Private

Flight Type:

Survivors:

Site:

Schedule:

Kissimmee – Oxford

MSN:

31-8312016

YOM:

1983

Location:

Tuscaloosa

Alabama

Country:

Region:

Crew on board:

Crew fatalities:

Pax on board:

Pax fatalities:

Other fatalities:

Total fatalities:

Captain / Total flying hours:

749

Captain / Total hours on type:

48.00

Aircraft flight hours:

3447

Circumstances:

The private pilot and five passengers departed on a day instrument flight rules cross-country flight in the multiengine airplane. Before departure, the airplane was serviced to capacity with fuel, which corresponded to an endurance of about 5 hours. About 1 hour 45 minutes after reaching the flight's cruise altitude of 12,000 ft mean sea level, the pilot reported a failure of the right engine fuel pump and requested to divert to the nearest airport. About 7 minutes later, the pilot reported that he "lost both fuel pumps" and stated that the airplane had no engine power. The pilot continued toward the diversion airport and the airplane descended until it impacted trees about 1,650 ft short of the approach end of the runway; a postimpact fire ensued. Postaccident examination of the airframe and engines revealed no preimpact failures or malfunctions that would have precluded normal operation. The propellers of both engines were found in the unfeathered position. All six of the fuel pumps on the airplane were functionally tested or disassembled, and none exhibited any anomalies that would have precluded normal operation before the accident. Corrosion was noted in the right fuel boost pump, which was likely the result of water contamination during firefighting efforts by first responders. The airplane was equipped with 4 fuel tanks, comprising an outboard and an inboard fuel tank in each wing. The left and right engine fuel selector valves and corresponding fuel selector handles were found in the outboard tank positions. Given the airplane's fuel state upon departure and review of fuel consumption notes in the flight log from the day of the accident, the airplane's outboard tanks contained sufficient fuel for about 1 hour 45 minutes of flight, which corresponds to when the pilot first reported a fuel pump anomaly to air traffic control. The data downloaded from the engine data monitor was consistent with both engines losing fuel pressure due to fuel starvation. According to the pilot's operating handbook, after reaching cruise flight, fuel should be consumed from the outboard tanks before switching to the inboard tanks. Two fuel quantity gauges were located in the cockpit overhead switch panel to help identify when the pilot should return the fuel selectors from the outboard fuel tanks to the inboard fuel tanks. A flight instructor who previously flew with the pilot stated that this was their normal practice. He also stated that the pilot had not received any training in the accident airplane to include single engine operations and emergency procedures. It is likely that the pilot failed to return the fuel selectors from the outboard to the inboard tank positions once the outboard tanks were exhausted of fuel; however, the pilot misdiagnosed the situation as a fuel pump anomaly.

Probable cause:

A total loss of power in both engines due to fuel starvation as a result of the pilot's fuel mismanagement, and his subsequent failure to follow the emergency checklist. Contributing to the pilot's failure to follow the emergency checklist was his lack of emergency procedures training in the accident airplane.

Final Report:

Crash of a Cessna 414A Chancellor off Destin: 1 killed

Date & Time: Aug 2, 2016 at 2030 LT

Type of aircraft:

Cessna 414 Chancellor

Operator:

Cessna 414 LLC

Registration:

N2735A

Flight Phase:

Takeoff (climb)

Flight Type:

Survivors:

Site:

Lake, Sea, Ocean, River

Schedule:

Destin – Abbeville

MSN:

414A-0463

YOM:

1980

Location:

Destin-Executive

Florida

Country:

Region:

Embraer EMB-820 Navajo/Carajá

Crew on board:

Crew fatalities:

Pax on board:

Pax fatalities:

Other fatalities:

Total fatalities:

Captain / Total flying hours:

15000

Aircraft flight hours:

6202

Circumstances:

The instrument-rated commercial pilot departed from an airport adjacent to the Gulf of Mexico with an instrument flight rules clearance for a cross-country flight in dark night, visual
meteorological conditions. The flight continued in a south-southwesterly direction, climbing to about 900 ft over the gulf, where it entered a steep right turn. The airplane then descended at a steep rate and impacted the water in a nose-low attitude. Post accident examination of the recovered wreckage, including flight controls, engines, and propellers revealed no evidence of preimpact failure or malfunction. While the outlet fuel line from the left auxiliary fuel pump was found separated and there was evidence that the B-nut was loose and had been only secured by the first 2 threads, recorded data from the engine monitor for the flight revealed no loss of power from either engine. Therefore, the final separation likely occurred during the impact sequence. Although the accident pilot was instrument rated and had recently completed instrument currency training, the dark night conditions present at the time of the accident combined with a further lack of visual references due to the airplane's location over a large body of water, presented a situation conducive to the development of spatial disorientation. The pilot had been instructed by air traffic control to turn southwest after takeoff; however, the continuation of the turn past the intended course and the airplane's steep bank angle and excessive rate of descent are consistent with a loss of control due to spatial disorientation.

Probable cause:

The pilot's loss of control due to spatial disorientation shortly after takeoff, while maneuvering over water during dark night conditions.

Final Report:

Crash of an Embraer EMB-820C Navajo in Londrina: 8 killed

Date & Time: Jul 31, 2016 at 2057 LT

Type of aircraft:

Operator:

Registration:

PT-EFQ

Flight Phase:

Flight Type:

Cessna 207 Skywagon/Stationair

Survivors:

Site:

City

Schedule:

Cuiabá – Londrina

MSN:

820-030

YOM:

1976

Location:

Country:

Region:

Crew on board:

Crew fatalities:

Pax on board:

Pax fatalities:

Other fatalities:

Total fatalities:

Captain / Total flying hours:

2833

Copilot / Total flying hours:

1567

Aircraft flight hours:

3674

Circumstances:

Owned by Fenatracoop (Federação Nacional dos Trabalhadores Celestitas nas Cooperativas no Brasil), the twin engine aircraft departed Cuiabá-Marechal Rondon Airport on a flight to Londrina, carrying two pilots and six passengers, three adults and three children. On final approach to Londrina-Governador José Richa Runway 13, the pilot informed ATC about a loss of power on the left engine. Shortly later, control was lost and the aircraft crashed on a hangar housing six tanker trucks and located 9,2 km short of runway. Several explosions occurred and the aircraft and the hangar were totally destroyed. All eight occupants were killed but there were no injuries on the ground.

Probable cause:

Contributing factors.
- Communication – undetermined
It is possible that difficulties for the dialogue between pilots on matters related to the operation of the aircraft have favored a prejudicial scenario to the expression of assertiveness in the communication in the cabin, interfering in the effective management of the presented abnormal condition.
- Team dynamics – undetermined
It is possible that a more passive posture of the copilot combined with the commander's decisions and actions from the presentation of the abnormal condition in flight interfered with the quality of the team's integration and in the efficiency of the cabin dynamics during the occurrence, bringing losses to the emergency management presented.
- Emotional state – undetermined
It is not possible to discard the hypothesis that a more anxious emotional state of the pilots contributed to an inaccurate evaluation of the operational context experienced, favoring ineffective judgments, decisions and actions to manage the abnormal condition presented.
- Aircraft maintenance – a contributor
On the right engine, it was found that the fuel tube fixing nut that left the distributor for No. 3 cylinder was loose, favoring the fuel leakage, as well as the bypass valve clamp of the turbocharger that was bad adjusted, providing leakage of gases from the exhaust that would be directed to the compressor and, later to the engine, to equalize its power. On the left engine, impurity composed of an agglomerate of soil and fuel were found on the side of the nozzles n° 2, 4 and 6, which migrated to the inside of these nozzles, causing them to become clogged. It was not possible to determine the origin of this material, but there is a possibility that it may have been deposited during the long period the aircraft spent in the maintenance shop, undergoing general overhaul and the revitalization of its interior (13DEC2012 until 29APR2016).
- Insufficient pilot’s experience – undetermined
The pilots had little experience with the GARMIN GTN 650 navigation system. The lack of familiarity with this equipment may have favored the misidentification of the approach fixes for Londrina. This way, it is possible that they have calculated their descent to the final approach fix (waypoint LO013), believing that it was the position relative to threshold 13 (waypoint RWY13).
- Decision-making process – undetermined
The decision to take off from Cuiabá to Londrina without the identification of the reason for the warning light to be ON in the alarm panel and the possible late declaration of the emergency condition showed little adequate decisions that may have increased the level of criticality of the occurrence.
- Support systems – undetermined
The similarity of the waypoints names in the RNAV procedure, associated with the lack of familiarity of the pilots with the new navigation system installed in the aircraft, may have confused the pilots as to their real position in relation to the runway.

Final Report:

Crash of a Cessna 207A Stationair 8 in Santa Rosa de Yacuma

Date & Time: Jul 16, 2016 at 1600 LT

Type of aircraft:

Operator:

Registration:

CP-2953

Flight Phase:

Flight Type:

Survivors:

Site:

Cessna 560 Citation V Ultra

Schedule:

Trinidad – Santa Rosa de Yacuma

MSN:

207-0728

YOM:

1981

Location:

Country:

Region:

Crew on board:

Crew fatalities:

Pax on board:

Pax fatalities:

Other fatalities:

Total fatalities:

Circumstances:

On approach to Santa Rosa de Yacuma Airport, the pilot encountered poor weather conditions and initiated a go-around as the visibility was poor due to rain falls. Few minutes later, during a second attempt to land, the aircraft passed over the runway threshold when the pilot decided to initiate a second go-around procedure. He made a left turn when he lost control of the airplane that crashed 500 metres past the runway threshold, bursting into flames. The aircraft was destroyed and all six occupants were killed.

Crash of a Cessna 560 Citation V Ultra in Gainesville

Date & Time: Jun 6, 2016 at 2317 LT

Type of aircraft:

Operator:

Registration:

N145KK

Flight Phase:

Flight Type:

Survivors:

Site:

Schedule:

Boston – Gainesville

MSN:

560-0276

YOM:

1994

Location:

Gainesville

Florida

Country:

Region:

De Havilland DHC-2 Beaver

Crew on board:

Crew fatalities:

Pax on board:

Pax fatalities:

Other fatalities:

Total fatalities:

Circumstances:

Following an uneventful flight from Boston-Logan, the crew initiated the descent to Gainesville Airport. Weather conditions at destination were considered as marginal due to the presence over the area of the tropical storm 'Colin'. After landing on a wet runway, the aircraft rolled for about 1,000 feet then veered off runway to the left. While contacting soft ground, the left main gear and the nose gear collapsed then the aircraft came to rest in a grassy area. All three occupants evacuated safely and the aircraft was damaged beyond repair.

Probable cause:

No investigations were conducted by the NTSB on the event.

Crash of a De Havilland DHC-2 Beaver I in Lumby

Date & Time: May 10, 2016 at 1030 LT

Type of aircraft:

Operator:

Registration:

C-FMPV

Flight Phase:

Flight Type:

Survivors:

Site:

MSN:

1304

YOM:

1959

Location:

Country:

Region:

Crew on board:

Crew fatalities:

Pax on board:

Pax fatalities:

Other fatalities:

Total fatalities:

Circumstances:

Shortly after takeoff from a private airstrip in Lumby, the airplane suffered engine problems. The pilot elected to make an emergency landing when the aircraft crashed in a prairie located 300 feet from a house, bursting into flames. All three occupants evacuated with minor injuries and the aircraft was destroyed by a post crash fire. The pilot and both passengers were en route to the south of the province when the accident occurred.

Crash of a Swearingen SA226T Merlin III in Andorra

Date & Time: Apr 26, 2016 at 1535 LT

Type of aircraft:

Swearingen SA226T Merlin III

Operator:

Medelair

Registration:

N125WG

Flight Phase:

Flight Type:

Survivors:

Site:

Cessna 421B Golden Eagle II

Schedule:

Alicante - Andorra

MSN:

T-250

YOM:

1974

Location:

Andorra-La Seu d'Urgell

Catalonia

Country:

Spain

Region:

Europe

Crew on board:

Crew fatalities:

Pax on board:

Pax fatalities:

Other fatalities:

Total fatalities:

Captain / Total flying hours:

4750

Captain / Total hours on type:

1200.00

Circumstances:

The twin engine airplane departed Alicante-Mutxamel Airport at 1221LT on a private flight to Andorra, carrying four passengers and one pilot. Following an uneventful flight at an altitude of 12,500 feet, the pilot informed ATC about electrical problems then initiated the descent to Andorra. About two minutes later, the electrical system totally failed. The pilot continued the approach to Andorra-La Seu d'Urgell Airport. After touchdown on runway 21, the undercarriage collapsed. The aircraft veered off runway to the right and came to rest in a grassy area. All five occupants evacuated safely and the aircraft was damaged beyond repair.

Probable cause:

It is considered that the accident was caused by an error in the application of the emergency extension procedure of the landing gear following a total failure of the electrical system.
Contributing factors :
- Start a visual flight with a deferred pending repair in the electrical system, specifically with the generator on the right side.
- Lack of recent training and simulation with emergency procedures.
- The versatility of the pilot and diversity of different aircraft types flown.
- The non-activation of the warning light on the left-hand side of the cockpit panel when the electrical system failed about 30 minutes prior to the total exhaustion of all batteries.

Final Report:

Crash of a Cessna 421B Golden Eagle II in Foley

Date & Time: Apr 26, 2016 at 1424 LT

Type of aircraft:

Operator:

Russell N. Smith

Registration:

N3372Q

Flight Phase:

Takeoff (climb)

Flight Type:

Survivors:

Site:

Schedule:

Foley - Carrollton

MSN:

421B-0256

YOM:

1972

Location:

Foley

Alabama

Country:

Region:

Beechcraft 300 Super King Air

Crew on board:

Crew fatalities:

Pax on board:

Pax fatalities:

Other fatalities:

Total fatalities:

Captain / Total flying hours:

5450

Circumstances:

The private pilot of the twin-engine airplane departed on the personal flight. During the takeoff roll, all indications were normal. When the airplane accelerated to between 75 and 80 knots, the pilot pulled back on the yoke slowly, and the airplane began to climb. After he raised the landing gear, the pilot noticed that the airplane was not continuing to climb and that the airspeed was 80 knots; he then heard the stall warning horn. The airplane impacted trees about 1/4 mile from the runway, caught fire, and was destroyed; the pilot egressed with minor injuries. The airplane's published minimum control speed was 86 knots and the break ground and climb speed was 106 knots. Given that information, it is likely that the pilot's attempt to rotate and climb the airplane below 80 knots resulted in the airplane being unable to gain altitude and climb above trees at the end of the runway.

Probable cause:

The pilot's failure to obtain proper takeoff speed before breaking ground, which resulted in the airplane's failure to gain altitude and a collision with trees and terrain.

Final Report:

Crash of a Beechcraft 300 Super King Air in Porto Seguro

Date & Time: Apr 21, 2016 at 1140 LT

Type of aircraft:

Operator:

Agropecuária Otura

Registration:

PT-MCM

Flight Phase:

Flight Type:

Survivors:

Site: