Crash of a Rockwell Gulfstream 690C Jetprop 840 in La Carlota: 2 killed

Date & Time: Apr 27, 1996
Operator:
Registration:
YV-310CP
Flight Type:
Survivors:
No
Schedule:
Acarigua – La Carlota
MSN:
690-11645
YOM:
1980
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Crashed in unknown circumstances while approaching La Carlota-General Francisco de Miranda Airport. Both pilots were killed.

Crash of a Reims Cessna F406 Caravan II in Morogoro: 1 killed

Date & Time: Apr 24, 1996 at 0500 LT
Type of aircraft:
Operator:
Registration:
5H-TZD
Flight Type:
Survivors:
No
Schedule:
Dar es-Salaam – Morogoro – Tabora
MSN:
406-0029
YOM:
1989
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8922
Circumstances:
The aircraft was operating a company charter flight. It took off from Dar es salaam International airport at 0418 hrs for a flight to Morogoro where it was to pick passengers destined for Tabora. The pilot was the oni y occupant. At 0419:49 hrs 5H-TZD passed to the Dar Control Tower his estimates for TMA as 0439 hrs and Morogoro 0449 hrs. At 0425:13 hrs the aircraft reported to be maintaining flight level 60 and the Dar es Salaam Approach (which was then combined with the Tower advised him to maintain FL060 and to report on checking the TMA boundary. Subsequent to this and at about the same time 5H-TZD contacted the Military base located at Ngerengere on 118.25 MHz and requested permission to transit the Military area (HT) P6 (A) UNLI/GND. Permission was not granted because the area was active. (The pilot subsequently advised Ngerengere that he was to proceed to Morogoro by flying south of the Prohibited Area. The last communication between the aircraft and Ngerengere took place at 0439 hrs when the aircraft was south of Ngerengere. At 0440.08 hrs 5H-TZD called on 118.3 MHz (the Dar es Salaam Tower frequency) advising that he was transmitting blind and revised the TMA estimate to 0441 hours FL60. The ETA for Morogoro was a1so revised to 0451 hours. He was to call on Top of Descent. At 0440:31 hrs the Dar Tower acknow1edged the transmission. Subsequent to this a sound which resembled a series ot clicks of the mike was heard in the Dar Tower. There was no further Communication between 5H-TZD and the Dar es Salaam Tower. At 0850 hrs the owner of the aircraft telephoned the Dar es salaam Control Centre to alert that 5H-TZD had not landed at Morogoro. The Dar ACC instituted an ALERT PHASE and activated the Rescue Coordination Centre. The wreckage of this aircraft was discovered by villagers on top of Palapala mountains on 5 May 1996. The search and rescue effort took 11 days because of adverse weather conditions, the thick tropical vegetation at the crash site and the fact that the route of the aircraft was not known.
Probable cause:
The accident was caused by the aircraft colliding with high ground in bad weather. The following contributing factors were reported:
- The pilot' s decision to initiate descent in weather conditions which allowed no visual contact with the terrain,
- The pilot's decision to rely on the GPS as a means of navigation into Morogoro,
- The failure of the pilot to obtain enroute and destination weather information relevant to his flight,
- The' pilot' s decision to fly the mountainous southern track instead of the northern track in adverse weather conditions,
- The pilot' s decision to continue with the flight in bad weather instead of or diverting to his alternate.
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 300 in Cobán: 2 killed

Date & Time: Feb 16, 1996 at 0656 LT
Registration:
TG-JAK
Flight Type:
Survivors:
No
Schedule:
Guatemala City – Cobán
MSN:
714
YOM:
1980
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Aircraft flight hours:
5644
Circumstances:
The approach to Cobán Airport was initiated in poor weather conditions with limited visibility due to fog. Too low, the aircraft struck trees and crashed in a wooded area located 7,2 km short of runway. Both pilots were killed. They were completing a positioning flight from Guatemala City.
Probable cause:
Controlled flight into terrain after the crew continued the descent below the MDA in IMC conditions.

Crash of a Britten-Norman BN-2B-20 Islander near Kawatana

Date & Time: Feb 9, 1996 at 1322 LT
Type of aircraft:
Operator:
Registration:
JA5322
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Fukuoka - Nagasaki
MSN:
2285
YOM:
1990
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
While cruising at a relative low altitude under VFR mode in IMC conditions (snow falls), the crew saw a mountain. To avoid a collision, the pilot increased engine power but the aircraft struck trees and crashed in a wooded area located on the Takami Peak, near Kawatana. Both pilots were injured and the aircraft was destroyed.

Crash of a Cessna 500 Citation I in Fazenda Matary

Date & Time: Feb 4, 1996 at 1628 LT
Type of aircraft:
Operator:
Registration:
PT-KPA
Flight Type:
Survivors:
Yes
Schedule:
Recife – Imperatriz – Fazenda Matary
MSN:
500-0181
YOM:
1974
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9006
Captain / Total hours on type:
2752.00
Copilot / Total flying hours:
4424
Copilot / Total hours on type:
6
Circumstances:
En route from Imperatriz to Fazenda Matary, the captain informed the copilot he would perform training upon arrival as there are no passengers on board. On descent, he informed ATC he would perform a touch-and-go manoeuvre. With the flaps down at 15°, the aircraft landed at a speed of 125 knots, about 10 knots above the speed reference of 116 knots. After touchdown, the captain changed his mind and decided to perform a complete stop without informing the copilot. The copilot noted that the speed was dropping so he decided to increase engine power to takeoff. Shortly later, the captain reduced power and initiated a braking procedure. Unable to stop within the remaining distance, the aircraft overran and came to rest few dozen metres further, bursting into flames. All three occupants escaped uninjured while the aircraft was destroyed by a post crash fire.
Probable cause:
The following findings were reported:
- There was overconfidence, coupled with an impulsive attitude on the part of the instructor, making him convinced that he could land without problems, even changing the procedure already established and not communicating his decision to the copilot/student.
- The instructor did not properly plan the landing procedure that he decided to carry out, contrary to the briefing.
- There was an error in the instructor's judgment, due to the inadequate assessment of normal landing with 15º flap configuration and speed about 10kt above the predicted, contrary to previous briefing.
- The instructor did not inform the student of his decision to complete the landing, without rush, as well as not responding to the request to start the rush. The student accelerated the engines without the instructor's authorization.
Final Report:

Crash of a Douglas DC-8-55F in Asunción: 22 killed

Date & Time: Feb 4, 1996 at 1412 LT
Type of aircraft:
Operator:
Registration:
HK-3979X
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Barranquilla - Asunción - Campinas
MSN:
45882
YOM:
1966
Flight number:
ALA028
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
22
Captain / Total flying hours:
9100
Captain / Total hours on type:
5919.00
Copilot / Total flying hours:
3500
Copilot / Total hours on type:
3158
Aircraft flight hours:
66326
Aircraft flight cycles:
20567
Circumstances:
The aircraft was completing a positioning flight from Asunción to Campinas on behalf of Alas Paraguayas, under flight number ALA028. As there was no cargo on board, the crew decided to make profit of the situation to perform training upon takeoff. During the takeoff roll on runway 02, at Vr speed, the captain reduced the power on engine n°1 and after liftoff, he reduced power on engine n°2. With the undercarriage still down and the flaps at 15°, the aircraft became unstable, lost height and crashed in the district of Mariano Roque Alonso, about 1,500 metres past the runway end. The aircraft was destroyed by impact forces and a post crash fire and all four occupants were killed as well as 18 people on ground, most of them children taking part to a volleyball game.
Probable cause:
It was determined that the loss of control during initial climb was the consequence of the decision of the crew to perform training upon takeoff, intentionally reducing power on both engines n°1 and 2. This decision was taken at a critical phase of flight and the copilot-in-command was unable to maintain control of the aircraft, causing the aircraft to lose speed and to stall.
The following contributing factors were reported:
- The captain's experience in such configuration was low,
- Lack of flight safety doctrine in the cockpit during all flight,
- Execution of unauthorized takeoff training under uncontrolled conditions,
- Execution of such take-off training by a person who was not qualified as an instructor.
Final Report:

Crash of a Beechcraft C-45 Expeditor in Blountville

Date & Time: Feb 2, 1996 at 1830 LT
Type of aircraft:
Operator:
Registration:
N204AA
Flight Type:
Survivors:
Yes
Schedule:
Madison - Charlotte
MSN:
AF-79
YOM:
1954
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5400
Captain / Total hours on type:
350.00
Aircraft flight hours:
16972
Circumstances:
The pilot reported that as he overflew the Tri-City airport, Tennessee at 9,000 feet, the right engine power slowly decreased. The airplane was in the clouds with an outside air temperature of about zero degrees Celsius. Right engine manifold heat was applied for a few seconds, with no noticeable difference in engine performance. The right magnetos were also checked with no obvious malfunctions noted. A descent for landing was initiated to the Tri-City airport and manifold heat was applied and removed several times, with no appreciable effect. On short final approach, when the landing gear was extended, the right main gear did not indicate down. There was insufficient time to perform the emergency gear extension procedure. A go-around was initiated, during which the pilot discovered that the left manifold heat control was now stuck in the 'ON' position. The pilot stated that with less than full power available on the left engine, and the right propeller unfeathered, the airplane could be climbed to about 200 feet. He flew the airplane until terrain clearance was no longer possible, then landed in a field, gear up. The airplane slid into trees and was substantially damaged.
Probable cause:
The pilot's improper use of carburetor heat which resulted in a continuing loss of engine power, and the right landing gear's failure to extend during a single engine approach. A factor was the
insufficient time available to extend the landing gear via the emergency extension procedure.
Final Report:

Crash of a Partenavia AP.68TP-300S Spartacus off El Segundo: 1 killed

Date & Time: Jan 9, 1996 at 0914 LT
Type of aircraft:
Operator:
Registration:
N3116C
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Oxnard - San Diego
MSN:
8007
YOM:
1987
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8963
Captain / Total hours on type:
1000.00
Aircraft flight hours:
4540
Circumstances:
The aircraft was destroyed after an uncontrolled descent into the Pacific ocean about 14 miles west-southwest of El Segundo, California. The pilot was presumed to have been fatally injured. According to a company search pilot, visual meteorological conditions prevailed at the accident area about 1.5 hours after the time of the accident. No flight plan was filed for the positioning flight which originated at Oxnard, California, on the morning of the accident for a flight to San Diego, California. The aircraft departed Oxnard on a special VFR clearance. The tops of the clouds were reported to be about 1,200 feet msl. The aircraft transitioned southbound through the NAWS Point Mugu airspace. The Point Mugu radar approach control monitored the aircraft on radar for about 25 miles. The pilot was subsequently given a frequency change to SOCAL Tracon. There was no contact made with that facility. A search was initiated when the aircraft failed to arrive at the intended destination. A review of the recorded radar data revealed the aircraft was level at 1,800 feet msl and then climbed to about 2,000 feet msl, at which time it disappeared from radar.
Probable cause:
Loss of control for undetermined reasons.
Final Report:

Crash of a Swearingen SA226AT Merlin IV in Detroit

Date & Time: Dec 15, 1995 at 0423 LT
Registration:
N31AT
Flight Type:
Survivors:
Yes
Schedule:
Flint - Louisville
MSN:
AT-057
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9550
Captain / Total hours on type:
3977.00
Aircraft flight hours:
6965
Circumstances:
The pilot reported that shortly after takeoff, the airplane's left engine started to surge. The airplane also began experiencing intermittent electrical surges which caused the instrument panel lights, cabin lights, and radios to go off and on. The pilot diverted to an alternate airport to land. He did not secure the left engine before landing because it was still developing some usable power. He placed the gear select handle in the down position and observed three green gear-down-and-locked lights. Prior to touchdown, both power levers were positioned to flight idle and no gear warning horn sounded. The airplane landed gear up. Postaccident examination revealed no abnormalities with the landing gear or electrical system. The landing gear emergency extension functioned properly. The landing gear indicating system showed a safe gear indication when the gear was extended during examination. Substantial damage to the gear doors was observed, but no damage to the landing gear was observed.
Probable cause:
The pilot's failure to extend the landing gear. A factor in the accident was the pilot's diverted attention.
Final Report:

Crash of a Cessna 414 Chancellor in Marlinton: 1 killed

Date & Time: Nov 28, 1995 at 0940 LT
Type of aircraft:
Operator:
Registration:
N28901
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Sutton - Lynchburg
MSN:
414-0353
YOM:
1972
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4850
Aircraft flight hours:
3378
Circumstances:
The pilot took off from an uncontrolled airport. He attempted to obtain an IFR clearance and reported that he was VFR at 3,500 feet. While air traffic control personnel were locating the flight plan and coordinating the IFR clearance, they lost radio contact with the pilot. The pilot continued to fly towards his destination, transiting rising mountainous terrain which was partially obscured by clouds. Wreckage was located about 28 nautical miles from the departure airport, at the 4,050-foot level. There was no evidence of mechanical failure or malfunction. According to FAR Part 91.3, the pilot had the ultimate authority for the operation of the airplane, and in the case of an in-flight emergency, had the authority to deviate from flight rules "to the extent required to meet that emergency." According to the AIM, an emergency could be either "a distress or an urgency condition." An urgency condition would exist "the moment the pilot becomes doubtful about position... weather, or any other condition that could adversely affect flight safety." Under FAR Part 91.3, the pilot would have been authorized to climb the airplane under IFR conditions, even if he were to enter controlled airspace.
Probable cause:
The pilot's continued VFR flight into obscured, rising mountainous terrain, and his failure to climb the airplane as conditions worsened. Factors included the rising terrain and the weather obscuration.
Final Report: