Crash of a Convair CV-240D in Akron

Date & Time: Nov 28, 1991 at 1434 LT
Type of aircraft:
Operator:
Registration:
N450GA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Akron - Columbus
MSN:
52-83
YOM:
1954
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
18528
Circumstances:
Shortly after departure the airplane was seen climbing to an altitude of about 200 feet agl. Witnesses saw smoke coming from one of the engines and heard a 'popping noise.' The pilot executed a forced landing in a field. The airplane struck electrical wires and fence then burst into flames. The airplane had refueled just prior to take off, and the fuel receipt showed that 300 gallons of jet (A) fuel was put into the tanks. The normal fuel used in the airplane was 100LL.
Probable cause:
The use of an improper grade of fuel, which was approved by the captain and resulted in a loss of engine power during climbout and an in flight collision with terrain.
Final Report:

Crash of a Cessna 340 in Columbus: 5 killed

Date & Time: Nov 12, 1991 at 2030 LT
Type of aircraft:
Registration:
N7672Q
Survivors:
No
Schedule:
Charleston – Columbus
MSN:
340-0184
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
2617
Captain / Total hours on type:
969.00
Aircraft flight hours:
2653
Circumstances:
On final approach the pilot reported an engine failure. He said he was putting the landing gear down. The airplane crashed 3 miles from the airport. Examination of the engines revealed no discrepancies. The pilot did not feather the propeller after the engine failure. He had no training in this airplane or any other multi-engine airplane in over 5 years. His last before was in a Cessna 172. It was reported that the pilot did not manage the airplane fuel system in the recommended manner. A witness said the pilot used fuel from the main tanks until they were nearly empty. He ignored forecasts of light icing conditions and during his flight he reported ice accumulation. All five occupants were killed.
Probable cause:
The pilot's improper execution of an emergency procedure, after an engine failure, which resulted in the loss of airplane control. Factors related to the accident were: the pilot's improper management of the fuel system; the pilot's lack of proficiency in emergency procedure; and the flight into known icing conditions.
Final Report:

Crash of a Beechcraft E18S in Martinsville

Date & Time: Aug 20, 1991 at 0640 LT
Type of aircraft:
Operator:
Registration:
N63B
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Wilmington - Richmond
MSN:
BA-119
YOM:
1956
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3500
Captain / Total hours on type:
1320.00
Circumstances:
After takeoff at 600 feet, the right engine quit. The pilot said, '[the] altitude dropped about 100 feet and airspeed at 120 knots. The right engine came back again . . . It ran for about 10 seconds. [I] adjusted power on left engine . . . Feathered right prop and tried to maintain altitude, but airspeed kept diminishing, so I had to descend to maintain airspeed.' The pilot put the landing gear down to absorb the shock of landing in a field. An examination revealed no malfunctions in the engine or carburetor. The airplane was within allowable gross weight and center of gravity limits. The weather was: ceiling 600 feet broken, 1,500 feet overcast, visibility 3 miles, light rain and fog. The pilot escaped with minor injuries and the aircraft was damaged beyond repair.
Probable cause:
A failure of one engine for undetermined reasons. Additionally, the heavy gross weight resulted in inadequate single engine performance, which lead to a forced landing.
Final Report:

Crash of a Learjet 25XR in Columbus

Date & Time: Jul 1, 1991 at 2152 LT
Type of aircraft:
Operator:
Registration:
N458J
Survivors:
Yes
Schedule:
Philadelphia - Columbus
MSN:
25-106
YOM:
1973
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9450
Captain / Total hours on type:
4156.00
Circumstances:
N458J was landing during a rain shower. As the airplane started to flare for landing, the wind caused it to drift to the right. The pilot started to correct this drift, as the rain became heavier. During the touchdown, the pilot lost visual reference with the runway, yet he continued with the landing roll. The airplane drifted off the left side of the runway and ran into soft terrain. Both pilots escaped uninjured and the aircraft was damaged beyond repair.
Probable cause:
The failure of the pilot to maintain visual reference with the runway during a landing, which resulted in a loss of directional control. Also causal to the accident was the pilot's failure to initiate a go-around, after he lost sight of the runway during the touchdown. Factors related to the accident were the heavy rain and the lack of runway centerline lights.
Final Report:

Crash of a Douglas DC-9-15RC in Cleveland: 2 killed

Date & Time: Feb 17, 1991 at 0019 LT
Type of aircraft:
Operator:
Registration:
N565PC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Buffalo - Cleveland - Indianapolis
MSN:
47240
YOM:
1968
Flight number:
RYN590
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
10505
Captain / Total hours on type:
505.00
Copilot / Total flying hours:
3820
Copilot / Total hours on type:
510
Aircraft flight hours:
47574
Circumstances:
The flight had flown through weather conducive to airframe ice about 40 minutes prior to the accident during descent into Cleveland. During the 35-minute turnaround at Cleveland the crew did not exit the airplane to conduct an exterior preflight inspection to verify that the wings were free of ice contamination. It was snowing while they were on the ground. The airplane stalled and rolled into the ground immediately after takeoff. There was no operator requirement for the preflight. The flight had not been given training regarding the effects of wing contamination on the airplane. The FAA and the manufacturer have been aware for several years of the propensity of the DC-9 series 10 to the loss of control caused by wing contamination, but neither of them took positive action to include related information in the approved airplane flight manual. Both pilots were killed.
Probable cause:
The failure of the flightcrew to detect and remove ice contamination on the airplane's wings, which was largely a result of a lack of appropriate response by the federal aviation administration, Douglas aircraft company, and ryan international airlines to the known critical effect that a minute amount of contamination has on the stall characteristics of the DC-9 series 10 airplane. The ice contamination led to wing stall and loss of control during the attempted takeoff.
Final Report:

Crash of a Learjet 23 in Ansonia: 2 killed

Date & Time: Jan 18, 1990 at 0551 LT
Type of aircraft:
Registration:
N331DP
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Detroit - Louisville
MSN:
23-067
YOM:
1965
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
20000
Aircraft flight hours:
5600
Circumstances:
At 0515 est, the flight was cleared for takeoff on a flight from Ypsilanti, MI to Louisville, KY. About 17 minutes later, the flight crew began to display indications of a deterioration of their ability to control the aircraft. At 1st, they deviated from instruments to hold west of the Findlay VOR at FL220. As the flight continued and was cleared to FL270, the crew displayed confusion about magnetic headings and basic instruments. At 1048 est, the aircraft deviated from the en route heading and the wrong heading was read back after a heading correction was given. Also, the aircraft continued climbing (to FL291), then radar and radio contact were lost at 0551 est. The controller noted the pilot's speech was slurred and some portions of the conversation were unintelligible. Subsequently, the aircraft crashed in a steep dive. No preimpact part failure was verified, though impact forces and post-crash fire resulted in extensive damage of the aircraft. The aircraft was equipped with oxygen and pressurization system. No audible warning was noted on ATC recordings to indicate the cabin altitude had exceeded 10,000 feet, though the aircraft was equipped with such a device. Both pilots were killed.
Probable cause:
The flight crew became incapacitated for undetermined reasons and lost control of the airplane.
Final Report:

Crash of an Avro 748-215-2 in Dayton: 2 killed

Date & Time: Jan 12, 1989 at 0445 LT
Type of aircraft:
Operator:
Registration:
C-GDOV
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Dayton - Montreal
MSN:
1582
YOM:
1966
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5847
Captain / Total hours on type:
3200.00
Aircraft flight hours:
35817
Circumstances:
During night cargo operation, check captain (right seat) was evaluating the 1st officer (f/o, left seat) for possible upgrade to captain. Before departing, flight was cleared for right turn after takeoff to 020°. Takeoff began at 0441:11. Water/methanol injection was used (to 1st power reduction). At 0441:49, landing gear was retracted; 8 seconds later 1st power reduction was made, then a frequency change was approved. Captain noted they should climb to 1,500 feet msl (approximately 500 feet agl) before turning. At about 300 feet agl, aircraft entered overcast and began a steep right turn. CVR indicated captain was performing cockpit duties at this time and giving info to f/o about the departure. FDR showed aircraft reached max alt of 423 feet agl and began descending. At 0442:22, captain remarked to f/o, 'don't go down . . . Get up . . . Up up up . . . Up, oh!' At about that time, aircraft hit in an open field, but continued flying for approximately 3/4 mile. It then hit a tree and crashed in a wooded area. Investigation revealed that during several training flights and 2 check flights, the f/o demonstrated difficulty in performing instrument flight due to disorientation, narrow focus of attention, or lack of instrument scan (instrument fixation), especially during high task workload. Both pilots were killed.
Probable cause:
Improper IFR procedure by the first officer (copilot) during takeoff, his lack of instrument scan (improper use of flight/navigation instruments), his failure to maintain a positive rate of climb or to identify the resultant descent, and the captain's inadequate supervision of the flight. Contributing factors were: dark night, low ceiling, drizzle, the first officer's lack of total experience in the type of operation, and possible spatial disorientation of the first officer.
Occurrence #1: in flight collision with terrain/water
Phase of operation: takeoff
Findings
1. (f) light condition - dark night
2. (f) weather condition - low ceiling
3. (f) weather condition - drizzle/mist
4. (c) ifr procedure - improper - copilot/second pilot
5. (c) flight/navigation instrument(s) - improper use of - copilot/second pilot
6. (c) climb - not maintained - copilot/second pilot
7. (c) descent - not identified - copilot/second pilot
8. (f) spatial disorientation - copilot/second pilot
9. (f) lack of total experience in type operation - copilot/second pilot
10. (c) supervision - inadequate - pilot in command
----------
Occurrence #2: in flight collision with object
Phase of operation: other
Findings
11. Object - tree(s)
Final Report:

Crash of a Piper PA-31-310 Navajo in Springfield: 1 killed

Date & Time: Jan 3, 1989 at 0812 LT
Type of aircraft:
Operator:
Registration:
N9034Y
Flight Type:
Survivors:
No
Site:
Schedule:
Indianapolis - Columbus
MSN:
31-47
YOM:
1967
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1041
Captain / Total hours on type:
57.00
Aircraft flight hours:
5906
Circumstances:
The pilot was making a contract cargo flight under far 91 rules and had experienced icing enroute. When just past Dayton, he indicated that he 'had a little fuel problem' and needed to get into OSU without delays. A short time later he indicated that he needed to go to the nearest airport. He was vectored toward SGH for landing. He then indicated that he had lost an engine and a short time later indicated that he had lost the other engine. The aircraft crashed in a residential area. There was no fire and only residual fuel was found in the airplane. The company president indicated that he did not encourage his pilots to carry 'excess fuel'. It was reported that this pilot, along with others, had been 'chewed out' for carrying 'excess fuel'. The operation should have been conducted under far 135 rules since the company had retained operational control of the operation. The pilot, sole on board, was killed.
Probable cause:
Fuel exhaustion precipitated by the inadequate fuel consumption calculations performed by the pilot, pressure from the company president to not carry excess fuel and improper in-flight planning/decisions by the pilot by not refueling enroute before fuel was exhausted. Contributing to the accident was the inadequate surveillance and certification of the operator by the FAA.
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: descent
Findings
1. (c) fuel consumption calculations - inadequate - pilot in command
2. (c) company-induced pressure - company/operator management
3. (c) inadequate surveillance of operation - faa (organization)
4. (c) fluid, fuel - exhaustion
5. (c) aircraft preflight - inadequate - pilot in command
6. (c) inadequate certification/approval - faa (organization)
7. (c) refueling - not performed - pilot in command
8. (c) in-flight planning/decision - inadequate - pilot in command
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Mitsubishi MU-2B-60 Marquise in Mansfield: 4 killed

Date & Time: Jan 2, 1989 at 1643 LT
Type of aircraft:
Operator:
Registration:
N500V
Flight Type:
Survivors:
No
Schedule:
Greenville - Mansfield
MSN:
379
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
11700
Captain / Total hours on type:
2860.00
Aircraft flight hours:
3288
Circumstances:
During arrival, the flight was vectored for an ILS runway 32 approach. As the arrival continued, the ATC controller provided the latest info on cloud tops and in-cloud icing. The pilot acknowledged, then inquired about the status of the 'locator.' The controller advised that all components of the ILS, including the outer marker locator, were monitoring normal. Four miles from the outer marker/faf, the pilot was given a final vector, was cleared for the approach and was cleared to circle and land on runway 23. He acknowledged, then radio and radar contact with the aircraft were lost. The aircraft crashed approximately 2 miles southeast of the faf, while in a steep descent on a heading of 140°. No preimpact part failure/malfunction of the aircraft was found, though it was extensively damaged. About three weeks after a boating accident on 7/2/88, the pilot was admitted to a hospital and treated for a stroke, but an autopsy and toxicological checks failed to reveal any condition which would have prevented the pilot from performing his duties. Ad 88-13-01, concerning aircraft equipped with m-4c/d autopilots, was not complied with. All four occupants were killed.
Probable cause:
Failure of the pilot to maintain control of the aircraft, due to spatial disorientation, at about the time he was changing radio frequencies during an IFR approach.
Occurrence #1: loss of control - in flight
Phase of operation: approach - iaf to faf/outer marker (ifr)
Findings
1. Weather condition - clouds
2. Weather condition - icing conditions
3. Weather condition - low ceiling
4. (c) aircraft control - not maintained - pilot in command
5. (c) spatial disorientation - pilot in command
----------
Occurrence #2: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna 414A Chancellor in Bloomville: 2 killed

Date & Time: Dec 22, 1988 at 2030 LT
Type of aircraft:
Registration:
N84UM
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Pontiac - West Palm Beach
MSN:
414A-0825
YOM:
1981
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1336
Aircraft flight hours:
1987
Circumstances:
Approximately 2 minutes after the flight (N84UM) had climbed and leveled at FL290, the ARTCC controller noticed there was no return from the aircraft's transponder. The controller transmitted an advisory, but got no reply. He made several more radio calls and received 2 replies. Later, a review of the radio transcript indicated the pilot's 1st reply was something about 'ice.' In his 2nd response to an inquiry from the controller about 'how do you hear me,' he replied 'good.' After that there was no further contact with the flight. Wreckage from the aircraft was found scattered over a 6 miles area, indicating an in-flight breakup. Pieces from the horizontal stabilizers were found from 2 to 6 miles from the main wreckage. The right wing was found 2 miles from the main wreckage and the left outboard wing panel was found about 1 mile from the right wing. During a preflight briefing, the pilot was advised of turbulences and icing conditions; he was told to expect light to moderate rime icing in clouds thru 15,000 feet, but the aircraft was equipped for flight in icing conditions. A check of the pilot's liver fluid showed a benzoylecgonine (cocaine metabolite) level of 0.136 mg/l. Both occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: climb
Findings
1. Light condition - dark night
2. (f) weather condition - clouds
3. (f) weather condition - icing conditions
----------
Occurrence #2: loss of control - in flight
Phase of operation: cruise
Findings
4. (c) aircraft control - not maintained - pilot in command
5. (f) impairment (drugs) - pilot in command
----------
Occurrence #3: airframe/component/system failure/malfunction
Phase of operation: descent - uncontrolled
Findings
6. (c) design stress limits of aircraft - exceeded - pilot in command
7. Horizontal stabilizer surface - overload
8. Horizontal stabilizer surface - separation
9. Wing - overload
10. Wing - separation
----------
Occurrence #4: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report: