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NTSB Cites Lack Of Oxygen In 2007 Washington State Accident

Pilot Suffered Hypoxia, 10 On Board Killed

The NTSB has issued a probable cause report in the 2007 accident which claimed the lives of the pilot and 9 skydivers near Natches, WA. The summary of the report reads:

The pilot was returning a group of skydivers to their home base after a weekend of skydiving. He flew several jump flights, and then stopped early in the afternoon to prepare the airplane for the flight home. The flight was planned into an area of clouds, turbulence, and icing, which the pilot had researched. He delayed the departure until he decided that he could complete the planned flight under visual flight rules (VFR). The accident occurred at night with little illumination of the moon, and the airplane was in an area of layered clouds. A detailed analysis of the weather conditions revealed that the flight probably encountered broken to overcast layers both below and above its flight altitude. The satellite and sounding images suggested that it was possibly in an area of mountain wave conditions, which can enhance icing. The recorded radar data indicated that the pilot was likely maneuvering to go around, above, or below rain showers or clouds while attempting to maintain VFR. The airplane likely entered clouds during the last 3 minutes of flight, and possibly icing and turbulence. It was turning when it departed from controlled flight, and a performance study showed that the angle-of-attack at this point in the flight was increasing rapidly. The study determined that the departure from controlled flight was consistent with an aerodynamic stall.

File Photo

The unpressurized airplane was flying at over 14,000 feet mean sea level for more than 1 hour during the flight. It reached 15,000 feet just prior to the accident in sequential 360-degree turns while climbing and descending. Supplemental oxygen was not being used. At these altitudes, the pilot would be substantially impaired by hypoxia, but would have virtually no subjective symptoms, and would likely be unaware of his impairment. The pilot had logged over 2,000 hours of total flight time, with nearly 300 hours in this make and model of airplane. He was instrument-rated, but had only logged a total of 2 hours of actual instrument flight time. Company policy was to fly under visual flight rules only, and they had not flight-checked the pilot for instrument flight.

The National Transportation Safety Board determines the probable cause(s) of this accident as follows:

The pilot's failure to maintain an adequate airspeed to avoid an aerodynamic stall while maneuvering. Contributing to the accident were the pilot's impaired physiological state due to hypoxia, the pilot's inadequate preflight weather evaluation, and his attempted flight into areas of known adverse weather. Also contributing were the pilot's inadvertent flight into instrument meteorological conditions that included clouds, turbulence, and dark night conditions.

FMI: www.ntsb.gov

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