Crash of a Convair CV-580F in McAllen

Date & Time: Dec 4, 2004 at 1441 LT
Type of aircraft:
Operator:
Registration:
N161FL
Flight Type:
Survivors:
Yes
Schedule:
McAllen - McAllen
MSN:
430
YOM:
1957
Location:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9500
Captain / Total hours on type:
1500.00
Copilot / Total flying hours:
453
Copilot / Total hours on type:
120
Aircraft flight hours:
29586
Circumstances:
The 9,500-hour ATP-rated pilot was forced to secure the left engine during a maintenance test flight following the malfunction of the left propeller. The crew executed single-engine instrument landing system (ILS) approach to runway 13. During short final, the crew noticed that the alternator light was illuminated and the hydraulic pressure gauge indicated "0" pressure. The landing gear was already extended and the flaps were partially extended, so the crew elected to continue the approach to a full-stop landing. Upon landing, the pilot immediately turned on the direct current (DC) hydraulic pump. The pilot added that he then realized that he was unable to maintain directional control of the airplane due to the lack of nose wheel steering and the ineffective wheel brakes. As a result, the airplane continued to veer to the right and exited the runway. The airplane collided with the airport perimeter fence and continued down into a drainage ditch. The examination of the aircraft revealed that the hydraulic pump switch did not appear as if it had been turned on.
Probable cause:
The failure to activate the hydraulic pump which resulted in the pilot's inability to maintain directional control.
Final Report:

Crash of a Cessna 414 Chancellor in Petersburg

Date & Time: Dec 2, 2004 at 1310 LT
Type of aircraft:
Registration:
N2EQ
Flight Type:
Survivors:
Yes
Schedule:
Petersburg - Petersburg
MSN:
414-0373
YOM:
1972
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3000
Captain / Total hours on type:
130.00
Copilot / Total flying hours:
5600
Circumstances:
The purpose of the flight was to "check out" the airplane before delivering it to its new owner, and to provide the copilot with an indoctrination ride in the Cessna 414. During the approach, the pilot provided guidance and corrections to the copilot. The copilot flew the airplane to within 200 feet of the ground when the nose of the airplane yawed abruptly to the right. The pilot took control of the airplane, and pushed the engine and propeller controls to the full forward position. He placed the fuel pump switches to the "high" position, retracted the flaps, and attempted to retract the landing gear. With full left rudder and full left aileron applied, he could neither maintain directional control nor stop a roll to the right. The airplane struck the ground and continued into the parking area where it struck an airplane and a waste-oil tank. Examination of the airplane following the accident revealed that the landing gear was down and locked, and the propeller on the right engine was not feathered. The emergency procedure for an engine inoperative go-around required landing gear retraction and a feathered propeller on the inoperative engine. The pilot's handbook further stated, "Climb or continued level flight is improbable with the landing gear extended and the propeller windmilling." After the accident, both pilots stated that they didn't notice a power loss on the right engine until the copilot surrendered the flight controls. The right engine was removed and placed in a test cell. The engine started immediately on the first attempt and ran continuously without interruption.
Probable cause:
The partial loss of engine power for undetermined reasons, and the pilot's failure to maintain adequate airspeed (Vmc).
Final Report:

Ground fire of a Transall C-160 in Fort-de-France

Date & Time: May 6, 2004 at 1358 LT
Type of aircraft:
Operator:
Registration:
R100/F-RAZR
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Fort-de-France - Fort-de-France
MSN:
F100
YOM:
1970
Country:
Crew on board:
8
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4306
Copilot / Total flying hours:
2564
Aircraft flight hours:
18530
Circumstances:
The aircraft was engaged in a local post maintenance test flight at Fort-de-France-Le Lamentin Airport, carrying five technicians and three crew members on behalf of the Escadron de Transport Outremer 58. After engine startup, the crew started to taxi when a fire erupted. The aircraft was stopped on the ramp and all eight occupants escaped uninjured. Within three minutes, fire bombers were on site and extinguished the fire. Nevertheless, the aircraft was damaged beyond repair.
Probable cause:
The accident was caused by electrical arcing at the power cable to a submersible fuel pump. This arcing occurred above the kerosene liquid inside the tank full of fuel vapors. The cable type used was chosen at the time of the design of the aircraft. Atmospheric conditions on the apron of Fort de France have raised the temperature of the reservoir beyond the flash point kerosene. The vapors contained in this tank were explosive, and the arc was enough to initiate the blast. As such, atmospheric conditions are a certain cause of environmental origin of the accident. The appearance of the arc is, in turn, has only technical causes:
- The quality of cable used and age are in fact responsible for the creation of the electric arc.
- The formation of the insulating sheath of this type of cable is not likely to ensure an absolute seal. This quality is also not claimed by its manufacturer.
Indeed, the analysis carried out show a porosity of electrical cable, even nine, therefore that it is soaked in kerosene. The presence of kerosene increases the phenomenon of porosity of old cables. Degradation characteristics of dielectric strength of the cable insulation explains the appearance of the arc. The accident occurred while the cable was over 19 years old. The fuel pumps wiring has never been a problem. But there has not been a cable that had reached the age of 19 years. The aging of the cable could still degrade the seal. Finally, maintaining this type of cable on the first C160 series until this accident was part of a complex process in which traceability has not been formally established. Doubts indeed appeared in 1969 on the quality of these cables, doubts that can be considered today as precursors. Measures had been adopted precisely to overcome these deficiencies. In this regard, the replacement of the fuel pump wiring of the second series C 160 of these cables with a newer type and considered more efficient is particularly significant. Its extension to the first series aircraft might have seemed relevant, and would probably have prevented the accident. The reasons which led to the maintenance of such cables on the C 160 series first held in both the human factor (underestimation of risk, lack of global view on the issue) and organizational factors, which can be seen as a lack of traceability of technical and logistic actions, a lack of consistency of the measures adopted, and probable deficiencies in the information flow.
Final Report:

Crash of a Beechcraft B200 Super King Air off Papeete

Date & Time: Apr 16, 2004 at 1450 LT
Operator:
Registration:
F-OHJL
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Papeete - Papeete
MSN:
BB-1592
YOM:
1997
Location:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft departed Papeete-Faaa on a local post maintenance flight with one engineer and one pilot on board. Shortly after takeoff, while in initial climb, the pilot informed ATC about control problems and elected to return. Unable to maintain control, he decided to ditch the aircraft few hundred metres offshore. The aircraft sank by a depth of 21 metres and both occupants were able to swim to shore.

Crash of a Beechcraft C-12F Huron near Pyongtaek: 2 killed

Date & Time: Aug 12, 2003 at 1443 LT
Type of aircraft:
Operator:
Registration:
84-0169
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Pyongtaek - Pyongtaek
MSN:
BL-99
YOM:
1984
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The crew departed Pyongtaek-Desiderio AAF on a local test flight. The goal of the flight was to test the aircraft after replacement stall strips had been fitted to the outer edge of the wings. In flight, the crew lost control of the airplane that entered a dive and crashed in a field, bursting into flames. Both occupants were killed.
Probable cause:
Failure of the crew to follow the procedures while attempting to create stall conditions, which caused the aircraft to enter an irrecoverable situation.

Crash of a Lockheed C-130 Hercules in Rudshur: 7 killed

Date & Time: Jun 25, 2003 at 1300 LT
Type of aircraft:
Operator:
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Tehran - Tehran
Location:
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
The four engine aircraft departed Tehran-Mehrabad Airport at 1225LT on a local test flight. About 35 minutes into the flight, the crew informed ATC about a double engine failure when control was lost. The aircraft crashed in 'Rudshur', near the Shur River. All seven occupants were killed.
Probable cause:
Double engine failure for unknown reasons.

Crash of a Tupolev TU-134SKh in Nyagan

Date & Time: Jun 24, 2003
Type of aircraft:
Operator:
Registration:
RA-65929
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Nyagan – Salekhard
MSN:
66495
YOM:
1987
Country:
Region:
Crew on board:
9
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft was subject to major maintenance during the last two months, especially with the rudder actuators that were replaced. As there were still problems with the actuators during the last flight, decision was taken to make the appropriate adjustments followed by a flight to Salekhard. During the takeoff roll on runway 16/34, at a speed of 150 km/h, the aircraft deviated to the left and the captain decided to counter this deviation by using the nosewheel steering system. This caused the right front tyre to burst. At a speed of 250 km/h, the takeoff procedure was abandoned but this decision was taken too late. Unable to stop within the remaining distance (the runway 16/34 is 2,530 metres long), the aircraft overran, lost its nose gear and rolled for 577 metres before coming to rest. All 11 occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
The following findings were identified:
- Poor quality of work from the engineering personnel of Voronezh Avia during the replacement and adjustment of the hydraulic amplifier GU-108D,
- Unsatisfactory flying and technical operation of the aircraft after the completion of the replacement of the hydraulic amplifier, during which the incorrectly installed rudder actuator was not discovered,
- The decision taken by the crew to continue the takeoff procedure despite significant efforts needed for the deflection of the right rudder pedal already noted during the preflight checks,
- The late rejection of the takeoff procedure.

Crash of a Sino Swearingen SJ30-2 near Loma Alta: 1 killed

Date & Time: Apr 26, 2003 at 1005 LT
Type of aircraft:
Operator:
Registration:
N138BF
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
San Antonio - San Antonio
MSN:
SJ-30-0002
YOM:
2000
Flight number:
SSAC231
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
12000
Captain / Total hours on type:
625.00
Aircraft flight hours:
284
Circumstances:
The corporate jet was in a descent to attain a Mach 0.884 target speed during an airplane type certification flutter test. The airplane (a unique test bed) had a known speed-dependent tendency to roll right which was attributed to wing and aileron twist deviations. As the speed increased during the accident flight, the pilot had to apply full left aileron to be able to maintain airplane control. The airplane completed the test point about 30-degrees right-winglow, and subsequently began to roll to the right, "like a barrel roll...not real fast," that the pilot reported he could not stop. Although the manufacturer’s engineering analysis (which did not include any high-speed wind tunnel testing) predicted positive lateral stability up to Mach 0.90, lateral control was lost during the accident flight, and the airplane rolled about 7 times during a 49-second timeframe, from about 30,500 feet until a near-vertical ground impact. A review of telemetry data revealed that, just before the rolls began, the airplane's elevator moved to the 3.5 degrees trailing-edge-up (TEU) position, and the airplane's heading deviated right. Less than 1 second later, the rudder moved from 2 degrees trailing-edge-left (TEL), to 6.5 degrees TEL, and the combination of the TEU elevator and the left rudder input coincided with a marked increase in airplane's right deviation. Elevator-up deflection and rudder-left defection were maintained, with some variation in magnitude, to nearly the end of the data. Because the known speed-dependent tendency to roll right had created significant control problems on a previous flight, the ailerons were removed, modified and replaced, and a Gurney flap was added to the right wing. After the addition of the Gurney flap, the lateral trim margin improved to about 40 percent required (where 50 percent was neutral) up to 305 KCAS. It was then determined that flutter testing could continue to higher airspeeds if the pilot needed to apply a "small" wheel force to augment the trim. The pilot had been instructed to reduce airspeed if there was a problem during the flutter testing, and had done so during an uncommanded roll to the left on the previous flight. Telemetry data from the accident flight revealed that at initiation of the upset, the pilot attempted to level the wings and raise the nose, but the airplane continued to diverge from stable flight, and it continued to accelerate beyond the airplane’s demonstrated flight diving speed. It is undetermined if the pilot could have reduced the speed of the airplane in time, during the initiation of the upset, so that the airplane would not diverge. After the accident, the company conducted high-speed wind tunnel tests, and found that lateral stability decreased with increasing Mach and angle of attack (AOA). Lateral stability became negative (unstable) above Mach 0.83, and rudder input intended to augment lateral trim above a certain Mach could aggravate the situation. In addition, a TEU elevator input would increase AOA, and also result in deteriorated lateral stability. High speed wind tunnel data also revealed that roll authority deteriorated above Mach 0.86, and by Mach 0.88, the aileron upper and lower surfaces were both in separated flow regions. The follow-on flutter test airplane, which successfully completed the certification requirements, was equipped with vortex generators and thicker trailing-edge ailerons. It also did not require the external trim device needed on the accident airplane due to improvements in manufacturing.
Probable cause:
The manufacturer's incomplete high-Mach design research, which resulted in the airplane becoming unstable and diverging into a lateral upset.
Final Report:

Crash of a Rockwell Gulfstream 695 Jetprop 980 in Ogawa: 2 killed

Date & Time: Mar 24, 2003 at 1052 LT
Operator:
Registration:
JA8604
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Tokyo-Chōfu - Tokyo-Chōfu
MSN:
695-95044
YOM:
1980
Location:
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
11473
Captain / Total hours on type:
300.00
Aircraft flight hours:
6029
Circumstances:
The aircraft departed Chofu Aerodrome at 10:26 (JST) with the captain and a mechanic on board for a company test flight prior to an airworthiness certification inspection. During the flight at around 10:52, the aircraft crashed into woods at Nishine, Kamiose, Ogawa, Naka County, Ibaraki Prefecture. The two persons on board the aircraft, the captain and the mechanic, both sustained fatal injuries. A fire broke out and the aircraft was destroyed.
Probable cause:
It is estimated that in this accident, while the aircraft was on a company test flight prior to an airworthiness certification inspection, it entered spin and because it was unable to recover, it crashed, destroying the fuselage and killing the captain and the passenger. Because the left engine’s oil tank cap had not been normally locked, abnormal engine oil temperature and pressure occurred, and it is estimated that the aircraft’s airspeed decreased to near the stall speed. The captain increased power on the right engine to regain airspeed, which induced a yawing moment. It is considered possible that the aircraft then entered a spin because either it was uncontrollable due to being below the minimum control speed and safe one engine inoperative speed, or the captain had been incapacitated by hypoxia and was unable to cope with the loss of airspeed.
The following are considered possible reasons as to why the aircraft did not recover from the spin; however, the precise cause could not be clarified.
① Because the aircraft type is prohibited from spins, the captain could not have been practiced in spin recovery for the aircraft.
② The spin developed without being arrested in the early stages, until flight conditions exceeding the aircraft’s design limits so that the aircraft could not be recovered by normal control forces.
③ The aircraft was in a state of spinning without a reduction of engine power, which made recovery difficult.
④ The captain had been incapacitated.
Final Report:

Ground accident of an Embraer ERJ-135LR in Columbus

Date & Time: Jan 18, 2003
Type of aircraft:
Operator:
Registration:
N714BZ
Flight Phase:
Flight Type:
Survivors:
Yes
MSN:
145-260
YOM:
2000
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft was under maintenance test at Columbus-John Glenn Airport (Port Columbus) and under the control of three technicians. While performing an engine run, the aircraft collided with a hangar and was damaged beyond repair. All three technicians escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
No investigations were conducted by the NTSB on this event.