Crash of a Cessna 411 in Guaymas: 2 killed

Date & Time: Feb 28, 2005 at 1000 LT
Type of aircraft:
Operator:
Registration:
XB-ITI
Flight Type:
Survivors:
No
Site:
Schedule:
Tijuana – Guaymas
Location:
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The twin engine departed Tijuana Airport at 0800LT on a flight to Guaymas with two pilots on board. On approach, the aircraft impacted a wooded mountain located 32 km short of runway. Both occupants were killed.

Crash of an IAI-1124 Westwind near El Devanador: 7 killed

Date & Time: Feb 24, 2005 at 1537 LT
Type of aircraft:
Operator:
Registration:
XC-COL
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Toluca - Colima
MSN:
279
YOM:
1979
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
7
Captain / Total flying hours:
4350
Copilot / Total flying hours:
6597
Aircraft flight hours:
8523
Circumstances:
The aircraft departed Toluca Airport at 1516LT on a flight to Colima, carrying five members of the Colima Government and two pilots. Fifteen minutes into the flight, while cruising at an altitude of 16,000 feet, the crew informed ATC about control problems and was cleared to divert to Morelia Airport via radial 160. Shortly later, the aircraft entered an uncontrolled descent and crashed in a wooded and mountainous terrain located near El Devanador. The aircraft was totally destroyed and all seven occupants were killed.
Crew:
Mario Torres, pilot,
Germán Ascencio, copilot.
Passengers:
Gustavo Vázquez Montes, Governor of the State of Colima,
Roberto Preciado Cuevas, delegate secretary for Tourism,
Ignacio Peralta, delegate secretary for Economy,
Luis Barreda Cedillo, delegate secretary for Finances,
Guillermo Díaz, Director of Tourism.
Probable cause:
Sudden descent during cruise flight and loss of control of the aircraft due to flight control problems. The following findings were identified:
- A possible failure of the horizontal stabilizer actuator,
- A possible abrupt change in the attitude of the aircraft due to the position of the centre of gravity,
- Possible improper crew actions to resolve the emergency,
- A possible crew neglect of position and indication of flight controls.
Final Report:

Crash of a Cessna 340 in Mendoza: 2 killed

Date & Time: Feb 7, 2005 at 0634 LT
Type of aircraft:
Registration:
N5790M
Flight Phase:
Survivors:
No
Site:
MSN:
340-0044
YOM:
1972
Location:
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
On February 7, 2005, about 0634, Atlantic standard time, a Cessna 340, N5790M, registered to and operated by Ward County Irrigation District N°1, impacted with terrain in a mountainous area in Mendoza, Argentina. Visual meteorological conditions prevailed at the time and the flight plan information is unknown. The pilot and copilot received fatal injuries, and the airplane was destroyed. The flight originated from Aerodrome San Rafael (SAMR), Argentina, earlier that day, at an unspecified time. The initial notification from Argentina's Junta de Investigaciones de Accidentes de Aviacion Civil ( JIAAC) stated the airplane was on a cloud-seeding mission to prevent thunderstorms from developing in that agricultural area.

Crash of a Boeing 737-242 near Kabul: 104 killed

Date & Time: Feb 3, 2005 at 1515 LT
Type of aircraft:
Operator:
Registration:
EX-037
Flight Phase:
Survivors:
No
Site:
Schedule:
Herat - Kabul
MSN:
22075
YOM:
1980
Flight number:
KMF904
Location:
Country:
Region:
Crew on board:
8
Crew fatalities:
Pax on board:
97
Pax fatalities:
Other fatalities:
Total fatalities:
105
Circumstances:
On February 3, 2005, a Boeing 737-242 aircraft (the "Aircraft") with Kyrgyz Republic registration EX-037, operated by Phoenix Aviation, was conducting Kam Air Flight 904 from Herat to Kabul. There were a total of 105 occupants on board the Aircraft, including eight crew members and ninety-seven passengers. The Aircraft was cruising at flight level 270 when it contacted Bagram Radar Approach Control ("Bagram") for descent and landing. The flight was normal until it failed to level at flight level 130 during the VOR/DME approach. At 1043:24 UTC, Bagram cleared the flight to descend at its discretion and to expect the VOR approach to runway 29. The prevailing weather was also passed on to the Aircraft. Visibility was reported 2 kilometers with snow, ceiling 2,200 feet broken. wind calm and altimeter setting QNH 1016. AT 1043:58 UTC, when the Aircraft was 35 miles west of the Kabul VOR. radar contact was established with Ba9ram. The Aircraft was advised by Bagram to cross the VOR at or above flight level 130 and cleared it for the VOR/DME approach to runway 29. At 1048:41 UTC the Aircraft reported flight level 130. Bagram again cleared the Aircraft for the VOR approach to runway 29 and advised the Aircraft to report procedure turn inbound. The crew replied that they would report proceeding inbound for the VOR approach to runway 29. This was the last transmission from the Aircraft. At about 1050:11 UTC, Bagram stated that radar contact had been lost with the Aircraft. Bagram and Kabul Air Traffic Control Tower attempted to locate the Aircraft through radar and radio communication, but were not successful. Search for the Aircraft was delayed and hampered due to a severe snowstorm in the region. The Aircraft was located approximately three days later by an International Security Assistance Force (ISAF) helicopter approximately 30 kilometers southeast of Kabul International Airport at N 36 27.900 E 69 30.185. The Aircraft was destroyed by force of impact from colliding with the mountain. All 105 occupants on board the Aircraft had received fatal injuries. Subsequently, all bodies were recovered and identified. The wreckage was found at the altitude of 9,960 feet (3,035 metres) on the summit of Mt Shapiri Ghar located about 30 km southeast of Kabul Airport.
Probable cause:
The accident occurred probably due to the premature descent by the aircraft below its minimum assigned altitude of 13,000 feet during approach in weather conditions below VFR requirements. The reason for descending below the minimum altitude could not be determined due to inadequate evidence. The investigation was severely affected due to non-availability of FDR and CVR data readouts. The investigation was finalized to the extent possible based on the limited evidence available. The investigation revealed that the aircraft did not proceed to the VOR as instructed by the air traffic controller and descended below the minimum assigned altitude prior to being established on any segment of the approach. As a result, the aircraft collided with a mountain. The cause of descending below the assigned altitude could not be determined due to inadequate data and evidence.
Final Report:

Crash of a Cessna 208B Grand Caravan near Colquiri

Date & Time: Jan 21, 2005 at 1000 LT
Type of aircraft:
Operator:
Registration:
CP-2412
Flight Phase:
Survivors:
Yes
Site:
Schedule:
La Paz - Sucre
MSN:
208B-0897
YOM:
2001
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
10
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine aircraft departed La Paz-El Alto Airport at 0915LT on a schedule service to Sucre with 10 passengers and two pilots on board. About 45 minutes into the flight, the crew reported icing conditions. The aircraft lost height and crashed on the slope of Mt Huaricollo. All 12 occupants were rescued and the aircraft was destroyed.
Probable cause:
Loss of control following an excessive accumulation of ice/frost while flying in freezing fog conditions.

Crash of a PZL-Mielec M28 Skytruck near El Junquito: 16 killed

Date & Time: Dec 10, 2004 at 1050 LT
Type of aircraft:
Operator:
Registration:
GN-97121
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Puerto Ayacucho – La Carlota
MSN:
AJE001-15
YOM:
1999
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
13
Pax fatalities:
Other fatalities:
Total fatalities:
16
Circumstances:
The twin engine aircraft departed Puerto Ayacucho on a flight to La Carlota with 13 passengers and three crew members on board, among them seven civilians. While cruising at an altitude of 11,500 feet in poor weather conditions, the aircraft struck trees and crashed in a wooded and mountainous area located 24 km from El Junquito. The aircraft was totally destroyed by impact forces and a post crash fire and all 16 occupants were killed.
Probable cause:
Controlled flight into terrain.

Crash of a Cessna T207A Skywagon near Henderson: 1 killed

Date & Time: Dec 8, 2004 at 1031 LT
Operator:
Registration:
N1783U
Flight Phase:
Survivors:
No
Site:
Schedule:
Henderson - Henderson
MSN:
207-0383
YOM:
1977
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1209
Captain / Total hours on type:
117.00
Aircraft flight hours:
12616
Circumstances:
The airplane impacted mountainous terrain in an extreme nose-down attitude following a departure from controlled flight. The purpose of the flight was to check the weather conditions for passenger tour flights that day. The pilot reported about 20 minutes prior to the accident that the ceiling was 6,500 feet mean sea level (msl). Radar data showed that following this weather report, the airplane's radar track continued eastbound and upon its return westbound, at an altitude of about 6,000 feet msl, the airplane entered a series of altitude fluctuations approximately 1 mile west of a ridge that was the location of the accident, descending at 4,000 feet per minute while turning northbound, and then climbing at 3,900 feet per minute while traveling eastbound, prior to disappearing from the radar. The airplane impacted on the eastern side of the ridge. There were no monitored distress calls from the aircraft and no known witnesses to the accident. Prior to the accident, there were reports of vibrations during flight on this aircraft, although many went unreported to maintenance personnel. The day (and flight) prior to the accident, a pilot experienced a vibration during flight with passengers and it was not reported to maintenance personnel because it was logged improperly in the operator's maintenance tracking system. No corrective actions were taken. During the post accident examinations, no portions of the right elevator and trim tab were identified in the wreckage, or at the accident site. The bracket attachment to the right elevator was found loose within the wreckage and was torsionally twisted counterclockwise (aft). Ground and aerial searches for the missing parts based on a trajectory study were unsuccessful. This aircraft was equipped with a foam cored elevator trim tab that was installed during aircraft manufacture. A service difficulty report (SDR) query showed that 47 reports had been issued on elevator trim tab corrosion and many included reports of vibrations during flight. On January 20, 2005, the Federal Aviation Administration (FAA) issued Special Airworthiness Information Bulletin (SAIB) CE-05-27, which addressed potential problems with foam-filled elevator trim tabs in the accident make/model airplane, and Cessna 206 and 210 series airplanes. The SAIB indicated that the foam-filled elevator trim tabs, manufactured until 1985, were reported to have corrosion between the tab and the foam. The SAIB further said, in part, "When the skin of the trim tab becomes thin enough due to the corrosion, the actuator can pull the fasteners through the skin and disconnect. When this occurs, the tab can flutter." Some reports indicated prior instances of "vibrations in the tail section and portions of the elevator tearing away with the trim tab." Prior to the issuance of the SAIB, Cessna Aircraft Company issued a Service Bulletin (SB) SEB85-7 on April 5, 1985, that addressed elevator and trim tab inspection due to corrosion from moisture trapped in the foam cored trim tabs. Based on a review of the airplane's logbooks, the SB was not complied with, nor was the operator required to do so based on the FAA approved maintenance specifications.
Probable cause:
A loss of control due to the in-flight separation of the right elevator and elevator trim tab control surfaces. The precipitating reason for the elevator separation could not be resolved as related to the tab foam core issue with the available evidence.
Final Report:

Crash of a Partenavia P.68B in Santa Rita de Santa Teresa del Tuy: 2 killed

Date & Time: Nov 28, 2004 at 1233 LT
Type of aircraft:
Registration:
YV-928P
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Charallave – Margarita
MSN:
203
YOM:
1979
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
While flying at 5,500 feet, the aircraft lost altitude and crashed on the slope of a mountain located near Santa Rita de Santa Teresa del Tuy, bursting into flames. The aircraft was destroyed and both occupants were killed.
Probable cause:
The accident occurred after the pilot suffered a spatial disorientation while cruising under VFR mode in IMC conditions.

Crash of a Casa 212 Aviocar 200 near Bamyan: 6 killed

Date & Time: Nov 27, 2004 at 0820 LT
Type of aircraft:
Operator:
Registration:
N960BW
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Bagram - Farah
MSN:
231
YOM:
1982
Location:
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
5720
Captain / Total hours on type:
865.00
Copilot / Total flying hours:
2228
Copilot / Total hours on type:
420
Aircraft flight hours:
21489
Circumstances:
On November 27, 2004, about 0820 Afghanistan time, a Construcciones Aeronauticas Sociedad Anonima C-212-CC (CASA 212) twin-engine, turboprop airplane, N960BW, registered to Aviation Worldwide Services, LLC, and operated by Presidential Airways, Inc., of Melbourne, Florida, collided with mountainous terrain in the vicinity of the Bamiyan Valley, near Bamiyan, Afghanistan. The Department of Defense (DoD) contract flight was operated under the provisions of 14 Code of Federal Regulations (CFR) Part 135, with a company flight plan filed. Daylight visual meteorological conditions (VMC) prevailed. The captain, the first officer, and the mechanic-certificated passenger, who were U.S. civilians employed by the operator, and the three military passengers, who were active-duty U.S. Army soldiers, received fatal injuries. The airplane was destroyed. The flight departed Bagram Air Base (OAIX), Bagram, Afghanistan, about 0738.
Probable cause:
The captain's inappropriate decision to fly a nonstandard route and his failure to maintain adequate terrain clearance, which resulted in the inflight collision with mountainous terrain. Factors were the operator's failure to require its flight crews to file and to fly a defined route of flight, the operator's failure to ensure that the flight crews adhered to company policies and FAA and DoD Federal safety regulations, and the lack of in-country oversight by the FAA and the DoD of the operator. Contributing to the death of one of the passengers was the operator's lack of flight-locating procedures and its failure to adequately mitigate the limited communications capability at remote sites.
Final Report:

Crash of a Beechcraft 200 Super King Air on Mt Bull: 10 killed

Date & Time: Oct 24, 2004 at 1235 LT
Operator:
Registration:
N501RH
Survivors:
No
Site:
Schedule:
Concord – Martinsville
MSN:
BB-805
YOM:
1981
Crew on board:
2
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
10733
Captain / Total hours on type:
210.00
Copilot / Total flying hours:
2090
Copilot / Total hours on type:
121
Aircraft flight hours:
8078
Circumstances:
On October 24, 2004, about 1235 eastern daylight time (all times in this brief are eastern daylight time based on a 24-hour clock), a Beech King Air 200, N501RH, operated by Hendrick Motorsports, Inc., crashed into mountainous terrain in Stuart, Virginia, during a missed approach to Martinsville/Blue Ridge Airport (MTV), Martinsville, Virginia. The flight was transporting Hendrick Motorsports employees and others to an automobile race in Martinsville, Virginia. The two flight crewmembers and eight passengers were killed, and the airplane was destroyed by impact forces and post crash fire. The flight was operating under the provisions of 14 Code of Federal Regulations (CFR) Part 91 on an instrument flight rules (IFR) flight plan. Instrument meteorological conditions (IMC) prevailed at the time of the accident.
Probable cause:
The flight crew's failure to properly execute the published instrument approach procedure, including the published missed approach procedure, which resulted in controlled flight into terrain. Contributing to the cause of the accident was the flight crew's failure to use all available navigational aids to confirm and monitor the airplane's position during the approach.
Final Report: