Crash of a Piper PA-31-350 Navajo Chieftain in Reading: 1 killed

Date & Time: Sep 5, 2001 at 1313 LT
Operator:
Registration:
N8PK
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Reading – Montgomery
MSN:
31-8152141
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3230
Captain / Total hours on type:
20.00
Aircraft flight hours:
6204
Circumstances:
After takeoff, the pilot reported "an engine problem," but did not elaborate. A witness on the ground saw that the left engine was trailing smoke, but the engine was still operating, and did not sound like it was "missing". When asked by the tower controller if he required assistance, the pilot answered "no". The controller cleared the pilot for left traffic to a landing, and provided the current weather. There were no further transmissions from the pilot. Smoothed radar tracking data revealed that the airplane turned toward a left downwind, and leveled off at 1,400 feet msl (about 1,050 feet agl) and 156 knots. During the next 14 seconds, the airplane descended to 1,100 feet and increased airspeed to 173 knots. Then radar contact was lost. Witnesses observed the airplane variously in a right snap roll and a left wingover, followed by a sharp dive to the ground. The airplane had just undergone maintenance. During maintenance, unused oil was found in the left engine cowling, which the pilot admitted he had previously spilled. Following maintenance, the pilot was observed adding 3 additional quarts of oil to the left engine. The engine oil dipsticks were calibrated on both sides, with each side pertaining to the oil level in a specific engine. The side for the right engine was calibrated to read 1 3/4 quarts lower than the left engine. The airplane's wreckage was fragmented. No evidence of mechanical defect was found, nor was there any evidence of an extreme out-of-trim condition. There was also no evidence of engine failure, detonation, or pre-impact failure. The pilot held an airline transport pilot certificate. He reported 3,210 hours of flight time to the operator, and had recently been cleared to fly the airplane on 14 CFR Part 91 flights. The flight to the maintenance facility was the pilot's first solo flight in the airplane. An autopsy of the pilot revealed the presence of a prostate adenocarcinoma; however, according to his physician, the pilot was unaware of it.
Probable cause:
The pilot's loss of control for undetermined reasons, which resulted in a high speed dive to the ground.
Final Report:

Crash of a Cessna 208 Caravan I near La Grande

Date & Time: Aug 31, 2001 at 1157 LT
Type of aircraft:
Operator:
Registration:
C-GAWM
Flight Phase:
Flight Type:
Survivors:
Yes
MSN:
208-0196
YOM:
1991
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Sole on board, the pilot was completing a positioning flight to La Grande-4 Airport. En route, while cruising at a relative low height, the pilot modified the position of the fuel selector when the engine stopped about five minutes later. He attempted an emergency landing when the aircraft collided with trees and crashed 22 km north of La Grande, bursting into flames. The pilot escaped uninjured while the aircraft was destroyed by fire.

Crash of a De Havilland DHC-4 Caribou in Port Alsworth

Date & Time: Aug 29, 2001 at 1900 LT
Type of aircraft:
Operator:
Registration:
N2225C
Flight Type:
Survivors:
Yes
Schedule:
Iliamna - Port Alsworth
MSN:
215
YOM:
1964
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6200
Captain / Total hours on type:
559.00
Copilot / Total flying hours:
10000
Circumstances:
The captain and the first officer were landing a short takeoff and landing (STOL) cargo airplane on a private, dirt and gravel surface runway. The airplane was configured for landing with 40 degrees of flaps. During the landing approach, variations in indicated airspeed and ground speed indicated windshear conditions. About 100 to 200 feet above the ground, the airplane encountered a downdraft and began to drift to the right of the runway centerline. The captain said she increased engine power and applied full left aileron and rudder, but could not gain directional or pitch control of the airplane. The right wing struck trees, short of the runway threshold, increasing the airplane's right yaw. The captain said that as the airplane neared the ground, she pulled the engine throttles off. The airplane struck the ground with the right main landing gear and right front portion of the fuselage. The airplane then pivoted to the right, 180 degrees from the approach heading. The owner of the airport reported that wind conditions from the east may produce downdrafts in the area of runway 05. He indicated that at the time of the accident, the wind was blowing from the east about 15 knots. The first officer reported the captain appeared to be attempting to maintain a stabilized approach angle by varying the pitch attitude of the airplane. A review of company training literature revealed that the airplane is especially sensitive to slight wind shear, and wind gusts as low as 5 knots when operating at low airspeeds. Pilots are cautioned that when flying the aircraft at low speeds, a large application of the aileron control may be required to maintain wings level. During gusty wind conditions, the threshold airspeed should be increased by one-half the gust factor, and any lateral displacement should be corrected rapidly. If a wing is allowed to drop beyond corrective action of full aileron, power should be increased immediately to regain level flight.
Probable cause:
The captain's failure to maintain the proper glidepath, and improper short field landing procedures. Factors in the accident were a downdraft, and the captain's inadequate evaluation of the weather conditions.
Final Report:

Crash of a Beechcraft B200 Super King Air in Piqua: 1 killed

Date & Time: Aug 24, 2001 at 0640 LT
Registration:
N18260
Flight Type:
Survivors:
No
Schedule:
Dayton – Piqua
MSN:
BB-900
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
7100
Captain / Total hours on type:
2400.00
Aircraft flight hours:
10821
Circumstances:
The airline transport rated pilot was attempting to land under visual flight rules for a scheduled passenger pick-up and subsequent charter flight. The pilot was communicating with a pilot at the airport, who was utilizing a hand held radio. The accident pilot reported he was not able to see the runway lights due to ground fog and continued to circle the airport for about 20 minutes. The pilot on the ground stated the airplane appeared to be about 1,500 feet above the ground when it circled, and then entered a downwind for runway 26. He was not able to hear or see the airplane as it flew away from the airport. He then began to hear the airplane during its final approach. The airplane's engines sounded normal. He then heard a "terrible sound of impact," followed by silence. When he arrived at the accident site, the airplane was fully engulfed in flames. The airplane impacted trees about 80-feet tall, located about 2,000 feet from, and on a 240 degree course to the approach end of runway 26. Several freshly broken tree limbs and trunks, up to 15-inches in diameter, were observed strewn along a debris path, which measured 370 feet. Examination of the wreckage did not reveal any pre-impact malfunctions. The weather reported at an airport about 19 miles south-southeast of the accident site, included a visibility of 1 3/4 miles, in mist, with clear skies and a temperature and dew point of 17 degrees Celsius. Witnesses in the area of the accident site generally described conditions of "thick fog" and a resident who lived across from the accident site stated visibility was "near zero" and he could barely see across the road.
Probable cause:
The pilot's improper decision to attempt a visual landing under instrument meteorological conditions and his failure to maintain adequate altitude/clearance, which resulted in an inflight collision with trees. A factor in this accident was the ground fog.
Final Report:

Crash of a Mitsubishi MU-2B-35 Marquise in Hilton Head: 1 killed

Date & Time: Aug 1, 2001 at 0751 LT
Type of aircraft:
Operator:
Registration:
N1VY
Flight Type:
Survivors:
No
Schedule:
Columbia – Savannah – Hilton Head
MSN:
567
YOM:
1972
Flight number:
BKA170
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4184
Captain / Total hours on type:
483.00
Aircraft flight hours:
11612
Circumstances:
The airplane was on final approach to land at Hilton Head Airport, when according to witnesses, it suddenly rolled to the right, and descended, initially impacting trees at about the 70-foot level, and then impacting the ground. A fire then ensued upon ground impact, and the debris field spanned about 370 feet along an azimuth of about 082 degrees. Examination of the airplane wreckage revealed that left wing flap actuator and jack nut measurements were consistent with the wing flaps being extended to 40 degrees, and on the right wing the flap jack nut and actuator measurements were consistent with the right flap being extended to about a 20-degrees. In addition, the right flap torque tube assembly between the flap motor and the flap stop assembly had disconnected, and the flap torque tube assembly's female coupler which attaches to the male spline end of the flap motor and flap stop assembly was found with a cotter pin installed through the female coupler of the flap stop assembly. The cotter pin, had not been placed through the spline and the coupler consistent with normal installation as per Mitsubishi's maintenance manual, or as specified in Airworthiness Directive 88-23-01. Instead, the cotter pin had missed the male spline on the flap motor. In addition, the flap coupler on the opposite side of the flap motor was found to also found to not have a cotter pin installed. Company maintenance records showed that on April 3, 2001, about 87 flight hours before the accident, the airplane was inspected per Airworthiness Directive (AD) 88-23-01, which required the disassembly, inspection, and reassembly of the flap torque tube joints. In addition, on July 9, 2001, the airplane was given a phase 1 inspection, and Bankair records showed that a company authorized maintenance person performed the applicable maintenance items, and certified the airplane for return to service.
Probable cause:
Improper maintenance/installation and and inadequate inspection of the airplane's flap torque tube joints during routine maintenance by company maintenance personnel, which resulted in the right flap torque tube assembly coupler becoming detached and the flaps developing asymmetrical lift when extended, which resulted in an uncontrolled roll, a descent, and an impact with a tree during approach to land.
Final Report:

Crash of a Cessna 402C in Boston

Date & Time: Jul 8, 2001 at 1214 LT
Type of aircraft:
Operator:
Registration:
N760EA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Boston – Nantucket
MSN:
402C-0056
YOM:
1979
Flight number:
9K065
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2539
Captain / Total hours on type:
476.00
Aircraft flight hours:
15140
Circumstances:
The pilot accepted an intersection departure and waived the wake turbulence holding time. A Boeing 737-300 departed ahead of him, and according to pilot, the Boeing's nosewheel lifted off the runway just as it passed him. The pilot also noted that the Boeing and its exhaust smoke drifted to the left of the runway's centerline. A wake turbulence advisory and takeoff clearance were issued by the tower controller and acknowledged by the pilot. The pilot initiated the takeoff, and after liftoff, the left wing dropped. It contacted the runway, and the airplane rolled inverted. The airplane then slid off the left side of the runway and a post-crash fire developed.
Probable cause:
The pilot's improper decision to waive the wake turbulence hold time, and his subsequent loss of control when wake vortex turbulence was encountered.
Final Report:

Crash of a Cessna 208B Grand Caravan off Fort Lauderdale

Date & Time: Jul 6, 2001 at 1900 LT
Type of aircraft:
Operator:
Registration:
N812MA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Freeport – Fort Lauderdale
MSN:
208B-0553
YOM:
1996
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3700
Captain / Total hours on type:
1200.00
Aircraft flight hours:
5936
Circumstances:
While in cruise flight at 6,500 feet, the airplane's engine jolted and made a whining noise. The propeller stopped and feathered. Attempts to restore engine power were unsuccessful. An emergency was declared, and the airplane was ditched into the Atlantic Ocean 20 miles east of Ft. Lauderdale, Florida. The airplane was not recovered for post-crash examination.
Probable cause:
The undetermined malfunction of the propeller system.
Final Report:

Crash of a Cessna T207A Turbo Stationair 7 II in Kanab

Date & Time: May 27, 2001 at 1400 LT
Operator:
Registration:
N6427H
Flight Type:
Survivors:
Yes
Schedule:
Marble Canyon – Kanab
MSN:
207-0522
YOM:
1979
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
940
Captain / Total hours on type:
34.00
Aircraft flight hours:
7485
Circumstances:
The pilot departed for the cross-country flight with 10 gallons of fuel in the left tank and 17 gallons of fuel in the right tank. He leveled off and reduced to cruise power. He said he was "preparing to make switch from left to right tank....just before I could make the switch, the engine lost power." He attempted to switch tanks and restart the engine, but could not get a restart. He performed a forced landing to a dirt road. During the landing roll, the left wing struck a tree and the airplane rotated 180 degrees. The engine was torn from the mount, both wing spars were bent, and the empennage sustained substantial damage. A salvage team member noted, during the airplanes recovery, that there were approximately 10 to 15 gallons of fuel in the left tank; he said the right fuel tank was empty.
Probable cause:
The pilot's inadequate fuel consumption planning, and the subsequent fuel starvation, which resulted in a loss of engine power.
Final Report:

Crash of a Beechcraft C90 King Air in Islip

Date & Time: May 18, 2001 at 1725 LT
Type of aircraft:
Operator:
Registration:
N270TC
Flight Type:
Survivors:
Yes
Schedule:
East Hampton - Ronkonkoma
MSN:
LJ-858
YOM:
1979
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2439
Captain / Total hours on type:
98.00
Copilot / Total flying hours:
1613
Copilot / Total hours on type:
114
Aircraft flight hours:
6581
Circumstances:
After about a 20 minute flight, while on final approach for landing, the airplane experienced a loss of engine power on both engines, and the pilot-in-command (PIC) performed a forced landing into trees about 1/2 mile from the airport. The left and right boost pumps and the left and right transfer pumps, were observed in the "OFF" position. According to the PIC, after he exited the airplane, he returned to the cockpit and "shut off the fuel panel. The fuel quantity indicator toggle switch was observed in the "TOTAL" position. Examination of the fuel system revealed both engine nacelle tanks, both wing center section tanks, and the right wing fuel tanks were not compromised. About 1 quart of fuel was drained from the left and right engine nacelle tanks, respectively. Less than a quart of fuel was drained from the right wing tanks. The left wing tanks were compromised during the accident; however there was and no evidence of a fuel spill. Examination of the left and right wing center tanks revealed approximately 27 gallons (approximately 181 lbs) of fuel present in each tank. Battery power was connected to the airplane, and when the fuel transfer pump switches were turned to the "ON" position, fuel was observed being pumped from the left and right wing center tanks to their respective nacelle tanks. The accident flight was the third flight of the day for the flight crew and airplane. According to a flight log located in the cockpit, the flight crew indicated 750 lbs of fuel remained at the time of the takeoff. According to the airplane flight manual (AFM),"Fuel for each engine is supplied from a nacelle tank and four interconnected wing tanks...The outboard wing tanks supply the center section wing tank by gravity flow. The nacelle tank draws its fuel supply from the center section tank. Since the center section tank is lower than the other wing tanks and the nacelle tank, the fuel is transferred to the nacelle tank by the fuel transfer pump in the low spot of the center section tank...." Additionally, with the transfer pumps inoperative, all wing fuel except 28 gallons from each wing will transfer to the nacelle tank through gravity feed.
Probable cause:
The pilot’s failure to activate the fuel transfer pumps in accordance with the checklist, which resulted in fuel exhaustion.
Final Report:

Crash of a Cessna 402C II in Martha's Vineyard

Date & Time: Jan 30, 2001 at 1835 LT
Type of aircraft:
Operator:
Registration:
N6837Y
Flight Type:
Survivors:
Yes
Schedule:
Providence – Martha’s Vineyard
MSN:
402C-0467
YOM:
1981
Flight number:
9K415
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1668
Captain / Total hours on type:
348.00
Aircraft flight hours:
19131
Circumstances:
The pilot departed on a scheduled flight conducted under night instrument meteorological conditions. Arriving in the area of the destination airport, the weather was reported as, winds from 220 degrees at 18 knots, gusts to 25 knots; 1/2 statute miles of visibility and haze; vertical visibility of 100 feet. The pilot was vectored and cleared for the ILS 24 approach. As the airplane crossed the glideslope, the pilot observed that the "ride" became increasingly bumpy and turbulent, with a strong wind component from the right. The approach lights came into view as the airplane neared the runway, but soon disappeared due to the low visibility. The pilot executed a missed approach, and as full power was applied, the airplane began to move laterally to the left. During the missed approach, a "thunk" was heard on the left side of the fuselage, and the airplane descended into the trees. The airplane came to rest in a wooded area about 1/4 mile from the Runway 24 threshold, about 1,000 feet to the left of the extended centerline. Review of the approach plate for the ILS 24 approach revealed that the glide slope altitude at the final approach fix for the non-precision approach, which was located about 4 miles from the approach end of the runway, was 1,407 feet. The glide slope altitude at the middle marker, which was located about 0.6 miles from the approach end of the runway, was 299 feet. Review of radar data revealed that the airplane intercepted the glideslope about 4 miles from the threshold of runway 24. In the following 2 minutes, 30 seconds, the airplane deviated below and returned to the glideslope centerline approximately 4 times, with a maximum deviation of 2-dots below the glideslope centerline. About 1-mile from the runway, the airplane began a trend downward from the glideslope centerline, descending below the 2- dot low deviation line of the glideslope to an altitude of about 300 feet, when the last radar hit was recorded. During the approach, the airplane's ground speed varied between 50 and 125 knots. According to the Aeronautical Information Manual chapter on Navigation Aids, Instrument Landing System (ILS), it stated that "Make every effort to remain on the indicated glide path." It also cautioned the pilot to, "Avoid flying below the glide path to assure obstacle/terrain clearance is maintained."
Probable cause:
The pilot's failure to maintain a stabilized approach with an adequate vertical and lateral track. Also causal was his failure to maintain obstacle clearance.
Final Report: