Crash of a Cessna 550 Citation II in Roxboro: 2 killed

Date & Time: Oct 1, 1989 at 2207 LT
Type of aircraft:
Operator:
Registration:
N53CC
Survivors:
No
Schedule:
Tampa - Roxboro
MSN:
550-0400
YOM:
1981
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
7986
Captain / Total hours on type:
2643.00
Aircraft flight hours:
5111
Circumstances:
During arrival, flight was vectored for NDB runway 06 approach, and advised Raleigh-Durham weather was 500 feet overcast, visibility 3 miles with fog, wind from 140° at 12 knots, altimeter 30.01. After clearance for approach, aircraft crossed final approach fix (faf) at 2,100 feet msl. Radar service was terminated and frequency change was approved. When aircraft did not arrive, search was initiated. The wreckage was found about 2.5 miles southwest of runway 06, where aircraft hit trees and crashed. Elevation of crash site was about 600 feet msl. MDA for approach was 1,160 feet msl (with local altimeter setting; 1,260 feet with Raleigh-Durham setting). Exam revealed aircraft hit trees, while on runway heading in wings level attitude; configured for landing. No preimpact part failure/malfunction was found. Toxicological check of pic's blood showed 0.10 mg/l of diazepam and 0.09 mg/l of nordiazepam. Check of his urine showed metabolite of marijuana (11- nor-delta-9-tetrahydrocannabinol-9-carboxylic acid) at level of 0.117 mg/l. After surgery for malignant lymphoma (feb 89), pic was restored to flight status on 8/9/89 and cleared for pic duty one week later. He continued flying tho he received maintenance chemotherapy and associates noted that he tired easily. Both occupants were killed.
Probable cause:
Impairment of the pilot-in-command (pic) due to drugs/medication, chemotherapy and fatigue; failure of the pic to assure that the IFR (instrument) approach procedure was followed; and his failure to maintain the minimum descent altitude (MDA). Inadequate surveillance of the operation by company/operator/management personnel was a related factor.
Final Report:

Crash of a Beechcraft 100 King Air in Mayfield: 6 killed

Date & Time: Sep 15, 1989 at 2110 LT
Type of aircraft:
Operator:
Registration:
N887PE
Survivors:
No
Schedule:
Orlando - Mayfield
MSN:
B-49
YOM:
1970
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
8000
Captain / Total hours on type:
400.00
Aircraft flight hours:
9386
Circumstances:
During arrival, the flight was issued the current Paducah altimeter setting. The pilot requested vectors for an approach to runway 18, but the ARTCC controller (ctlr) could not accommodate the request. The pilot was cleared for a VOR/DME-a approach. MDA for the approach was 1,080 feet msl (600 feet agl). At 2108 cdt, the flight changed to the FBO frequency. FBO personnel observed the aircraft fly over the airport and advised that it was too low. One of the pilots replied that they would be 'staying under the clouds.' The pilots had planned to land on runway 36, but reported they lost sight of the runway and would change to runway 18. Subsequently, the aircraft collided with a tree about 1 mile north-northeast of the airport, while on a westerly heading (approximately position of base leg for a VFR pattern). The aircraft came to rest about 700 feet west of the tree and was destroyed by impact and fire. No preimpact part failure/malfunction of the aircraft was found. Approximately 30 miles west at Paducah, the weather was in part: 200 feet scattered, 900 feet overcast visibility 3 miles with rain and fog, wind from 360° at 7 knots. The airport manager estimated there was a 200 feet ceiling at the airport. All six occupants were killed.
Probable cause:
Failure of the pilot to follow ifr procedures and maintain the minimum descent altitude (MDA). Factors related to the accident were: darkness, the adverse weather conditions, and the tree.
Final Report:

Crash of a Piper PA-61 Aerostar (Ted Smith 601) in Ramona: 1 killed

Date & Time: Aug 8, 1989 at 0520 LT
Registration:
N6067Z
Flight Phase:
Survivors:
No
Schedule:
Ramona – Salt Lake City
MSN:
61-0661-7963308
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1843
Captain / Total hours on type:
222.00
Aircraft flight hours:
878
Circumstances:
The instrument rated pilot took off from his home, uncontrolled airport, for a flight under visual flight rules to a distant airport. A ground witness stated that instrument meteorological conditions existed at the airport of departure at the time of the takeoff. The pilot inadvertently entered instrument meteorological conditions, began an uncontrolled descent, and collided with the terrain. The pilot, sole on board, was killed.
Probable cause:
The pilot's VFR flight in instrument meteorological conditions (IMC) and spatial disorientation, which resulted in an inadvertent descent into the ground. Factors related to the accident were: darkness, low ceiling, and the pilot's lack of a preflight weather briefing.
Final Report:

Crash of a Learjet 25D in Belém: 4 killed

Date & Time: Aug 5, 1989 at 1904 LT
Type of aircraft:
Registration:
PT-KYR
Survivors:
No
Schedule:
Goiânia – Belém
MSN:
25-266
YOM:
1979
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
4336
Captain / Total hours on type:
36.00
Copilot / Total flying hours:
2304
Copilot / Total hours on type:
380
Circumstances:
Following an uneventful flight from Goiânia, the crew started the descent to Belém-Val de Cans Airport runway 06 via heading 243° then reported 6 nm from the airport at an altitude of 2,000 feet. Eleven seconds later, the aircraft went out of control and crashed in a wooded area located on the Oncas Island, few km short of runway 06 threshold. The aircraft was totally destroyed upon impact and all four occupants were killed.
Probable cause:
It is believed that the loss of control may have been the result of windshear that existed in the approach path of runway 06.
The following contributing factors were reported:
- The crew did not have sufficient training and experience to manage a windshear situation and thus, was unable to take the appropriate corrective actions,
- Poor crew coordination,
- The captain's experience on this type of aircraft was low,
- Poor supervision,
- Lack of safety culture by the operator.
Final Report:

Crash of a Beechcraft 70 Queen Air in Albany: 6 killed

Date & Time: Aug 2, 1989 at 1516 LT
Type of aircraft:
Registration:
N11TP
Flight Phase:
Survivors:
No
Schedule:
Albany - Akron
MSN:
LB-12
YOM:
1969
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
5000
Aircraft flight hours:
4310
Circumstances:
During takeoff, the aircraft rolled abruptly to the right after lift-off. Subsequently, the right wingtip struck the surface, then the aircraft cartwheeled and crashed. The fuselage was destroyed by a post-crash fire. An exam of the engines revealed that the right engine supercharger intermediate drive gear shaft had become worn and one of its gear teeth had failed from fatigue. There was evidence that an out-of-mesh condition occurred, which resulted in a partial loss of engine power during takeoff. Also, the aircraft was estimated to be 679 lbs over its max certified gross weight. Density alt was calculated to be about 2,000 feet. All six occupants were killed.
Probable cause:
The fatigue failure of the supercharger intermediate drive gear shaft (gear tooth), which resulted in a partial loss of power, and the pilot's initiation of lift-off before reaching VMC airspeed. Factors related to the accident were: the worn intermediate drive gear shaft, the pilot's operation of the aircraft above its maximum certified gross weight limit, and the high density altitude.
Final Report:

Crash of a Piper PA-61 Aerostar (Ted Smith 601) in Lithia Springs: 3 killed

Date & Time: Jun 21, 1989 at 0823 LT
Registration:
N83AT
Flight Phase:
Survivors:
No
Schedule:
Atlanta – Memphis
MSN:
61-0296-074
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
10000
Aircraft flight hours:
1454
Circumstances:
Eleven minutes after departure the pilot reported smoke and a right engine problem, then said 'going down'. Right wing and engine assemblies separated in flight. Fire damage vicinity of right engine left turbocharger; tailpipe assembly had separated. Heavy smoke and heat damage between right wing forward and aft wing spars. Tailpipe had failed in fatigue near flange where attached to turbocharger exhaust port. Evidence of non-uniformly seated gasket between flanges. Also, right engine lower left engine mount deteriorated; significant portion of rubber missing. Piper sb #818 (ad87-07-09) accomplished 5/21/88; requires removal and inspection of exhaust system for cracks and reinstallation with new flange gaskets.
Probable cause:
Inflight engine/wing fire due to a failure of the right engine's left exhaust tailpipe. The exhaust tailpipe failed in fatigue as a result of fluctuating stresses induced by a deteriorated engine mount in conjunction with unevenly distributed clamping loads caused by an improperly seated gasket.
Final Report:

Crash of a Piper PA-46-310P Malibu in Bristol: 3 killed

Date & Time: May 31, 1989 at 1606 LT
Operator:
Registration:
N9114B
Flight Phase:
Survivors:
No
Schedule:
Tullahoma – Kalamazoo
MSN:
46-8408046
YOM:
1984
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
1619
Captain / Total hours on type:
17.00
Aircraft flight hours:
705
Circumstances:
After being cleared to descend to 12,000 feet and to deviate around a 'big cell', the aircraft entered an area of level two and three thunderstorms. Subsequently, an in-flight breakup occurred and wreckage was scattered over a four mile area. During the breakup, the right wing and empennage separated from the aircraft. The left wing and spar also failed at the same location as the right wing, but the left wing remained with the fuselage. No pre-accident failure, malfunction or metal fatigue of the aircraft was found drg the investigation. All three occupants were killed.
Probable cause:
Continued flight by the pilot into known adverse weather and his exceeding the design stress limits of the aircraft, which resulted in failure of the wing spars and separation of the right wing and empennage (stabilizers). Contributing factors were: continued flight by the pilot above the maneuvering speed (va), his lack of familiarity with the make and model of aircraft, and thunderstorms.
Final Report:

Crash of a Piper PA-61 Aerostar (Ted Smith 601) in New Iberia: 1 killed

Date & Time: May 3, 1989 at 1901 LT
Operator:
Registration:
N90619
Flight Phase:
Survivors:
No
Schedule:
New Iberia - Lorain
MSN:
61-0327-110
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
5079
Captain / Total hours on type:
1956.00
Aircraft flight hours:
3434
Circumstances:
Witnesses saw the airplane depart and last saw and heard it with the landing gear down and both engines running at what they called normal takeoff power. Evidence indicated that the airplane then made a sharp left turn and descended to the ground, left wing first. Evidence indicated that the right engine was developing high power while the left engine was developing somewhat less than takeoff power. Teardown of the left engine revealed metal erosion on the top edges of the pistons with no corresponding marks on the cylinder walls. Some of this erosion was from previous operation and some was from very recent operation. There was no teardown of the right engine. Other than the erosion of the pistons, nothing was found to indicate any preimpact problems with the airframe or powerplants. The pilot, sole on board, was killed.
Probable cause:
The pilot failed to maintain a proper climb immediately after takeoff. Contributing to the accident was excessive manifold pressure indications for the left engine. The pilot's diverted attention in dealing with that condition most probably resulted in the loss of control.
Final Report:

Crash of a Cessna 404 Titan II in Santa Cruz: 1 killed

Date & Time: Apr 19, 1989 at 1200 LT
Type of aircraft:
Registration:
N5274J
Flight Phase:
Survivors:
No
MSN:
404-0631
YOM:
1980
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
After takeoff from Santa Cruz-El Trompillo Airport, while climbing, the pilot informed ATC about an engine failure and was cleared to return when control was lost. The aircraft crashed on a golf course located near the airport and was destroyed. The pilot, sole on board, was killed.
Probable cause:
Engine failure during initial climb for unknown reasons.

Crash of a Beechcraft 200 Super King Air in Pensacola: 3 killed

Date & Time: Apr 10, 1989 at 1300 LT
Registration:
N30PC
Flight Phase:
Survivors:
No
Schedule:
Pensacola - Atlanta
MSN:
BB-702
YOM:
1980
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
14200
Captain / Total hours on type:
3000.00
Aircraft flight hours:
6351
Circumstances:
The aircraft was routinely flown to Pensacola to pickup a gulf power executive for a flight to Atlanta. The pax had 4 bags, 2 placed in the aft baggage area by the ground crew, the other 2 carried onboard by the pax. After takeoff the CVR recorded the pax stating that there was a fire. The fire in the aft cabin area was confirmed by the 1st officer. An emergency was declared to the personnel ATCT. Subsequently, the aircraft was seen descending out of the overcast streaming dark smoke behind it. The aircraft impacted an apartment complex and a post crash fire destroyed it. No evidence of a lightning strike, aircraft system malfunction, or incendiary device was found during the investigation. Forensic chemical tests showed traces of hydrochloric and sulphuric acid on pax articles but none on the cabin interior. Metallurgical exam of broken fuel line showed overload failure and post heat distress. The interior of the cockpit windows were severely sooted. The flight crew did not don available oxygen masks.
Probable cause:
An in flight cabin fire of undetermined origin, and smoke (toxic condition) in the crew compartment, which resulted in physical impairment of the flight crew.
Final Report: