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ASN Wikibase Occurrence # 134
Last updated: 20 October 2021
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Date:17-DEC-2007
Time:19:40
Type:Silhouette image of generic B190 model; specific model in this crash may look slightly different
Beechcraft 1900C
Owner/operator:Alaska Central Express
Registration: N111AX
MSN: UC-81
Fatalities:Fatalities: 0 / Occupants: 2
Aircraft damage: None
Category:Incident
Location:Aniak, AK -   United States of America
Phase: Take off
Nature:Cargo
Departure airport:Aniak, AK (PANI)
Destination airport:Anchorage, AK (PANC)
Investigating agency: NTSB
Narrative:
The flight crew of a cargo airplane had previously loaded a cargo of carbon dioxide cylinders, and then flew to an intermediate airport for fuel. The cylinders had a screw type valve, and a threaded metal safety cap to protect the valve. During the takeoff run after refueling, the crew aborted the takeoff, and taxied back to the airport ramp after hearing a "hissing" sound from the cargo area. Once on the ramp, the captain shut off the engines, but the flight crew lost consciousness before they could exit the airplane. Since the crew filed an IFR flight plan that was not activated, air traffic control personnel contacted the freight office to inquire about the status of the airplane. A freight agent noticed the airplane sitting on the ramp. He opened the door of the airplane, and found the first officer unconscious, inside the door. The captain was unconscious at the controls. He pulled both crewmembers out of the airplane, and ran for help. The flight crew regained consciousness while lying on the ramp, and walked to the freight building. The flight crew were treated at a hospital and released the following day. The first officer reported that as the captain was taxiing back to the airport ramp, he felt the effects of the gas release, and he and the captain opened the cockpit windows. Once stopped, he got up to open the forward door, but collapsed at the door. An FAA inspector examined the airplane, and discovered that the cargo compartment had two tank racks containing five bottles each, standing vertically along each side of the airplane. Two of the cylinders in the left side rack did not have any safety caps installed. Three of the cylinders in the right side rack also did not have any safety caps installed. The caps were found on the floor of the airplane. The inspector found that the middle tank of the three in the right side rack, had a partially open valve. The open tank valve was about 1/2 turn open, and was positioned against the interior side-wall of the cargo compartment. The FAA inspector also indicated that nine carbon dioxide tanks were lying on the floor of the cargo area. They were braced by chocks, but were not strapped down. The crew oxygen masks were not utilized, and the crew oxygen supply tank was full. An FAA Hazardous Materials Division inspector reported that cylinders of carbon dioxide are considered hazardous material because they are pressurized in excess of 40 psi. The inspector noted that the shipper had a responsibility to properly identify and declare hazardous materials that they were shipping, the carrier had a responsibility to properly train airplane crewmembers to identify and accept hazardous materials, and the flight crew had a responsibility to properly secure hazardous materials during transport.
Probable Cause: A hazardous leak from carbon dioxide cylinders due to the failure of the flight crew to properly load and secure the cylinders, resulting in crew incapacitation. Factors contributing to the incident were improper hazardous materials procedures used by the shipper, and a failure of the operator to properly train the flight crew in hazardous materials procedures.

Sources:

NTSB: https://www.ntsb.gov/_layouts/ntsb.aviation/brief.aspx?ev_id=20080116X00059&key=1

Other occurrences involving this aircraft

18 Oct 2010 N111AX Alaska Central Express Inc 0 15 nm miles from the Sitka Rocky Gutierrez Airport (PASI), Sitka, AK sub
24 May 2012 N111AX Alaska Central Express Inc. 0 McGrath, AK (Nixon Fork Mine) sub
Tailstrike.

Location


Images:

Photo of N111AX courtesy AirHistory.net


Anchorage - Ted Stevens International (PANC / ANC)
2 May 2009; (c) F Seggie

Revision history:

Date/timeContributorUpdates
22-Jan-2008 00:28 JINX Added
08-Sep-2014 20:51 Aerossurance Updated [Source, Narrative]
21-Dec-2016 19:13 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
21-Dec-2016 19:14 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
21-Dec-2016 19:16 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
21-Dec-2016 19:20 ASN Update Bot Updated [Time, Damage, Category, Investigating agency]
05-Dec-2017 09:47 ASN Update Bot Updated [Other fatalities, Departure airport, Destination airport, Source, Narrative]

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