Crash of a Rockwell Aero Commander 500 in Dabajuro: 1 killed

Date & Time: Sep 26, 2017
Operator:
Registration:
HI-560
Flight Type:
Survivors:
Yes
MSN:
500-778-69
YOM:
1959
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
Apparently following technical issues, the pilot was forced to attempt an emergency landing at Dabajuro Airport. The twin engine aircraft crash landed near the runway and struck two motorcyclists. One of them was killed while the second was injured. The airplane was damaged beyond repair and the pilot was uninjured.

Crash of a Mitsubishi MU-2B-40 Solitaire in Ainsworth: 1 killed

Date & Time: Sep 23, 2017 at 1028 LT
Type of aircraft:
Registration:
N73MA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Ainsworth – Bottineau
MSN:
414
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3775
Captain / Total hours on type:
2850.00
Aircraft flight hours:
5383
Circumstances:
The instrument-rated private pilot departed on a cross-country flight in instrument meteorological conditions (IMC) with an overcast cloud layer at 500 ft above ground level (agl)
and visibility restricted to 1 ¾ miles in mist, without receiving an instrument clearance or opening his filed instrument flight rules flight plan. There was an outage of the ground communications system at the airport and there was no evidence that the pilot attempted to open his flight plan via his cellular telephone. In addition, there was a low-level outage of the radar services in the vicinity of the accident site and investigators were unable to determine the airplane's route of flight before impact. The airport manager observed the accident airplane depart from runway 35 and enter the clouds. Witnesses located to the north of the accident site did not see the airplane but reported hearing an airplane depart about the time of the accident. One witness reported hearing a lowflying airplane and commented that the engines sounded as if they were operating at full power. The witness heard a thud as he was walking into his home but attributed it to a thunderstorm in the area. The airplane impacted a field about 3.5 miles to the northeast of the departure end of the runway and off the track for the intended route of flight. The airplane was massively fragmented during the impact and debris was scattered for about 300 ft. The damage to the airplane and ground scars at the accident site were consistent with the airplane impacting in a left wing low, nose low attitude with relatively high energy. A postaccident examination of the engines and propeller assemblies did not reveal any preimpact anomalies that would have precluded normal operation. Signatures were consistent with both engines producing power and both propellers developing thrust at the time of impact. While the massive fragmentation precluded functional testing of the equipment, there was no damage or failure that suggested preimpact anomalies with the airframe or flight controls.Several days before the accident flight, the pilot encountered a "transient flag" on the air data attitude heading reference system. The pilot reported the flag to both the co-owner of the airplane and an avionics shop; however, exact details of the flag are not known. The unit was destroyed by impact forces and could not be functionally tested. If the flag affecting the display of attitude information had occurred with the unit after takeoff, the instrument panel had adequate stand-by instrumentation from which the pilot could have continued the flight. It is not known if this unit failed during the takeoff and investigators were unable to determine what role, if any, this transient issue may have played in the accident. Based upon the reported weather conditions, the location of the wreckage, and the attitude of the airplane at the time of impact with the ground, it is likely that the pilot experienced spatial disorientation shortly after takeoff which resulted in a loss of control and descent into terrain.
Probable cause:
The pilot's loss of airplane control due to spatial disorientation.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain near San Vicente: 2 killed

Date & Time: Sep 13, 2017 at 1500 LT
Operator:
Registration:
XB-OUE
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Toluca – Acapulco
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
En route from Toluca to Acapulco, the pilot encountered poor weather conditions. In limited visibility, the twin engine airplane struck hilly and wooded terrain in the Sierra de Chilpancingo, near San Vicente. The aircraft was destroyed by impact forces and a post crash fire and both occupants were killed.

Crash of a Cessna 402B in Nantucket

Date & Time: Sep 13, 2017 at 0723 LT
Type of aircraft:
Registration:
N836GW
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Nantucket – Hyannis
MSN:
402B-1242
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1500
Captain / Total hours on type:
1100.00
Aircraft flight hours:
4928
Circumstances:
The commercial pilot stated that, shortly after taking off for a cross-country, personal flight and while accelerating, he noticed high airplane nose-down control forces and that the airplane became increasingly difficult to control. He used manual trim to attempt to trim out the control forces and verified that the autopilot was not engaged; however, the nose-down tendency continued, and the pilot had trouble maintaining altitude. During the subsequent emergency landing, the airframe sustained substantial damage. Postaccident examination of the airplane revealed that the elevator trim push rod assembly was separated from the elevator trim tab actuator, and the end of the elevator trim push rod assembly was found wedged against the elevator's main spar. The elevator trim indicator in the cockpit was found in the nose-up stop position; however, the elevator trim tab was deflected 24° trailing edge up/airplane nose down (the maximum airplane nose-down setting is 6°). A drilled bolt was recovered from inside the right elevator; however, the associated washer, castellated nut, and cotter pin were not found. Examination of the bolt revealed that the threads were damaged and that the bolt hole on one of the clevis yoke halves exhibited deformation, consistent with the bolt separating. About 2 weeks before the accident, the pilot flew the airplane to a maintenance facility for an annual inspection. At that time, Airworthiness Directive (AD) 2016-07-24, which required installation of new hardware at both ends of the pushrod for the elevator trim tab, was overdue. While the airplane was in for the annual inspection, AD 2016-07-24 was superseded by AD 2016-17-08, which also required the installation of new hardware. The ADs were issued to prevent jamming of the elevator trim tab in a position outside the normal limits of travel due to the loss of the attachment hardware connecting the elevator trim tab actuator to the elevator trim tab push-pull rod, which could result in loss of airplane control. While in for the annual inspection, the airplane was stripped and painted, which would have required removal of the right elevator. Although the repair station personnel indicated that they did not disconnect the elevator trim pushrod from the elevator trim tab actuator when they painted the airplane, photographs taken of the airplane while it was undergoing inspection and painting revealed that the pushrod likely had been disconnected. The repair station owner reported that he reinstalled the right elevator and the elevator trim pushrod after the airplane was painted; however, he did not replace the hardware at either end of the pushrod as required by the ADs. Subsequently, the airplane was approved for return to service. After the annual inspection, no work, repairs, or adjustments were made to the elevator trim system. The airplane had accrued about 58 hours since the annual inspection at the time of the accident. Although reusing the self-locking nut might have resulted in it coming off by itself, the cotter pin should have prevented this from happening. Therefore, although the castellated self-locking nut, washer, and cotter pin normally used to secure the elevator trim pushrod at the elevator trim tab actuator were not found, given the evidence it is likely that the hardware, which was not the required hardware, was not properly secured at installation, which allowed it to separate in flight. It is also likely that the pushrod assembly then moved aft and jammed in a position well past the maximum nose-down trim setting, which rendered controlled flight impossible.
Probable cause:
The separation of the pushrod from the elevator trim tab actuator, which rendered controlled flight impossible. Contributing to the separation of the pushrod was the failure of maintenance personnel to properly secure it to the elevator trim tab actuator.
Final Report:

Crash of a Piper PA-31-310 Navajo in Caernarfon: 1 killed

Date & Time: Sep 6, 2017 at 1723 LT
Type of aircraft:
Registration:
N250AC
Flight Type:
Survivors:
No
MSN:
31-7612040
YOM:
1976
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4000
Aircraft flight hours:
9243
Circumstances:
Approximately 20 minutes after takeoff from a private airstrip in Cheshire the pilot reported pitch control problems and stated his intention to divert to Caernarfon Airport. Approximately 5 minutes later, the aircraft struck Runway 25 at Caernarfon Airport, with landing gear and flaps retracted, at high speed, and with no noticeable flare manoeuvre. The aircraft was destroyed. The elevator trim was found in a significantly nose-down position, and whilst the reason for this could not be determined, it is likely it would have caused the pilot considerable difficulty in maintaining control of the aircraft. The extensive fire damage to the wreckage and the limited recorded information made it difficult to determine the cause of this accident with a high level of confidence. A possible scenario is a trim runaway, and both the CAA and the EASA are taking safety action to promote awareness for trim runaways as a result of this accident.
Probable cause:
After reporting pitch control problems, N250AC made a direct diversion with a significantly unstable approach, in a clean configuration, to Runway 25 at Caernarfon Airport. The elevator trim was found in a nose-down position and, whilst the reason for this could not be determined, it is likely that it caused the pilot considerable difficulty in controlling the aircraft. The aircraft struck Runway 25 at Caernarfon Airport, with landing gear and flaps retracted, at high speed, and with no noticeable flare manoeuvre. The extensive fire damage to the wreckage and the limited recorded information made it difficult to determine the cause of this accident with a high level of confidence. It is possible there was a nose-down trim runaway that the pilot was unable to stop.
Final Report:

Crash of a Piper PA-61P Aerostar (Ted Smith 601P) in Donegal Springs

Date & Time: Aug 19, 2017 at 1642 LT
Operator:
Registration:
N7108
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Donegal Springs - Donegal Springs
MSN:
61-0405-142
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
400
Captain / Total hours on type:
1.00
Aircraft flight hours:
3957
Circumstances:
The commercial pilot stated that, during the takeoff roll, the airplane swerved to the right, and he corrected to the left and aborted the takeoff; however, the airplane departed the left side of the runway and collided with an embankment. At the time of the accident, a quartering tailwind was present. The pilot had no previous experience in the accident airplane make and model or in any other multiengine airplane equipped with engines capable of producing 300 horsepower. During a postaccident conversation with a mechanic, the pilot stated that the airplane "got away from him" during the attempted takeoff. Because a postaccident examination of the airplane did not reveal any evidence of a preimpact mechanical malfunction or failure of the airplane's flight controls or nosewheel steering system that would have precluded normal operation and the pilot did not have any previous experience operating this make and model of airplane, it is likely that the pilot lost directional control during takeoff with a quartering tailwind.
Probable cause:
The pilot's failure to maintain directional control during takeoff with a quartering tailwind. Contributing to the accident was the pilot's lack of experience in the accident airplane make and model.
Final Report:

Crash of a Socata TBM-700 in Yamazoe: 2 killed

Date & Time: Aug 14, 2017 at 1215 LT
Type of aircraft:
Registration:
N702AV
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Yao – Fukushima
MSN:
182
YOM:
2001
Location:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3750
Captain / Total hours on type:
7.00
Aircraft flight hours:
2094
Circumstances:
The single engine aircraft departed Yao Airport at 1157LT on a leisure flight to Fukushima, carrying one passenger and one pilot. Few minutes later, the pilot reported an unexpected situation to ATC and was cleared to return to Yao. At an altitude of 17,200 feet and a speed of 150 knots, the aircraft entered an uncontrolled descent, partially disintegrated in the air and eventually crashed in a hilly and wooded terrain near the village of Yamazoe, bursting into flames. Both occupants were killed.
Probable cause:
In the accident, it is highly probable that the Aircraft lost control during flight, nose-dived while turning, and disintegrated in mid-air, resulting in the crash. It is somewhat likely that the Aircraft lost control during flight, because the captain did not have pilot skills and knowledge necessary for the operation of the Aircraft, and was not able to perform proper flight operations.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage off Mainau Island: 2 killed

Date & Time: Aug 8, 2017 at 1152 LT
Operator:
Registration:
HB-PPH
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Zurich – Hamburg
MSN:
46-36045
YOM:
1996
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2236
Aircraft flight hours:
2408
Circumstances:
The single engine airplane departed Zurich Airport Runway 28 at 1134LT bound for Hamburg-Helmut Schmidt Airport, carrying one passenger and one pilot. After passing over the city of Konstanz at an altitude of 16,750 feet in IFR conditions, the airplane entered an uncontrolled descent and eventually crashed in the Konstanz Lake, about 200 metres off Mainau Island. The wreckage was found at a depth of 60 metres and both occupants were killed.
Probable cause:
Loss of control while cruising in IMC conditions with strong atmospheric turbulences associated with icing conditions.
Final Report:

Crash of a Mitsubishi MU-2B-26A Marquise near San Fernando: 3 killed

Date & Time: Jul 24, 2017 at 1430 LT
Type of aircraft:
Operator:
Registration:
LV-MCV
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
San Fernando – Las Lomitas
MSN:
361
YOM:
1977
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
682
Captain / Total hours on type:
58.00
Aircraft flight hours:
5804
Aircraft flight cycles:
4670
Circumstances:
Shortly after takeoff from San Fernando Airport in Buenos Aires, while in initial climb, the pilot was contacted by ATC about an apparent transponder issue. The crew did not respond when, few seconds later, the twin engine airplane entered an uncontrolled descent and crashed in a marshy area located in the delta of Paraná de la Palmas. The wreckage was found on August 19 about 17 km north of San Fernando Airport. The aircraft disintegrated on impact and all three occupants were killed.
Crew:
Matías Ronzano,
Passengers:
Emanuel Vega,
Matías Aristi.
Probable cause:
Loss of control during climb due to the combination of the following factors:
- The particular characteristics of the aircraft;
- The attention required by the transponder as it is not displayed by air traffic control;
- The detour of the planned flight at the request of the inspection department of air traffic;
- Aircraft trajectory management with autopilot switched off;
- The pilot's limited experience in instrument flight conditions. In addition, the absence of additional instruction in the aircraft type (due to the lack of specific regulations) can be considered a contributing factor, according to the probable scenario described above. In addition, the research identified the following elements with potential impact in operational safety:
- Absence of the TAWS system on the aircraft in non-conformity with the established RAAC 91;
- Lack of effective means to enable the flight plan office to quickly determine whether an aircraft has operating restrictions;
- Shortcomings in the training of staff in the units ATS and SAR in search and rescue.
Final Report: