Crash of a Max Holste M.H. 1521M Broussard in Barton

Date & Time: Jun 7, 1988 at 1730 LT
Registration:
G-BKPU
Flight Type:
Survivors:
Yes
Schedule:
Liverpool - Barton
MSN:
217
YOM:
1959
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1800
Captain / Total hours on type:
33.00
Circumstances:
The purpose of the flight was to familiarise a prospective purchaser with the handling of the aircraft. The captain who was the owner of the aircraft and held a Private Pilot's Licence with an Instructor's Rating, occupied the right-hand seat and the other pilot, who also held a Private Pilot's Licence, occupied the left-hand seat. The weather was fine with a light north-easterly wind. Before takeoff, some oil was noticed on the windscreen but neither the pilot considered that it warranted any action. Following an uneventful takeoff during which the engine and propeller functioned normally, some minutes were spent in the local area before it was decided to visit Barton. Liverpool ATC was informed and G-PU set course to Barton. On approaching Barton, some 20 minutes into the flight, an adjustment to the engine controls resulted in a significant increase in the amount of oil on the windscreen. The captain was unconcerned but the pilot kin the left-hand seat thought that he might have problems with visibility for landing. Shortly after this, Barton radio passed the airfield information which gave the landing runway as 09 with a left hand circuit. When crosswind at a height estimated by ground observers to be about 500 feet agl, the captain selected the propeller control to fully fine as part of his pre-landing checks. Coincident with this action, the windscreen and side windows became covered with a large quantity of oil which totally obscured both pilots view of the outside world. The operation manual recommends that under these circumstances the propeller be selected to coarse pitch to reduce the flow of oil. The captain did not execute this procedure because he considered that configuring the aircraft for an immediate landing in fine pitch was his priority in the prevailing circumstances. Both pilots opened their direct vision panels which enabled them to see the ground abeam the aircraft but not forward vision was possible because of the large amount of smoke that was ny now streaming back from the engine. The presence of smoke led the crew to believe that the aircraft might be on fire. Since the pilot in the left-hand seat could see towards the runway, it was decided that he should retain control and attempt to position the aircraft for a landing on runway 09. The captain made a radio call requesting priority in the circuit but the radio operator in the control tower received only carrier wave and assumed the call to be the captain's downwind report and replied accordingly. The aircraft's permanent radios not functioning and a hand held transceiver was being used by the pilot. Previous radio communications had been satisfactory. When it was judged that G-PU was at the end of the downwind leg, a turn onto base leg was initiated and a descent commenced. After turning towards the estimated position of the runway 09 threshold, the captain realised that he was high and selected full flap. It then became apparent to him that not only was the aircraft too high but that it had also flown through the runway centerline and he judged that, because of the presence of houses in the over-run are of runway 09, a safe landing could not be made. He therefore elected to go-around and increased power. The engine responded normally but the aircraft failed to either climb or accelerate. G-PU was now at a height estimated to be between 200 and 300 feet agl and the captain decided to retain full flap for a further circuit. During the subsequent left turn and downwind leg the aircraft as observed to be steadily losing height and the radio operator in the control tower alerted the emergency services in anticipation of a crash. G-PU continued its turn towards the airfield at a very low altitude but the crew did not have enough visual reference to determine their position. When it became apparent to the handling pilot that he was very close to the ground, he leveled the wings and waited for the inevitable impact. G-PU struck a stand of small trees and on the top of the M62 motorway embankment while on a heading of 180°, it then struck a motorway sign and several vehicles before coming to rest on the hard shoulder on a westerly heading. Neither pilot was aware that they had landed on the motorway until they vacated the aircraft. Neither pilot was injured but a car passenger sustained serious injuries.
Probable cause:
The most probable sequence, therefore, leading to the anomalies found in the propeller hub is, firstly, the break-up of the outboard leather seal, secondly the displacement of the inboard gasket by oil pressure following the loss of clamping loads and, coincident with the disruption of the gaskets, the damaging and ejection of the phenolic bush. The rest of the propeller pitch change system was examined for anything which could have caused excessive or asymmetric loading on the actuating cylinder but none was found.
Final Report:

Crash of a Rockwell Shrike Commander 500S in Tolcayuca

Date & Time: May 17, 1988
Operator:
Registration:
ETL-1269
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
MSN:
500-3248
YOM:
1975
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Crashed in a hilly terrain in Tolcayuca while completing a training flight. All three pilots were injured.

Crash of an Antonov AN-26RT in Kudinovo: 6 killed

Date & Time: Apr 20, 1988
Type of aircraft:
Operator:
Registration:
04
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Moscow-Chkalovsky - Moscow-Chkalovsky
Country:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
The crew was completing a local training flight at Moscow-Chkalovky Airport consisting of touch-and-go maneuvers. During initial climb, while flying at a height of about 70 meters, the aircraft banked right then lost height and crashed in a lake located near Kudinovo, about 15 km southeast of the airport. The aircraft was destroyed and all six occupants were killed.
Probable cause:
It is believed that the loss of control occurred after the right engine failed during initial climb for unknown reasons.

Crash of a BAe 3101 Jetstream 31 in Springfield: 3 killed

Date & Time: Feb 9, 1988 at 1500 LT
Type of aircraft:
Operator:
Registration:
N823JS
Flight Type:
Survivors:
No
Schedule:
Dayton - Springfield
MSN:
623
YOM:
1983
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
8670
Captain / Total hours on type:
1030.00
Aircraft flight hours:
8219
Circumstances:
A company designated instructor and two f/o trainees were conducting a far 135 training flight. The third approach was terminated with a go-around initiated over the runway threshold at about 50 feet. After climbing to about 150 feet, the aircraft was observed to oscillate in yaw, followed by pitch, and then roll to the right. The aircraft impacted in a near-vertical descent attitude. The investigation revealed that the right engine was operating, but at reduced power. The left engine was at full power. There was no indication of aircraft system malfunction or failure. Company pilots indicated that the captain had a history of demeaning cockpit behavior and roughness with students. The f/o, was small in stature and had 100 hours of multi-engine time and no turboprop time. Company pilots reported the f/o trainee was consistently behind the aircraft in prior flights. Examination of the aircraft revealed the flaps in the retracted position contrary to aircraft handbook. Company pilots further indicated the captain had history of requiring low altitude 1-engine go arounds and delaying offers of assistance to students. All three crew members were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: go-around (vfr)
Findings
1. (f) emergency procedure - simulated - pilot in command (cfi)
2. (c) go-around - delayed - pilot in command (cfi)
3. (c) aircraft control - not maintained - dual student
4. (f) lack of total experience in type of aircraft - dual student
5. Lack of familiarity with aircraft - dual student
6. Excessive workload (task overload) - dual student
7. (f) remedial action - delayed - pilot in command (cfi)
8. (c) supervision - inadequate - pilot in command (cfi)
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Beechcraft B200 Super King Air in Taura: 3 killed

Date & Time: Jan 23, 1988
Operator:
Registration:
AEE-101
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Taura - Taura
MSN:
BB-811
YOM:
1981
Location:
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
Three pilots departed Taura Airbase for a local training flight. Shortly after takeoff, while climbing, the twin engine aircraft went out of control and crashed. All three occupants were killed.

Crash of a Swearingen SA226T Merlin IIIB in Pontiac: 3 killed

Date & Time: Jan 10, 1988 at 1017 LT
Registration:
N800AW
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Pontiac - Pontiac
MSN:
T-403
YOM:
1981
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
22000
Aircraft flight hours:
1515
Circumstances:
Aircraft was scheduled for an instructional flight. During the weather briefing, the CFI told the FSS specialist that the flight would include engine out practice. Witness statements indicate that the aircraft rolled sharply to the right and nosed down after attaining about 100 feet of altitude during the climb after takeoff. The aircraft struck the ground left prop and left wing tip first, in an inverted flight attitude. During the post accident investigation, the right engine power lever was subjected to lab exam and it was found that the lower aft part of the lift gate detent was worn. This created a ramping effect between the rounded edge of the lift gate and the flight idle stop. A worn lift gate detent would allow the power lever to inadvertently be moved into the beta range, causing asymmetrical drag and degraded airplane performance, particularly in critical phases of flight. All three occupants were killed.
Probable cause:
Occurrence #1: loss of engine power (total) - mech failure/malf
Phase of operation: takeoff - initial climb
Findings
1. 1 engine
2. (f) emergency procedure - simulated - pilot in command (cfi)
3. (c) throttle/power lever - worn
4. (c) propeller system/accessories, reversing system - deployed inadvertently
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff - initial climb
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Lockheed C-130H Hercules in Ayoun

Date & Time: Dec 1, 1987
Type of aircraft:
Operator:
Registration:
4X-FBU/448
Flight Type:
Survivors:
Yes
MSN:
4680
YOM:
1976
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The four engine airplane was engaged in a training exercise. While landing in ad hoc airfield, the nose gear collapsed and the aircraft came to rest. There were no casualties.

Crash of a Piper PA-46-310P Malibu in Long Beach: 1 killed

Date & Time: Nov 29, 1987 at 1843 LT
Operator:
Registration:
N4369V
Flight Type:
Survivors:
Yes
Schedule:
Carslbad - Long Beach
MSN:
46-8408076
YOM:
1984
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4782
Captain / Total hours on type:
237.00
Circumstances:
During the return flight to San Jose and subsequent descent and approach to the Long Beach Airport, the two pilots experienced, in succession, a failure of the turbocharger system, loss of an alternator, loss of engine oil pressure, an unsafe landing gear indication, and an in-flight fire followed by the loss of engine power during a night time circling approach to an unfamiliar airport in visual meteorological conditions. The aircraft crashed onto the southbound lanes of the San Diego freeway at Long Beach after making a flyby of the tower to confirm the landing gear position. The investigation revealed an improperly installed turbocharger, a cracked manifold exhaust, a burned main power lead, a separated cylinder, and a low fluid level in the hydraulic reservoir. Two years prior to this accident, the instructor pilot made an unintentional gear up landing in another aircraft. One year prior to this accident the FAA revoked the mechanic's inspection authorization.
Probable cause:
The National Transportation Safety Board determines the probable cause(s) of this accident to be:
Pilot's failure to land the aircraft after experiencing the pilot's Faulty decision was his previous experience with a gear up landing a Couple of years before.
Findings
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: cruise - normal
Findings
1. Exhaust system, turbocharger - failure, partial
2. (f) exhaust system, turbocharger - disengaged
3. (f) engine installation, mounting bolt - separation
4. (c) maintenance, installation - improper - company maintenance personnel
5. (f) maintenance, inspection - poor - company maintenance personnel
----------
Occurrence #2: airframe/component/system failure/malfunction
Phase of operation: descent - emergency
Findings
6. (f) electrical system, electric wiring - burned
7. Electrical system, alternator - disabled
8. (c) hydraulic system, accumulator - low level
9. Landing gear, gear indicating system - false indication
10. (c) low pass - intentional - pilot in command (cfi)
11. (f) anxiety/apprehension - pilot in command (cfi)
----------
Occurrence #3: fire
Phase of operation: go-around (vfr)
Findings
12. (c) engine assembly, cylinder - fatigue
13. Engine assembly, cylinder - separation
14. Go-around - performed - pilot in command (cfi)
15. (f) judgment - poor - pilot in command (cfi)
----------
Occurrence #4: loss of engine power (total) - mech failure/malf
Phase of operation: approach - vfr pattern - base leg/base to final
Findings
16. (f) fluid, oil - starvation
----------
Occurrence #5: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
17. Light condition - night
18. (c) stall/mush - encountered - pilot in command (cfi)
Final Report:

Crash of a Cessna T207A Skywagon at Campo de Majo AFB

Date & Time: Nov 18, 1987
Operator:
Registration:
AE-218
Flight Type:
Survivors:
Yes
Schedule:
Campo de Majo - Campo de Majo
MSN:
207-0336
YOM:
1976
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was completing a local training flight at Campo de Mayo AFB when the single engine airplane crashed upon landing. Both pilots were injured.

Crash of a Max Holste M.H.1521M Broussard at the Asinao Pass: 3 killed

Date & Time: Oct 21, 1987
Operator:
Registration:
272/F-RHGE
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Solenzara - Solenzara
MSN:
328
YOM:
1960
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Circumstances:
The crew departed Solenzara AFB on a training mission. The single engine aircraft crashed in unknown circumstances by the Asinao Pass, about 16 km southwest of the Solenzara Airbase. All three occupants were killed.