Crash of a Cessna 340A in Augsburg

Date & Time: Dec 8, 2015 at 0942 LT
Type of aircraft:
Operator:
Registration:
D-IBEL
Flight Type:
Survivors:
Yes
Schedule:
Mönchengladbach – Augsburg
MSN:
340A-1814
YOM:
1984
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5188
Captain / Total hours on type:
75.00
Aircraft flight hours:
3747
Circumstances:
The twin engine aircraft departed Mönchengladbach on a flight to Augsbourg, carrying four passengers and one pilot. On descent to Augsburg Airport, the pilot was informed by ATC that weather conditions at destination were worse than predicted, that the visibility was estimated between 225 and 250 metres, thus below minimums. The pilot acknowledged and informed ATC about his intention to attempt an approach and that he would divert to Oberpfaffenhofen if necessary. On short final, at a height of 200 feet, the pilot established a visual contact with the runway lights and decided to continue. After passing over the threshold, he reduced the engine power when the aircraft entered a stall and impacted the runway surface. On impact, the undercarriage were torn off and the aircraft slid for 104 metres before coming to rest, bursting into flames. Four occupants were seriously injured and the fifth was slightly injured. The aircraft was partially destroyed by a post crash fire.
Probable cause:
The accident is the consequence of the pilot's decision to continue the approach and not to initiate a go-around procedure, which resulted in the aircraft entering an attitude he was unable to control. Poor approach planning on part of the pilot and poor decision making during the approach contributed to the accident, as well as the fact that the runway visual range (RVR) was 250 metres, which was below minimums.
Final Report:

Crash of an Eclipse EA500 near Swellendam: 1 killed

Date & Time: Dec 7, 2015 at 1057 LT
Type of aircraft:
Registration:
ZS-DKS
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Lanseria - Cape Town
MSN:
142
YOM:
2008
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2977
Captain / Total hours on type:
506.00
Aircraft flight hours:
714
Circumstances:
The aircraft had taken off on a private flight with the pilot being the sole occupant on board. The pilot had filed an IFR flight plan and had informed air traffic control (ATC) at FALA that the aircraft had a fuel endurance of 4 hours and his estimated flying time to FACT was approximately 2 hours and 30 minutes. After take-off the aircraft climbed to its cruising altitude of 36 000 feet (FL360) as was seen on the radar recordings. The pilot maintained communication with ATC until overhead Kimberley. Shortly thereafter the aircraft was observed to change course, turning slightly left before the town of Douglas. The aircraft remained at FL360 and was observed to fly south towards the waypoint OKTED, which was a substantial distance to the east of FACT. FACT could not get communication with the aircraft and the aeronautical rescue co-ordination centre (ARCC) was advised of the situation. The aircraft was kept under constant radar surveillance. The ARCC requested assistance from the South African Air Force (SAAF) and a Gripen (military jet) from Air Force Base Overberg (FAOB) was dispatched to intercept the aircraft. The pilot of the Gripen intercepted the aircraft approximately 3 minutes before it impacted the terrain. The Gripen pilot was unable to get close enough to the aircraft as it was flying very erratically, and he could therefore not see whether the pilot was conscious or not. The aircraft was observed entering a left spiral and continue spiraling down until it impacted the ground. The pilot was fatally injured and the aircraft was destroyed during the impact sequence.
Probable cause:
The investigation revealed no anomalies on the part of the aircraft and all damage was attributed to the impact with the ground. The fatal injuries sustained by the pilot made it impossible to determine if the pilot was incapacitated or not. It was observed that the aircraft performed a series of unexplainable as well as erratic flying manoeuvres, which resulted in a loss of control and the aircraft to enter into a spiral dive, which was observed by the Gripen pilot before colliding with the ground.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage in Mammoth Lakes

Date & Time: Dec 3, 2015 at 1220 LT
Operator:
Registration:
N546C
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Mammoth Lakes - Mammoth Lakes
MSN:
46-36626
YOM:
2014
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4000
Captain / Total hours on type:
2000.00
Aircraft flight hours:
230
Circumstances:
According to the pilot, he checked the winds via his onboard weather reporting device during the run-up, and he stated that the 25 knot wind sock was about ¾ full just moments before the takeoff roll. He reported that during the takeoff roll the airplane encountered a significant wind gust from the right. He stated that the wind gust forced the airplane to exit the left side of the runway, the landing gear collapsed, and the airplane collided with metal pylons which surrounded the wind sock. The airplane sustained substantial damage to both wings, fuselage, horizontal stabilizer and elevator. The pilot reported that there were no mechanical failures or anomalies prior to or during the flight that would have prevented normal flight operation. According to the Airport/Facility Directory, the Airport Remarks state: Airport located in mountainous terrain with occasional strong winds and turbulence. Lighted windsock available at runway ends and centerfield. With southerly crosswinds in excess of 15 knots, experiencing turbulence and possible windshear along first 3000´ of Runway 27. The reported wind at the airport during the time of the accident was from 200 degrees true at 22 knots, with gusts at 33 knots, and the departure runway heading was 27. According to the pilot operating hand book the maximum demonstrated crosswind component for this airplane is 17 knots. The crosswind component during the time of the accident was 26 knots.
Probable cause:
The pilot's decision to takeoff in high crosswind conditions resulting in the inability to maintain an adequate crosswind correction, consequently failing to maintain directional control and departing the runway, and subsequently colliding with fixed airfield equipment.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage in Buttles Farm: 4 killed

Date & Time: Nov 14, 2015 at 1134 LT
Registration:
N186CB
Flight Type:
Survivors:
No
Schedule:
Fairoaks – Dunkeswell
MSN:
46-22085
YOM:
1989
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
600
Captain / Total hours on type:
260.00
Circumstances:
The aircraft was approaching Dunkeswell Airfield, Devon after an uneventful flight from Fairoaks, Surrey. The weather at Dunkeswell was overcast, with rain. The pilot held an IMC rating but there is no published instrument approach procedure at Dunkeswell. As the aircraft turned onto the final approach, it commenced a descent on what appeared to be a normal approach path but then climbed rapidly, probably entering cloud. The aircraft then seems to have stalled, turned left and descended to “just below the clouds”, before it climbed steeply again and “disappeared into cloud”. Shortly after, the aircraft was observed descending out of the cloud in a steep nose-down attitude, in what appears to have been a spin, before striking the ground. All four occupants were fatally injured.
Probable cause:
Whilst positioning for an approach to Dunkeswell Airfield, the aircraft suddenly pitched nose-up and entered cloud. This rapid change in attitude would have been disorientating for the pilot, especially in IMC, and, whilst the aircraft was probably still controllable, recovery from this unusual attitude may have been beyond his capabilities. The aircraft appears to have stalled, turned left and descended steeply out of cloud, before climbing rapidly back into cloud. It probably then stalled again and entered a spin from which it did not recover. All four occupants were fatally injured when the aircraft struck the ground. The investigation was unable to determine with certainty the reason for the initial rapid climb. However, it was considered possible that the pilot had initiated the preceding descent by overriding the autopilot. This would have caused the autopilot to trim nose-up, increasing the force against the pilot’s manual input. Such an out-of-trim condition combined with entry into cloud could have contributed to an unintentional and disorientating pitch-up manoeuvre.
Final Report:

Crash of a Cessna 207 Skywagon in Taylor: 2 killed

Date & Time: Oct 16, 2015 at 1515 LT
Registration:
C-GNVZ
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Taylor – Vernon
MSN:
207-0317
YOM:
1976
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
Shortly after takeoff from a grassy airstrip located just outside from the town of Taylor, some 15 km southeast of Fort St John, the single engine aircraft crashed in an open field, bursting into flames. The aircraft was totally destroyed by a post crash fire and both occupants, a father and his son, were killed.

Crash of a Piper PA-31-325 Navajo C/R in Bogotá: 2 killed

Date & Time: Oct 3, 2015 at 1212 LT
Type of aircraft:
Registration:
HK-3909G
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Bogotá – Medellín
MSN:
31-7612070
YOM:
1976
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
10377
Captain / Total hours on type:
121.00
Aircraft flight hours:
5209
Circumstances:
Shortly after takeoff from Bogotá-Guaymaral Airport, while climbing, the pilot declared an emergency after the failure of the right engine. He attempted an emergency landing in an open field when the aircraft crashed in a prairie located near the Los Andes hippodrome, some 5 km northeast of Guaymaral Airport, bursting into flames. A passenger was seriously injured while both other occupants were killed.
Probable cause:
Failure of the right engine during initial climb due to the failure of internal components. The high density altitude was considered as a contributing factor as its affected the aircraft performances.
Final Report:

Crash of a Rockwell Grand Commander 680E in Boise

Date & Time: Sep 21, 2015 at 1620 LT
Registration:
N222JS
Flight Type:
Survivors:
Yes
Schedule:
Weiser - Boise
MSN:
680E-721-28
YOM:
1959
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
18000
Captain / Total hours on type:
2500.00
Aircraft flight hours:
7500
Circumstances:
The commercial pilot was conducting a personal flight. He reported that he did not recall what happened the day of the accident. One witness, who was former pilot, reported that he saw the airplane fly over his house and that the engines sounded as if they were "out of sync." A second witness, who lived about 5 miles away from the airport, reported that she saw the airplane flying unusually low. She added that the engines sounded terrible and that they were "popping and banging." A third witness, who was holding short of the runway waiting to take off, reported that he saw the airplane approaching the runway about 75 ft above ground level (agl). He then saw the airplane descend to about 50 ft agl and then climb back to about 75 ft agl, at which point the airplane made a hard, right turn and then impacted terrain. Although a postaccident examination of both engines revealed no evidence of a mechanical failure or malfunction that would have precluded normal operation, the witnesses' described what appeared to be an engine problem. It is likely that one or both of the engines was experiencing some kind of problem and that the pilot subsequently lost airplane control. The pilot reported in a written statement several months after the accident that, when he moved the left rudder pedal back and forth multiple times after the accident, neither the torque tubes nor the rudder would move, that he found several of the rivets sheared from the left pedal, and that he believed the rudder had failed. However, postaccident examination of the fractured rivets showed that they exhibited deformation patterns consistent with overstress shearing that occurred during the accident sequence. No preimpact anomalies with the rudder were found.
Probable cause:
The pilot's failure to maintain airplane control following an engine problem for reasons that could not be determined because postaccident examination of both engines and the rudder revealed no malfunctions or anomalies that would have precluded normal operation.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage off Cannes

Date & Time: Aug 31, 2015 at 0855 LT
Operator:
Registration:
D-ESPE
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Cannes – Triengen
MSN:
46-22063
YOM:
1989
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
18213
Captain / Total hours on type:
900.00
Circumstances:
The single engine aircraft departed Cannes-Mandelieu Airport on a private flight to Triengen, Switzerland, with one passenger and one pilot on board. Shortly after takeoff from runway 17, while in initial climb, the pilot noticed engine troubles and the speed dropped. He was able to maintain a straight-in path and eventually ditched the airplane few hundred metres offshore. Both occupants were slightly injured and the aircraft sank and was lost.
Probable cause:
The engine failure was the result of an incorrect refueling, due to an intake initial order probably incorrect that the incomplete application of procedures by the operator in charge of refueling and the lack of attention of the pilot did not allow recovery. The quantity of 100LL present in the feeders and the pipes allowed the taxiing and the take-off run, without the pilot noticing any anomaly. Once this quantity of 100LL consumed, the JET A1 present in the lower part of the tanks fed the engine and caused the power decrease.
Contributed to the accident:
- Coordination between the aerodrome operator and its subcontractors during the fuel order taken by the ramp agent, who does not encourage the operator in charge of refueling to confirm the type of fuel in a service carried out under strong time constraints,
- A usual practice for refueling certain types of helicopters, whose reservoir ports are not compatible with the dimensions of the standard refueling nozzles, which trivialize the change of nozzle for the refueling of JET A1, occasionally leading to the filling of order confirmation vouchers, thus reducing the effectiveness of the manifest safety for the operator through the presence of keying devices specific to each fuel,
- The ineffectiveness of the fuel type check item of the pre-flight procedure.
Final Report:

Crash of a Beechcraft E90 King Air in Fayetteville

Date & Time: Aug 28, 2015 at 1400 LT
Type of aircraft:
Operator:
Registration:
N891PC
Flight Type:
Survivors:
Yes
Schedule:
Shelbyville – Huntsville
MSN:
LW-40
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1882
Captain / Total hours on type:
230.00
Aircraft flight hours:
11283
Circumstances:
Shortly after takeoff in day visual meteorological conditions, when the airplane was climbing through 3,000 ft mean sea level, a complete electrical failure occurred that affected electrical instrumentation and additional airplane equipment, including the landing gear. The pilot reported that he performed the electrical failure checklists and could not restore power. After additional troubleshooting with no success, he chose to divert to and land at another airport. While in the traffic pattern at his diversion airport, he attempted to lower the landing gear using the emergency landing gear extension procedures but could not confirm the landing gear were down and locked. Without any capability to communicate or confirmation that the landing gear were down, he decided to leave the airport traffic pattern and land on a nearby field to avoid airport traffic; the airplane sustained substantial damage to the fuselage, landing gear doors, engines, and propellers during the off-airport landing. The reason for the loss of electrical power could not be determined. Examination of the cockpit revealed that the landing gear's emergency engage handle, also known as the "J" handle, was not pulled up and turned, which was one of the steps listed in the airplane flight manual for the manual landing gear extension procedure. The "J" handle engages the clutch and allows for the handle to operate the landing gear chain. Without engaging the "J" handle, the landing gear handle pumping action would not have worked, which resulted in the gear-up landing.
Probable cause:
A total loss of electrical power for reasons that could not be determined and the pilot's subsequent failure to properly follow the manual landing gear extension procedures, which resulted in the landing gear not extending.
Final Report:

Crash of an Eclipse EA500 in Danbury

Date & Time: Aug 21, 2015 at 1420 LT
Type of aircraft:
Operator:
Registration:
N120EA
Flight Type:
Survivors:
Yes
Schedule:
Oshkosh – Danbury
MSN:
199
YOM:
2008
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7846
Captain / Total hours on type:
1111.00
Aircraft flight hours:
858
Circumstances:
**This report was modified on April 2, 2020. Please see the public docket for this accident to view the original report.**
After the airplane touched down on the 4,422-ft-long runway, the airline transport pilot applied the brakes to decelerate; however, he did not think that the brakes were operating. He continued "pumping the brakes" and considered conducting a go-around; however, there was insufficient remaining runway to do so. The airplane subsequently continued off the end of the runway, impacted a berm, and came to rest upright, which resulted in substantial damage to the right wing. During postaccident examination of the airplane, brake pressure was obtained on both sets of brake pedals when they were depressed, and there was no bleed down or reduction in pedal firmness when the brakes were pumped several times. Examination revealed no evidence off any preimpact anomalies with the brake system that would have precluded normal operation. In addition, the pilot indicated that he was not aware of and was not trained on the use of the ALL INTERRUPT button, which is listed as a step in the Emergency Procedures section of the airplane flight manual and is used to disable the anti-skid brake system functions and restore normal braking when the brakes are ineffective; thus, the pilot did not follow proper checklist procedures. According to data downloaded from the airplane's diagnostic storage unit (DSU), the airplane touched down 1,280 ft beyond the runway threshold, which resulted in 2,408 ft of runway remaining (the runway had a displaced threshold of 734 ft) and that it traveled 2,600 ft before coming to rest about 200 ft past the runway. The airplane's touchdown speed was about 91 knots. Comparing DSU data from previous downloaded flights revealed that the airplane's calculated deceleration rate during the accident landing was indicative of braking performance as well as or better than the previous landings. Estimated landing distance calculations revealed that the airplane required about 3,063 ft when crossing the threshold at 50 ft above ground level. The target touchdown speed was 76 knots. However, the airplane touched down with only 2,408 ft of remaining runway faster than the target touchdown speed, which resulted in the runway overrun.
Probable cause:
The pilot's failure to attain the proper touchdown point and exceedance of the target touchdown speed, which resulted in a runway overrun.
Final Report: