Primary finding
Probable cause
The pilot’s decision to load the airplane well beyond its allowable weight and center of gravity limits, resulting in a loss of control during the initial climb. Contributing to the severity of the injuries was the pilot’s decision to allow two child passengers to sit on other passenger's laps without restraints, and his failure to properly secure the cargo in the cabin. Also contributing was the pilot's excessive extension of the wing flaps.
Investigator assessment
Analysis narrative
The commercial pilot and four passengers, three of whom were of the pilot's immediate family, were departing in a single-engine airplane on a personal cross-country flight to their lodge. The airplane was loaded with lumber, building materials, groceries, personal luggage, plants, and other items for the lodge. Two witnesses said that just before it took off the airplane was loaded so heavily that its tires looked almost flat. The pilot reported to the NTSB that shortly after takeoff, at an estimated altitude of 150 feet, he raised the wing flaps from 30 degrees to 20 degrees, and the airplane began to sink. He said he started a slight right turn, but did not recall anything after that. According to multiple witnesses, the airplane was in an exaggerated nose-high, tail-low attitude, and struggling to climb as it approached the accident site. They related that the engine sounded loud, as if operating at full power, before it crashed into a parking lot and an unoccupied building. A postimpact fire, and cargo in the cabin, slowed rescuers from quickly removing the victims. Four of the occupants survived with serious burns and other injuries; the pilot’s 4-year-old son was killed. The cargo remaining in the pod and cabin after the fire was weighed, and exemplar weights were used for the burned materials. Using conservative weights, which did not include some burned items like a large container of detergent, the airplane’s total weight was estimated to be at least 658.2 pounds over its allowable gross weight, with a center of gravity significantly beyond the aft-most limit. Both the aircraft and cargo pod manufacturer state maximum wing flap extension limits for takeoff; the aircraft manufacturer’s pilot operating handbook notes 20 degrees should be the maximum, and the cargo pod manufacturer notes a maximum of 10 degrees. Selecting more flap extension than recommended induces additional aerodynamic drag and adversely affects the airplane’s acceleration and ability to climb. Federal air regulations require that children 2 years of age or older must be secured with a lap belt. Both of the child passengers, age 2 and 4 years, were not secured with a lap belt and were sitting on the two other passenger’s laps. During the crash sequence, the right front seat passenger was unable to hold onto the 4 year old. The child was pinned by the unsecured cargo and died in the fire. Postaccident inspections of the airplane disclosed no preaccident mechanical anomalies that would have precluded normal operation. The excessive overloading of the airplane, coupled with the aft center of gravity and the pilot’s excessive use of flaps, placed the airplane well beyond its operating limitations, and made a successful takeoff highly improbable.
Source record
Factual narrative
HISTORY OF FLIGHT On June 1, 2010, about 1705 Alaska daylight time, a Cessna U206F airplane, N59352, sustained substantial damage when it impacted an unoccupied building and terrain following a loss of control during the initial climb from runway 25 at the Merrill Field Airport, Anchorage, Alaska. A postcrash fire consumed much of the airplane. The airplane was being operated as a visual flight rules (VFR) cross-country personal flight under 14 Code of Federal Regulations (CFR) Part 91, when the accident occurred. The airplane was owned by Cavner & Julian, Inc., Port Alsworth, Alaska. Of the five people on board, the commercial pilot/airplane owner and three passengers sustained serious injuries. The remaining passenger, the 4-year-old child of the pilot and the right front seat passenger, died at the scene. Visual meteorological conditions prevailed, and no flight plan was filed. The flight was en route to the airplane owner’s lodge in Port Alsworth. During on-scene interviews with the National Transportation Safety Board (NTSB) investigator-in-charge (IIC) on June 1, witnesses reported that just after takeoff, the airplane was flying in a nose high, tail low attitude as it descended into the principally commercial area about 1/2 mile west of the Merrill Field Airport. One witness, who was also a pilot, commented that the airplane appeared to be “laboring” and possibly had an aft center of gravity or was very heavy. Another witness stated that the airplane was extremely nose high and tail low and was not climbing. The airplane was seen to enter a slight right turn, and then began to lose altitude before it crashed into an empty parking lot and adjacent unoccupied wood-framed single story building. Shortly after impact, the airplane began to burn, which eventually spread to a portion of the building. The crash site was adjacent to a major one-way north flowing roadway that serviced downtown Anchorage. Several witnesses and vehicle occupants went to the airplane to assist in removing the victims because of the imminent fire danger. Within a few minutes, law enforcement and fire department personnel arrived, put out the fire, and removed the remaining occupants. During an interview with the pilot, he stated to the NTSB IIC that he recalled taking off and thinking that everything was okay. He remarked that he departed with 30 degrees of flaps which he said was standard for the Cessna 206. At 150 feet above the ground, he raised the flaps from 30 degrees to 20 degrees and detected “an issue” with the airplane. He said he was concerned about maintaining his airspeed and not stalling. He remembered initiating a slight right turn, and said he did not recall anything after that. PERSONNEL INFORMATION The pilot, age 33, held a commercial pilot certificate with airplane single engine land and sea ratings. He was issued a second class airman medical certificate without limitations on March 18, 2010. The pilot’s flight logbook was reviewed by the NTSB. The logbook covered the period from March 24, 2007, through May 26, 2010, and indicated that he had logged 1,717.9 hours total time and 81.1 hours in a Cessna 206, all of which were in the accident airplane. The time in the Cessna 206 was between March 20, and May 26, 2010. The pilot received instruction in the Cessna 206 March 20 through 21, 2010. On March 21, 2010, he completed the requirements of a flight review, and received an endorsement for acting as pilot in command of a high performance airplane. The NTSB IIC interviewed an aviation mechanic/pilot who had interacted and flown with the pilot. This individual stated he saw the pilot operate the airplane in what he believed was an overweight condition on four or five separate occasions. He said that this was over a 4 week period of time, and he did not know if this was standard. He also stated that he had not seen the pilot weigh any of the cargo or perform a weight and balance calculation during this period of time. AIRCRAFT INFORMATION The accident airplane (serial number U20603221) was manufactured in 1976 and had a standard airworthiness certificate for normal operations. A Teledyne Continental Motors IO-520-F engine rated at 285 horsepower at 2,700 rpm powered the airplane. The engine was equipped with a three-blade, McCauley propeller. The airplane was maintained under an annual inspection program. A review of the maintenance records indicated that an annual inspection was completed on August 14, 2009, at an airframe total time of 6,888.2 hours and a tachometer time of 6,978.2 hours. On March 24, 2010, at a tachometer time of 6,998.5 hours, the landing gear floats were replaced with wheel landing gear. On April 19, 2010, at a tachometer time of 7,008.5 hours, a gravel deflector kit was installed. An Aerocet cargo pack, supplemental type certificate STC)SA00096SE was installed on the airplane. According to a mechanic who assisted the pilot, the cargo pack was installed during the week of April 26, 2010. The mechanic stated the owner told him that he would have his “IA” [inspection authorized mechanic] conduct the updated weight and balance calculation later. No maintenance log entry or updated weight and balance calculation for the cargo pack was discovered during the investigation. According to Aerocet Incorporated, the cargo pack weighed 35 pounds, and for weight and balance calculations, had an arm at installation of 51.0 inches, and a resultant moment of 1,785.0 pound-inches. The weight capacity of the cargo pack was 300 pounds. Aerocet provided a flight manual supplement with the cargo pack, which noted general cargo pack information, the limitations, emergency procedures, normal procedures, and performance. Specifically, this supplement stated that no more than 10 degrees of flaps should be used for takeoff for operations at weights above 3,450 pounds due to the effect of the cargo pack on climb performance. This supplement was not located in the wreckage or in the pilot operating handbook located with the wreckage. METEOROLOGICAL INFORMATION The closest official weather observation station was Merrill Field Airport (PAMR), Anchorage, Alaska, located 1/2 nautical mile (nm) east of the accident site. The elevation of the weather observation station was 137 feet mean sea level (msl). The routine aviation weather report (METAR) for PAMR, issued at 1653, reported, winds 200 degrees at 9 knots, visibility 10 miles, light rain, sky condition scattered at 4,000 feet, broken at 10,000 feet, temperature 15 degrees Celsius (C); dew point 7 degrees C; altimeter 29.48 inches. WRECKAGE AND IMPACT INFORMATION The accident site was in a parking lot adjacent to a single story, unoccupied building on the northwest corner of Ingra and 7th street in downtown Anchorage. The accident site was at an elevation of 111 feet msl and the airplane impacted on a magnetic heading of 270 degrees. An on scene examination revealed an impact mark on the multi-story building across the street (to the east) from the main wreckage. The tail cone and tail spring of the accident airplane were found in the parking lot below this building. One power line was down adjacent to the multi-story building. The main wreckage of the airplane came to rest on a heading of west, with the right side of the airplane against a mound of earth and concrete. The main wreckage consisted of the burned remains of the right wing and fuselage, the empennage, the left wing, the engine and propeller assembly, and cargo. The wreckage was recovered to a facility in Wasilla, Alaska, for further examination and documentation. SURVIVAL ASPECTS In an interview with the 16-year-old rear left seat passenger, she stated that the pilot was in the front left seat, the pilot’s wife was in the front right seat, and the four-year-old passenger was unrestrained and seated on his mother’s lap in the front right seat. The two-year-o