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Fri, Oct 04, 2019

NTSB Releases Factual Report From Airplane Collision With A Pedestrian

Incident Occurred In Alaska In March, 2018

The NTSB has released a factual report from an accident which occurred on March 20, 2018, about 1942 Alaska daylight time involving a wheel-equipped, twin-engine, turbine-powered de Havilland DHC-6 (Twin Otter) airplane, N716JP, which struck a pedestrian after takeoff from a remote, sea ice airstrip, about 140 miles north of Deadhorse, Alaska. The pedestrian sustained serious injuries, and the airplane sustained substantial damage. The captain, first officer, and the three passengers on board the airplane were not injured. The flight was operated by Bald Mountain Air Service, Inc., Homer, Alaska, as a Part 135 visual flight rules (VFR) on-demand commercial flight when the accident occurred. Visual meteorological conditions prevailed at the airplane's point of departure, and a VFR flight plan was on file. The flight was en route to Deadhorse at the time of the accident.

During a telephone interview with the NTSB investigator-in-charge (IIC) on March 23, the accident airplane's captain said that the purpose of the flight was to provide ongoing logistical support of ICEX 2018, which involved, in part, U.S. Navy and U.K Royal Navy submarines operating beneath the frozen Arctic Ocean during a 5-week exercise. The captain stated that the flights used an airstrip on the sea ice that was lined on both sides with snow berms. The 2,500-foot-long by 75-foot-wide airstrip included one runway oriented north/south and an intersecting runway oriented east/west. He said that weather conditions at the time of the accident consisted of clear skies with ice pack haze. He noted that the sun was low on the horizon, resulting in shadows on the airstrip, and that flat light conditions made it difficult to discern topographical features.

The captain said that, after back-taxiing the airplane to the south end of the airstrip and just before beginning the takeoff roll to the north, both pilots saw the pedestrian standing near the departure end of the airstrip on the left side and near the intersection of the east/west runway. He said that, during the takeoff roll, the airplane veered slightly to the left of centerline, so he applied differential engine power to correct the veer, and the airplane returned to the centerline. As the takeoff roll continued, the airplane subsequently became airborne, so he lowered the nose to remain within ground effect and gain airspeed before initiating a climb. He said that, as the airspeed increased, he started to climb the airplane, then initiated a left turn. During the turn, both pilots said they heard a loud thump, which was immediately followed by an aileron control anomaly. The captain reported that he continued the left turn and subsequently entered a left downwind traffic pattern for an emergency landing to the north. The captain said that after landing, both pilots saw the pedestrian lying behind a snow berm on the left side of the airstrip. At the end of the telephone interview, when asked by the NTSB IIC if it had been prearranged to have the pedestrian near the departure end of the airstrip during the departure, the captain said, in part: "I don't recall." The captain also reported that there were no preaccident mechanical malfunctions or failures with the airplane that would have precluded normal operation.

A postaccident examination of the airplane revealed substantial damage to the left wing and left aileron. The pedestrian sustained a serious head and neck injuries because of the collision, and he was subsequently medevacked to Anchorage, Alaska, for treatment.

The accident co-pilot elected to submit a written statement in place of an interview with the NTSB IIC. Written statements from both pilots are included in the public docket for this accident.

During a hospital room interview with the NTSB IIC, on March 25, the injured pedestrian, who was an employee of the Arctic Submarine Laboratory, reported that just before the two pilots boarded the airplane, he discussed with the captain that he would position himself alongside the airstrip to get a photo of the airplane's departure for his children. The pedestrian added that the purpose of taking the photo was to have two figurines in the foreground, and the departing airplane in the background, so he placed the figurines on a 3- to 4-ft tall snow berm on the left side of the airstrip. He said that, as he watched the accident airplane approach, he positioned himself behind the snow berm and well clear of the airstrip. He said that, as the airplane's takeoff progressed, it did not climb as quickly as it had during previous departures. The pedestrian said that the last thing he remembered before the collision was seeing the airplane's left wing getting lower to the ground as it began a left turn and flew toward him, as it continued to accelerate. The next thing he remembered was waking up in the medevac helicopter.

The closest weather reporting facility was the Deadhorse Airport, 140 miles south of the accident site. The 1953 observation reported, in part: Wind, 270° at 12 knots; visibility, 9 statute miles with light snow; clouds and sky condition, 2,900 ft scattered, 4,600 ft overcast; temperature, minus 4° F; dew point, minus 9° F; altimeter, 30.47 inches of Mercury.

The airplane was equipped with a solid-state cockpit voice recorder (CVR), and it was sent it to the NTSB vehicle recorder laboratory in Washington, D.C., for audition and review. After review, it was determined that the CVR failed to capture the events of the accident. No CVR listening group was convened, and no CVR transcript was created.

The accident sequence was recorded by a security video camera mounted on one of the temporary camp structures positioned to the west of the north/south airstrip. A copy of the video was reviewed by the NTSB IIC, and it contained about 1 hour and 34 minutes of imagery. The video was recorded in low and flat light conditions making it difficult to discern topographical features on the ice. About the 14-minute time stamp, the pedestrian can be seen standing near some equipment and a snowmachine that was parked next to the airstrip. About 1 minute later, the low flying airplane enters the field of view, traveling from right-to-left, while flying in a straight and level attitude. As the low flying airplane nears the pedestrian, the airplane begins a steep left turn, and the left-wing lowers. The left wing of the airplane subsequently struck the pedestrian, and the airplane continued to the left, and out of the field of view. A clip of the accident video is included in the public docket for this accident.

(Image provided with NTSB accident docket)

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