Crash of a Cessna 402C in Chicago: 1 killed

Date & Time: Jul 20, 1987 at 2219 LT
Type of aircraft:
Operator:
Registration:
N3742C
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Chicago - Kansas City
MSN:
402C-0600
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3200
Aircraft flight hours:
2597
Circumstances:
On initial climb the pilot reported 'just lost one', followed by a loss of control and descent into a residential area. Subsequent investigation revealed a loose connection between the left engine throttle serrated washer and the serrated shaft. The engine had been removed and reinstalled a few flight hours prior to the occurrence. The pilot, sole on board, was killed.
Probable cause:
The NTSB determines the probable cause(s) of this accident to be:
Failure of maintenance personnel to perform proper installation of the left throttle linkage.
Findings:
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: takeoff - initial climb
Findings
1. (c) induction air control, linkage - loose
2. (c) maintenance, installation - improper - other maintenance personnel
----------
Occurrence #2: loss of control - in flight
Phase of operation: takeoff
Findings
3. (c) propeller feathering - not performed - pilot in command
4. (c) airspeed (vmc) - disregarded - pilot in command
5. (f) light condition - dark night
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
6. Object - wire, static
7. Object - building (nonresidential)
Final Report:

Crash of a Beechcraft E18S in Quincy: 2 killed

Date & Time: Feb 18, 1987 at 1532 LT
Type of aircraft:
Operator:
Registration:
N149R
Flight Type:
Survivors:
No
Schedule:
Quincy - Belleville
MSN:
BA-414
YOM:
1959
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3743
Captain / Total hours on type:
287.00
Aircraft flight hours:
15749
Circumstances:
The aircraft, at near gross weight (cg unknown), was on initial climb after takeoff. A witness reported that engines sounded normal. At about 400 feet agl the aircraft was reported to pitch up about 10°, then level off and entered a left turn. The aircraft made another left turn to the south-southwest. The pilot reported that he was returning to the field, but did not state problem. The witness said the aircraft was in a 30° left bank, turning toward the airport, when the aircraft stalled and descended to the ground in a vertical nose down attitude. Fire/explosion after impact. Left propeller found in feathered position. No engine problem found. On 1/28/87, left engine lost power after takeoff; no problem found; unable to duplicate. Pilot had two engine-out experiences in airplane previously, both when at low weight. Surrounding terrain suitable for off-airport landing. Both occupants were killed.
Probable cause:
Occurrence #1: loss of engine power
Phase of operation: takeoff - initial climb
Findings
1. (c) reason for occurrence undetermined
----------
Occurrence #2: loss of control - in flight
Phase of operation: maneuvering - turn to landing area (emergency)
Findings
2. Propeller feathering - performed - pilot in command
3. (c) in-flight planning/decision - improper - pilot in command
4. (c) emergency procedure - improper - pilot in command
5. (c) airspeed (vmc) - not maintained - pilot in command
6. Wheels up landing - not performed - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna 441 Conquest II in DuPage: 1 killed

Date & Time: Oct 23, 1986 at 0851 LT
Type of aircraft:
Operator:
Registration:
N241FW
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
DuPage – Cleveland
MSN:
441-0241
YOM:
1982
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
10200
Aircraft flight hours:
1615
Circumstances:
The pilot (a part time employee of the owner) was ferrying the aircraft for maintenance. Witnesses, who saw the pilot before take- off, noted that his speech was slurred and that he seemed angry because a tug would not start. One witness characterized him as being 'very mad' and said his face was 'flushed red.' The aircraft was observed to takeoff in a high nose-up attitude and climb about 500 to 1,000 feet before turning to the southwest and leveling. Subsequently, the plane turned back toward the airport, then it crashed and burned approximately 1-1/2 mile ssw of the airport while on a heading of northeast. Impact occurred while the aircraft was descending in a slightly left wing low attitude. The wreckage was scattered over an area that was approximately 600 feet long and about 45 feet wide at the widest point. According to witnesses, the engines were operating normally when the aircraft crashed. No preimpact mechanical problem was found. A toxicology check of the pilot's liver tissue fluid showed an alcohol level of 2,26‰. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: takeoff - initial climb
Findings
1. (c) judgment - poor - pilot in command
2. (c) impairment (alcohol) - pilot in command
3. Ifr procedure - initiated
4. (f) weather condition - low ceiling
5. (f) weather condition - fog
6. Climb - delayed
7. (c) altitude - not maintained - pilot in command
8. (c) descent - not corrected - pilot in command
9. (f) psychological condition - pilot in command
Final Report:

