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NTSB Report

November 29, 1997 · Cessna 402B · N22NC

Spencer, IA

Overview

Report Status
Final with probable cause
Event Type
Accident
Date
November 29, 1997
Injury Outcomes
No injuries (1 uninjured)
Location
Spencer, IA
Aircraft
Cessna 402B
Tail Number
N22NC
Injuries
None
Aircraft Damage
Substantial
NTSB Number
CHI98LA050

The pilot made four missed ILS approaches at the airport. He stated that he did not see the approach lights during any of the approaches and did not feel comfortable making a landing. The reported visibility during these approaches was 1/2-statute mile. On the fifth approach the pilot said he had '...mistaken closely inline cars and a road for the MALSR and runway.' The pilot stated the airplane continued to descend after initiating a go-around. He said he saw on-coming traffic in front of him, and turned the airplane to the right. He said he lost altitude and the right wing struck the ground. The pilot's employer's operations specification require a 1/4-mile increase in visibility for an ILS approach that does not have an operating approach lighting system. The approach lights were checked by the airport manager and were confirmed to be in working order. An on-scene investigation revealed no pre-accident airframe or engine anomalies that would have prevented normal flight.

NTSB Probable Cause

The pilot failure to comply with the prescribed IFR procedure and his not following his company's operations specifications. Low clouds and fog were are contributing factors.

Full Narrative

On November 29, 1997, at 0900 central standard time (cst), a Cessna 402B, N22NC, piloted by a commercial pilot, was destroyed during a collision with the ground following a collision avoidance maneuver involving a truck along a highway about 1.5 miles northwest of the Spencer Municipal Airport, Spencer, Iowa. Instrument meteorological conditions prevailed at the time of the accident. The 14 CFR Part 135 flight was operating on an IFR flight plan. The pilot reported no injuries. The flight departed Cedar Rapids, Iowa, at 0640 cst. During an interview with the pilot it was revealed he had made 4 missed Instrument Landing System (ILS) approaches to runway 12 at Spencer Municipal Airport, Spencer, Iowa, before the accident. He said he saw the runway during each approach but did not feel comfortable with making a landing from the approach. The pilot said the approach lights were not functioning during each ILS approach. During the fifth ILS approach the pilot said he had lined the airplane up with a highway near the airport. He said he realized this was incorrect and decided to go-around. During the go-around maneuver the airplane's right wingtip collided with the ground. The pilot said that he did 4 ILS approaches before the accident approach. During the first approach, he said he did not get down to decision height. He said he descended to decision height on the following three approaches and saw the runway but not until after reaching decision height and initiating the missed approach. After the third missed approach, the pilot said he called Spencer Unicom to confirm that the approach lights for runway 12 were operating. The pilot said he was given instructions on how to operate the approach lights, but asked "...if Unicom would key the lights up for me." The operator of the Unicom frequency said that the runway and taxi lights were on, but they could not tell if the approach lights were on. Runway 12 was equipped with a Medium Intensity Approach Lighting System with Runway Alignment Indicator Lights. The runway was also equipped with a 4-box Visual Approach Slope Indicator system. While on the fourth ILS approach, the pilot said, "At missed approach point can't see any approach lights or strobes." The pilot said that during the missed approach "...there was the runway, the center portion of it somewhere." The pilot said he decided he had enough fuel for another ILS approach and a flight to his alternate. He said that he called Center for another approach and informed Center he wanted to go to Sioux Falls (his alternate) if he were unable to complete the approach successfully. When he was cleared for the approach, the pilot said he "turned to [the] common traffic frequency, [and] keyed up the lights." The pilot said that he "...saw what appeared to be the MALSR and runway." He said he initiated landing checks and throttled back. He then said that he realized it was a mistake and that he had "...mistaken closely inline cars and a road for the MALSR and runway" and "...went into go-around phase." The pilot stated the airplane continued to descend, and that he "kept the straight-ahead, leveled the wings, and back pressure as [the] airspeed allowed." He said he saw on-coming vehicle traffic in front of him, and turned the airplane to the right. He said he lost altitude, and applied full back pressure. The pilot stated the "right wing struck first," and the "airplane skidded to a stop in a bean field." An interview statement from the truck driver who was traveling westbound on Highway 18 when N22NC was on the accident approach said that the plane "...was coming right out of the fog." The truck driver said he "swerved off as far as I could... . It looked like we were going to have a collision... ." The highway that the pilot mistook for the runway is approximately 1.5 miles north of Runway 12's approach end. The highway is oriented in an east-west direction. The accident site was to the south side of Highway 18 about 200-yards west-northwest of the airport's north boundary. Federal Aviation Administration (FAA) Air Traffic Control (ATC) Records confirm that N22NC made 5 ILS approaches to Runway 12 at the Spencer, Iowa airport. This record shows the pilot advised ATC, "...every time I shoot the lights seem like they don't wanna come on and I'm havin' them check it right now." An on-scene investigation revealed no pre-accident airframe or engine anomalies that would have prevented normal flight. The approach lights were checked by the airport manager and were confirmed to be in working order. The manager said two other airplanes landed shortly after the accident. There were no reported discrepancies with the ILS. According to the FAA's Aeronautical Information Manual, the ILS is made up of five parts: The localizer, glideslope, outer and middle markers, and the approach lights. The FAA's Instrument Flying Handbook, AC-61-27C, confirms this and explains the reason for these lights. The approach plate book containing runway 12's ILS approach plate showed that the minimum visibility requirement for the runway 12 ILS, with inoperative approach lights, must be increased from 1/2-statute mile to 3/4-statute mile. 14 CFR Part 135.225 (a)(2) says that "No pilot may begin an instrument approach to an airport unless the latest weather report issued by that weather reporting facility indicates that weather conditions are at or above the authorized IFR landing minimums for that airport." The visibility at the accident airport was reported to be 1/2-statute mile at the time the approaches were made. The company's Operations Specifications show that the required visibility for an ILS approach, where approach lights are not available, is 3/4-statue mile. These specifications allow the pilot to make a contact approach if the pilot receives ATC authorization. The ATC transcript does not show the pilot requesting this type approach or receiving authorization from ATC to do such an approach. The meteorological conditions at the accident airport did not meet the criteria for a visual approach. Information regarding these approaches is appended to this report. An excerpt from the Operations Specifications regarding an ILS approach without the approach lighting system is also appended to this report.

Flight

Event TypeAccident
Event Time09:00 CST
Nearest AirportSpencer Municipal (1nm WNW)
Runway12
Runway Length6000 ft
Runway Width100 ft
Flight Plan FiledIFR
Aircraft FireNo
Aircraft ExplosionNo

Aircraft

AircraftCessna 402B
Tail NumberN22NC
Aircraft CategoryAir
DamageSubstantial
Operating RulePart 135
Engines2
Engine TypeReciprocating
Engine DetailsContinental · TSIO-520-E · Reciprocating · 300
Seats2

People & Injuries

Injury SummaryNo injuries (1 uninjured)
Fatal0
Serious0
Minor0
Uninjured1
Total1
Crew 1Age 31 · First Class

Conditions

ConditionsIMC
LightDaylight
WindCalm
Visibility0.5 sm
CeilingOvercast 100 ft
Temperature / Dew Point34 C / 37 C
Altimeter29.00 inHg
Observation Time14:53
Weather SourceWFAC

Appendix: Source Data