Crash of a Convair CV-240D in Akron

Date & Time: Nov 28, 1991 at 1434 LT
Type of aircraft:
Operator:
Registration:
N450GA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Akron - Columbus
MSN:
52-83
YOM:
1954
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
18528
Circumstances:
Shortly after departure the airplane was seen climbing to an altitude of about 200 feet agl. Witnesses saw smoke coming from one of the engines and heard a 'popping noise.' The pilot executed a forced landing in a field. The airplane struck electrical wires and fence then burst into flames. The airplane had refueled just prior to take off, and the fuel receipt showed that 300 gallons of jet (A) fuel was put into the tanks. The normal fuel used in the airplane was 100LL.
Probable cause:
The use of an improper grade of fuel, which was approved by the captain and resulted in a loss of engine power during climbout and an in flight collision with terrain.
Final Report:

Crash of a Fokker F27 Friendship 100 in Dori: 3 killed

Date & Time: Aug 15, 1991
Type of aircraft:
Operator:
Registration:
J5-GBB
Flight Type:
Survivors:
No
Schedule:
Kano - Bamako - Bissau
MSN:
10119
YOM:
1959
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The aircraft already completed other rotations that day between Bamako and Kano and was returning empty, carrying three Palestinian crew members. En route from Kano to Bamako at dusk, the crew lost his orientation and was unable to report his position. For unknown reasons, he failed to contact Ouagadougou and Niamey ACC. After few dozen minutes, the captain decided to attempt an emergency landing in Dori when the right wing struck a tree and was torn off. Out of control, the aircraft crashed in an open field located few km from Dori Airport. Two occupants were seriously injured while a third crew was killed. The following day, both survivors died from their injuries.
Probable cause:
The crew did not file any flight plan and the accident was the consequence of negligences on part of the crew.

Crash of a Piper PA-31-310 Navajo in Lydd

Date & Time: Jul 17, 1991 at 0930 LT
Type of aircraft:
Operator:
Registration:
G-LYDD
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Lydd - Blackpool
MSN:
31-537
YOM:
1969
Location:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3035
Captain / Total hours on type:
1.00
Circumstances:
The aircraft, which had not flown for over 2 years, had been worked-on during the past days and had to be ferried to Blackpool with two pilots on board. During the takeoff roll on runway 22, at a speed of about 60 knots, a loud report was heard and the outboard section of the right wing disintegrated. The crew abandoned the takeoff procedure and was able to stop the aircraft on the runway. They exited the cabin and were uninjured while the aircraft was damaged beyond repair.
Probable cause:
The exact cause of the double explosion in the right wing could not be determined with certainty. A possibility was that the non-wetted areas of the tanks had become slightly porous during the time that the aircraft had not been in use and consequently may have allowed small leakages of fuel through the porous areas when the tanks had been filled to capacity. The resultant vapour could then have migrated outboard around the edges of the ribs at the end of the tank bay.
Final Report:

Crash of a Mitsubishi MU-2B-36A Marquise in Uchiza

Date & Time: Jul 10, 1991
Type of aircraft:
Registration:
OB-1219
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Uchiza - Lima
MSN:
730
YOM:
1978
Location:
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After takeoff from Uchiza Airport, while climbing, the pilot reported engine problems to ATC and elected to return. On approach, he realized that a landing was not possible as weather conditions deteriorated rapidly. He then decided to attempt an emergency landing along the Huallaga River. Upon landing, the aircraft slid for few dozen meters and eventually came to rest upside down. Both occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
Fire on the left engine after takeoff for unknown reasons.

Crash of a Grumman G-64 Albatross in the Pacific Ocean

Date & Time: Jun 18, 1991 at 1910 LT
Type of aircraft:
Registration:
N7029C
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Santa Barbara – Kahului
MSN:
G-288
YOM:
1953
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During cruise flight the accident aircraft lost oil pressure in the n°2 engine. Flight could not be sustained using the remaining engine. According to the pilot, the remaining engine would overheat when power was applied. The crew descended to just above the water and tried to fly the aircraft in ground effect, but to no avail. They elected to ditch the aircraft. During the landing, the aircraft received substantial damage and was almost immediately flooded, causing the aircraft to sink. The crew escaped, but did not have time to retrieve emergency gear. They were rescued after about 20 hours in the water. Evidence revealed that the pilot did not have a pilot's certificate. No evidence could be found to indicate that the pilot had any experience in the accident aircraft or with any sea plane. Since the aircraft sank, a cause for the engine problems could not be determined.
Probable cause:
Improper touchdown in the water causing substantial damage. Loss of power on the n°2 engine and the pilot's lack of qualifications were factors in the accident.
Final Report:

Crash of a Beechcraft 65-B80 Queen Air in Fort Lauderdale

Date & Time: May 25, 1991 at 1505 LT
Type of aircraft:
Registration:
N5128Y
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Fort Lauderdale - Titusville
MSN:
LD-405
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1927
Captain / Total hours on type:
140.00
Circumstances:
The pilot stated that while in level flight the left engine failed and he observed a fire warning light and shut the engine down, the right engine then began to run rough and lose power. He then restarted the left engine but neither developed enough power to sustain flight. He executed a forced landing on a highway and struck a vehicle and a fire erupted. Examination of the left engine revealed a cross threaded fuel nozzle fitting and soot patterns aft of it. No cause for the right engine failure was found. No evidence of an annual inspection was found.
Probable cause:
The improper maintenance work by an unknown person who cross threaded a fuel nozzle injector fitting which allowed fuel to leak on the exhaust system initiating a fire. No reason for the right engine not to develop full power was found.
Final Report:

Crash of a Rockwell Turbo Commander 681 in Tamworth: 1 killed

Date & Time: Feb 14, 1991 at 1025 LT
Operator:
Registration:
VH-NYG
Flight Type:
Survivors:
No
Schedule:
Brisbane - Moree - Tamworth
MSN:
681-6004
YOM:
1969
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3022
Captain / Total hours on type:
37.00
Aircraft flight hours:
3717
Circumstances:
VH-NYG had departed Tamworth three days before the accident on an extended passenger charter through Sydney, Moree, Emerald, Brisbane, Moree, and Tamworth. On the day of the accident, the pilot had submitted a flight plan nominating a charter category, single pilot, Instrument Flight Rules flight from Brisbane to Moree, then Tamworth. The flight plan indicated that the aircraft carried 1400 Ib (635 kg) of fuel and had an endurance of 211 min. The aircraft, with four passengers on board, departed Brisbane at 0902 hours and landed at Moree at 1010 after an uneventful flight. All four passengers left the flight at Moree. The pilot reported taxiing at Moree to Dubbo Flight Service at 1047 and called airborne at 1050. At 1117 hours the aircraft was given a clearance to enter the Tamworth Control Zone on descent from 10000 ft. The pilot was told to expect a right downwind leg for runway 30. At 1125 the pilot requested a change of runway to runway 18, stating that there was a fuel flow problem with the left engine. The aerodrome controller (ADC) issued a change of runway (runway 18) to the aircraft, asking the pilot whether emergency conditions existed. The pilot answered in the negative and about 30 sec later informed the ADC that he was conducting one left orbit. The orbit was commenced at about 300 ft above ground level (agl) and approximately above the threshold of runway 18. The orbit was flown with an angle of bank of about 60°. The aircraft developed a high rate of descent during the orbit and rolled wings level in a pronounced nose-down attitude after turning through almost 360°. The aircraft then struck the ground in a grassed paddock about 350 m short of the threshold of runway 18 and in line with the right edge of the flight strip. The aircraft, largely intact, slid in the direction of the runway for 53 m before coming to rest. The pilot, sole on board, was killed.
Probable cause:
The following findings were reported:
- The pilot was misled by erroneous fuel consumption data from the aircraft trend monitoring sheet, the endorsing pilot, and the company fuel planning figures.
- The pilot did not ensure that sufficient fuel was carried in the aircraft to complete the planned flight.
- The pilot made an improper in-flight decision to change runways during a forced landing attempt.
- The pilot misjudged the forced landing approach.
- The pilot was unable to recover the aircraft from the high rate of descent which developed during the approach.
Final Report:

Crash of a Partenavia P.68B in East Midlands: 1 killed

Date & Time: Oct 20, 1990 at 0332 LT
Type of aircraft:
Operator:
Registration:
G-BMCB
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
East Midlands – Manchester
MSN:
156
YOM:
1985
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
926
Circumstances:
The twin engine aircraft departed East Midlands runways 27 on a ferry flight to Manchester. During initial climb by night, the aircraft entered an uncontrolled descent and crashed at a speed of 160 knots and disintegrated in a field near the airport. The pilot, sole on board, was killed.
Probable cause:
Loss of control during initial climb by night after the pilot suffered a spatial disorientation due to the combination of a poor visibility (night and low clouds) and the possible malfunction of the horizontal stabilizer due to water in the vacuum system.
Final Report:

Crash of a Swearingen SA26T Merlin IIB in Monongahela

Date & Time: Oct 12, 1990 at 1545 LT
Type of aircraft:
Registration:
N690X
Flight Type:
Survivors:
Yes
Schedule:
Monongahela – Pittsburgh – Teterboro – Pittsburgh – Monongahela
MSN:
T26-141
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7525
Captain / Total hours on type:
21.00
Circumstances:
The flight was from Monongahela to Pittsburgh to Teterboro, NJ, then return to Pittsburgh and back to Monongahela. The flight departed Monongahela with 100 gallons of fuel; 160 gallons were added at Pittsburgh; and 80 gallons were added at Teterboro. The pilot wanted to add more fuel at Teterboro but the owner did not due to the higher cost of fuel and the fuel gage indications. During the return trip no fuel was added at Pittsburgh because the pilot did not have a credit card provided by the owner or money to buy fuel. The flight experienced a two-engine power loss due to fuel exhaustion while approaching the Monongahela Airport. Subsequent examination of the cockpit fuel gages showed a total of 125 gallons in the left tank and 90 gallons in the right tank; the reading remained the same with or without power.
Probable cause:
The pilot's inadequate monitoring of the fuel burn which resulted in total fuel exhaustion. Factors which contributed to the accident were: the pilot's limited experience in the make and model of airplane, an erroneous fuel quantity indication, and the pilot's failure to refuel the airplane due to pressure from the owner to not add fuel.
Final Report:

Crash of a Boeing 707-321B in Marana: 1 killed

Date & Time: Sep 20, 1990 at 0707 LT
Type of aircraft:
Operator:
Registration:
N320MJ
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Marana - Davis Monthan
MSN:
20028
YOM:
1968
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
13192
Captain / Total hours on type:
4000.00
Aircraft flight hours:
34965
Circumstances:
Witnesses reported 1st attempt to takeoff was aborted after aircraft swerved left and right. On 2nd try, aircraft lifted off about halfway down runway. After lift-off, it rolled right, right wing hit ground and aircraft crashed. Investigations revealed rudder trim was 7.9 to 8.3 units (79% to 83%) nose right. Simulator tests with that setting resulted in consistent right wing collisions with ground after liftoff. Crew's checklist referred to mech checklist for critical items to check before takeoff. Mech checklist and 50 of 54 flight instruments had been removed from aircraft, leaving 2 airspeed indicators, altimeter and standby gyro horizon. In 60 simulated takeoffs in this configuration, there was evidence of insufficient attitudinal ref to recognize rolling of aircraft before sufficient altitude was attained. FAA's designated airworthiness rep (dar) had inspected aircraft three days before and issued ferry permit. He lacked FAA mechanical certification and experience with large aircraft. FAA order 8000.62 and ac 183.33 lacked specific guidance for selection, training and oversight of dar activity. Also, lack of guidance concerning minimum equipment list. Pilot not current or medical qualified to fly aircraft.
Probable cause:
Improper preflight planning/preparation by the pilot, and his failure to use a checklist. Factors related to the accident were: the faa's inadequate surveillance of the operation, the FAA's insufficient standards/requirements, the pilot's operation of the aircraft with known deficiencies, and his lack of recent experience in the type of aircraft.
Final Report: