Crash of a Pilatus PC-6/C-H2 Turbo Porter in Maturín

Date & Time: Aug 21, 2021 at 1645 LT
Registration:
YV1912
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Maturín – Higuerote
MSN:
2048
YOM:
1971
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from Maturín-José Tadeo Monagas Airport, while in initial climb, the engine apparently failed. The aircraft lost height, collided with trees and came to rest against a concrete wall. The pilot was seriously injured.

Crash of a Socata TBM-700 near Urbana: 1 killed

Date & Time: Aug 20, 2021 at 1440 LT
Type of aircraft:
Operator:
Registration:
N700DT
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Port Clinton – Cincinnati
MSN:
134
YOM:
1998
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2156
Captain / Total hours on type:
17.00
Aircraft flight hours:
2624
Circumstances:
The pilot was performing a short cross-country flight, which was his third solo flight in the high-performance single-engine airplane. The airplane departed and climbed to 20,000 ft mean sea level (msl) before beginning to descend. About 8 minutes before the accident, the airplane was southbound, descending to 11,000 ft, and the pilot established communications with air traffic control (ATC). About 4 minutes later, the controller cleared the pilot to descend to 10,000 ft msl and proceed direct to his destination; the pilot acknowledged the clearance. While descending through 13,000 ft msl, the airplane entered a descending left turn. The controller observed the left turn and asked the pilot if everything was alright; there was no response from the pilot. The controller’s further attempts to establish communications were unsuccessful. Following the descending left turn, the airplane entered a high speed, nose-down descent toward terrain. A witness observed the airplane at a high altitude in a steep nose-down descent toward the terrain. The witness noted no signs of distress, such as smoke, fire, or parts coming off the airplane, and he heard the airplane’s engine operating at full throttle. The airplane impacted two powerlines, trees, and the terrain in a shallow descent with a slightly left-wing low attitude. Examination of the accident site revealed a long debris field that was consistent with an impact at a high speed and relatively shallow flightpath angle. All major components of the airplane were located in the debris field at the accident site. Examination of the airframe and engine revealed no preimpact mechanical malfunctions or failures with the airplane that would have precluded normal operation. A performance study indicated the airplane entered a left roll and dive during which the airplane exceeded the airspeed, load factor, and bank angle limitations published in the Pilot’s Operating Handbook (POH). An important but unknown factor during these maneuvers was the behavior of the pilot and his activity on the flight controls during the initial roll and dive. The pilot responded normally to ATC communications only 98 seconds before the left roll started. It is difficult to reconcile an alert and attentive pilot with the roll and descent that occurred, but there is insufficient information available to determine whether the pilot was incapacitated or distracted during any part of the roll and dive maneuver. Although all the available toxicological specimens contained ethanol (the alcohol contained in alcoholic drinks such as beer and wine), the levels were very low and below the allowable level for flight (0.04 gm/dl). While it is possible that some of the identified ethanol had been ingested, it is also possible that all or most of the identified ethanol was from sources other than ingestion (such as postmortem production). In either case, the levels were too low to have caused incapacitation. It is therefore unlikely that any effects from ethanol contributed to the circumstances of the accident. There was minimal available autopsy evidence to support any determination of incapacitation. As a result, it could not be determined from the available evidence whether medical incapacitation contributed to the accident.
Probable cause:
The pilot’s failure to arrest the airplane’s left roll and rapid descent for reasons that could not be determined based on the available evidence.
Final Report:

Crash of a Rockwell Grand Commander 690B in Thunder Bay: 1 killed

Date & Time: Aug 16, 2021 at 2109 LT
Operator:
Registration:
C-GYLD
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Thunder Bay – Dryden
MSN:
690-11426
YOM:
1977
Flight number:
BD160
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2662
Captain / Total hours on type:
230.00
Aircraft flight hours:
7620
Circumstances:
The airplane, operated by MAG Aerospace Canada Corp. as flight BD160, was conducting a visual flight rules flight from Thunder Bay Airport, Ontario, to Dryden Regional Airport, Ontario, with only the pilot on board. At 2109 Eastern Daylight Time, the aircraft began a takeoff on Runway 12. Shortly after rotation, the aircraft entered a left bank, continued to roll, and then struck the surface of Runway 07 in an inverted attitude. The pilot was fatally injured. The aircraft was destroyed by the impact and postimpact fire. The emergency locator transmitter activated on impact.
Probable cause:
Findings as to causes and contributing factors:
1. After takeoff from Runway 12 at Thunder Bay Airport, Ontario, as the pilot conducted a rapid, low-level, climbing steep turn, the aircraft entered an accelerated stall that resulted in a loss of control and subsequent collision with the surface of Runway 07 in an inverted attitude.
2. The decision to conduct the rapid, low-level, climbing steep turn was likely influenced by an altered perception of risk from previous similar takeoffs that did not result in any adverse consequences.

Findings as to risk:
1. If air traffic controllers engage in communications that may be perceived by pilots to encourage unusual flight manoeuvres, pilots may perceive this encouragement as a confirmation that the manoeuvres are acceptable to perform, increasing the risk of an accident.
2. If NAV CANADA’s reporting procedures do not contain specific criteria for situations where air traffic services personnel perceive aircraft to be conducting unsafe flight manoeuvres, there is a risk that these manoeuvres will continue and result in an accident.

Other findings
1. Most of the wires that comprised the elevator trim cable failed before the impact as a result of excessive wear; however, this did not contribute to the occurrence because the trim tab remained in the normal take-off position.
Final Report:

Crash of a Cessna 425 Conquest I in Helena

Date & Time: Aug 11, 2021 at 0900 LT
Type of aircraft:
Operator:
Registration:
N783MB
Flight Type:
Survivors:
Yes
Schedule:
Faribault - Missoula
MSN:
425-0103
YOM:
1982
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6000
Captain / Total hours on type:
800.00
Aircraft flight hours:
9576
Circumstances:
The pilot stated that on the morning of the accident he filled both wing fuel tanks to full. After takeoff, he climbed to his planned cruise altitude of 24,000 ft mean sea level (msl). While en route to his destination, the pilot reported that the left engine experienced a flame-out. The pilot opted to divert from the originally planned destination and descended. When the airplane was about 7,900 ft msl, the pilot reported that the right engine experienced a loss of power and that he was not going to be able to make it to the airport. Shortly thereafter, the airplane collided with trees and the airplane came to rest with the right wing and empennage severed from the fuselage.
Probable cause:
A flameout of both engines due to fuel starvation for reasons that could not be determined due to the airplane’s damage. There was fuel in the wing tanks at the time of the impact. Postaccident examination of the wreckage did not reveal any anomalies. A partial amount of fuel was found in both of the filter bowls, but it is unknown if fuel was able to reach the engines. A complete examination of the fuel system could not be completed due to the damage incurred to the airplane at impact. Both engines flaming out within a short time of one another is likely indicative of a fuel supply or delivery issue; however, the nature of the problem could not be identified during postaccident examination.
Final Report:

Crash of a Piper PA-46-350P Malibu Mirage in Courchevel: 1 killed

Date & Time: Aug 6, 2021 at 1144 LT
Operator:
Registration:
F-HYGA
Flight Type:
Survivors:
Yes
Schedule:
Cannes - Courchevel
MSN:
46-36483
YOM:
2010
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
345
Captain / Total hours on type:
80.00
Circumstances:
The single engine airplane departed Cannes-Mandelieu Airport on a private flight to Courchevel with two passengers and one pilot on board. The goal of the flight was to maintain the validity of the pilot to access to the Courchevel Altiport. Following a right hand base leg, the pilot configured the airplane to land on runway 22. On final, the altimeter showed an altitude close to the runway threshold, and the aircraft was levelled off to the runway threshold. A few seconds before landing, the stall warning sounded, the engine power was increased and then reduced completely. The undercarriage impacted an embankment above the runway threshold and were torn off. The airplane lifted a bit then fell back onto the runway. It slid for about 100 metres before coming to rest. A fire erupted on the right side of the fuselage. The pilot and the front passenger exited the aircraft through the rear door and managed to extract the rear passenger, who was unconscious and died a few minutes later.
Probable cause:
The accident was the consequence of a premature descent during the approach. The pilot started the descent on the base leg, whereas mountain landing practices call for a descent on final approach after interception of the descent plan, combined with an erroneous assessment of the aircraft's position in relation to the final descent plan. Investigations revealed that the aircraft was flying at an altitude of 6,600 feet during the last turn, about 400 feet below the altitude indicated on the approach chart.
The following factors may have contributed to the accident:
- The period of training received by the pilot was probably insufficient;
- A lack of landing experience at Courchevel;
- A misunderstandings between the pilot and the passenger seated on the right about his role during the flight, himself being an airline pilot and instructor.
Final Report:

Crash of a Canadair CL-605 Challenger in Truckee: 6 killed

Date & Time: Jul 26, 2021 at 1318 LT
Type of aircraft:
Registration:
N605TR
Flight Type:
Survivors:
No
Schedule:
Coeur d'Alene - Truckee
MSN:
5715
YOM:
2008
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
5680
Captain / Total hours on type:
235.00
Copilot / Total flying hours:
14308
Copilot / Total hours on type:
4410
Aircraft flight hours:
5220
Circumstances:
The captain and first officer (FO) departed on a non-revenue flight operating under instrument flight rules with four passengers bound for Truckee, California. Most of the flight was uneventful. During the descent, air traffic control (ATC) told the flight crew to expect the area navigation (RNAV [GPS]) approach for runway 20. The captain (pilot flying [PF]) stated and the FO (pilot monitoring [PM]) calculated and confirmed that runway 20 was too short for the landing distance required by the airplane at its expected landing weight. Instead of making a request to ATC for the straight-in approach to runway 11 (the longer runway), the captain told the FO they could take the runway 20 approach and circle to land on runway 11, and the FO relayed this information to ATC. ATC approved, and the flight crew accepted the circle-to-land approach. Although the descent checklist required that the flight crew brief the new circle-to-land approach, and the flight crew’s acceptance of the new approach invalidated the previous straight-in approach brief, they failed to brief the new approach. ATC instructed the flight crew to hold, but the captain was slow in complying with this instruction, so the FO started the turn to enter the holding pattern and then informed ATC once they were established in the hold. About 20 seconds later, ATC cleared them for the approach. Before the FO confirmed the clearance, he asked the captain if he was ready for the approach, and the captain stated that he was. The FO subsequently commented that they had too much airspeed at the beginning of the approach and then suggested a 360° turn to the captain, but the captain never acknowledged the excessive airspeed and refused the 360° turn. After the FO visually identified the airport, he told the captain to make a 90° right turn to put the airplane on an approximate heading of 290°, which was parallel to runway 11 and consistent with the manufacturer’s operating manual procedures for the downwind leg of the circling approach. However, the FO instructed the captain to roll out of the turn prematurely, and the captain stopped the turn on a heading of about 233° magnetic, which placed the airplane at an angle 57° left of the downwind course parallel with runway 11. As a result of the early roll-out, the flight crew established a course that required an unnecessarily tight turning radius. When they started the turn to final, the airplane was still about 1.3 nautical miles (nm) from the maximum circling radius that was established for the airplane’s approach category. The FO also deployed flaps 45° after confirming with the captain (the manufacturer’s operating manual procedures for the downwind leg called for a flaps setting of 30°, but the manufacturer stated that a flight crew is not prohibited from a flaps 45° configuration if the approach remains within the limitations of the airplane’s flight manual). The airplane’s airspeed was 44 kts above the landing reference speed (Vref) of 118 kts that the flight crew had calculated earlier in the flight; the FO told the captain, “I’m gonna get your speed under control for you.” The FO likely reduced the throttles after he made this statement, as the engine fan speeds (N1) began to decrease from about 88% to about 28%, and the airplane began to slow from 162 kts. After the FO repeatedly attempted to point out the airport to the captain, the captain identified the runway; the captain's difficulty in finding the runway might have been the result of reduced visibility in the area due to smoke. The FO continuously reassured and instructed the captain throughout the circle-to-land portion of the approach. On the base leg to the runway and about 25 seconds before impact with the ground, the FO started to repeatedly ask for control of the airplane, but neither flight crewmember verbalized a positive transfer of control as required by the operator’s general operating manual (GOM); we could not determine who had control of the airplane following these requests. As the airplane crossed the runway extended centerline while maneuvering toward the runway, the FO noted that the airplane was too high. One of the pilots (recorded flight data did not indicate which) fully deployed the flight spoilers, likely to increase the airplane's sink rate. (The flight spoilers are deployed using a single control lever accessible to both pilots.) The airspeed at the time was 135 kts, 17 kts above the Vref based on the erroneous basic operating weight (BOW) programmed into the airplane’s flight management system (FMS). About 7 seconds later, the left bank became steeper, and the stall protection system (SPS) stick shaker and stick pusher engaged. The captain asked the FO, “What are you doing,” and the FO again asked the captain multiple times to “let [him] have the airplane.” The stick shaker and stick pusher then briefly disengaged before engaging again. The airplane then entered a rapid left roll, consistent with a left-wing stall, and impacted terrain. A postcrash fire consumed most of the wreckage. All six occupants, four passengers and two pilots, were killed.
Probable cause:
The first officer’s (FO’s) improper decision to attempt to salvage an unstabilized approach by executing a steep left turn to realign the airplane with the runway centerline, and the captain’s failure to intervene after recognizing the FO’s erroneous action, while both ignored stall protection system warnings, which resulted in a left-wing stall and an impact with terrain.
Contributing to the accident was
- The FO's improper deployment of the flight spoilers, which decreased the airplane's stall margin;
- The captain’s improper setup of the circling approach;
- The flight crew’s self-induced pressure to perform and
- Poor crew resource management which degraded their decision-making.
Final Report:

Crash of a Cessna 421C Golden Eagle III in Monterey: 1 killed

Date & Time: Jul 13, 2021 at 1042 LT
Operator:
Registration:
N678SW
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Monterey – Salinas
MSN:
421C-1023
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
9337
Aircraft flight hours:
5818
Circumstances:
Before taking off, the pilot canceled an instrument flight rules (IFR) flight plan that she had filed and requested a visual flight rules (VFR) on-top clearance, which the controller issued via the Monterey Five departure procedure. The departure procedure included a left turn after takeoff. The pilot took off and climbed to about 818 ft then entered a right turn. The air traffic controller noticed that the airplane was in a right-hand turn rather than a left-hand turn and issued a heading correction to continue a right-hand turn to 030o , which the pilot acknowledged. The airplane continued the climbing turn for another 925 ft then entered a descent. The controller issued two low altitude alerts with no response from the pilot. No further radio communication with the pilot was received. The airplane continued the descent until it contacted trees, terrain, and a residence about 1 mile from the departure airport. Review of weather information indicated prevailing instrument meteorological conditions (IMC) in the area due to a low ceiling, with ceilings near 800 ft above ground level and tops near 2,000 ft msl. Examination of the airframe and engines did not reveal any anomalies that would have precluded normal operation. The airplane’s climbing right turn occurred shortly after the airplane entered IMC while the pilot was acknowledging a frequency change, contacting the next controller, and acknowledging the heading instruction. Track data show that as the right-hand turn continued, the airplane began descending, which was not consistent with its clearance. Review of the pilot’s logbook showed that the pilot had not met the instrument currency requirements and was likely not proficient at controlling the airplane on instruments. The pilot’s lack of recent experience operating in IMC combined with a momentary diversion of attention to manage the radio may have contributed to the development of spatial disorientation, resulting in a loss of airplane control.
Probable cause:
The pilot’s failure to maintain airplane control due to spatial disorientation during an instrument departure procedure in instrument meteorological conditions which resulted in a collision with terrain. Contributing to the accident was the pilot’s lack of recent instrument flying experience.
Final Report:

Crash of a Cessna 421C Golden Eagle III in Longmont

Date & Time: Jul 10, 2021 at 0845 LT
Operator:
Registration:
N66NC
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Longmont – Aspen
MSN:
421C-0519
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2801
Captain / Total hours on type:
169.00
Aircraft flight hours:
5476
Circumstances:
The pilot reported that he performed the “before starting engine” and “starting engine” checklists and everything was normal before taking off in the twin-engine airplane. He performed an engine runup and then started his takeoff roll. The pilot reported that about halfway down the runway the airplane was not accelerating as fast as it should. He attempted to rotate the airplane; however, “the airplane mushed off the runway.” The airplane settled back onto the runway, then exited the departure end of the runway, where it sustained substantial damage to the wings and fuselage. The airplane engine monitor data indicated the airplane’s engines were operating consistent with each other at takeoff power at the time of the accident. Density altitude at the time of the accident was 7,170 ft and according to performance charts, there was adequate runway for takeoff. The reason for the loss of performance could not be determined.
Probable cause:
The loss of performance for reasons that could not be determined.
Final Report:

Crash of a IAI 1124A Westwind II in Treasure Cay: 2 killed

Date & Time: Jul 5, 2021 at 1545 LT
Type of aircraft:
Operator:
Registration:
N790JR
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Treasure Cay – Nassau
MSN:
424
YOM:
1984
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
On the 5th July, 2021 at approximately 3:45PM, EDT (1945UTC), an Israeli Aircraft Industries, (IAI) Westwind 1124A aircraft, United States registration N790JR, crashed a short distance from the end of runway 32 at the Treasure Cay International Airport (MYAT), Treasure Cay, Abaco, Bahamas. The aircraft plowed through airport lighting equipment at the end of the runway, hitting and breaking several trees along its path. A trail of aviation fuel and pieces of the aircraft and avionics equipment from the flight deck, were left behind before the aircraft finally hit a small mound (hill), spinning, hitting several additional trees, breaking apart and bursting into flames. The aircraft came to rest at coordinates 26°45’21.50”N, 77°24’7.26”W, approximately 2,000 feet (.33 miles) from the end of runway 32. As this airport did not have a fire truck or crash and rescue personnel stationed on site, assistance with fire services were requested from the town. Two firetrucks from the township responded, however, due to the location of the crash, and no access road available, the trucks were unable to reach the crash site and assist in extinguishing the blaze. The fire continued unimpeded, dampened only by the intermittent downpour of rain, which did not aid in extinguishing the blaze, but rather, only limited the spread of the fire to surrounding bushes. The raging fire totally destroyed the aircraft and much of the control surfaces and components in the direct area of the blaze. On July 6, a team of investigators from the AAIA and CAA-B were dispatched to the scene. Upon arrival of the investigation team, surrounding brush and trees, as well as some parts and components of the aircraft were still burning. Initial assessments pointed to a possible failure of the aircraft to climb and perform as required. Runway 14/32 is 7,001 x 150 feet with an asphalt surface and based on the distance the aircraft traveled from the end of the runway to its final resting place, the signature marking on trees and airport lighting fixtures struck by the aircraft, in addition to the ground scars, along with pieces of the aircraft beyond the runway, up to the final resting place of the aircraft, it appears the aircraft was approximately 2 to 5 feet about the surface and not developing any lift or climb performance, while developing full power over the ground, striking trees and brush along its path. Investigations uncovered the private flight with a crew of two (2), proposed a flight time departure of 2:10PM EDT from the Treasure Cay International Airport (MYAT), with a planned destination of Nassau, Bahamas (MYNN) and an arrival time of 2:33PM EDT, according to flight plan retrieved from Flightaware.com. The flight plan did not specify whether the flight would be operated under Visual Flight Rules (VFR) or Instrument Flight Rules (IFR). According to witness statements taken at Treasure Cay, witnesses recalled two pilots entering the ramp after 3 pm. Witnesses also stated that one of the persons onboard advised customs that they will be departing for Marsh Harbor for fuel in the aircraft (N790JR).
Probable cause:
The AAIA has classified the accident as a controlled flight into terrain (CFIT) and determined the probable cause of the CFIT accident is due to the failure of the aircraft to climb (perform) as required.
Contributing factors which resulted in the failure of the aircraft to perform as required includes:
- Failure of the crew to configure the aircraft for the proper takeoff segment,
- Crew unfamiliarity with the aircraft systems.
Final Report:

Crash of a Piper PA-60 Aerostar (Ted Smith 600) in Wichita

Date & Time: Jul 1, 2021 at 1908 LT
Operator:
Registration:
N10HK
Flight Type:
Survivors:
Yes
Schedule:
Sioux Falls – Wichita
MSN:
60-0715-8061222
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
420
Captain / Total hours on type:
95.00
Aircraft flight hours:
2744
Circumstances:
The pilot was conducting a cross-country flight when, about 8 miles north of his intended destination, he reduced engine power, pitched for level flight, and waited for indicated airspeed to drop below 174 kts to add 20° of flaps. As soon as the drag was introduced, the airplane began to “buck back and forward,” and the two engines were “throttling up and down on their own.” He noted that the right engine seemed to be “sputtering and popping” more than the left engine, so he decided to raise the flaps and to shut down and feather the right engine. He declared an emergency to air traffic control. The pilot then noticed that the left engine was “slowly spooling down” and the airplane was not able to maintain airspeed and altitude. The pilot performed a forced landing to a flat, muddy wheat field about 4 nautical miles from the airport. The airplane sustained substantial damage to the fuselage and to both wings. A Federal Aviation Administration inspector traveled to the accident site to examine the airplane. Flight control and engine control continuity were confirmed. The master switch was turned on and the fuel gauges showed a zero indication. There was no evidence of fuel at the accident site or in the airplane. During the recovery of the airplane from the field, no fuel was found in the three intact fuel tanks, nor in any of the engine fuel lines. The pilot later stated that he ran the airplane out of fuel during the accident flight. The pilot reported that, during the preflight checks and twice during the accident flight, he activated the low fuel warning light, and no anomalies were noted. Postaccident testing of the low fuel warning light in an exemplar Piper Aerostar 602P revealed no anomalies.
Probable cause:
The pilot’s improper fuel planning and management, which resulted in a total loss of engine power due to fuel exhaustion.
Final Report: