel pressure state (resulting from icing within the fuel system) and a lateral fuel imbalance developed, including diverting to a suitable airport before the fuel imbalance became extreme; and (3) a loss of control while the pilot was maneuvering the left wing-heavy airplane near the approach end of the runway.
NTSB narrative
The Safety Board's full report is available at http://www.ntsb.gov/investigations/reports_aviation.html. The Aircraft Accident Report number is NTSB/AAR-11-05. On March 22, 2009, about 1432 mountain daylight time, a Pilatus PC-12/45, N128CM, was diverting to Bert Mooney Airport (BTM), Butte, Montana, when it crashed about 2,100 feet west of runway 33 at BTM. The pilot and the 13 airplane passengers were fatally injured, and the airplane was substantially damaged by impact forces and a postcrash fire. The airplane was owned by Eagle Cap Leasing of Enterprise, Oregon, and was operating as a personal flight under the provisions of 14 Code of Federal Regulations Part 91. The flight departed Oroville Municipal Airport, Oroville, California, on an instrument flight rules flight plan with a destination of Gallatin Field, Bozeman, Montana. Visual meteorological conditions prevailed at the time of the accident.
NTSB coding
Evidence available
- ATC audio
- Video
- FDR / data
- ADS-B / radar
- 78 docket documents
Docket documentsshowing 50 of 78
- ATC 3-ATTACHMENT 1-ATC TRANSCRIPTSatc
- ATC 3-ATTACHMENT 2-CONTROLLER STATEMENTSatc
- ATC 3-ATTACHMENT 3 -ATC FACILITY RECORD OF DAILY OPERATIONatc
- ATC 3-ATTACHMENT 4-FLIGHT PROGRESS STRIPSatc
- ATC 3-ATTACHMENT 5-FSS CONTROLLER STATEMENTSatc
- ATC 3-ATTACHMENT 6-FSS RECORD OF DAILY OPERATIONatc
- ATC 3-ATTACHMENT 7-FSS AUDIO TRANSCRIPTSatc
- ATC 3-ATTACHMENT 8-RADAR NTAP DATA FOR FLIGHT FROM OVE TO BTMatc
- ATC 3-ATTACHMENT 9-RADAR NTAP DATA FOR FLIGHT FROM RED TO OVEatc
- ATC 3-FACTUAL REPORT OF GROUP CHAIRMANatc
- AIRCRAFT PERFORMANCE 13-AIRPLANE PERFORMANCE STUDYform
- AIRWORTHINESS GROUP CHAIRMAN'S FACTUAL REPORT-ADDITIONAL INFORMATION_N666M EVENT DOCUMENTATIONform
- NTSB RESPONSE TO PETITION FOR RECONSIDERATIONform
- OPERATIONS 2-ATTACHMENT 19-ALTERNATE AIRPORT INFORMATIONform
- PILOT-OPERATOR AIRCRAFT ACCIDENT REPORT NTSB FORM 61201form
- RETENTION-RELEASE OF WRECKAGE FORMform
- OPERATIONS 2-ATTACHMENT 12-VACAVILLE VCB AIRPORT MANAGER STATEMENTinterview
- OPERATIONS 2-ATTACHMENT 16-STATEMENT OF RECORD-RON COXinterview
- OPERATIONS 2-ATTACHMENT 21-STATEMENT OF RECORD-PHILIP ENSLEYinterview
- OPERATIONS 2-ATTACHMENT 9-INTERVIEW SUMMARIESinterview
- STATEMENT OF PARTY REPRESENTATIVES TO NTSB INVESTIGATIONinterview
- WITNESS 4-WITNESS 18 STATEMENT RECEIVED 09-22-2009interview
- COMMENTS FROM SWISS ACCREDITED REPRESENTATIVE AND TECHNICAL ADVISORSother
- FUEL CHECKLIST REV5other
- FUEL CHECKLIST REV6other
- OPERATIONS 2-ATTACHMENT 1-FLIGHT PLANNING-FLIGHT PLANSother
- OPERATIONS 2-ATTACHMENT 10-PILOT TRAINING RECORDSother
- OPERATIONS 2-ATTACHMENT 11-PILOT'S SUMMARY OF FLIGHT HOURS AND RESUMEother
- OPERATIONS 2-ATTACHMENT 13-RECORD OF CONVERSATION-BILL UMBERGERother
- OPERATIONS 2-ATTACHMENT 14-RECORD OF CONVERSATION-RANDY SHARESother
- OPERATIONS 2-ATTACHMENT 15-RECORD OF CONVERSATION-CISCO AGUILERAother
- OPERATIONS 2-ATTACHMENT 17-RECORD OF CONVERSATION-JIM OTTother
- OPERATIONS 2-ATTACHMENT 18-MEMO-VACAVILLE REFUELINGother
- OPERATIONS 2-ATTACHMENT 2-EAGLE CAP LEASING CORPORATION DOCUMENTother
- OPERATIONS 2-ATTACHMENT 22-RECORD OF CONVERSATION-LARRY JACENTOother
- OPERATIONS 2-ATTACHMENT 23-RECORD OF CONVERSATION-GUY YOCUMother
- OPERATIONS 2-ATTACHMENT 3-PC12 LIMITATIONSother
- OPERATIONS 2-ATTACHMENT 4-EMERGENCY PROCEDURES-FUEL SYSTEMother
- OPERATIONS 2-ATTACHMENT 5-WEIGHT AND BALANCEother
- OPERATIONS 2-ATTACHMENT 6-PC12 SYSTEMSother
- OPERATIONS 2-ATTACHMENT 7-FUELING RECORDSother
- OPERATIONS 2-ATTACHMENT 8-FUEL TESTING DOCUMENTATIONother
- PARTY COMMENTS ON PETITION FOR RECONSIDERATION - CRANE COMPANYother
- PARTY COMMENTS ON PETITION FOR RECONSIDERATION - PILATUS AIRCRAFT LTD.other
- PETITION FOR RECONSIDERATIONother
- PETITION FOR RECONSIDERATION - ATTACHMENTother
- PETITION FOR RECONSIDERATION - SUPPLEMENTother
- SUMMARY PARAGRAPH ERRATAother
- SURVIVAL FACTORS 6-ATTACHMENT 1 FOM SECTION 6other
- SURVIVAL FACTORS 6-ATTACHMENT 2 PREAMBLE TO 1971 SEATBELT RULEother
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