Crash of a Beechcraft E18S in Chicago: 1 killed

Date & Time: Sep 28, 1986 at 2254 LT
Type of aircraft:
Operator:
Registration:
N101VE
Flight Type:
Survivors:
No
Site:
Schedule:
Chicago - Covington
MSN:
BA-190
YOM:
1956
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
6400
Captain / Total hours on type:
2059.00
Aircraft flight hours:
17743
Circumstances:
The aircraft had departed on runway 13. He was then directed to climb to 6,000 feet. Thirty seconds later he advised he had engine trouble and was returning to the airport. Shortly thereafter he advised he could not maintain altitude. The aircraft, one mile southeast of the airport, struck the roofs of two family type residences. Then struck two garages, ground impacted and struck the rear area of a third residence. An intense fire followed. Left engine had impeller failure. Propeller was pitched between low and high rpm. The pilot, sole on board, was killed.
Probable cause:
Occurrence #1: loss of engine power (total) - mech failure/malf
Phase of operation: climb - to cruise
Findings
1. (f) eng assembly, blower/impeller/integral supercharger - failure, total
2. (f) lubricating system - lack of
----------
Occurrence #2: airframe/component/system failure/malfunction
Phase of operation: descent - emergency
Findings
3. (c) propeller system/accessories, feathering system - incorrect
4. Propeller feathering - attempted - pilot in command
5. (c) propeller system/accessories, feathering system - movement restricted
----------
Occurrence #3: forced landing
Phase of operation: descent - emergency
----------
Occurrence #4: in flight collision with object
Phase of operation: descent - emergency
Findings
6. (c) object - residence
----------
Occurrence #5: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Mitsubishi MU-2B-60 Marquise in Eola: 5 killed

Date & Time: Mar 5, 1986 at 1706 LT
Type of aircraft:
Operator:
Registration:
N513DC
Flight Phase:
Survivors:
No
Schedule:
Chicago – DuPage
MSN:
321
YOM:
1975
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
4590
Captain / Total hours on type:
180.00
Circumstances:
Evidence shows copilot called, 'mayday, uncontrolled spin' after aIRCRAFT radar track showed decelERATION from 180 to 120 kNOts over 2 minUTES period while maintaining constant 4,000 feet cruise altitude. Constant altitude consistent with autopilot/autotrim use, particularly in view of reported turbulence/icing. Elevator trim found at approx 13° nose up. No evidence found of preimpact failure or malfunction in aircraft powerplants, structure or systems. Evidence suggests scenario of crew inattention after power reduction with autopilot altitude setting. On power application, aircraft pitched up from slow speed into uncontrolled flight. Duty day at time of mishap approaching 11 hours. All five occupants were killed.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: cruise
Findings
1. (c) aircraft handling - not maintained - pilot in command
2. (f) fatigue (flight and ground schedule) - pilot in command
3. (f) throttle/power control - improper use of - pilot in command
4. (f) trim setting - improper - pilot in command
5. (f) weather condition - icing conditions
6. (f) weather condition - turbulence
7. Stall/spin
Final Report:

Crash of a Piper PA-46-310P Malibu off Evanston

Date & Time: Dec 12, 1985 at 0930 LT
Operator:
Registration:
N4380A
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
DuPage – Troy
MSN:
46-8508016
YOM:
1985
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1890
Captain / Total hours on type:
16.00
Aircraft flight hours:
478
Circumstances:
The aircraft was on climbout on an IFR flight plan in VMC conditions when the engine failed. A restart was attempted and the engine ran for a minute or less. Subsequent attempts were unsuccessful. The aircraft was over Lake Michigan and had insufficient altitude to reach the shoreline. A successful water landing was made and the occupants were picked up by the Coast Guard unharmed. Subsequent examination of the engine revealed that the crankshaft had fractured.
Probable cause:
Occurrence #1: loss of engine power (total) - mech failure/malf
Phase of operation: climb - to cruise
Findings
1. (c) engine assembly, crankshaft - fatigue
2. (c) engine assembly, crankshaft - failure, total
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: ditching
Phase of operation: landing - flare/touchdown
Final Report:

Crash of a Dassault Falcon 10 in DuPage

Date & Time: Sep 23, 1985 at 1025 LT
Type of aircraft:
Operator:
Registration:
N700DK
Survivors:
Yes
Schedule:
Elkhart – DuPage
MSN:
191
YOM:
1981
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2697
Captain / Total hours on type:
375.00
Aircraft flight hours:
537
Circumstances:
The Falcon 10 touched down long and fast on a wet runway, experienced hydroplaning and went off the end of the runway, struck a drainage ditch and collapsed the landing gear. The nose gear came back and bent the throttle quadrant bracket, pulled the fuel controls to 90% power. This pushed the aircraft on its belly another 1,000-1,600 feet until it came to a stop on a hillside. Both pilots were uninjured.
Probable cause:
Occurrence #1: on ground/water encounter with terrain/water
Phase of operation: landing - roll
Findings
1. (c) in-flight planning/decision - improper - pilot in command
2. (c) planned approach - improper - pilot in command
3. (c) proper touchdown point - exceeded - pilot in command
4. (c) airspeed - excessive - pilot in command
----------
Occurrence #2: complete gear collapsed
Phase of operation: landing - roll
Findings
5. Landing gear, main gear - overload
6. Landing gear, nose gear - overload
Final Report:

Crash of a Beechcraft E18S in Marion

Date & Time: May 11, 1984 at 0530 LT
Type of aircraft:
Registration:
N561S
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Marion - Cape Girardeau
MSN:
BA-46
YOM:
1959
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8000
Captain / Total hours on type:
8000.00
Circumstances:
The aircraft crashed after takeoff from runway 29 at Williamson County Airport. The pilot stated that she mismanaged the fuel system and that she 'probably took off on fumes.' She further stated that she should have told the company 'I'm too tired to make this flight.' The pilot was slightly injured.
Probable cause:
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: takeoff - roll/run
Findings
1. (c) fluid,fuel - starvation
2. (c) preflight planning/preparation - improper - pilot in command
3. (f) fatigue (lack of sleep) - pilot in command
----------
Occurrence #2: in flight collision with object
Phase of operation: takeoff - initial climb
Findings
4. Object - tree(s)
Final Report:

Crash of an Avro 748-FAA-2A near Pinckneyville: 10 killed

Date & Time: Oct 11, 1983 at 2053 LT
Type of aircraft:
Operator:
Registration:
N748LL
Flight Phase:
Survivors:
No
Schedule:
Chicago - Springfield - Carbondale
MSN:
1716
YOM:
1972
Flight number:
UX710
Crew on board:
3
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
5891
Captain / Total hours on type:
3170.00
Copilot / Total flying hours:
5119
Copilot / Total hours on type:
1746
Aircraft flight hours:
21182
Aircraft flight cycles:
32350
Circumstances:
Flight 710 departed Chicago, IL for a flight to Carbondale, IL via Springfield, IL. The flight was about 45 minutes behind schedule when it arrived at Springfield, about 20:05. At 20:11, the flightcrew were provided with the latest Carbondale weather: ceiling and visibility were 2,000 feet overcast and 2 miles, respectively, with light rain and fog. The crew then requested its IFR clearance, with 5,000 feet for its en route altitude. At 20:16, Flight 710 was cleared to taxi to runway 15 for takeoff. The aircraft took off at 20:20 and climbed to cruising altitude. At 20:21:34, Flight 710 informed the departure controller that it had experienced a "slight electrical problem..." and that it would keep the controller "advised." The flight then requested and was cleared to maintain 3,000 feet. At 20:23:54, the first officer told the captain that "the left (generator) is totally dead, the right (generator) is putting out voltage but I can't get a load on it." At 20:24:26, the first officer reported, "zero voltage and amps (amperes) on the left side, the right (generator) is putting out twenty-seven and a half (volts) but I can't get it to come on the line." The battery voltage further dropped to 22 volts. The crew a.o. shut off excess cabin lights because of the electrical problem. About 20:38, the first officer mistakenly isolated the right generator and right generator bus bar from the aircraft's dc electrical distribution system. Radio contact was lost when the flight was requested to change radio frequencies. At 20:52 the captain decided to descend to 2,400 feet and the voltage had further dropped to 13 volts. The aircraft continued to descend and struck the ground in an open pasture area.
Probable cause:
The captain's decision to continue the flight toward the more distant destination airport after the loss of d.c. electrical power from both aircraft generators instead of returning to the nearby departure airport. The captain's decision was adversely affected by self-imposed psychological factors which led him to assess inadequately the aircraft's battery endurance after the loss of generator power and the magnitude of the risks involved in continuing to the destination airport. Contributing to the accident was the airline management's failure to provide and the FAA's failure to assure an adequate company recurrent flight crew training programme which contributed to the captain's inability to assess properly the battery endurance of the aircraft before making the decision to continue, and led to the inability of the captain and the first officer to cope promptly and correctly with the aircraft's electrical malfunction."
Patricia A. Goldman, Vice Chairman, filed the following concurring/dissenting statement:
"While the accident report correctly identifies training and surveillance, I believe that inclusion of these items in the probable cause statement obscures and detracts from the basic reason the accident occurred and the attendant safety lesson. The pilot should never have continued the flight to the destination airport, but should have returned to the nearby airport on realizing that electrical d.c. power had been lost."
Final Report:

Crash of a Cessna 340A in Aurora: 1 killed

Date & Time: Sep 25, 1982 at 2045 LT
Type of aircraft:
Operator:
Registration:
N2676A
Survivors:
No
Schedule:
Cleveland – Aurora
MSN:
340A-0761
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
3484
Captain / Total hours on type:
495.00
Aircraft flight hours:
548
Circumstances:
Following a missed approach to Aurora-Sugar Grove Airport, the twin engine airplane descended in a left turn, causing the left wing to struck the ground first. The aircraft broke up and caught fire. The pilot, sole on board, was killed. No malfunctions found.
Probable cause:
Occurrence #1: loss of control - in flight
Phase of operation: missed approach (IFR)
Findings
1. (f) light condition - dark night
2. (f) weather condition - low ceiling
3. (f) weather condition - rain
4. (f) weather condition - fog
5. (c) flight controls - improper use of - pilot in command
6. (f) fatigue - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: missed approach (IFR)
Final Report: