NTSB CAROL · Event
Event ANC19LA028
Registry · N94DC
FAA Aircraft Registry record.
Make / Model
DEHAVILLAND DHC-2 MK 1
Year of manufacture
1951 · 68 years old at event
Engine
P&W R-985 SERIES (450 hp)
Seats / Engines
8 seats · 1 engine
Last airworthiness date
19761110
ADS-B equipped
Yes — Mode-S AD0B1D
Registrant of record
V2 AVIATION LLC
Source: FAA Aircraft Registry (releasable master file).
Aircraft involved
Probable cause & findings
A loss of directional control while landing, which resulted in a water loop.
Factual narrative
On June 27, 2019, at about 0945 Alaska daylight time, a float-equipped, de Havilland DHC-2 (Beaver) airplane, N94DC, sustained substantial damage following a loss of control during landing at the Ketchikan Harbor Seaplane Base (5KE) Ketchikan, Alaska. The airline transport pilot and four passengers were not injured. The airplane was registered to V2 Aviation LLC, and operated by Pacific Airways, under the provisions of 14 Code of Federal Regulations Part 135. Visual meteorological conditions prevailed and company flight following procedures were in effect. The flight departed the dock at Ketchikan International Airport (PAKT) at 0941 destined for 5KE. According to the pilot, after providing the passengers with a preflight safety briefing, he departed the PAKT airport dock for the short repositioning flight to the company's harbor side dock. After departure, he flew the standard west route, turned back overhead the airport dock, and then turned inside of Pennock Island for final approach to the harbor. Upon touchdown, the airplane skipped, and the right float dug into the water. The airplane water looped, nosed down and began to submerge. After all motion had ceased, he secured the magnetos, assisted the passengers with their life vests and evacuation, and then evacuated the airplane himself. A Good Samaritan fishing boat responded to the scene and assisted with the rescue of the airplane's occupants. The pilot reported that there were no preaccident mechanical malfunctions or anomalies that would have precluded normal operation. A video recorded by a cruise ship passenger captured the accident sequence and revealed that the airplane was landing parallel to an ocean swell and touched down in a relatively flat pitch attitude. After touchdown and encountering the swell, the airplane veered to the left, water looped, nosed down and began to submerge. Water Flying Concepts, Second Edition, by Dr. Dale De Remer is an advance text on wilderness water flying and states in part: The seaplane is very directionally stable as long as it is landed so that its center of gravity is forward of its center of rotation. The seaplane center of rotation in the air is its center of gravity, and on the water it is the center of the wetted side area of the float(s). This is difficult to visualize, as it changes with the speed and attitude of the aircraft on the water. It can be considered to be close to the center of buoyancy. The main thing to remember is to keep the center of rotation aft of the center of gravity. Keep the center of rotation aft, period, until the aircraft has slowed and settled off the step. In the recommendation section of the NTSB Accident/Incident Reporting Form 6120.1, the operator recommended the following three changes to their operations: More extensive training for new pilots on aborted and glassy water landings. No longer allowing first year pilots to execute short approaches into the harbor. Aircraft to refuel at the harbor, prior to passengers boarding at PAKT airport dock for their flights. The closest weather reporting facility is Ketchikan International Airport (PAKT), Ketchikan, Alaska. At 0953, a METAR from PAKT was reporting in part: wind, 320° at 5 knots; visibility, 10 statute miles; sky condition, clear; temperature, 70° F; dew point 57° F; and an altimeter setting of 29.93 inches of mercury. According to the pilot, upon touchdown in the float-equipped airplane, the seaplane skipped, and the right float dug into the water. A video recorded by a cruise ship passenger captured the accident sequence and revealed that the airplane was landing parallel to an ocean swell and touched down in a relatively flat pitch attitude. After touchdown and encountering the swell, the airplane veered to the left, water looped, nosed down, and began to submerge. The airplane sustained substantial damage to the left wing, left lift strut, and fuselage. The pilot reported that there were no preaccident mechanical malfunctions or anomalies that would have precluded normal operation. Source: NTSB Aviation Accident Database Retrieved: 2026-02-12
NTSB Findings
Hierarchical cause / factor breakdown from the FAA bulk avdata database. Each finding tagged C (Cause) or F (Factor).
- C Personnel issues-Task performance-Use of equip/info-Aircraft control-Pilot - C
- F Environmental issues-Physical environment-Runway/land/takeoff/taxi surface-(general)-Effect on equipment - F
- — Aircraft-Aircraft oper/perf/capability-Performance/control parameters-Directional control-Not attained/maintained
Verbatim from NTSB's published report. Source file
NTSB_2019_ANC19LA028.txt.
Findings + structured fields enriched from FAA avall.mdb.
Full investigation docket on
data.ntsb.gov ↗.
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Related research
What the literature says.
Academic papers and agency reports matching this event's aircraft type or causal vocabulary (loss of control). Sourced from NASA NTRS, NTSB Safety Studies, FAA CAMI, AOPA Air Safety Institute, Embry-Riddle Scholarly Commons, arXiv, and the Semantic Scholar academic graph.
- Embry-Riddle Scholarly Commons 2025 · Journal article (JAAER)
A Scoping Review of Aviation Loss of Control Inflight Research
Loss of control – inflight (LOC-I) contributes to aircraft accidents at unacceptably high rates. Significant industry efforts and research have aimed to improve LOC-I prevention, detection, and recove…
- SKYbrary (Eurocontrol) 2024 · SKYbrary article
Loss of Control In-Flight (LOC-I) — SKYbrary Knowledge Base
SKYbrary comprehensive knowledge-base entry on Loss of Control In-Flight — definitions, contributing factors, accident case studies (Air France 447, Colgan 3407), and prevention strategies.
- NTSB Aircraft Accident Reports 2022 · Accident report
Loss of Control on Takeoff in Icing Conditions — Citation 560XL
Cessna Citation 560XL fatal takeoff icing accident, March 2018. Investigation of a Citation 560XL loss-of-control takeoff accident in icing conditions.
- Semantic Scholar 2021 · Article (Aviation)
ANALYSIS OF GENERAL AVIATION FIXED-WING AIRCRAFT ACCIDENTS INVOLVING INFLIGHT LOSS OF CONTROL USING A STATE-BASED APPROACH
Inflight loss of control (LOC-I) is a significant cause of General Aviation (GA) fixed-wing aircraft accidents. The United States National Transportation Safety Board’s database provides a rich source…
- NASA NTRS 2021 · Presentation
Use of Design of Experiments in Determining Neural Network Architectures for Loss of Control Detection
Abstract—We describe empirical methods for selecting a neural network architecture to implement belief state inference on generic commercial transport aircraft.
- NASA NTRS 2021 · Conference Paper
Use of Design of Experiments in Determining Neural Network Architectures for Loss of Control Detection
We describe empirical methods for selecting a neural network architecture to implement belief state inference on generic commercial transport aircraft.
Browse the full corpus — academia portal ↗