Crash of a Hindustan Aeronautics HAL-748-219-2 at Arakkoram-Rajali NAS: 8 killed

Date & Time: Jan 11, 1999 at 1545 LT
Operator:
Registration:
H2175
Flight Type:
Survivors:
No
Schedule:
Arakkoram – Tambaram
MSN:
569
YOM:
1978
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
8
Circumstances:
After takeoff from Arakkonam-Rajali NAS, en route to Tambaram AFB, the pilot contacted ATC and declared an emergency and reported major technical problems. He was cleared to return for an emergency landing. On final approach, the aircraft went out of control and crashed in a wooded area located 2,5 km short of runway. The aircraft was destroyed and all eight occupants were killed.
Probable cause:
It is believed that the crew lost control of the aircraft following the separation of the dome located on the top of the fuselage that was recovered about 500 metres from the main wreckage.

Crash of a Mitsubishi MU-2B-60 Marquise in Egelsbach

Date & Time: Jan 11, 1999
Type of aircraft:
Operator:
Registration:
N95MJ
Flight Type:
Survivors:
Yes
Schedule:
Egelsbach - Egelsbach
MSN:
1564
YOM:
1983
Location:
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On January 11 1999, during a local check flight for the new owner-pilot, as the aircraft was descending through about 150 feet during the final stage of a visual approach to Runway 27 at Frankfurt Egelsbach Airport, Egelsbach, the pilot 'pulled the throttles back to ground idle.' The check pilot immediately moved the throttles forward again but meanwhile the aircraft had developed a high rate of descent and it touched down very hard on the threshold of Runway 27 wherein the nose gear and left main landing gear broke off.

Crash of a De Havilland DHC-7-102 (Dash-7) in Ashburton: 2 killed

Date & Time: Nov 28, 1998 at 0947 LT
Registration:
VP-CDY
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Saint Peter - Saint Peter
MSN:
84
YOM:
1982
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
15000
Captain / Total hours on type:
4000.00
Copilot / Total flying hours:
17200
Copilot / Total hours on type:
1700
Circumstances:
Prior to the flight the commander had filed a flight plan which indicated that after take off the aircraft would transit from Guernsey to the Berry Head VOR at FL 100. It was then planned to manoeuvre in the Plymouth area whilst conducting a performance related test flight. The commander called for start clearance at 0902 hrs and, after a short taxi, the aircraft was cleared for take off at 0918 hrs. After take off Guernsey ATC handed the aircraft over to the London Air Traffic Control Centre (LATCC) at 0930 hrs. As the aircraft approached Berry Head at FL 100 the commander requested FL 60. The aircraft was cleared for this descent and then handed over to Exeter ATC at 0943 hrs. Exeter ATC confirmed the aircraft requirements for a block of airspace between FL 60 and FL 100 and offered a radar advisory service. The aircraft was then vectored onto a northerly heading to keep it clear of departures from Plymouth Airport. As the aircraft approached FL 60 the commander requested further descent to FL 50, which was approved. The air traffic controller at Exeter then noticed that the altitude readout from the aircraft radar transponder indicated FL 47. He called the aircraft to confirm the local sector safe level of 3,500 feet but received no reply; this call was timed at 0947 hrs. From FDR timings the crew would not have heard this call. At the same time the transponder information disappeared from the radar screen and the primary radar return was no longer visible. The controller made repeated calls to the aircraft but received no reply. He arranged for LATCC to inform the Distress and Diversion cell whilst he notified the local emergency services. A large number of eye witnesses saw the aircraft in its final descent before impacting the ground; twenty two of these witnesses were interviewed. All agreed that the sky was clear and bright with only a few of them describing small amounts of light cumulus clouds. No one saw any other aircraft in the area and all were certain that there was no smoke or fire issuing from the aircraft or its engines whilst it was in the air. Most witnesses described the aircraft in a spin or a spiral descent, generally to the left, although some described the motion as like a falling leaf. Four witnesses, who all had a clear view of the aircraft throughout, described the aircraft completing a two or three turn spin/spiral to the left. Those witnesses who were in a position to hear clearly the sound of the engines confirmed that the engines were making a loud noise as if at a high power setting. The impact with the ground was followed immediately by a post crash fire. Both pilots were killed.
Probable cause:
A sustained ground fire had largely destroyed the wreckage. However, it was established that the aircraft had been structurally complete. The No 1 propeller was feathered and the flaps were fully and symmetrically retracted. There was no evidence of any mechanical malfunction. The two pilots had flown together previously on many occasions. On this flight the commander occupied the right seat from and made all radio transmissions. It was his normal practise to direct the flight, set the required engine power and to record data. This then allowed the FO, who occupied the left seat, to concentrate on flying the aircraft. The commander initially asked ATC for a block of airspace from FL 60 to FL 100 and then requested a base of FL 50. This was entirely consistent with the intention to perform a 3-engine climb. It would be normal practice to configure the aircraft for the next test point during the descent to the planned base altitude, as had been done on the previous flight. On this occasion however, the flap was not selected to 25° but remained fully retracted. In accordance with the configuration requirements for the 3-engine climb the No 1 the propeller was feathered and the engine was shut down. With the autopilot engaged and the 3 operating engines at a low power setting the aircraft levelled at FL 50 and the speed reduced. During this speed reduction the crew should have noted the trim wheel rotating as progressive nose up trim was being applied by the autopilot. It is possible that the non-handling pilot may have interpreted this as a manual trim input by the handling pilot. There would also have been clear aural and tactile warnings, via the stick shaker, that the aircraft was approaching the stall. Although both pilots were familiar with the test schedule the aircraft was not correctly configured for this particular test. Furthermore, the autopilot was retained down to the point of the stall and there appears to have been no adequate response to the stick shaker. If the crew were unaware of the flap configuration error then the stall warning may have surprised them but for a crew of their experience to fail to react correctly to the compelling intervention of the stick shaker is most unusual. However, the possibility of some distraction cannot be discounted. The available evidence therefore suggests that normal crew operation and co-ordination was lacking during this phase of flight. In the absence of a working CVR it is not possible to state why this occurred. The aircraft stalled with the autopilot still engaged. Power was increased on the three operating engines and two seconds later the autopilot was deselected. The application of asymmetric power ultimately caused the aircraft to roll rapidly to the left and this motion was countered by the application of right rudder and right spoiler. The elevator was then moved to the full nose up demand position. With the exception of decreasing application of right spoiler the controls remained in these positions until just prior to impact when the engine power was reduced. The flight control inputs and the changes to engine power suggest that both pilots were involved in the aircraft operation throughout the descent to the ground. The progressive and sustained rudder inputs together with the constant application of full aft control column also suggest that the same pilot retained authority over these flight controls. However, some of the crew actions were unusual. The non-handling pilot would have been ready to apply take-off power on the three operating engines in order to initiate the climb but the application of asymmetric power at the stall inevitably led to autorotation and was therefore inappropriate. The application of opposite rudder by the handling pilot was a normal pilot response but the application of full aft control column following the stall is inexplicable, irrespective of whether the pilot subsequently believed that he was in a spin or a spiral dive. Analysis of the manufacturer's flight test data during prolonged stalls provided no evidence of any elevator overbalance due to aerodynamic loads on the lower surface of the elevator. Moreover, in this instance, following the application of asymmetric power the aircraft adopted large bank angles that would have further reduced any aerodynamic load on the lower elevator surface. It is therefore considered most probable that the control column was placed in the fully aft position by the pilot. The nose-up elevator trim, applied by the autopilot before its disconnection, would have produced unexpected control forces when positioning the control column for recovery such that the normal release of back pressure would have been ineffective. However, this does not explain the subsequent application of full aft control column. It is possible that the rapid autorotation that followed the application of asymmetric power at the stall caused the handling pilot to become disorientated. The high longitudinal control forces that had been generated by the application of full nose up trim by the autopilot prior to the stall may then have exacerbated his difficulties.
Final Report:

Crash of a Mitsubishi MU-2B-60 Marquise near Rock: 2 killed

Date & Time: Nov 4, 1998 at 2058 LT
Type of aircraft:
Operator:
Registration:
N5LN
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Augusta - Augusta
MSN:
799
YOM:
1980
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3136
Captain / Total hours on type:
300.00
Copilot / Total flying hours:
22770
Copilot / Total hours on type:
420
Aircraft flight hours:
4712
Circumstances:
The airplane's left engine had been overhauled and required an in-flight Negative Torque Sensing (NTS) check. The procedures required that the left engine be shut down during the test flight. The test flight was conducted at night. The pilots were briefed that there was icing and moderate rime icing mixed below 15,000 feet in clouds and precipitation. The cloud bases were between 2,500 to 2,900 feet agl. After departure, the pilot reported to ATC that they were clear and on top of the clouds at about 6,500 feet msl. N5LN was assigned a 180 degree heading at an assigned altitude of 8,000 feet. Without notification to ATC, N5LN turned to a southeast heading, descended from 7,700 feet to about 5,500 feet, and decelerated from about 182 kts to about 138 kts. ATC assigned N5LN a block altitude of 6,000 to 8,000 feet and a VFR-On-Top clearance. ATC instructed N5LN to turn right to stay in the assigned airspace. N5LN turned right but continued to descend from about 5,500 feet to the last radar indication of 4,500 feet. The airplane impacted the ground in a steep attitude. The inspection of the wreckage indicated the landing gear was down, and with full right rudder trim and about six degrees nose up trim. The examination of the engines indicated both engines were rotating and operating at the time of impact. The examination of the airframe and propellers found no pre-existing anomalies that would have precluded normal operation.
Probable cause:
The pilot failed to maintain control of the aircraft and made an improper evaluation of the weather. Additional factors were flying a test flight at night with the icing conditions in the clouds.
Final Report:

Crash of a Learjet 45 in Wallops Flight Facility

Date & Time: Oct 27, 1998 at 1456 LT
Type of aircraft:
Operator:
Registration:
N454LJ
Flight Type:
Survivors:
Yes
Schedule:
Wallops Flight Facility - Wallops Flight Facility
MSN:
45-004
YOM:
1998
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
13073
Captain / Total hours on type:
767.00
Aircraft flight hours:
339
Circumstances:
The Learjet was participating in water ingestion tests, which required multiple landing rolls through a diked pool on the runway. On one of the landing rolls, the airplane's left main landing gear and nose landing gear tracked through the pool, while the right main landing gear tracked outside the pool. The airplane veered to the left, departed the left side of the runway, and struck a pickup truck parked adjacent to the runway. The airplane came to rest inverted and on fire. Formal hazard identification and risk management procedures were not employed and no alignment cues were in place on the runway to facilitate pool entry alignment. Further, the accident truck, other vehicles, heavy equipment, and personnel were placed hundreds of feet inside the FAA recommended runway-safe and object-free areas during the test.
Probable cause:
The failure of the pilot to obtain/maintain alignment with the water pool, which resulted in the loss of control. Factors in the accident were the inadequate preflight planning of the flight test facility and the airplane manufacturer which resulted in hazards in the test area and the subsequent collision of the airplane with a vehicle.
Final Report:

Ground accident of a Lockheed C-130B Hercules at Chaklala AFB: 5 killed

Date & Time: Sep 10, 1998
Type of aircraft:
Operator:
Registration:
24143
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Chaklala - Chaklala
MSN:
3781
YOM:
1963
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
5
Circumstances:
The crew was engaged in a local post maintenance test flight. While taxiing, the crew lost control of the airplane that collided with a parked Pakistan Air Force C-130. A major fire occurred, destroying both aircraft. All five crew members were killed while the second aircraft was empty.
Probable cause:
It is believed that the loss of control was the consequence of brakes failure (brakes overheated).

Crash of a Cessna 421A Golden Eagle I in Little Falls: 1 killed

Date & Time: Jun 1, 1998 at 1831 LT
Type of aircraft:
Registration:
N541N
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Little Falls - Little Falls
MSN:
421A-0161
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
6000
Captain / Total hours on type:
1500.00
Circumstances:
A witness reported the airplane did not climb above 200 feet and reported seeing the airplane 'wobbling up and down' as it attempted to climb. He reported the airplane went into a sharp left bank and nose dived down. The airplane burned upon impact. The wreckage was located in a wooded area about 3/4 mile from the approach end of runway 30. Numerous open farm fields were located near the airplane's flight path. The winds were reported at 240 degrees at 22 knots gusting to 29 knots. The wreckage path was on a 040 heading and covered about 190 feet from initial tree impact to the location of the main wreckage. The engine inspection did not reveal any anomalies to either engine. The flight was the first maintenance check flight after the airplane had not been flown for 14 months. During maintenance the pilot had put about 100 gallons of water in the left main and left auxiliary fuel tanks to locate a fuel leak. A plug was installed in the left auxiliary fuel drain valve and the fuel tank could not be checked during preflight for fuel contamination without removing the plug.
Probable cause:
The pilot's continued operation with a known deficiency in equipment.
Final Report:

Crash of a Casa-Nurtanio CN-235 (IPTN) at Serang-Gorda AFB: 6 killed

Date & Time: May 22, 1997
Registration:
PK-XNT
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Serang-Gorda - Serang-Gorda
MSN:
N018
YOM:
1991
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The aircraft was dispatched at Serang-Gorda AFB to test the Low Altitude Parachute Extraction System (LAPES) with six crew members. While approaching the terrain at an altitude of 200 metres, the crew elected to drop the 4 tons load when the parachute harness detached, causing the load to be stuck on the cargo door. The pilot lost control of the airplane that crashed, killing all six occupants.

Crash of a Cessna 441 Conquest II in Lakeland

Date & Time: Jan 2, 1997 at 1121 LT
Type of aircraft:
Registration:
N441MS
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Lakeland - Lakeland
MSN:
441-0056
YOM:
1978
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6511
Captain / Total hours on type:
533.00
Aircraft flight hours:
4697
Circumstances:
During the takeoff roll the pilot stated the right engine had an over torque condition and he was unable to control the aircraft. The aircraft went off the runway to the left and crashed coming to rest upright. A post crash fire erupted and destroyed the aircraft. The mechanic rated passenger stated he was observing the right engine gauges during this maintenance test flight and did not observe any over torque indications. When he looked up from the instruments at about the time the aircraft should lift off, the aircraft was drifting to the left. The pilot, who was looking at the engine instruments, looked up, saw the aircraft was about to drift off the runway, and retarded both power levers. The passenger/mechanic (who was also a pilot) reported that the pilot placed the propellers in reverse. Six thousand feet of runway remained at the abort point. The aircraft pitched up and then crashed on the left wing and nose. Cessna Service Newsletter SLN99-15 and AlliedSignal Operating Information Letter OI 331-17 report an abnormality that may affect the model engine in which an uncommanded engine fuel flow increase or fluctuation may occur, resulting in an unexpected high torque and asymmetric thrust. The condition is associated with an open torque motor circuit within the engine fuel control. A system malfunction resulting in engine acceleration to maximum power would produce an overtorque of about 2,288 foot-pounds (ft-lb). This power output is restricted by a fuel flow stop in the engine fuel control. Normal takeoff power is 1,669 ft-lbs; therefore, one engine accelerating to the stop limit while one engine continued to operate normally would cause a torque differential of 619 ft-lbs. The total loss of power in one engine during takeoff while one engine continued to operate normally would result in a torque differential of 1,669 ft-lbs. The Cessna 441 Flight Manual states that at 91 knots indicated airspeed, the airplane is controllable with one engine inoperative (that is, with a torque differential between engines of up to 1,669 ft-lbs). However, if an electronic engine control failure occurs on one engine and the other engine is retarded to idle, the fuel flow to the failed engine will not be reduced, and a torque differential of about 2,288 ft-lbs will occur, at which point the airplane is uncontrollable by the pilot.
Probable cause:
Failure of the electronic engine control, which caused an overtorque condition in the right engine that made directional control of the airplane not possible by the pilot when the power to the left engine was retarded to idle during the takeoff roll.
Final Report:

Crash of a Douglas DC-8-63F near Narrows: 6 killed

Date & Time: Dec 22, 1996 at 1810 LT
Type of aircraft:
Operator:
Registration:
N827AX
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Greensboro - Greensboro
MSN:
45901
YOM:
1967
Crew on board:
3
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
8087
Captain / Total hours on type:
869.00
Copilot / Total flying hours:
8426
Copilot / Total hours on type:
1509
Aircraft flight hours:
62800
Aircraft flight cycles:
24234
Circumstances:
The airplane impacted mountainous terrain while on a post-modification functional evaluation flight (FEF). The pilot flying (PF) had applied inappropriate control column back pressure during the clean stall maneuver recovery attempt in an inadequate performance of the stall recovery procedure established in ABX's (Airborne Express) operations manual. The pilot not flying (PNF), in the right seat, was serving as the pilot-in-command and was conducting instruction in FEF procedures. The PNF failed to recognize, address and correct the PF's inappropriate control inputs. An inoperative stall warning system failed to reinforce to the flightcrew the indications that the airplane was in a full stall during the recovery attempt. The flightcrew's exposure to a low fidelity reproduction of the DC-8's stall characteristics in the ABX DC-8 flight training simulator was a factor in the PF holding aft (stall-inducing) control column inputs when the airplane began to pitch down and roll. The accident could have been prevented if ABX had institutionalized and the flightcrew had used the revised FEF flight stall recovery procedure agreed upon by ABX in 1991. The informality of the ABX FEF training program permitted the inappropriate pairing of two pilots for an FEF, neither of whom had handled the flight controls during an actual stall in the DC-8.
Probable cause:
The inappropriate control inputs applied by the flying pilot during a stall recovery attempt, the failure of the non flying pilot-in-command to recognize, address, and correct these inappropriate control inputs, and the failure of ABX to establish a formal functional evaluation flight program that included adequate program guidelines, requirements and pilot training for performance of these flights. Contributing to the causes of the accident were the inoperative stick shaker stall warning system and the ABX DC-8 flight training simulator's inadequate fidelity in reproducing the airplane's stall characteristics.
Final Report: