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ASN Wikibase Occurrence # 37209
Last updated: 26 August 2019
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Date:08-JAN-1996
Time:19:07
Type:Silhouette image of generic C402 model; specific model in this crash may look slightly different
Cessna 401A
Owner/operator:Pacific States Charter Service
Registration: N117AC
C/n / msn: 401A0040
Fatalities:Fatalities: 3 / Occupants: 4
Other fatalities:0
Aircraft damage: Written off (damaged beyond repair)
Category:Accident
Location:Spokane, WA -   United States of America
Phase: Approach
Nature:Ambulance
Departure airport:Pasco, WA (PSC)
Destination airport:(GEG)
Investigating agency: NTSB
Narrative:
The pilot (plt) received abbreviated weather (wx) briefing for emergency medical service (EMS)/air ambulance flight (flt). Before flt, he expressed anxiety about possible low visibility for landing & timely transport of dying patient. During ILS runway 3 approach (rwy 3 apch), aircraft (acft) remained well above the glide slope until close to the middle marker; acft's speed decreased from 153 to 100 kts, while vertical speed increased from 711'/min to about 1,250'/min descent. About 1 mi from rwy & 500' agl (in fog), acft abruptly turned left of localizer course & gradually descended with no distress call from plt. Acft hit a pole, then flew into a building & burned. Low ceiling, fog & dark night conditions prevailed. Plt (recent ex-military helicopter plt) had logged/reported 3500 hrs of flt time & about 150 hrs in multiengine airplanes, but there was evidence he lacked experience with actual instrument apchs in fixed-wing acft; he had difficulty with instrument flying during recent training & FAA check flts. No preimpact mechanical problem was found with acft/engines. No ILS anomalies were found. Flt nurse was using cellular phone, but no evidence was found of interference with acft's navigational system. Visibility & ceiling at destination were less than forecast at time of plt's preflt wx briefing. Paramedic was only survivor. CAUSE: failure of the pilot to follow proper IFR procedures, by failing to maintain proper alignment with the localizer course during the ILS approach and/or by failing to follow the proper missed approach procedure. Factors relating to the accident were: darkness; adverse weather conditions; and pressure on the pilot to complete the EMS flight, due to the circumstances and conditions that prevailed.

Sources:

NTSB: https://www.ntsb.gov/ntsb/brief.asp?ev_id=20001208X05198


Revision history:

Date/timeContributorUpdates
24-Oct-2008 10:30 ASN archive Added
07-Feb-2009 10:19 harro Updated
21-Dec-2016 19:23 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]

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