Air transportation safety investigation A19C0038
The TSB has completed this investigation. The report was published on 27 July 2020.
Keewatin Air LP
Beechcraft B200, C-FRMV
View final report
On , the Keewatin Air LP Beechcraft B200 aircraft (registration C‑FRMV, serial number BB979), equipped to perform medical evacuation flights, was conducting an instrument flight rules positioning flight (flight KEW202), with 2 flight crew members and 2 flight nurses on board, from Winnipeg/James Armstrong Richardson International Airport, Manitoba, to Rankin Inlet Airport, Nunavut, with a stop at Churchill Airport, Manitoba.
At 1814 Central Daylight Time, when the aircraft was cruising at flight level 250, the flight crew declared an emergency due to a fuel issue. The flight crew diverted to Gillam Airport, Manitoba, and initiated an emergency descent. During the descent, both engines flamed out. The flight crew attempted a forced landing on Runway 23, but the aircraft touched down on the frozen surface of Stephens Lake, 750 feet before the threshold of Runway 23. The landing gear was fully extended. The aircraft struck the rocky lake shore and travelled up the bank toward the runway area. It came to rest 190 feet before the threshold of Runway 23 at 1823:45 Central Daylight Time. None of the occupants was injured. The aircraft sustained substantial damage. The 406 MHz emergency locator transmitter activated. Emergency services responded. There was no fire.
Insufficient fuel for flight resulted in forced landing near Gillam, Manitoba
Read the news release
TSB deploys a team of investigators to the site of an air accident in Gillam, Manitoba
Winnipeg, Manitoba, 25 April 2019 – The Transportation Safety Board of Canada (TSB) is deploying a team of investigators to the site of yesterday’s accident involving a Beech B200 medevac aircraft that occurred in Gillam, Manitoba. The TSB will gather information and assess the occurrence.
Map showing the location of the occurrence
Mr. Barrett joined the TSB in March 2010 as a Technical Investigator/Air in the Central Region office located in Winnipeg. He has over 40 years of maintenance experience on fixed and rotary wing aircraft.
Mr. Barrett holds an M1/M2 AME licence, and has held various positions maintaining numerous types of aircraft for operators in Alberta, Manitoba, and Ontario. Before joining the TSB, he was an instructor for four years in the Aircraft Maintenance diploma and apprenticeship programs at Red River College, Stevenson Campus, in Winnipeg. Since joining the TSB, Mr. Barrett has participated in numerous TSB investigations.
Class of investigation
This is a class 3 investigation. These investigations analyze a small number of safety issues, and may result in recommendations. Class 3 investigations are generally completed within 450 days. For more information, see the Policy on Occurrence Classification.
TSB investigation process
There are 3 phases to a TSB investigation
- Field phase: a team of investigators examines the occurrence site and wreckage, interviews witnesses and collects pertinent information.
- Examination and analysis phase: the TSB reviews pertinent records, tests components of the wreckage in the lab, determines the sequence of events and identifies safety deficiencies. When safety deficiencies are suspected or confirmed, the TSB advises the appropriate authority without waiting until publication of the final report.
- Report phase: a confidential draft report is approved by the Board and sent to persons and corporations who are directly concerned by the report. They then have the opportunity to dispute or correct information they believe to be incorrect. The Board considers all representations before approving the final report, which is subsequently released to the public.
For more information, see our Investigation process page.
The TSB is an independent agency that investigates air, marine, pipeline, and rail transportation occurrences. Its sole aim is the advancement of transportation safety. It is not the function of the Board to assign fault or determine civil or criminal liability.