Crash of a Piper PA-46-500TP Meridian in Omaha: 1 killed

Date & Time: Dec 10, 2015 at 1153 LT
Registration:
N145JR
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Omaha - Trinidad
MSN:
46-97166
YOM:
2003
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4840
Captain / Total hours on type:
280.00
Aircraft flight hours:
1047
Circumstances:
The private pilot was conducting a personal cross-country flight. Shortly after takeoff, the pilot told the air traffic controller that he needed to return to the airport due to an attitude heading reference system (AHRS) "miscommunication." Air traffic control radar data indicated that, at that time, the airplane was about 1.75 miles north of the airport on a southeasterly course about 2,000 ft. mean sea level. About 20 seconds after the pilot requested to return to the airport, the airplane began to descend. The airplane subsequently entered a right turn, which appeared to continue until the final radar data point. The airplane struck power lines about 3/4 of a mile from the airport while maneuvering within the traffic pattern. The power lines were about 75 ft. above ground level. A postaccident examination of the airframe and engine revealed no preimpact mechanical malfunctions or failures that would have precluded normal operation. Although the pilot reported a flight instrumentation issue to air traffic control, the investigation was unable to confirm whether such an anomaly occurred based on component testing and available information. Examination of the standby airspeed indicator revealed that the link arm had separated from the pin on the rocking shaft assembly; however, it likely separated during the accident sequence. No other anomalies were observed. Functional testing indicated that the standby airspeed indicator was likely functional and providing accurate airspeed information to the pilot throughout the flight. Finally, examination of the left and right annunciator panel bulb filaments associated with the left fuel pump advisory revealed that they were stretched, indicating that the left fuel pump advisory indication annunciated at the time of the accident; however, this likely occurred during the accident sequence as a result of an automatic attempt to activate the left fuel pump due to the loss of fuel pressure immediately after the left wing separated. Toxicology testing of the pilot detected low levels of three different sedating antihistamines; however, antemortem levels could not be determined nor could the underlying reason(s) for the pilot's use of these medications. As a result, it could not be determined whether pilot impairment occurred due to the use of the medications or the underlying condition(s) themselves. Although the pilot reported a flight instrumentation issue, this problem would not have affected his ability to control the airplane. Further, the pilot should have been able to see the power lines given the day/visual weather conditions. It is possible that the pilot become distracted by the noncritical anomaly, which resulted in his failure to maintain clearance from the power lines.
Probable cause:
The pilot's failure to maintain clearance from power lines while returning to the airport after becoming distracted by a noncritical flight instrumentation anomaly indication.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage in Mammoth Lakes

Date & Time: Dec 3, 2015 at 1220 LT
Operator:
Registration:
N546C
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Mammoth Lakes - Mammoth Lakes
MSN:
46-36626
YOM:
2014
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4000
Captain / Total hours on type:
2000.00
Aircraft flight hours:
230
Circumstances:
According to the pilot, he checked the winds via his onboard weather reporting device during the run-up, and he stated that the 25 knot wind sock was about ¾ full just moments before the takeoff roll. He reported that during the takeoff roll the airplane encountered a significant wind gust from the right. He stated that the wind gust forced the airplane to exit the left side of the runway, the landing gear collapsed, and the airplane collided with metal pylons which surrounded the wind sock. The airplane sustained substantial damage to both wings, fuselage, horizontal stabilizer and elevator. The pilot reported that there were no mechanical failures or anomalies prior to or during the flight that would have prevented normal flight operation. According to the Airport/Facility Directory, the Airport Remarks state: Airport located in mountainous terrain with occasional strong winds and turbulence. Lighted windsock available at runway ends and centerfield. With southerly crosswinds in excess of 15 knots, experiencing turbulence and possible windshear along first 3000´ of Runway 27. The reported wind at the airport during the time of the accident was from 200 degrees true at 22 knots, with gusts at 33 knots, and the departure runway heading was 27. According to the pilot operating hand book the maximum demonstrated crosswind component for this airplane is 17 knots. The crosswind component during the time of the accident was 26 knots.
Probable cause:
The pilot's decision to takeoff in high crosswind conditions resulting in the inability to maintain an adequate crosswind correction, consequently failing to maintain directional control and departing the runway, and subsequently colliding with fixed airfield equipment.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage in Buttles Farm: 4 killed

Date & Time: Nov 14, 2015 at 1134 LT
Registration:
N186CB
Flight Type:
Survivors:
No
Schedule:
Fairoaks – Dunkeswell
MSN:
46-22085
YOM:
1989
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
600
Captain / Total hours on type:
260.00
Circumstances:
The aircraft was approaching Dunkeswell Airfield, Devon after an uneventful flight from Fairoaks, Surrey. The weather at Dunkeswell was overcast, with rain. The pilot held an IMC rating but there is no published instrument approach procedure at Dunkeswell. As the aircraft turned onto the final approach, it commenced a descent on what appeared to be a normal approach path but then climbed rapidly, probably entering cloud. The aircraft then seems to have stalled, turned left and descended to “just below the clouds”, before it climbed steeply again and “disappeared into cloud”. Shortly after, the aircraft was observed descending out of the cloud in a steep nose-down attitude, in what appears to have been a spin, before striking the ground. All four occupants were fatally injured.
Probable cause:
Whilst positioning for an approach to Dunkeswell Airfield, the aircraft suddenly pitched nose-up and entered cloud. This rapid change in attitude would have been disorientating for the pilot, especially in IMC, and, whilst the aircraft was probably still controllable, recovery from this unusual attitude may have been beyond his capabilities. The aircraft appears to have stalled, turned left and descended steeply out of cloud, before climbing rapidly back into cloud. It probably then stalled again and entered a spin from which it did not recover. All four occupants were fatally injured when the aircraft struck the ground. The investigation was unable to determine with certainty the reason for the initial rapid climb. However, it was considered possible that the pilot had initiated the preceding descent by overriding the autopilot. This would have caused the autopilot to trim nose-up, increasing the force against the pilot’s manual input. Such an out-of-trim condition combined with entry into cloud could have contributed to an unintentional and disorientating pitch-up manoeuvre.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage off Cannes

Date & Time: Aug 31, 2015 at 0855 LT
Operator:
Registration:
D-ESPE
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Cannes – Triengen
MSN:
46-22063
YOM:
1989
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
18213
Captain / Total hours on type:
900.00
Circumstances:
The single engine aircraft departed Cannes-Mandelieu Airport on a private flight to Triengen, Switzerland, with one passenger and one pilot on board. Shortly after takeoff from runway 17, while in initial climb, the pilot noticed engine troubles and the speed dropped. He was able to maintain a straight-in path and eventually ditched the airplane few hundred metres offshore. Both occupants were slightly injured and the aircraft sank and was lost.
Probable cause:
The engine failure was the result of an incorrect refueling, due to an intake initial order probably incorrect that the incomplete application of procedures by the operator in charge of refueling and the lack of attention of the pilot did not allow recovery. The quantity of 100LL present in the feeders and the pipes allowed the taxiing and the take-off run, without the pilot noticing any anomaly. Once this quantity of 100LL consumed, the JET A1 present in the lower part of the tanks fed the engine and caused the power decrease.
Contributed to the accident:
- Coordination between the aerodrome operator and its subcontractors during the fuel order taken by the ramp agent, who does not encourage the operator in charge of refueling to confirm the type of fuel in a service carried out under strong time constraints,
- A usual practice for refueling certain types of helicopters, whose reservoir ports are not compatible with the dimensions of the standard refueling nozzles, which trivialize the change of nozzle for the refueling of JET A1, occasionally leading to the filling of order confirmation vouchers, thus reducing the effectiveness of the manifest safety for the operator through the presence of keying devices specific to each fuel,
- The ineffectiveness of the fuel type check item of the pre-flight procedure.
Final Report:

Crash of a Piper PA-46-500TP Malibu Meridian in Saranac Lake: 4 killed

Date & Time: Aug 7, 2015 at 1750 LT
Operator:
Registration:
N819TB
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Saranac Lake – Rochester
MSN:
46-97117
YOM:
2001
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
4620
Captain / Total hours on type:
230.00
Circumstances:
The private pilot, who was experienced flying the accident airplane, was conducting a personal flight with three passengers on board the single-engine turboprop airplane. Earlier that day, the pilot flew uneventfully from his home airport to an airport about 1 hour away. During takeoff for the return flight, the airplane impacted wooded terrain about 0.5 mile northwest of the departure end of the runway. There were no witnesses to the accident, but the pilot's radio communications with flight service and on the common traffic advisory frequency were routine, and no distress calls were received. A postcrash fire consumed a majority of the wreckage, but no preimpact mechanical malfunctions were observed in the remaining wreckage. Examination of the propeller revealed that the propeller reversing lever guide pin had been installed backward. Without the guide pin installed correctly, the reversing lever and carbon block could dislodge from the beta ring and result in the propeller blades traveling to an uncommanded feathered position. However, examination of the propeller components indicated that the carbon block was in place and that the propeller was in the normal operating range at the time of impact. Additionally, the airplane had been operated for about 9 months and 100 flight hours since the most recent annual inspection had been completed, which was the last time the propeller was removed from and reinstalled on the engine. Therefore, the improper installation of the propeller reversing lever guide pin likely did not cause the accident. Review of the pilot's autopsy report revealed that he had severe coronary artery disease with 70 to 80 percent stenosis of the right coronary artery, 80 percent stenosis of the left anterior descending artery, and mitral annular calcification. The severe coronary artery disease combined with the mitral annular calcification placed the pilot at high risk for an acute cardiac event such as angina, a heart attack, or an arrhythmia. Such an event would have caused sudden symptoms such as chest pain, shortness of breath, palpitations, or fainting/loss of consciousness and would not have left any specific evidence to be found during the autopsy. It is likely that the pilot was acutely impaired or incapacitated at the time of the accident due to an acute cardiac event, which resulted in his loss of airplane control.
Probable cause:
The pilot's loss of airplane control during takeoff, which resulted from his impairment or incapacitation due to an acute cardiac event.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage in Chofu: 3 killed

Date & Time: Jul 26, 2015 at 1058 LT
Operator:
Registration:
JA4060
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Chōfu - Amami
MSN:
46-22011
YOM:
1989
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1300
Captain / Total hours on type:
120.00
Aircraft flight hours:
2284
Circumstances:
On Sunday, July 26, 2015 at around 10:58 Japan Standard Time (JST: UTC + 9 hrs: unless otherwise stated, all times are indicated in JST using the 24-hour clock), a privately owned Piper PA-64-350P, registered JA4060, crashed into a private house at Fujimi Town in Chōfu City, right after its takeoff from Runway 17 of Chōfu Airport There were five people on board, consisting of the captain and four passengers. The captain and one passenger died and three passengers were seriously injured. In addition, one resident died and two residents had minor injuries. The aircraft was destroyed and a fire broke out. Furthermore, the house where the Aircraft crashed into were consumed in a fire, and neighboring houses sustained damage due to the fire and other factors.
Probable cause:
It is highly probable that this accident occurred as the speed of the Aircraft decreased during takeoff and climb, which led the Aircraft to stall and crashed into a residential area near Chōfu Airport. It is highly probable that decreased speed was caused by the weight of the Aircraft exceeding the maximum takeoff weight, takeoff at low speed, and continued excessive nose-up attitude. As for the fact that the Captain made the flight with the weight of the Aircraft exceeding the maximum takeoff weight, it is not possible to determine whether or not the Captain was aware of the weight of the Aircraft exceeded the maximum takeoff weight prior to the flight of the accident because the Captain is dead. However, it is somewhat likely that the Captain had insufficient understanding of the risks of making flights under such situation and safety awareness of observing relevant laws and regulations. It is somewhat likely that taking off at low speed occurred because the Captain decided to take a procedure to take off at such a speed; or because the Captain reacted and took off due to the approach of the Aircraft to the runway threshold. It is somewhat likely that excessive nose-up attitude was continued in the state that nose-up tended to occur because the position of the C.G. of the Aircraft was close to the aft limit, or the Captain maintained the nose-up attitude as he prioritized climbing over speed. Adding to these factors, exceeding maximum takeoff weight, takeoff at low speed and continued excessive nose-up attitude, as the result of analysis using mathematical models, it is somewhat likely that the decreased speed was caused by the decreased engine power of the Aircraft; however, as there was no evidence of showing the engine malfunction, it was not possible to determine this.
Final Report:

Crash of a Piper PA-46-310P Malibu in Oshkosh

Date & Time: Jul 22, 2015 at 0744 LT
Registration:
N4BP
Flight Type:
Survivors:
Yes
Schedule:
Benton Harbor – Oshkosh
MSN:
46-8408065
YOM:
1984
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
934
Captain / Total hours on type:
130.00
Aircraft flight hours:
5792
Circumstances:
The pilot was landing at a large fly-in/airshow and following the airshow arrival procedures that were in use. While descending on the downwind leg for runway 27, the pilot was cleared by a controller to turn right onto the base leg abeam the runway numbers and to land on the green dot (located about 2,500 ft from the runway's displaced threshold). About the time the pilot turned onto the base leg, he observed an airplane taxi onto the runway and start its takeoff roll. The controller instructed the pilot to continue the approach and land on the orange dot (located about 1,000 ft from the runway's displaced threshold) instead of the green dot. The pilot reported that he considered performing a go-around but decided to continue the approach. As the pilot reduced power, the airplane entered a stall and impacted the runway in a right-wing-low, nose-down attitude. Witnesses estimated that the bank angle before impact was greater than 60 degrees. A postaccident examination of the airframe and engine revealed no evidence of mechanical malfunctions or failures that would have precluded normal operation.
Analysis of a video recording of the accident showed that the airplane was about 180 ft above ground level (agl) when the turn onto the base leg began, and it descended to about 140 ft agl during the turn. The airplane's total inertial speed (the calculated vector sums of the airplane's ground speeds and vertical speeds) decreased from 98 knots (kts) to 80 kts during the turn. During the last 8 seconds of flight, the speed decreased below 70 kts, and the airplane descended from about 130 ft agl to ground impact. The wings-level stall speed of the airplane at maximum gross weight with landing gear and flaps down was 59 kts. In the same configuration at 60 degrees of bank, the stall speed was 86 kts and would have been higher at a bank angle greater than 60 degrees. Reduced runway separation standards for airplanes were in effect due to the airshow. When the accident airplane reached the runway threshold, the minimum distance required by the standards between the arriving accident airplane and the departing airplane was 1,500 ft. The video analysis indicated that it was likely that a minimum of 1,500 ft of separation was maintained during the accident sequence. Although the pilot was familiar with the procedures for flying into the airshow, the departing airplane
and the modified landing clearance during a period of typically high workload likely interfered with the pilot's ability to adequately monitor his airspeed and altitude. As a result, the airplane entered an accelerated stall when the pilot turned the airplane at a steep bank angle and a low airspeed in an attempt to make the landing spot, which resulted in the airplane exceeding its critical angle of attack. At such a low altitude, recovery from the stall was not possible. Although the airshow arrival procedures stated that pilots have the option to go around if necessary, and the pilot considered going around, he instead continued the unstable landing approach and lost control of the airplane.
Probable cause:
The pilot's failure to perform a go-around after receiving a modified landing clearance and his failure to maintain adequate airspeed while maneuvering to land, which resulted in the airplane exceeding its critical angle of attack in a steep bank and entering an accelerated stall at a low altitude.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage in Spokane: 2 killed

Date & Time: May 7, 2015 at 1604 LT
Operator:
Registration:
N962DA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Spokane - Spokane
MSN:
46-36031
YOM:
1996
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5800
Captain / Total hours on type:
950.00
Circumstances:
The commercial pilot was departing on a local post-maintenance test flight in the single-engine airplane; Four aileron cables had been replaced during the maintenance. Shortly after takeoff, the airplane began to roll right. As the climb progressed, the roll became more pronounced, and the airplane entered a spiraling dive. The pilot was able to maintain partial control after losing about 700 ft of altitude; he guided the airplane away from the airport and then gradually back for a landing approach. During this period, he reported to air traffic control personnel that the airplane had a "heavy right aileron." As the airplane passed over the runway threshold, it rolled right and crashed into a river adjacent to the runway. The aircraft was destroyed and both occupants were killed.
Probable cause:
The mechanic's incorrect installation of two aileron cables and the subsequent inadequate functional checks of the aileron system before flight by both the mechanic and the pilot, which prevented proper roll control from the cockpit, resulting in the pilot's subsequent loss of control during flight. Contributing to the accident was the mechanic's and the pilot's self-induced pressure to complete the work that day.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage in Spokane: 1 killed

Date & Time: Feb 22, 2015 at 1405 LT
Registration:
C-GVZW
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Villeneuve – Spokane – Stockton
MSN:
46-36281
YOM:
2000
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
667
Captain / Total hours on type:
63.00
Aircraft flight hours:
2388
Circumstances:
The pilot was conducting a cross-country flight from Canada to California and had landed to clear customs into the United States and to refuel his airplane. The pilot then departed to continue the flight. During the initial climb after takeoff, the engine experienced a total loss of power, and the pilot attempted to make an off-airport forced landing. The right wing struck railroad tracks at the top of a hill, and the airplane continued down an embankment, where it came to rest adjacent to the bottom of a railroad bridge. Postaccident interviews revealed that, when requesting fuel from the fixed-base operator (FBO), the pilot did not specify a grade of fuel to be used to service the airplane. The refueler mistakenly identified the airplane as requiring Jet A fuel, even though the fuel filler ports were placarded "AVGAS (aviation gasoline) ONLY." The fueler subsequently fueled the airplane with Jet A instead of aviation gasoline. Additionally, the fueling nozzle installed on the fuel truck at the time of the refueling was not the proper type of nozzle. Jet A and AvGas fueling nozzles are different designs in order to prevent fueling an airplane with the wrong type of fuel. Following the fueling, the pilot returned to the FBO and signed a receipt, which indicated that the airplane had been serviced with Jet A. There were no witnesses to the pilot's preflight activities, and it is unknown if the pilot visually inspected or obtained a fuel sample before takeoff; however, had the pilot done this, it would have been apparent that the airplane had been improperly fueled.
Probable cause:
A total loss of engine power due to the refueler's incorrect refueling of the airplane. Contributing to the accident was the fixed-base operator's improper fueling nozzle, which facilitated the use of an incorrect fuel, and the pilot's inadequate preflight inspection.
Final Report: