Crash of a BAe 3112 Jetstream 31 in Lloydminster

Date & Time: Jan 20, 1998 at 1810 LT
Type of aircraft:
Operator:
Registration:
C-FBIE
Survivors:
Yes
Schedule:
Calgary - Lloydminster
MSN:
815
YOM:
1988
Flight number:
ABK933
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
13
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4786
Captain / Total hours on type:
635.00
Copilot / Total flying hours:
1450
Copilot / Total hours on type:
151
Aircraft flight hours:
16180
Circumstances:
At 1700 MST, Alberta Citylink flight 933, C-FBIE, a British Aerospace Jetstream 31, serial number 815, took off from Calgary, on a scheduled flight to Lloydminster, Alberta. The aircraft carried a two-pilot crew, 13 passengers, and 250 pounds of freight and baggage. A non-precision automatic direction finder (ADF) approach was conducted to runway 25. The first officer was flying the approach, and when the runway environment became visual, the captain took control, requested 35 degrees of flap, and commenced the final descent to the runway. On touchdown, the left main landing gear collapsed and both propellers struck the runway surface. The aircraft slid along the runway on the belly pod for about 1 800 feet, and when the left wing contacted snow on the edge of the runway, the aircraft turned about 160 degrees. The passengers and crew evacuated through the over-wing exit. There was no fire and no injuries. The Board determined that an unstabilized approach resulted in a heavy landing because the captain changed the configuration of the aircraft, and the high rate of descent was not arrested before contact was made with the runway surface. Contributing to the high rate of descent were the reduction of engine power to flight idle, airframe ice, and the time available for the final descent. Contributing to the damage on landing was the left-to-right movement of the aircraft.
Probable cause:
An unstabilized approach resulted in a heavy landing because the captain changed the configuration of the aircraft, and the high rate of descent that resulted was not arrested before contact was made with the runway surface. Contributing to the high rate of descent were the reduction of engine power to flight idle, airframe ice, and the time available for the final descent. Contributing to the damage on landing was the left to right movement of the aircraft.
Final Report:

Crash of a BAe 3201 Jetstream 32 in Raleigh: 15 killed

Date & Time: Dec 13, 1994 at 1834 LT
Type of aircraft:
Operator:
Registration:
N918AE
Survivors:
Yes
Schedule:
Greensboro – Raleigh
MSN:
918
YOM:
1990
Flight number:
AA3379
Crew on board:
2
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
15
Captain / Total flying hours:
3499
Captain / Total hours on type:
457.00
Copilot / Total flying hours:
3452
Copilot / Total hours on type:
677
Aircraft flight hours:
6577
Circumstances:
Flight 3379 departed Greensboro at 18:03 with a little delay due to baggage rearrangement. The aircraft climbed to a 9,000 feet cruising altitude and contacted Raleigh approach control at 18:14, receiving an instruction to reduce the speed to 180 knots and descend to 6,000 feet. Raleigh final radar control was contacted at 18:25 and instructions were received to reduce the speed to 170 knots and to descend to 3,000 feet. At 18:30 the flight was advised to turn left and join the localizer course at or above 2,100 feet for a runway 05L ILS approach. Shortly after receiving clearance to land, the n°1 engine ignition light illuminated in the cockpit as a result of a momentary negative torque condition when the propeller speed levers were advanced to 100% and the power levers were at flight idle. The captain suspected an engine flame out and eventually decided to execute a missed approach. The speed had decreased to 122 knots and two momentary stall warnings sounded as the pilot called for max power. The aircraft was in a left turn at 1,800 feet and the speed continued to decrease to 103 knots, followed by stall warnings. The rate of descent then increased rapidly to more than 10,000 feet/min. The aircraft eventually struck some trees and crashed about 4 nm southwest of the runway 05L threshold. Five passengers survived while 15 other occupants were killed.
Probable cause:
The accident was the consequence of the following factors:
- The captain's improper assumption that an engine had failed,
- The captain's subsequent failure to follow approved procedures for engine failure single-engine approach and go-around, and stall recovery,
- Failure of AMR Eagle/Flagship management to identify, document, monitor and remedy deficiencies in pilot performance and training.
Final Report:

Crash of a BAe 3101 Jetstream 31 in Hibbing: 18 killed

Date & Time: Dec 1, 1993 at 1950 LT
Type of aircraft:
Operator:
Registration:
N334PX
Survivors:
No
Schedule:
Minneapolis - Hibbing
MSN:
706
YOM:
1986
Flight number:
NW5719
Crew on board:
2
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
18
Captain / Total flying hours:
7852
Captain / Total hours on type:
2266.00
Copilot / Total flying hours:
2019
Copilot / Total hours on type:
65
Aircraft flight hours:
17156
Aircraft flight cycles:
21593
Circumstances:
While on a localizer back course approach the airplane collided with trees and the terrain approximately 3 miles from the runway threshold. The captain delayed the start of the descent that subsequently required an excessive descent rate to reach the FAF and MDH. The captain's actions led to distractions during critical phases of the approach. The flightcrew lost altitude awareness and allowed the airplane to descend below mandatory level off points. The captain's record raised questions about his airmanship and behavior that suggested a lack of crew coordination during flight operations, including intimidation of first officers. Company management did not address these matters adequately. The airline's flight operations management failed to implement provisions to adequately oversee the training of their flight crews and the operation of their aircraft. FAA guidance to their inspectors concerning implementation of ops bulletins is inadequate and has failed to transmit valuable safety information as intended to airlines. The aircraft was totally destroyed and all 18 occupants were killed.
Probable cause:
The captain's actions that led to a breakdown in crew coordination and the loss of altitude awareness by the flight crew during an unstabilized approach in night instrument meteorological conditions. Contributing to the accident were: the failure of the company management to adequately address the previously identified deficiencies in airmanship and crew resource management of the captain; the failure of the company to identify and correct a widespread, unapproved practice during instrument approach procedures; and the Federal Aviation Administration's inadequate surveillance and oversight of the air carrier.
Final Report:

Crash of a BAe 3101 Jetstream 31 in Merced

Date & Time: Apr 19, 1993 at 2320 LT
Type of aircraft:
Operator:
Registration:
N131CA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Merced - Merced
MSN:
787
YOM:
1987
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
16990
Captain / Total hours on type:
600.00
Copilot / Total hours on type:
3925
Aircraft flight hours:
8873
Circumstances:
The company chief pilot/check pilot was giving a check flight to a company first officer (f/o). An FAA inspector was aboard to observe the check pilot's ability to give proficiency check flights. Soon after liftoff on the 2nd takeoff, the check pilot simulated an engine failure. The f/o, who was wearing a vision limiting device, allowed the airplane to drift to the left, but the FAA inspector noted that the f/o successfully regained directional control. The inspector then looked away from the cockpit, and when he looked back, the airplane was descending. Moments later, it collided with the ground. The FAA inspector reported that the check pilot was looking to the left, outside of the aircraft, and did not have his hand near the power quadrant. Review of the CVR tape revealed that, from the time the f/o was given the simulated left engine failure until impact, the check pilot did not say anything to the f/o. No maintenance discrepancy or material deficiency was noted during the investigation. The f/o had 3925 hours in this make/model of aircraft.
Probable cause:
The first officer's failure to maintain an adequate rate of climb after a single-engine loss of power was simulated, and the company check pilot's inadequate supervision and failure to note the descent. Darkness was a related factor.
Final Report:

Crash of a BAe 3101 Jetstream 32 in Prestwick: 2 killed

Date & Time: Oct 6, 1992 at 1522 LT
Type of aircraft:
Operator:
Registration:
G-SUPR
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Prestwick - East Midlands
MSN:
956
YOM:
1991
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The crew departed Prestwick Airport on a training flight to East Midlands Airport. Shortly after takeoff, while in initial climb, the crew simulated an engine failure. The aircraft nosed up and adopted a high angle of attack with the gear still down. Ten seconds after liftoff, the copilot was still attempting to determine which engine failed and the pilot/instructor reminded him that the gear were still down. When the stall warning sounded, the pilot took over control within 2 seconds and increased engine power but the aircraft rolled to the right and crashed inverted. Both occupants were killed.

Crash of a BAe 3101 Jetstream 31 in Knoxville: 2 killed

Date & Time: Mar 12, 1992 at 0013 LT
Type of aircraft:
Operator:
Registration:
N165PC
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Knoxville - Knoxville
MSN:
683
YOM:
1985
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4929
Captain / Total hours on type:
4400.00
Aircraft flight hours:
10607
Circumstances:
After a series of instrument procedures, the flight returned to Knoxville and landed. On the next takeoff, the first officer dropped the airplane's checklist and the check airman elected to continue the flight without using the checklist. On the next visual approach, the check airman and first officer attempted a landing without lowering the landing gear. The airplane touched down and both propeller assemblies struck the concrete runway surface. The pilot reported the gearup touchdown to the control tower and elected to go around. During the climbout the check airman lowered the landing gear, established a teardrop pattern for the opposite runway and feathered the right propeller. Crash fire rescue (cfr) equipment was alerted and was in position for the second landing attempt. While on short final, the check airman called for max power, a reduction in the flap setting, and initiated a single engine go-around below 200 feet. There is no operational procedure for a single engine go-around below 200 feet. The airplane climbed briefly and crashed inverted about 7,500 feet from the approach end of the runway. Both pilots were killed.
Probable cause:
The pilot's failure to use the airplane checklist which resulted in a gear up landing; and the pilot's failure to maintain flying speed which resulted in an uncontrolled collision with the ground.
Final Report:

Crash of a BAe 3101 Jetstream 31 in Beckley

Date & Time: Jan 30, 1991 at 2355 LT
Type of aircraft:
Operator:
Registration:
N167PC
Survivors:
Yes
Schedule:
Charlotte - Beckley
MSN:
710
YOM:
1986
Crew on board:
2
Crew fatalities:
Pax on board:
17
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5000
Captain / Total hours on type:
3400.00
Aircraft flight hours:
8841
Circumstances:
Aircraft was dispatched with inoperative airframe deice system, tho an operational deice system was required for flight in known icing conditions. During descent to land, aircraft encountered light icing conditions. Capt believed aircraft could 'handle it' and continued descent. As he began ILS final approach, he noted significant increase of ice accumulation and used higher than normal approach speed. As full (50°) flaps were set, aircraft began buffet and pitched nose down. Capt corrected with full back pressure on control column, but aircraft landed hard, gear collapsed and aircraft slid about 3,600 feet to a stop. No preimpact mechanical anomaly was found, except for inoperative deice system. Investigation revealed pilots had received printout of weather from company computer system with surface observation and terminal forecast, but no area forecast (FA). Pilots and ground personnel were not aware that FA was available at company weather terminal. FA forecasted light and occasional moderate rime and mixed icing in clouds and precipitation above freezing level. Weather deteriorated, but pilots did not require inflight weather info or pireps. Flight mnl noted tailplane ice may cause nose down trim change with flap extension. There was evidence of tail plane stall, lack of company training in cold weather operations, deficiencies in use of deicing systems, and lack of FAA surveillance.
Probable cause:
Flight into known adverse weather conditions by the pilot, which resulted in ice accumulation on the aircraft and subsequent loss of aircraft control (tail plane stall) as the flaps were fully extended. Factors related to the accident were: the pilot's inadequate use of the preflight briefing service, inadequate training provided to the pilots by company/management personnel, inadequate surveillance by the faa, and icing conditions.
Final Report: