Crash of a Cessna 401 near Chanute: 4 killed

Date & Time: May 11, 2012 at 1630 LT
Type of aircraft:
Operator:
Registration:
N9DM
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Tulsa - Council Bluffs
MSN:
401-0123
YOM:
1991
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
613
Captain / Total hours on type:
13.00
Aircraft flight hours:
2455
Circumstances:
While en route to the destination airport, the pilot turned on the cabin heater and, afterward, an unusual smell was detected by the occupants and the ambient air temperature increased. When the pilot turned the heater off, dark smoke entered the cabin and obscured the occupants' vision. The smoke likely interfered with the pilot’s ability to identify a safe landing site. During the subsequent emergency landing attempt to a field, the airplane’s wing contacted the ground and the airplane cartwheeled. Examination of the airplane found several leaks around weld points on the combustion chamber of the heater unit. A review of logbook entries revealed that the heater was documented as inoperative during the most recent annual inspection. Although a work order indicated that maintenance work was completed at a later date, there was no logbook entry that returned the heater to service. There were no entries in the maintenance logbooks that documented any testing of the heater or tracking of the heater's hours of operation. A flight instructor who flew with the pilot previously stated that the pilot used the heater on the accident airplane at least once before the accident flight. The heater’s overheat warning light activated during that flight, and the heater shut down without incident. The flight instructor showed the pilot how to reset the overheat circuit breaker but did not follow up on its status during their instruction. There is no evidence that a mechanic examined the airplane before the accident flight. Regarding the overheat warning light, the airplane flight manual states that the heater “should be thoroughly checked to determine the reason for the malfunction” before the overheat switch is reset. The pilot’s use of the heater on the accident flight suggests that he did not understand its status and risk of its continued use without verifying that it had been thoroughly checked as outlined in the airplane flight manual. A review of applicable airworthiness directives found that, in comparison with similar combustion heater units, there is no calendar time limit that would require periodic inspection of the accident unit. In addition, there is no guidance or instruction to disable the heater such that it could no longer be activated in the airplane if the heater was not airworthy.
Probable cause:
The malfunction of the cabin heater, which resulted in an inflight fire and smoke in the airplane. Contributing to the accident was the pilot’s lack of understanding concerning the status of the airplane's heater system following and earlier overheat event and risk of its continued use. Also contributing were the inadequate inspection criteria for the cabin heater.
Final Report:

Crash of a Beechcraft G18S in Cornelia

Date & Time: Apr 21, 2012
Type of aircraft:
Registration:
N6B
Flight Type:
Survivors:
Yes
Schedule:
Miami - Dickson
MSN:
BA-573
YOM:
1961
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The twin engine aircraft departed Miami on a flight to Dickson, Tennessee. By night, the pilot decided to land at Cornelia Fort Airpak which is closed to traffic at this time. In unclear circumstances, the aircraft belly landed in a grassy area along the left side of runway 22 and came to rest. The pilot escaped uninjured and the aircraft was damaged beyond repair.
Probable cause:
No investigations were completed by the NTSB.

Crash of a Beechcraft C90B King Air in Jundiaí: 1 killed

Date & Time: Apr 20, 2012 at 1430 LT
Type of aircraft:
Registration:
PP-WCA
Flight Type:
Survivors:
No
Schedule:
Jundiaí - Jundiaí
MSN:
LJ-1676
YOM:
2002
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The pilot, sole aboard, was completing a local flight from Jundiaí-Comandante Rolim Adolfo Amaro Airport. Shortly after takeoff from runway 36, the pilot reported to ATC that the engine lost power and that he was not able to maintain a safe altitude. He was cleared for an immediate return and completed a circuit. On final approach to runway 18, he lost control of the airplane that crashed 180 metres short of runway and came to rest upside down, bursting into flames. The aircraft was totally destroyed and the pilot was killed.
Probable cause:
The following factors were identified:
- Upon intercepting the final leg for landing, the aircraft crossed the approach axis, and the pilot, in an attempt to make the aircraft join the approach axis again, may have depressed the rudder pedal in an inadequate manner, inadvertently making the aircraft enter a Cross Control Stall.
- The pilot, intentionally, violated a number of aeronautical regulations in force in order to fly an aircraft for which he had no training and was not qualified.
- The short experience of the pilot in the aircraft model hindered the correct identification of the situation and the adoption of the necessary corrective measures.
- The DCERTA’s vulnerability allowed a non-qualified pilot to file a flight notification by making use of the code of a qualified pilot. Thus, the last barrier capable of preventing the accident flight to be initiated was easily thrown down, by making it difficult to implement a more effective supervisory action.
Final Report:

Crash of a Cessna 421C Golden Eagle III in the Gulf of Mexico: 1 killed

Date & Time: Apr 19, 2012 at 1208 LT
Operator:
Registration:
N48DL
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Slidell - Sarasota
MSN:
421C-0511
YOM:
1978
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2350
Aircraft flight hours:
4659
Circumstances:
According to a statement provided by the Jacksonville Center air traffic control (ATC) facility, the pilot contacted ATC while at flight level 270. About 25 minutes later, the airplane began to deviate from the ATC-assigned altitude and route. The controller’s attempts to contact the pilot were unsuccessful. The North American Aerospace Defense Command launched military fighter aircraft to intercept the airplane. The military pilots reported that the airplane was circling in a left turn at a high altitude and low airspeed and that its windows were partially frosted over. They also reported that the pilot was slumped over in the cockpit and not moving. They fired flares, and the pilot continued to be unresponsive. The airplane circled for about 3 hours before it descended into the Gulf of Mexico and sank. The pilot and airplane were not recovered. Review of the pilot’s Federal Aviation Administration medical records did not reveal any recent medical conditions that would have deemed him unfit to fly.
Probable cause:
Pilot incapacitation, which resulted in the pilot’s inability to maintain airplane control and the airplane’s subsequent ocean impact.
Final Report:

Crash of a Comp Air CA-8 in Everglades City: 1 killed

Date & Time: Apr 6, 2012 at 1645 LT
Type of aircraft:
Operator:
Registration:
N548SF
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Everglades City - Merritt Island
MSN:
0585552921
YOM:
2006
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1208
Circumstances:
Witnesses observed the airplane depart the airport to the north and make an abrupt right turn at an altitude of about 150 feet. One witness, who was also a pilot, described the wings as “shimmying,” appearing as if the airplane stalled before it banked to the right in a nose-down attitude. The airplane crashed and was nearly consumed during the postcrash fire. A postaccident examination was conducted with no preimpact mechanical anomalies noted. Records indicate that the pilot built the airplane from a kit about 6 years before the accident. The pilot and airplane logbooks were not located during the investigation; therefore, the maintenance history for the airplane, and the pilot’s recent (and total) flight experience could not be determined. Postaccident toxicological testing revealed metabolites of the drug diazepam (Valium) in the pilot’s blood and urine. Valium is a prescription benzodiazepine classed as a central nervous system depressant and tranquilizer, used as a sleep aid and to inhibit anxiety. The amount noted in the pilot’s blood suggested he took the drug 12 to 24 hours before the accident, and, as a result, it would not have affected his performance.
Probable cause:
The pilot’s failure to maintain sufficient airspeed during the initial climb after takeoff, which resulted in an aerodynamic stall and loss of airplane control.
Final Report:

Crash of a Piper PA-46-500TP Malibu Meridian in Wellington

Date & Time: Mar 23, 2012 at 1745 LT
Operator:
Registration:
N21EP
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Wellington – Vero Beach
MSN:
46-97479
YOM:
2012
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
10651
Aircraft flight hours:
40
Circumstances:
A witness reported that the airplane veered left during the takeoff roll and headed toward a large ditch that surrounded the runway. It appeared that the pilot did not attempt to stop the airplane or abort the takeoff. The airplane continued toward the ditch, and, upon reaching the ditch's edge, the airplane rotated and reached an altitude of about 50 feet. The airplane's left wing collided with trees. The airplane rolled left and then right before stalling and crashing. The pilot stated that the airplane seemed to pull left on takeoff, possibly due to a right quartering tailwind, and that he did not realize where he was positioned on the runway. Examination of the airplane and engine did not reveal any preimpact anomalies that would have precluded normal operation.
Probable cause:
The pilot's failure to maintain directional control of the airplane during the takeoff roll, which resulted in a collision with a tree.
Final Report:

Crash of an Antonov AN-2 near Byelaya Kalitva

Date & Time: Mar 22, 2012
Type of aircraft:
Operator:
Registration:
FLA-1041K
Flight Phase:
Flight Type:
Survivors:
Yes
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine airplane crashed in unknown circumstances in a forest located 50 km north of Byelaya Kalitva, Rostov oblast. There were no casualties but the aircraft was damaged beyond repair. The circumstances of the accident remains unknown. The flight was considered as illegal as this registration was not officially recorded in the Russian Civil Aviation register.

Crash of a Cessna 501 Citation I/SP in Franklin: 5 killed

Date & Time: Mar 15, 2012 at 1350 LT
Type of aircraft:
Operator:
Registration:
N7700T
Flight Type:
Survivors:
No
Schedule:
Venice - Franklin
MSN:
501-0248
YOM:
1982
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
1159
Captain / Total hours on type:
185.00
Aircraft flight hours:
4825
Circumstances:
The pilot was not familiar with the mountain airport. The airplane was high during the first visual approach to the runway. The pilot performed a go-around and the airplane was again high for the second approach. During the second approach, the approach angle steepened, and the airplane pitched nose-down toward the runway. The nosegear touched down about halfway down the runway followed by main gear touchdown. The airplane then bounced and the sound of engine noise increased as the airplane banked right and the right wing contacted the ground. The airplane subsequently flipped over and off the right side of the runway, and a postcrash fire ensued. Examination of the airframe and engines did not reveal any preimpact mechanical malfunctions. The examination also revealed that the right engine thrust reverser was deployed during the impact sequence, and the left engine thrust reverser was stowed. Although manufacturer data revealed single-engine reversing has been demonstrated during normal landings and is easily controllable, the airplane had already porpoised and bounced during the landing. The pilot’s subsequent activation of only the right engine’s thrust reverser would have created an asymmetrical thrust and most likely exacerbated an already uncontrolled touchdown. Had the touchdown been controlled, the airplane could have stopped on the remaining runway or the pilot could have performed a go-around uneventfully.
Probable cause:
The pilot's failure to achieve a stabilized approach, resulting in a nose-first, bounced landing. Contributing to the accident was the pilot's activation of only one thrust reverser, resulting in asymmetrical thrust.
Final Report:

Crash of a Cessna 414A Chancellor in Hayden: 2 killed

Date & Time: Feb 19, 2012 at 1525 LT
Type of aircraft:
Registration:
N4772A
Flight Type:
Survivors:
Yes
Schedule:
Dalhart - Hayden
MSN:
414-0095
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The pilot performed an instrument approach to the runway with an approaching winter storm. A review of on-board global positioning system (GPS) data indicated that the airplane flew through the approach course several times during the approach and was consistently below the glideslope path. The airplane continued below the published decision height altitude and drifted to the right of the runway’s extended centerline. The GPS recorded the pilot’s attempt to perform a missed approach, a rapid decrease in ground speed, and then the airplane descend to the ground, consistent with an aerodynamic stall. Further, the airplane owner, who was also a passenger on the flight, stated that, after the pilot made the two “left turning circles” and had begun a third circle, he perceived that the airplane “just stalled.” An examination of the airframe and engine did not detect any preimpact anomalies that would have precluded normal operation. The airplane’s anti-ice and propeller anti-ice switches were found in the “off” position. A review of weather information revealed that the airplane was operating in an area with the potential for moderate icing and snow. Based on the GPS data and weather information, it is likely that the airframe collected ice during the descent and approach, which affected the airplane’s performance and led to an aerodynamic stall during the climb.
Probable cause:
The pilot’s inadvertent stall during a missed approach. Contributing to the accident was the pilot’s operation of the airplane in forecasted icing conditions without using all of its anti-ice systems.
Final Report:

Crash of a Socata TBM-700 in Cuers

Date & Time: Feb 10, 2012 at 1715 LT
Type of aircraft:
Operator:
Registration:
D-FALF
Flight Type:
Survivors:
Yes
Schedule:
Maribo – Cuers
MSN:
157
YOM:
1999
Location:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8000
Captain / Total hours on type:
6000.00
Circumstances:
The pilot took off at around 14 h 45 from Maribo aerodrome (Denmark) bound for Cuers. He filed an IFR flight plan that he cancelled(2) at 17 h 15 near the St Tropez VOR (83). He explained that he had overflown the installations at Cuers at 1,500 ft and started an aerodrome circuit via the north for runway 11. He was visual with the ground and noted the presence of snow showers. He reckoned that these conditions made it possible to continue the approach. At about 600 ft, he went into a snow shower. At about 400 ft, he noticed that the horizontal visibility was zero and that he had lost all external visual references. He tried to make a go-around but didn’t feel any increase in engine power. At about 200 ft, he saw that he was to the right of the runway and decided to make an emergency landing. The aeroplane struck the ground on the right side of the runway. It slid for 150 metres and swung around before stopping. All three occupants escaped with minor injuries and the aircraft was damaged beyond repair.
Probable cause:
The accident was linked to the pilot’s to continue his approach under VFR, even though the meteorological conditions made it impossible. Coming out of an area of thick snowfall at 200 ft, he was unable to control the bank angle or the flight path of the aeroplane. The investigation was unable to determine if this bank angle was linked to inadequate control during an attempt to go around without external visual references(3) or a late attempt to reach the centre of the runway. Overconfidence in his abilities to pass through a snow shower, as well as a determination to land, may have contributed to the accident.
Final Report: