File No. 1-0004 C I V I L A E R O N A U T I C S B O A R D AIRCRAET ACCIDENT REPORT FRONTIER AIRLINES, INC. DOUGLAS Dc-3C, N61442 MILES CITY, MONTANA MARCH 12, 1964 Frontier Airlines Flight 32 of March 12, 1964, crashed and burnea during an instrument approach to the Miles City Airport, Miles City, Montana, about 2050 m.s.t. All five occupants, three crew members and two passengers were killed, and the aircraft was destroyed. Weather conditions last reportkd to the flight were the operational minima of ceiling 400 feet and visibility one mile. Wet snow, strong gusty winds, and near,freezing temperatures prevailed. Investigation revealea neither malfunc$’ioning of any of the aircraft’s components nor of any of the pertinent airport navigational facilities including the VOR, which was utilized. All applicable FAA certification was in order. The Board determines that the probable cause of this accident was the descent below obstructing terrain, for reasons undeterminable, during an instrument approach in adverse weather conditions. - 2 - Investigation F r o n t i e r A i r l i n e s (FAL) F l i g h t 32 of March 1 2 , 1964, a DC-3C, N61442, crashed and burned while making an instrument approach t o t h e Miles C i t y Airport, Miles City, Montana about 2050 -11 March 12, 1964. A l l f i v e occupants, t h r e e crew members and two passengers, were k i l l e d . The f l i g h t was r e g u l a r l y scheduled between B i l l i n g s and Sidney with stops a t Miles C i t y and Glendive, a l l i n Montana, Departure from B i l l i n g s was scheduled a t 1950 with a r r i v a l a t Miles C i t y scheduled a t 2046, 21 The c r e w - of F l i g h t 32 a r r i v e d a t t h e company's operations o f f i c e a t B i l l i n g s between 1830 and 1845 t o prepare f o r t h e f l i g h t . A t about 1925 t h e captain received a weather b r i e f i n g from t h e U. S. Weather Bureau (USWB) a t t h e airporq. The c a p t a i n was t o l d t h a t a cold f r o n t was approaching Miles C i t y a t t h a t time and t h a t gusty west to northwest winds would p e r s i s t following f r o n t a l passage with turbulence and a t l e a s t moderate icing. The captain was a l s o told. about t h e p o s s i b i l i t y of s q u a l l s i n t h e Miles C i t y a r e a and t h a t t h e c e i l i n g and v i s i b i l i t y would be somewhat less than i n d i c a t e d on t h e Miles C i t y 24-hour terminal f o r e c a s t s t a r t i n g a t 1600, March 12. S p e c i f i c f i g u r e s were not given. -1/ 2/ This f o r e c a s t was i n p a r t as follows: All times h e r e i n a r e mountain standard based on t h e 24-hour clock, u n l e s s otherwise noted, The crew consisted of Captain Kenneth C,, Huber, f i r s t o f f i c e r Daniel H. Gough, and Stewardess Dorothy Ruth Reif. - 3 1800 t o 2100, "Pacific frontalcpassage, F e i l1i n g 2,000 f e e t overcast, v i s i b i l i t y 3 miles, l i g h t know, wind 300 degrees 20 knots with gusts, occasional v i s i b i l i t y 1mile,' l i g h t snow. 'r ' FAL's agent a t B i l l i n g s f i l e d a f l i g h t plan. f o r F l i g h t 32 with t h e Great F a l l s A i r Route T r a f f i c Control Center (WF ArrsCC) about 1920, It was "Frontier 32, EC-3, f i l e d airspeed 150, proposed o f f B i l l i n g s a t 0255 2/ requesting 7000 B i l l i n g s V i e t o r 2 t o Miles City." A Dispatch Release f o r t h e f l i g h t was received from FAL's Denver, Colorado Dispatch Office about 1920.. A t about 1955 P l i g h t 32 received i t s Instrument F l i g h t Rules (IFR) clearance from t h e B i l l i n g s Towero It was read back c o r r e c t l y by t h e f l i g h t as . " A E . c l e a r s F r o n t i e r A i r l i n e s F l i g h t 32 t o the.Miles C i t y TOR via Victor 2, maintain 7000." F l i g h t 32 departed B i l l i n g s a t 2001. l e f t seat, t h e f i r s t o f f i c e r t h e r i g h t . The captain occupied t h e T h e , a i r c r a f t * s gross weight was 23,275 pounds, w e l l under t h e allowable, and i t s c e n t e r of g r a v i t y was l o c a t e d wfthin prescribed limits, A t 2003 t h e f l i g h t reported t o B i l l i n g s Tower on course and, a t 200bc, leaving 6,000 feet. A t 2006 B i l l i n g s Tower asked t h e f l i g h t i f it was an estimated 13 miles northeast of B i l l i n g s and t h e f l i g h t r e p l i e d t h a t it was over Huntley ( a community 10 miles northeast of,BiPPfngs). A t t h i s time It d i d soo a t 2007, t h e f l i g h t was i n s t r u c t e d t o contact W F &C@. v e r i f y i n g i t s a l t i t u d e of 7,000 f e e t and estimaticg t h e Miles C i t y VOR a t 2042. GTF ARTCC acknowledged and asked t h e f l i g h t i f it was t e s t a b l i s h e d on Victor 2. The f l i g h t r e p l i e d affirmatively, Greenwich mean time, which i s 1955 m . q q -4A t 2019, t h e Miles C i t y F l i g h t Service Steation (MLS FSS) c a l l e d GTF ARTCC and provided t h e 2005 surface weather observation f o r MLS. T h i s was a s p e c i a l observation and -&e following data were provided: Measured c e i l i n g 1,000 f e e t overcast, v i s j b i l i t , y fou:r miles, l i g h t snow showers, wind 290 degrees, 25 'hmts, peak g m t s 35 hots, a l t i - meter s e t t i n g 29.42. The MLS FSS a l s o asked GT!F ARTCG i f FAL 32 was operating i n accordance w i t h Visual Fl:;,,ght; Rules (WR) or IFR and was t o l d t h e flight, was 'IFR. Imraediately, at, 2020, GTF AWN eijnhcted FAL 32 and relayed t o \ it t h e above s p e c i a l weather report except, flsrr t h e omission of t h e word F l i g h t 32 acknowledged. A t 2030 GTF AmCC asked F l i g h t 32 to "Moni.tor Great Falls f r e - quency 127.3 nowg'I and t h e f l i g h t acknawkdged, A t 2032 MLS FSS gave GTF A R E C another s p e c i a l weather report. This was t h e 2030 observation w h i c h was: "Indefinite ceiling four hundred, sky obscured, visibility cineg .moderate sn3W showers , surface wind t h r e e zero zero degrees, two zeroo peak @usts t h r e e zeroo a l t i meter two n i n e r four three." r e l a y t h e above. GTF Amc t k e n i.antacted F l i g h t 32 t o However, F l i g h t 32 replied "Standby please" because it was a t t h a t time in contact with t h e FAL agent a% MLS on 129.3 mcs. receiving t h e MLS weather. GTF ARTCC d i d contact F l i g h t 32 a t 2033 and gave it t h e above weather report,, again omitting the word "showers". F l i g h t 32 acknowledged a t 2034, GTZi' AR'ZX t h e n cleared t h e f l i g h t -5as follows: "Roger F r o n t i e r 32 i s c l e a r e d f o r an approach kl t o t h e Miles C i t y Airport c r u i s e 7000 contact Miles:City Radio one two s i x The f l i g h t acknowledged and read t h e point seven on irritial." clearance back c o r r e c t l y . A t 2035, CdllF AIT'PC@ advised MES FSS "Frontier t h i r t y two Dc t h r e e estimated Miles C i t y zero t h r e e f o u r two a t p r e s e n t l y c r u i s i n g seven thousand B i l l i n g s Victor two he has been c l e a r e d f o r an approach your frequency on i n i t i a l . " MLS FSS acknowledged and GTF AFQCC then advised MLS FSS t h a t F l i g h t 32 had.been given t h e 2030 special. weather observation. A t 2045 f l i g h t 32 reported t o t h e FSS t h a t it was over t h e TOR s t a r t i n g t h e approach, weather r e p o r t , The FSS acknowledged and gave t h e 2030 s p e c i a l Also, about 204.5 t h e f l i g h t contacted t h e FBL company agent a t MLS and advised t h a t it had passe& over t h e VOR a t 2042,- commencing an approach wfth a "fuel o u t of k-85 g a l l ~ n 2/ ~ ~ The " FAL s t a t i o n agent read t h e transmission back and gave t h e f l i g h t t h e wind, 290 degrees, 20 wfth peak gusts t o 30 h o t s . 1 The FAL agent %hen advised 6/ t h e f l i g h t t o standby f o r a t r a f f i c check. - F l i g h t 32 acknowledged. 3 pmcedures -5/ applicable t o t h e MLS Airport. These are a VQR, ap ADF and two VOR/DME approaches. Only t h e TOR o r the ADF approaches could have been u t i l i z e d by F l i g h t 32 as it was not equipped wi%h DME (Distance (See A t t a c h e n % "At') Measuring Equipment 1 This means t h a t t h e r e would be 485 gallons of fidel on t h e a i r c r a f t (without f u e l i n g ) upon departing Miles City. Since t h e r e i s no c o n t r o l tower at; t h e Miles .City Airport, F r o n t i e r A i r l i n e s r e q u i r e s t h e i r l o c a l agefit t o make a v i s u a l cheek f o r o t h e r a i r c r a f t operating a t t h e a i r p o r t and t o r e p o r t t h e r e s u l t s t o i n coming f l i g h t s . -6The agent checked f o r l o c a l t r a f f i c and advised ''No t r a f f i c sighted advise i f you want rudder lock on TUnmya" 2047 and asked f o r t h e rudder lock, F l i g h t 32 acknowledged a t The s t a t i o n agent r e p l i e d that he would have t h e rudder lock ready and asked when t h e f l i g h t would be on t h e ground. The f l i g h t r e p l i e d t h a t it would be t h r e e minutes and t h e s t a t i o n agent acknowledged. This was t h e f i n a l transmission between t h e f l i g h t and t h e s t a t i o n agent. F l i g h t 32 reported a t 2048 t o t h e MLS FSS over t h e VOR inbound. The FSS r e p l i e d with advisory i n f o m a t i o n t h a t t h e surface wind a t t h e Miles C i t y Airport was from 300 degrees a t 20 knots with peak gusts 30 knots, favoring Runway 309 a l t i m e t e r 29.43. and said " w e ' l l p l a n t h r e e zero." F l i g h t 32 acknowledged This was t h e l a s t radio contact between t h e f l i g h t and t h e MLS FSS. The elapsed time from when t h e a i r c r a f t was over t h e VOR commencing t h e approach (20421, as reported t o t h e FAL s t a t i o n agent, t o over t h e VOR inbound (20481, as reported t o t h e FSS, ms s i x minutes, I n none of t h e transmissions from t h e f l i g h t was t h e r e any mention of operational distress o r of weather conditions encountered. A t 2050, o r very close thereto, t h e a i r c r a f t s t r u c k t h e ground. The crash s i t e was appoximately 1-1/2 miles northeast of t h e VOR on t h e 32-degree r a d i a l of t h e TOR. I? The 032 r a d i a l i s on a d i r e c t l i n e from t h e VOR s t a t i o n t o t h e approach end of Runway 4. - 7 The crash s i t e was on a 22-degree upslope a t an e l e v a t i o n of 2610 f e e t m.s.1. and 9,900 f e e t s h o r t of t h e a p p r ~ a c kend of Ruulwsy 4. The a i r p o r t e l e v a t i o n i s 2,628 f e e t m O s Q 1 0and t h a t of t h e VOR s t a t i o n i s 2,702 f e e t rnos:l. A: t k e time of impset t k e aircraft's heading was about 38 degrees mgr_e-c;f@and t h e e l e v a t i o n of t h e c r e s t (See A t t a c h e n 3 %"> of t h e small r i s e ahead was 2,615 f e e t m , s o 8 . A t impact t h e a i r c r a f t was in 8 slfgh5 l e f t wir,g;-d3Tm a t t i t u d e of about s i x degrees and i n a s l i g h t nose-up a t h i t u d e of &oLt degrees, four The landing gear was extended a r d t h e w5ng f l a p a c t u a t o r was extended about 8-3/4 inches corresponding to I/& f l a p extension. After i n i t i a l impact t h e a i r c r a f t began t o d f s i n t e g r a k and con3inued moving f o r a distance of about 600 f e e t . F i r e dev-eloped ar,d t h e major p o r t i o n of t h e a i r c r a f t was destroyed. Examination of t h e airframe wreckage, slystems and powerplants L , revealed nothing t o i n d i c a t e t h e r e had been any o p e r a t i o n a l d e f e c t o r malfunction p r i o r t o impact. The propeller slash marks i n the ground were congruent wTtk a groznd speed of 137 h o t s P - 8/ Tke a E r c r a f t was equipped w t t h de-fcer boots on t h e leading edges ~f the wings am3 empennage and an alcohol a n t i - i c i n g system f o r t h e p x p L l e r s and wPndshield. It could not be determined if t h e s e fiystems had. been i n use. F i r e arid o t h e r damage made it h p o s s i b 2 e t o detemim t h e readings of many instruments. However, t k e c a p t a i n t s a l t i m e t e r was s e t a t 29*47 The computation assumed a pmbable engine speed of 2050 r.p,m. -ainches and t h e f i r s t o f f i c e r ' s a t 29.42 inches. The captainhs Omni Bearing S e l e c t o r (OBS) was set a t 031; t h e f i r s t o f f i c e r ' s OBS was not readable, radio controls. No frequency information could be obtained from t h e However, Pnternal e x m i n a t i o n of t h e s e v e r a l u n i t s showed t h a t t h e No. 1 W communications u n i t was tuned t o company frequency a t Miles City, t h e No. 2 VHF communication u n i t was s e t on t h e MLS FSS frequency, t h e No. 1 VHF navigation r e c e i v e r was a t 112.1 mcs,, ( t h e frequency of t h e MLS VOR), and t h e No. 2 TKIF navigation r e c e i v e r a t 115.3 mcso, ( t h e frequency of t h e Sheridan, Wyoming VOR). The two ADF r e c e i v e r s were a t 362 kcs. and 247 kcs, Miles C i t y radio- beacon frequency i s 320 kcs. Examination of t h e maintenance records of t h e a i r c r a f t indicated t h a t maintenance had been current: and as prescribed i n a l l company and Federal Aviation Agency (FAA) d i r e c t i v e s . be related t o t h i s accident was disclosed, No item that could l o g i c a l l y F i r e a t impact and t h e t i m e i n t e r v a l before persons reached t h e crash s i t e made it impossible t o determine i f airframe i c i n g had been present a t impact. The l a s t o f f i c i a l weather observation taken a t t h e Miles C i t y Airport p r i o r t o t h e accfdent was t h e 2030 s p e c i a l observation, .the values of which have been previously mentioned. Subsequent t o t h e accident a record s p e c i a l observation was taken a t 2055 and was i n part: i n d e f i n i t e c e i l i n g 500 f e e t , sky obscured, v i s i b i l i t y 1 m i l e , l i g h t snow showers, temperature 32"F., dew-point 32"F., wind 300 degrees, 20 knots with gusts t o 30 h o t s , altimeter s e t t i n g 29.44 inches, snow began a t 2002. - 9 The Miles C i t y Airport has a' UHF omnidirectional course and 9/ d i s t a n c e information f a c i l i t y (TACAN) .course i n d i c a t o r (VOR) and a VHF omnidirectional known j o i n t l y as VORTAC gether 3-l/2 miles southwest of t h e a i r p o r t . out of s e r v i c e a t 2015. 111 housed -9 to- The TACAN was reported A technician was dispatched t o t h e f a c i l i t y and found t h a t t h e TACAN antenna was coated with i c e , which, i n h i s opinion, was t h e cause of t h e malfunction. However, t h e TACAN and t h e TOR a r e separate pieces of equipment and failure of one i n no my a f f e c t s t h e other. Since t h e a i r c r a f t was not equipped w9th DME t h i s f e a t u r e of t h e VORTAC f a c i l i t y could not have been u t i l i z e d . The FAA f l i g h t t e s t e d t h e MLS VOR about 0300 t h e f o l l o w k g morning and found it t o be operating normally. Statements were taken from 21 persons who saw and/or heard an a i r p l a n e i n t h e Miles C i t y area near the time of t h e accident. Inves- t i g a t i o n revealed no o t h e r a i r c r a f t i n f l i g h t a t t h e approximate place and time except f o r Northwest A i r l i n e s F l i g h t 40, a EC!-7Cr which reported over Miles C i t y a t 2035 en r o u t e from B i l l i n g s t o Minneapolis a t l 7 , O O O feet. Some o f t h e witnesses were t o t h e sou-bhwest of t h e MLS Airport (along t h e f l i g h t p a t h from B i l l i n g s ) and some were t o t h e e a s t and northeast. -9/ 11/ TACAN stands f o r T a c t i c a l A i r Navigation. It f u r c i s h e s both azimuth guidance and d i s t a n c e i n f o m a t i o n . VOR stands f o r Very High Frequency Omnidirectional Range. VOFEAC i s a combining f o m of ITOR and TACAN, - 10 Three Wtnesses were a b l e t o f i x t h e time of t h e i r observation q u i t e closely. One, t h e technician who was sent t o inspect t h e inoperative TACAN, e s t a b l i s h e d t h a t It was 2048 when he saw an airc r a f t , which he could i d e n t i f y as a E - 3 > pass overhead, toward t h e a i r p o r t a t a height above t h e ground of approximately 1,000 f e e t and about 600 feet north of h i s position. According t o the witness, t h e a i r c r a f t appeared and sounded normal a t t h i s point, A t t h a t t h e he could see t h e glow of t h e r o t a t i n g beacon a t t h e a i r p o r t , 3-l/2 miles t o t h e northeast. He a l s o noted weather conditi'ons and estimated t h a t wind gusts were 35-40 knots "or maybe morettg that t h e wind was strong enough t o move s m a l l rocks on t h e ground and that t h e d r i v i n g snow was very wet. Another witness, who was i n a parked c a r about 3-l/2 miles south o f t h e a i r p o r t , d i d not see o r hear an a i r p l a n e but d i d see a red flash i n t h e sky, lit up , "'' a t VP ,. t h e whole sky t o t h e west was a time he e s t a b l i s h e d as c l o s e t o 2050, gusty wind from t h e north with snow o r s l e e t . He noted a A p i l o t d t n e s s was i n h i s home i n Miles C i t y about one mile southeast of t h e a i r p o r t . At about 2050, a time e s t a b l i s h e d by reference t o a t e l e v i s i o n program he was watching, I This he heard an unusually loud noise from an airplane. loud noise l a s t e d f o r f i v e t o e i g h t seconds and ended abruptly. He described t h e weather as moderate w e t f r e e z i n g snow with wind gusts of 30-40 knots. Other witnesses were not sure of t h e exact t h e of hearing o r seeing t h e a i r c r a f t , Most of themq however; r e c a l l e d t h e state of duty a t t h e statim. The FAA mFr,tsfns an YSS at t h e aSypG-rt, md2 at The FSS observer . s e d only one rsference pclct, .. tale o b s t m c t i o n lights - 12 i n t h e Manual of Surface (Observations (Weather Bureau, A i r Force, N a v y ) C i r c u l a r No The TOR approach procedure p r e s c r i b e s t h a t t h e aircraft starts a descent f r m as1 a l t i t u d e not below t h e minimum en route a l t i t u d e (6,000 f e e t ) t o 4,500 TOR and e::ecutes f e e t outbound on t h e 211-degree radial of t h e a procedure t u r n not below t h a t a l t i t u d e . Upon completion of t h e procedure t u r n f u r t h e r descent t o 3$500 f e e t i s authorized while inbound t o t h e s t a t i o n on a 031:degree course. A f t e r crossing t h e TOR on f i n a l approach, descent t o 3,900 f e e t i s authorized u n t i l passing Fort I n t e r s e c t i o n ( a 300-degree bearing from t h e MLS radio beacon). authorized. Further descent t o minimum a l t i t u d e i s then The night weather minima f o r t h i s approach ( c i r c l i n g ) were c e i l i n g 400 f e e t and v i s i b i l i t y ' o n e m i l e f o r any runway. L3l The procedure as depicted on both t h e U. S. Coast and Geodetic and Jeppesen approach c h a r t s provides t h a t f i n a l approach i s not authorized from t h e holding p a t t e r n a t t h e TOR and t h a t a:procednre t u r n must be made. Following t h i s accident Board i n v e s t i g a t o r s requested FAL t o i n s t r u c t c e r t a i n F l i g h t 32 crews t o execute VOR instrument approaches t o t h e MLS Airport f o r t h e purpose of ground witness observations. The company complied and f l i g h t s were so made on March 15 and 17, 1964. The f i r s t f l i g h t landed on Rummy 30 and t h e second simulated a landing on Runway 30 before using Rmway 12. During both f l i g h t s , i n v e s t i g a t o r s were present a t c e r t a i n witness locations, w i t h t h e witnesses t o compare what they s a w and/cr heard w%tht h e i r odsemations on t h e night of the accident. a A c i r c l i n g approach was intended inasmuch as t h e crew advised t h e FSS of theil- i n t e n t i o n t o use Runway 30. - 13 The elapsed t h e between t h e reported p o s i t i o n s of t h e s e l a t t e r f l i g h t s were s u b s t a n t i a l l y t h e same as those reported by F l i g h t 32 of March 12. During t h e secor,d f l i g h t , engine r.p.m. and manifold pressure were .increased t o maximum 1.hits when d i r e c t l y above t h e c r a s h s i t e i n ar_ attempt; t o d u p l i c a t e t h e sound heard by one witness immediately p r i o r t o t h e crash of F l i g h t 32 of March 12. This witness, an experienced p i l o t , remarked t h a t t h e noise on t h e night of t h e accident was mmh Louder, seemed t o be lower i n height, and was followed by complete silznce. Other witnesses r w a l l e d t h a t what t h e y saw and/or heard on the night of t h e accident seened t o be much c l o s e r o r louder t o them than w 5 a t t h e y saw ar,d/cr heard dmxing t k e s e t e s b . Analysis The invest,lgat;l.mxirevealed no k p r c p e r procedures and/or m a l functions of t,& fcdl.L~&ng: dispatch, ground-air communications, aircraft comp;r-er: t 5: p ~ ~ e - r p l m t sacd , pertenent navigational a i r p o r t aids tc land.frag. ?'_Lcerzfs-e, i t i s i n d l t a k e d t h a t t h e causal f a c t o r s of this accidor!t a r e r e l a t e d t o either t h e manner i n which t h e air- craft m s f l c ~ h x01" %, t h e p r e v a i l i n g severe weather conditions, or t~ a cmblnat;ion t h w e o f . It 5 s 2mpc:ssLbLe . t o reconskmct t h e p r e c i s e f l i g h t p a t h o r exact altitades of t h e a i r c r a f t &wing i t s f i n a l few minutes of f l i g h t . Is E n s t be borne in nind t h a t strcrcg d n d s with blowing w e t snow and low c e i l i n g s m u l d and probably did s i g n i f i c a n t l y d i s t o r t both sound and s i g h t i n g s as described by witnesses. The evidence i n d i - c a t e s t h a t t h e a i r c r a f t f l e w over t h e VOR a t approximately 2048 about 1,000 f e e t above t h e surface. The a i r c r a f t a t t h i s position, according t o t h e witness, appeared and sounded normal i n a l l respects. Yet, t h e p o i n t of impact was l o c a t e d only L 7 miles from t h e VOR where t h e minimum descent a l t i t u d e should have been approximately 400 f e e t above t h e ground. Because t h e r e i s no evidence of any f a i l u r e o r malfunction of t h e aircraft o r navigational aids, nor any message received from t h e crew p e r t a i n i n g t o any d i f f i c u l t i e s , t h e Board cannot state, w i t h any degree of c e r t a i n t y , t h e reason f o r t h e unexplained departure from t h e minimum descent altitude. However, based on t h e evidence a v a i l a b l e t h e following p o s s i b i l i t i e s appear t o be t h e most p l a u s i b l e : 1. An attempt to Conduct t h e F i n a l Portion of t h e Approach bx Visual Reference t o t h e Ground The witness l o c a t e d a t t h e VOR s i t e s t a t e d t h a t v i s u a l contact with both t h e a i r c r a f t and t h e a i r p o r t beacon was p o s s i b l e from h i s position. It is, therefore, possible t h a t when t h e a i r c r a f t was i n t h e v i c i n i t y of t h e VOR, v i s u a l contact with t h e ground and/or a i r p o r t beacon was e s t a b l i s h e d by t h e crew. If t h i s were t h e case, it i s conceivable t h a t with both p i l o t s attempting t o maintain v i s u a l contact w5th the ground and/or keep t h e a i r p o r t beacon i n sight, a con- tinued wlmonitored descent below t h e e x i s t i n g c e i l i n g s could have resulted. - 15 The f i n a l approach speed f o r t h e E - 3 i s approximately lo5 knots and t h e a i r c r a f t ' s ground speed a t impact was computed t o be approximately 137 knots. Under t h e e x i s t i n g wind conditions t h e i n d i c a t e d airspeed (IAS) a t impact would have been approximately 134 knots. landing gear down and f l a p s To obtain t h i s speed, w i t h 1/4 extended, e i t h e r high engine power s e t t i n g s o r a decrease i n t h e angle of a t t a c k o r a cornb i n a t i o n of t h e two would be required. The evidence i n d i c a t e s t h a t normal engine power was being u t i l i z e d by F l i g h t 32 u n t i l just p r i o r t o impact. Therefore, it can be postulated t h a t i n order t o cont i n u e t h e f l i g h t by v i s u a l means during t h e f i n a l p o r t i o n of t h e approach a r a p i d descent became necessary t o remain below t h e clouds and t o keep t h e ground and/or a i r p o r t beacon i n sight. If both p i l o t s were concentrating on conditions out- side t h e cockpit, and t h e a l t i m e t e r s were m o n i t o r e d , it i s p o s s i b l e t h a t t h e descent was continued u n t i l contact with t h e ground was unavoidable. Power was added by t h e crew when it was r e a l i z e d they were a t a dangerously low altitude. However, t h e power a p p l i c a t i o n was too l a t e t o prevent ground irnpact 2. Airframe Icin@; It was determined t h a t weather conditions i n t h e v i c i n i t y of Miles C i t y were conducive t o moderate t o heavy - 16 airframe i c i n g i n clouds and p r e c i p i t a t i o n . Strong gusty winds over t h e rough t e r r a i n would l i k e l y have produced moderate t o severe turbulence i n t h e area. Under t h e s e conditions l a r g e i c e accretions on t h e wing surfaces, if undetected throughout t h e descent and i n i t i a l approach, would have become a serious detriment t o airspeed and a l t i t u d e control, e s p e c i a l l y a f t e r t h e landing gear and f l a p s were extended. With such an accumulation of ice, it i s p o s s i b l e t h a t p r i o r t o o r a t t h e time t h e f l i g h t reached i t s minimum descent a l t i t u d e (400 f e e t ) , t h e descent could not be a r r e s t e d withcut a serious l o s s of airspeed. A s i t u a t i o n of t h i s type, it i s recognized, could n e c e s s i t a t e lowering t h e nose of t h e a i r c r a f t t o regain airspeed, r e s u l t i n g i n a rapid l o s s of a l t i t u d e and operation below a safe t e r r a i n clearance altitude. N614b2 was equipped with a de-icing system which is normally a b l e t o cope w5th i c e a c c r e t i o n s on c r i t i c a l airframe surfaces. Because of f i r e and impact damage it was impossible t o d 5 t e m i n e whether t h i s system was operational o r i n use p r i o r t o impact. However, t h e r e were no indications noted i n any of t h e a i r c r a f t ' s maintenance records p e r t a i n i n g t o any discrepancies or malfunctions t o t h i s system. It can, therefore, be presumed t h a t t h i s system was capable of normal operation p r i o r t o t h e commencement of t h i s f l i g h t . Any i c e - 17 a c c r e t i o n s s u f f i c i e n t t o h a v e c m s e d a l o s s of airspeed o r a l t i t u d e c o n t r o l should have been known t o t h e crew and, accordingly, removed from t h e a i r c r a f t through t h e use of t h e de-icing system. Additionally,, i c e a c c r e t i o n s s u f f i c i e n t t o cause a l o s s of c o n t r o l r e s u l t i n g i n ground impact 1.7 miles beyond t h e VOR would n e c e s s a r i l y have had t o begin accumulating considerably f u r t h e r back on t h e approach. This, i n turn, would have required t h e use of much higher engine power s e t t i n g s t o keep t h e a i r c r a f t within t o l e r a b l e airspeeds, descent rates, and a l t i t u d e s throughout t h e remainder of t h e approach, The sound of high engine power heard by t h e witnesses j u s t p r i o r t o t h e crash i n conjunction with t h e witness observations of normal engine sounds i n t h e proximity of t h e VOR suggests t h a t normal power was being employed u n t i l just p r i o r t o impact. Further, i f a i r s p e e d and a l t i - tude c o n t r o l became c r i t i c a l during t h e approach, t h e landing gear and f l a p s would not normally have been extended u n t i l a landing on t h e runway was assured. If they had a l r e a d y been extended and a s e r i o u s i c i n g s i t u a t i o n developed, it appears l o g i c a l t h a t one of t h e f i r s t s t e p s taken by t h e p i l o t would have been t h e immediate r e t r a c t i o n of any drag producing components. Finally, t h e a i r s p e e d a t impact, which was determined t o have been approximately 134 knots, should have been more - 18 than s u f f i c i e n t t o counteract t h e e f f e c t s of severe airframe i c i n g i f such a s i t u a t i o n were present. The e f f e c t s of severe turbulence combined w i t h heavy airframe i c e would, of course, c o n s t i t u t e an a d d i t i o n a l contirol problem. A s i t u a t i o n of t h i s type would compound e x i s t i n g c o n t r o l l a b i l i t y problems normally associated with severe airframe i c e b u t should not have rendered t h e airc r a f t incapable of c o n t r o l l e d f l i g h t . In conclusion, although e x i s t i n g weather conditions were conducive t o airframe icing, t h e r e i s i n s u f f i c i e n t evidence a v a i l a b l e t o support a d e f i n i t i v e f i n d i n g i n t h i s area. Similarly, t h e evidence will not support any conclusion that t h e p i l o t committed a gross departure from proper p i l o t i n g techniques by attempting t o conduct t h e f i n a l p o r t i o n of t h e approach by v i s u a l reference t o t h e ground. The Board, therefore, i s unable t o determine t h e reason f o r t h e a i r c r a f t * s departure below t h e approved minimun descent a l t i t u d e . Probable Cause The Board determines that the probable cause of this accident was the descent below obstructing terrain, for reasons undeterminable, during an instrument approach in adverse weather conditions, BY THE CIVIL AERONAUTICS BOARD: Is/ ALAN S , BOYD Chairman /s/ ROBERT T, MURPHY Vice Chairman /s/ Go /s/ WHITNEY GILLILLAND Member JOSEPH MINETTI Member I CHAN GURNEY, Member, did not take p%rL in the adoption of this reportg Investigation The C i v i l Aeronautics Board was n o t i f i e d of t h e accident immediately a f t e r i t s occurrenee. An i n v e s t i g a t i o n was immediately i n i t i a t e d i n accordance with t h e provisions of T i t l e V I 1 of t h e Federal Aviation Act of 1958, as mended. Depositions i n connection with t h i s i n v e s t i g a t i o n were taken a t Miles City, Montana, on A p r i l 15, 1964, and a t B i l l i n g s , Montana, on A p r i l 16, 1964. The C a r r i e r F r o n t i e r Airliries, Inc., offSae i n Denver, Colorado. i s a Nevada corporation with i t s p r i n c i p a l The corporation holds a c e r t i f i c a t e of public convenience and n e c e s s i t y issued by t h e C i v i l Aeronautics Board, and an a i r c a r r i e r operatiRg c e r t i f i c a t e issued by t h e Federal Aviation Agency. These c e r t i f i c a t e s authorize t h e c a r r i e r t o engage i n a i r t r a n s p o r t a t i o n of persons, property, and mail. over t h e rouLe i l i v o l v d . The A i r c r a f t The a i r c r a f t was a Douglas model LE-3C, bore FAA identificat;ion N61442. s e r i a l number 9642, and It was manufactured June 1943, and a t t h e time of t h e accident had been operated 30,442 hours. had been current arid i n compliance with Th.e two engines were watt Maintenance FAA requirenents. and Whitney model R-1830, S l C 3 G and t h e p r o p e l l e r s were Ha.mil.t,on Standard modcl 23350. Maintenance of engines and propell.ers had been current and i n compliance w i t h FAA requirements. F l i g h t Personnel Captain Kenneth C. Huber, age 42, had a t o t a l p i l o t i n g time of 15,335 hours of which 12,830 had been i n E - 3 a i r c r a f t . properly c e r t i f i c a t e d , r a t e d and checked. He was H i s rest period, p r i o r t o t h e start of t h e subject f l i g h t , was i n excess o f 30 hours. been employed by F r o n t i e r A i r l i n e s , I n c o g s i n c e January He had 1951, and was unusually w e l l experienced, currently, i n landing scheduled F r o n t i e r A i r l i n e s E-3s a t t h e Miles C i t y Airport. F i r s t Officer Daniel H. Gough, age 25, had a t o t a l p i l o t i n g time of 3,539 hours of which 1,355 hours had been a s f i r s t o f f i c e r i n E - 3 s u He was properly c e r t i f i c a t e d , rated, and checked, H i s r e s t period, p r i o r t o t h e start of t h e subject f l i g h t , was i n excess of 30 hours. He had been employed by F r o n t i e r Airlines, Inc., s i n c e June 1962. Captain Huber and F i r s t Officer Gough had flown together, as a crew, on numerous F r o n t i e r f l i g h t s i n t o t h e Miles C i t y Airport. Stewardess Dorothy Ruth R e i f , age 22, had been employed by F r o n t i e r Airlines, Inc., since October 13> 1.963~ MILES CITY AIRPOR !I 5 1 1 1 P A R l U F N l ,If C O M Y f R C f YST APCH PRO (FAA) MILES C I T Y . M O N C l J A S l ANI1 b l O D E I I C 5 I J I V E Y I MILES CITY RADIO I b . ;"'!>I ,4, 5.1 00 /" I 41 -, 21 LJ f./l J 6'20' EMERG SAF;E ALT 100 NM 7400 I l06"lO' 106°00' VOR I 105"50' 105'40' CAUTION Elevation of Miles City RBn lower 2800 within 10 miles authorized minimums within 3 4 miles after passing VOR 2642 Width 01 runways 5600 lost avallabh lor landlnttr on Rumay 22 -__ FACILITY TO A E R ~ D R O M E : 03 1 3 4 NM TIME FROM FACILITY TO MISSED APPROACH 4OTS I 9 0 I 1 0 0 I l l 0 I130 I 1 5 0 t INlSEC I 216 -259-VOR-1 10JAN 1964 I 202 I 151 I 134 - 1 121 46'26" - 105'53'W 031'19Miles ' ,. ,I . . MILES CITY. MONT MILES CITY AIRPORT