Crash of a Piper PA-31-310 Navajo off Barbados: 2 killed

Date & Time: May 18, 2003 at 2046 LT
Type of aircraft:
Registration:
G-ILEA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Canouan – Bridgetown
MSN:
31-7812117
YOM:
1978
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
390
Captain / Total hours on type:
70.00
Circumstances:
The aircraft was on a flight from Canouan, a small island in the St Vincent group, to Barbados. Shortly after entering Barbados airspace, radar recordings show the aircraft deviated to the south of a direct easterly track to Barbados and descended from cruise flight level (FL) 55 to an altitude of 2,300 feet. The aircraft levelled at 2,300 feet and resumed an easterly track for about six minutes before once again deviating to the south and commencing a further descent. About 16 minutes after the aircraft's initial descent from FL55, the pilots of a commercial aircraft flying from Grenada to Barbados relayed a MAYDAY call from G-ILEA to Barbados Arrivals reporting that the pilot "had lost one engine; it appeared he was losing fuel and he doubted that he would be able to make it to Barbados". Some three and a half minutes after the initial MAYDAY call, the pilot of the commercial aircraft relayed a further message stating that the pilot intended to ditch. The final radar return for the aircraft showed it at an altitude of 600 feet about 55 miles on the 259° radial from Barbados Airport. Despite an extensive search and rescue operation, no trace of the aircraft or its two occupants was found. A reconciliation of fuel receipts and flight times shows that, at best, the aircraft would have been short of fuel for the flight, and at worst could have run out of fuel.
Probable cause:
No trace of the aircraft or its occupants has been discovered and the lack of any wreckage makes it difficult to come to firm conclusions on the cause of this accident. The reported pilot's statement from he relayed MAYDAY transmission that "it appeared he was losing fuel" points to some problem with the fuel system, but there was no indication on how the pilot came to this judgement. A rupture in a fuel tank or a leak from one or more of the aircraft's fuel drains would have been difficult or impossible to detect visually from the cockpit. Loss of a fuel filler cap may have resulted in loss of fuel. However, the relatively low fuel level in the tanks would probably have limited or precluded such a loss and since the caps on both sides are visible from the cockpit it might be expected that the pilot would have stated the problem in his emergency call. Alternatively, the pilot's assessment that he was losing fuel may have been based simply on a perceived rate of change of fuel contents on the fuel gauges. Indeed the reported use by the pilot of the phrase "appears to be losing fuel" may point to some uncertainty on the matter or that there was no physical evidence of fuel loss.
Final Report:

Crash of a Piper PA-31-325 Navajo in Feilding: 3 killed

Date & Time: Dec 17, 2002 at 2041 LT
Type of aircraft:
Operator:
Registration:
ZK-TZC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Feilding – Paraparaumu
MSN:
31-7812129
YOM:
1978
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1080
Captain / Total hours on type:
70.00
Aircraft flight hours:
1806
Circumstances:
The aircraft took off from Feilding Aerodrome on a visual flight rules flight to Paraparaumu. The normal flight time was about 17 minutes. The pilot and his 2 sons, aged 7 years and 5 years, were on board. Earlier that evening the pilot, his wife and 4 children had attended the pilotís farewell work function in Palmerston North. After the function they all went to Feilding Aerodrome where he prepared ZK-TZC for the flight. The pilotís wife saw him carry out a pre-flight inspection of the aeroplane, including checking the fuel. The pilot seemed to her to be his normal self and he gave her no indication that anything was amiss either with himself or ZK-TZC. She did not see the aeroplane taxi but did see it take off on runway 10 and then turn right. She thought the take-off and the departure were normal and saw nothing untoward. She then drove to Paraparaumu with her 2 younger children, the 2 older boys having left in ZK-TZC with their father. An aviation enthusiast, who lived by the aerodrome boundary, watched ZK-TZC taxi and take off, but he did not see or hear the pilot complete a ground run. He saw the aeroplane take off on runway 10 immediately after it taxied and thought the take-off and departure were normal. He did not notice anything untoward with the aeroplane. A radar data plot provided the time, track and altitude details for ZK-TZC. No radio transmissions from the pilot were heard or recorded by Palmerston North or Ohakea air traffic control. Palmerston North Control Tower was unattended from 2030 on the evening of the accident. The radar data plot showed that after take-off ZK-TZC turned right, climbed to 1000 feet above mean sea level (amsl) and headed for Paraparaumu. When the aeroplane was about 2.7 nautical miles (nm) (5 km) from Feilding Aerodrome and tracking approximately 1.3 nm (2.4 km) northwest of Palmerston North Aerodrome it turned to the left, descended and headed back to Feilding Aerodrome. The aeroplane descended at about 500 feet per minute rate of descent to 400 feet amsl. At 400 feet amsl (about 200 feet above the ground) the aeroplane passed about 0.5 nm (900 m) east of the aerodrome and threshold for runway 28, and joined left downwind for runway 10. In the downwind position the aeroplane was spaced about 0.3 nm (500 m) laterally from the runway at an initial height of 400 feet amsl, or about 200 feet above the ground. ZK-TZC departed from controlled flight when it was turning left at a low height during an apparent approach to land on runway 10, with its undercarriage and flaps extended. ZK-TZC first rotated to face away from the aerodrome before striking the ground in a nose down attitude. The 3 occupants were killed in the impact. Two witnesses, who were about 3.5 km southeast of Palmerston North Aerodrome and about 6 km from the aeroplane, saw the aeroplane at a normal height shortly before it turned back towards Feilding. They described what they thought was some darkish grey smoke behind the aeroplane shortly before it turned around. A witness near Palmerston North recalled seeing the aeroplane in level flight at about 1000 feet before it rolled quickly into a steep left turn and then headed back toward Feilding Aerodrome. After the steep turn the aeroplane descended. He thought that one or both engines were running unevenly. He did not see any smoke or anything unusual coming from the aeroplane. He lost sight of the aeroplane when it was in the vicinity of Feilding. He remembered that at the time it was getting on toward dark and that there was a high cloud base with gusty winds. Another witness travelling on a road from Feilding Aerodrome to Palmerston North saw the aeroplane fly low over his car. He saw the undercarriage extend then retract and that the left propeller was stationary. He believed the other engine sounded normal. He then saw the aeroplane continue toward Feilding Aerodrome and cross the eastern end of the runway. He thought the aeroplane was trying to turn and said it seemed to be quite low and slow. He did not see any smoke coming from the aeroplane. He was not overly concerned because he thought it was a training aeroplane. He said the weather at the time was clear with a high overcast. The aviation enthusiast saw ZK-TZC return for a landing and fly to a left downwind position for runway 10. He thought the aeroplane was quite low. He said the left propeller was feathered and was not turning and believed the right engine sounded normal. He did not see any smoke coming from the aeroplane. He could not recall the position of the undercarriage or flaps. After a while he became concerned when he had not seen the aeroplane land. He described the weather at the time as being fine with good visibility but that it was getting on toward dark. A further witness living near Feilding Aerodrome by the threshold to runway 10 heard the aeroplane coming and then fly overhead. He said the aeroplane sounded very low and very loud, as though its engine was at maximum speed (power). The engine sounded normal, except that it sounded as though it was under high power. He said there was a slight breeze, clear conditions and a high overcast at the time. A couple living by Feilding Aerodrome on the approach path to runway 10 heard the aeroplane coming from a northerly direction. They thought its engine sounded as though it was under a heavy load and said it was making a very loud noise like a topdressing aeroplane. The engine was making a steady sound and was not intermittent or running rough. The steady loud engine noise continued until they heard a loud thump, when the engine noise stopped abruptly. They said that at the time it was getting on toward dark but the weather was clear with good visibility. An eyewitness to the accident saw the aeroplane at a very low height, about the height of some nearby treetops, when it turned left to land. The aeroplane was turning left when she saw it nose up sharply and then suddenly turn back in the opposite direction, before nosing down and hitting the ground nose first. She said the aeroplane seemed to snap in half after it hit the ground.
Probable cause:
The following findings were identified:
- The aircraft records showed ZK-TZC had been properly maintained and was airworthy before the accident.
- No conclusive reason could be found to explain why the left propeller was feathered.
- The pilot chose an improper course of action and flew an improbable circuit in attempting to land ZK-TZC back at the departure aerodrome with one engine inoperative, which led to the accident.
- The pilot's handling of the emergency was unaccountable.
- There was no indication that the training the 2 instructors gave the pilot was anything other than of a proper standard and above the minimum requirements.
- Had the pilot applied the techniques that both instructors said they taught him for a one-engine-inoperative approach and landing, and chosen any of a number of safer options readily available to him, the accident would probably not have occurred.
Final Report:

Crash of a Piper PA-31-310 Navajo B near San Miguel de Tucumán

Date & Time: Apr 24, 2002 at 1915 LT
Type of aircraft:
Operator:
Registration:
LV-MPS
Survivors:
Yes
Schedule:
San Miguel de Tucumán - Estancia La Juliana - Estancia El Descanso - San Miguel de Tucumán
MSN:
31-738
YOM:
1971
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1686
Captain / Total hours on type:
28.00
Copilot / Total flying hours:
2437
Copilot / Total hours on type:
1
Aircraft flight hours:
3230
Circumstances:
The twin engine aircraft departed San Miguel de Tucumán-Teniente Benjamin Matienzo Airport at noon on a positioning flight to a private airstrip located in Estancia La Juliana, 75 km from there. Before departure, the crew was unable to add more fuel in the tanks because they did not have sufficient cash. At Estancia La Juliana, the crew waited for two hours before the owner of the farm was taken to another of his property in Estancia El Descanso, about 70 km from there. Again, the crew waited for two hours before the final flight back to San Miguel de Tucumán. The return flight was completed under VFR mode at an altitude of 3,500 feet. While approaching San Miguel de Tucumán-Teniente Benjamin Matienzo Airport, the crew declared an emergency after both engines stopped. In a flaps and gear up configuration, he attempted to make an emergency landing when the aircraft impacted a tree and crashed in an open field located near El Chañar, about 13 km northeast of the runway 20 threshold. All three occupants were injured, two seriously, and the aircraft was damaged beyond repair.
Probable cause:
Double engine failure in flight due to a fuel exhaustion. Poor flight planning on part of the crew who failed to correctly calculate the amount of fuel necessary for all day trips.
Final Report:

Crash of a Piper PA-31P Pressurized Navajo in Anderson: 2 killed

Date & Time: Mar 17, 2002 at 2306 LT
Type of aircraft:
Registration:
N125TT
Flight Type:
Survivors:
No
Schedule:
LaGrange – Anderson
MSN:
31-7400187
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1011
Aircraft flight hours:
3991
Circumstances:
The airplane was destroyed by impact forces and fire, when it impacted the ground about 3.7 miles from the destination airport. The airplane had been cleared for an ILS approach to the airport. No anomalies were found during the on-scene examination of the airframe, engine or gyroscopic flight instruments that could be associated with a pre-existing condition. The minimum descent altitude for the approach is 243 feet above ground level. The inbound course for the instrument approach is 298 degrees magnetic. The radar data shows that the airplane headed in a northerly direction prior to commencing a left turn onto the inbound course of the instrument approach. The last radar return, was received prior to the airplane reaching the locator outer marker for the approach. Altitude returns show the airplane descending from a pressure altitude of 4,000 feet to a pressure altitude of 2,800 feet. The 2,800-foot return was the final return received. The wreckage path was distributed on a magnetic heading of approximately 145 degrees. The weather reporting station located at the destination airport recorded a 100 foot overcast ceiling with 1 statute mile of visibility about 20 minutes prior to the accident. The current weather was available to the pilot via the Automated Weather Observing System at the destination airport. No communications were received from the airplane after controllers authorized the pilot to change to the destination airport's advisory frequency.
Probable cause:
The pilots failure to maintain control of the airplane during the instrument approach. The low overcast ceiling and the pilot's in-flight decision to execute the instrument approach in below minimum weather conditions were factors.
Final Report:

Crash of a Piper PA-31-310 Navajo near Atlanta: 3 killed

Date & Time: Mar 12, 2002 at 1437 LT
Type of aircraft:
Registration:
N2336V
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Idaho Falls - Boise
MSN:
31-135
YOM:
1968
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
20647
Captain / Total hours on type:
338.00
Aircraft flight hours:
7940
Circumstances:
The aircraft was cleared direct and to climb to 14,000 feet. During the climb out, the controller inquired several times as to the flights altitude. The pilot's response to the controllers queries were exactly 10,000 feet lower than what the controller was indicating on radar. Eventually the controller instructed the pilot to stop altitude squawk, which he did. During the last communication with the pilot, he reported that he was level at 14,000 feet. During the next approximately 45 minutes, the aircraft was observed proceeding generally in the direction of its destination. When the controller observed the flight track turn approximately 45 degrees to the right and headed generally northwest, he attempted to contact the pilot without a response. The tracking then turned about 90 degrees to the left for a few minutes, then turned 180 degrees to the right. The aircraft dropped from radar coverage shortly thereafter. On site investigation revealed that the aircraft broke-up in flight as the wreckage was scattered generally east-to-west over the mountainous terrain for approximately .3 nautical miles. Further investigation revealed that the right wing separated at the wing root in an upward direction. Separation points indicated features typical of overload. The right side horizontal stabilizer separated upward and aft. The left side horizontal stabilizer remained attached however, it was twisted down and aft. The aft fuselage was twisted to the left. Both engines separated in flight from the wings. Post-crash examinations of the airframe and engines did not reveal evidence of a mechanical failure or malfunction. Both altimeters were too badly damaged to test. Autopsy and toxicology results indicated that the pilot had severe coronary artery disease with greater than 95% narrowing of the left anterior descending coronary artery by atherosclerotic plaque. The coroner also reported that superimposed upon this severe narrowing was complete occlusion of the lumen by brown thrombus. Toxicology results indicated a moderate level of diabetes. The pilot's actions leading up to the accident were consistent with an incapacitation due to hypoxia. The role of a possible heart attack was unclear, since it is possible that it occurred as a result of the hypoxia.
Probable cause:
The pilot's failure to maintain aircraft control while in cruise flight which resulted in the in-flight separation due to overload of the spar at the right wing root. Hypoxia was a factor.
Final Report:

Crash of a Piper PA-31-310 Navajo near Antananarivo: 7 killed

Date & Time: Sep 24, 2001
Type of aircraft:
Registration:
F-GRDT
Survivors:
No
Site:
Schedule:
Mahajanga – Antananarivo – Saint-Denis
MSN:
31-7300931
YOM:
1973
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
The twin engine aircraft departed Mahajanga, Madagascar, on a charter flight to Saint-Denis de La Réunion, with an intermediate stop in Antananarivo, carrying five passengers and two pilots. While approaching Antananarivo-Ivato Airport, the aircraft went out of control and crashed in a mountainous area located about 30 km from the airport. The aircraft was destroyed and all seven occupants were killed.
Probable cause:
Loss of control following a double engine failure on approach due to fuel exhaustion.

Crash of a Piper PA-31-310 Navajo in Charlottetown: 3 killed

Date & Time: Jun 5, 2001 at 1621 LT
Type of aircraft:
Operator:
Registration:
C-GMTT
Flight Phase:
Survivors:
Yes
Schedule:
Gander – Charlottetown – Natuashish
MSN:
31-7712004
YOM:
1977
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
2085
Captain / Total hours on type:
185.00
Circumstances:
The flight took off on Runway 22 at Gander, Newfoundland and Labrador, at 1428 Newfoundland daylight time with the pilot and four passengers on board. Their destination was Sango Bay, Newfoundland and Labrador, with an intermediate stop in Charlottetown, Newfoundland and Labrador, to drop off one of the passengers. Radar data show that, on departure from Gander, the aircraft climbed at about 500 feet per minute at 125 knots ground speed to 2500 feet, then descended and proceeded en route to Charlottetown at 1900 feet and 150 knots. The aircraft landed at Charlottetown at 1615. After a brief stop, the flight continued to Sango Bay. The pilot broadcast his intention to take off on Runway 10, taxied the aircraft to the threshold of the runway, and commenced the take-off roll. Part-way down the runway, the pilot aborted the take-off. He then broadcast his intention to take off on Runway 28. Both radio broadcasts were acknowledged by a local pilot who was approaching the airport to land. Upon reaching the threshold of Runway 28, the aircraft turned and accelerated, without stopping, on the take-off roll. The aircraft lifted off shortly before the runway end and remained near treetop height until disappearing from view. After lift-off, the stall warning horn sounded intermittently until impact. The aircraft was unable to climb above the hilly terrain and struck the road 1.5 nautical miles from the departure end of the runway. A passing motorist spotted the downed aircraft and notified firefighters and medical personnel who were then dispatched to the scene. The accident occurred at about 1621 during daylight hours, at 58°45' N, 55°66' W, at 440 feet above sea level.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The aircraft was over the maximum allowable take-off weight throughout its journey, reducing aircraft performance: the pilot apparently did not complete weight and balance calculations for
either of the flights.
2. The pilot did not use the proper short field take-off technique, and the aircraft was forced into the air before reaching sufficient flying speed.
3 The best angle of climb speed was not attained.
4. The unsecured cargo, some of which was found on top of the back of the rear passenger seat, most probably contributed to the severity of the injuries to the passenger in this seat.
Final Report:

Crash of a Piper PA-31-325 Navajo in Belvidere: 1 killed

Date & Time: Dec 14, 2000 at 1303 LT
Type of aircraft:
Registration:
N120JB
Flight Type:
Survivors:
No
Schedule:
Vero Beach - Edenton
MSN:
31-7612050
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
647
Captain / Total hours on type:
336.00
Aircraft flight hours:
4903
Circumstances:
The flight was maneuvering in instrument meteorological conditions and was observed on radar making climbing and descending turns prior to making a final descending turn and being lost from radar. Examination of the crash site showed the airplane had impacted the terrain in a about a 90-degree nose down attitude. The crash site was about .09 miles from the last radar contact, when the airplane was 2,000 feet above ground level. Post crash examination of the airplane structure, flight controls, engines, propellers, and airplane systems showed no evidence of pre-crash failure or malfunction.
Probable cause:
The pilot's failure to maintain airplane control due to spatial disorientation while maneuvering in instrument meteorological conditions resulting in the airplane entering a descending turn and crashing into terrain.
Final Report: