Crash of a Boeing 707-321B in Marana: 1 killed

Date & Time: Sep 20, 1990 at 0707 LT
Type of aircraft:
Operator:
Registration:
N320MJ
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Marana - Davis Monthan
MSN:
20028
YOM:
1968
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
13192
Captain / Total hours on type:
4000.00
Aircraft flight hours:
34965
Circumstances:
Witnesses reported 1st attempt to takeoff was aborted after aircraft swerved left and right. On 2nd try, aircraft lifted off about halfway down runway. After lift-off, it rolled right, right wing hit ground and aircraft crashed. Investigations revealed rudder trim was 7.9 to 8.3 units (79% to 83%) nose right. Simulator tests with that setting resulted in consistent right wing collisions with ground after liftoff. Crew's checklist referred to mech checklist for critical items to check before takeoff. Mech checklist and 50 of 54 flight instruments had been removed from aircraft, leaving 2 airspeed indicators, altimeter and standby gyro horizon. In 60 simulated takeoffs in this configuration, there was evidence of insufficient attitudinal ref to recognize rolling of aircraft before sufficient altitude was attained. FAA's designated airworthiness rep (dar) had inspected aircraft three days before and issued ferry permit. He lacked FAA mechanical certification and experience with large aircraft. FAA order 8000.62 and ac 183.33 lacked specific guidance for selection, training and oversight of dar activity. Also, lack of guidance concerning minimum equipment list. Pilot not current or medical qualified to fly aircraft.
Probable cause:
Improper preflight planning/preparation by the pilot, and his failure to use a checklist. Factors related to the accident were: the faa's inadequate surveillance of the operation, the FAA's insufficient standards/requirements, the pilot's operation of the aircraft with known deficiencies, and his lack of recent experience in the type of aircraft.
Final Report:

Crash of a Boeing 707-379C in Addis Ababa

Date & Time: Jul 25, 1990 at 1116 LT
Type of aircraft:
Operator:
Registration:
ET-ACQ
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Addis Ababa - Asmara
MSN:
19820
YOM:
1968
Country:
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll at Addis Ababa-Bole Airport runway 07, at a speed of about 100 knots, the captain spotted pigeons around the runway and shortly later, the power on engine n°2 and 3 dropped. The crew decided to abort the takeoff maneuver and initiated an emergency braking procedure. Unable to stop within the remaining distance, the aircraft overran, lost its undercarriage, went down an embankment and came to rest, broken in two. All four crew members escaped uninjured while the aircraft was written off.
Probable cause:
It was determined that both engine n°2 and 3 lost power after being hit by a flock of pigeons.

Crash of a Boeing 707-349C in Khartoum

Date & Time: Jul 14, 1990
Type of aircraft:
Operator:
Registration:
ST-ALK
Flight Type:
Survivors:
Yes
MSN:
18976
YOM:
1965
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Upon touchdown, the nose gear collapsed, damaging both engines n°2 and 4. The aircraft slid for few dozen meters before coming to rest. All five crew members escaped uninjured and the aircraft was damaged beyond repair.
Probable cause:
The nose gear collapsed on landing for unknown reasons.

Crash of a Boeing 707-329C in Goma

Date & Time: Mar 1, 1990 at 0953 LT
Type of aircraft:
Operator:
Registration:
9Q-CVG
Flight Type:
Survivors:
Yes
Schedule:
Kinshasa – Goma
MSN:
19162
YOM:
1966
Location:
Region:
Crew on board:
6
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Goma Airport, the crew failed to realize his altitude was too low when the aircraft struck the ground 38 meters short of runway threshold. Upon impact, the right main gear was torn off. The aircraft slid for about 300 meters then veered to the right and came to rest. All nine occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
The crew failed to initiate a go-around following an unstabilized approach completed at an unsafe altitude.

Crash of a Boeing 707-321B in Cove Neck: 73 killed

Date & Time: Jan 25, 1990 at 2134 LT
Type of aircraft:
Operator:
Registration:
HK-2016
Survivors:
Yes
Schedule:
Bogotá – Medellín – New York
MSN:
19276/592
YOM:
1967
Flight number:
AV052
Crew on board:
9
Crew fatalities:
Pax on board:
149
Pax fatalities:
Other fatalities:
Total fatalities:
73
Captain / Total flying hours:
16787
Captain / Total hours on type:
1534.00
Copilot / Total flying hours:
1837
Copilot / Total hours on type:
64
Aircraft flight hours:
61764
Circumstances:
Avianca flight 052 (AV052), a Boeing 707-321B with Colombian registration HK-2016, crashed in a wooded residential area in Cove Neck, Long Island, NY. AV052 was a scheduled international passenger flight from Bogotá, Colombia, to New York-JFK Intl Airport, NY, with an intermediate stop at Jose Maria Cordova Airport, near Medellín, Columbia. Of the 158 persons aboard, 73 were fatally injured. Because of poor weather conditions in the northeastern part of the United States, the flightcrew was placed in holding 3 times by ATC for a total of about 1 hour and 17 minutes. During the 3rd period of holding, the flightcrew reported that the aircraft could not hold longer than 5 minutes, that it was running out of fuel, and that it could not reach its alternate airport, Boston-Logan Intl. Subsequently, the flightcrew executed a missed approach to JFK Intl Airport. While trying to return to the airport, the aircraft experienced a loss of power to all 4 engines and crashed approximately 21 miles northeast of JFK Airport.
Probable cause:
The failure of the flightcrew to adequately manage the airplane's fuel load, and their failure to communicate an emergency fuel situation to air traffic control before fuel exhaustion occurred. Contributing to the accident was the flightcrew's failure to use an airline operational control dispatch system to assist them during the international flight into a high-density airport in poor weather. Also contributing to the accident was inadequate traffic flow management by the faa and the lack of standardized understandable terminology for pilots and controllers for minimum and emergency fuel states. The safety board also determines that windshear, crew fatigue and stress were factors that led to the unsuccessful completion of the first approach and thus contributed to the accident.
Final Report:

Crash of a Boeing 707-351B in Addis Ababa

Date & Time: Jul 11, 1989
Type of aircraft:
Operator:
Registration:
5Y-BBK
Survivors:
Yes
Schedule:
Addis Ababa - Nairobi
MSN:
19872
YOM:
1968
Country:
Region:
Crew on board:
10
Crew fatalities:
Pax on board:
66
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
After takeoff from Addis Ababa-Bole Airport, while climbing, the crew encountered technical problems with the undercarriage that could not be raised. Decision was taken to return for a safe landing but after touchdown, due to the malfunction of the hydraulic systems, the aircraft was unable to stop within the remaining distance. The aircraft overran, lost its undercarriage and came to rest. All 76 occupants were evacuated, among them six passengers were slightly injured. The aircraft was damaged beyond repair.
Probable cause:
Failure of the hydraulic systems for unknown reasons.

Crash of a Boeing 707-330B in Nairobi

Date & Time: May 17, 1989
Type of aircraft:
Operator:
Registration:
6O-SBT
Flight Phase:
Survivors:
Yes
Schedule:
Nairobi - Mogadishu
MSN:
19316
YOM:
1967
Country:
Region:
Crew on board:
13
Crew fatalities:
Pax on board:
57
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
During the takeoff roll at Nairobi-Jomo Kenyatta Airport, the captain decided to abandon the takeoff procedure and initiated an emergency braking maneuver. Unable to stop within the remaining distance, the aircraft overran, lost its undercarriage and came to rest few dozen meters past the runway end. All 70 occupants were evacuated safely while the aircraft was damaged beyond repair.

Crash of a Boeing 707-349C in São Paulo: 25 killed

Date & Time: Mar 21, 1989 at 1155 LT
Type of aircraft:
Operator:
Registration:
PT-TCS
Flight Type:
Survivors:
No
Site:
Schedule:
Manaus – São Paulo
MSN:
19354
YOM:
1966
Flight number:
TR801
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
25
Captain / Total flying hours:
10731
Captain / Total hours on type:
1458.00
Copilot / Total flying hours:
2265
Copilot / Total hours on type:
21
Aircraft flight hours:
61053
Circumstances:
The crew (one captain under training, one instructor and one flight engineer) was completing a cargo flight from Manaus to São Paulo and the aircraft was carrying a load of 26 tons of electronic equipments. Initially cleared for an approach to runway 09L, the crew was instructed to change to runway 09R as runway 09L was blocked by an aircraft. The crew was aware of a notam saying that runway 09R would be closed to all traffic starting 1200LT due to maintenance. In such conditions, the instructor rushed the approach procedure, interrupted the instruction to the captain under supervision and commanded flaps and speed brake at the same time, causing the aircraft to descend. The left wing struck the roof of a house then crashed in a residential area located about 2,7 km short of runway, bursting into flames. All three crew members and 22 people on the ground were killed. 47 other people on the ground were seriously injured.
Probable cause:
The accident was the consequence of the combination of the following factors (findings):
- The imminent interruption of operations in the aerodrome that would be used for landing the aircraft (closure of runway 09R due to works) stimulated the instructor to make a hurried descent, characterizing a potential state of anxiety,
- Probable crew fatigue,
- The instruction given to the pilot was discontinued and the local flight did not comply with the minima provided in RAC 3211,
- The failures found in the instruction were due to poor supervision of the Company's operations sector,
- Poor crew coordination,
- During the descent procedure when working checklist, the instructor broke the sequence of standardized procedures, thus stopping the instruction and consequently, the student's core handling of the flight,
- The instructor, without the student being informed beforehand, commanded the flaps together with the speed brakes. This action configured an abnormal attitude that contributed, without the pilots identifying, to the loss of control of the aircraft,
- The flight engineer also failed to meet the checklist items,
- The instructor did not follow the standardization of the instruction, when he executed a decision in a hurry,
- The crew did not respond to the sinking and pull up warnings,
- Error in the application of flight controls,
- The crew did not operate in accordance with the operational standard issued by the manufacturer and endorsed by the company,
- The air traffic controller contributed to the increase of the crew anxiety level by using non standard phraseology.
Final Report:

Crash of a Boeing 707-331B in Santa Maria: 144 killed

Date & Time: Feb 8, 1989 at 1408 LT
Type of aircraft:
Operator:
Registration:
N7231T
Survivors:
No
Schedule:
Bergame - Santa Maria - Punta Cana
MSN:
19572
YOM:
1968
Flight number:
IDN1851
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
137
Pax fatalities:
Other fatalities:
Total fatalities:
144
Aircraft flight hours:
44755
Aircraft flight cycles:
12589
Circumstances:
Independent Air flight IDN1851, a Boeing 707, departed Bergamo, Italy (BGY) at 10:04 UTC for a flight to Punta Cana, Dominican Republic (PUJ) via Santa Maria, Azores (SMA). At 13:56:47 Santa Maria Tower cleared the flight to descend to 3000 feet for a runway 19 ILS approach: "Independent Air one eight five one roger reclear to three thousand feet on QNH one zero two seven and runway will be one niner." In that transmission, the trainee controller had transmitted an incorrect QNH that was 9 hPa too high. The actual QNH was 1018.7 hPa. After a brief pause the message resumed at 13:56:59: "expect ILS approach runway one niner report reaching three thousand." This transmission was not recorded on the voice recorder of Flight 1851, probably because the first officer keyed his mike and read back: "We’re recleared to 2,000 feet and ah ... ." The first officer paused from 13:57:02 to 13:57:04, then unkeyed the mike momentarily. This transmission was not recorded on the ATS tapes. In the cockpit, the first officer questioned aloud the QNH value, but the captain agreed that the first officer had correctly understood the controller. After being cleared for the ILS approach the crew failed to accomplish an approach briefing, which would have included a review of the approach plate and minimum safe altitude. If the approach plate had been properly studied, they would have noticed that the minimum safe altitude was 3,000 feet and not 2,000 feet, as it had been understood, and they would have noticed the existence and elevation of Pico Alto. At 14:06, the flight was 7.5 nm from the point of impact, and beginning to level at 2,000 feet (610 meters) in light turbulence at 250 KIAS. At 14:07, the flight was over Santa Barbara and entering clouds at approximately 700 feet (213 meters) AGL in heavy turbulence at 223 KIAS. At 14:07:52, the captain said, "Can’t keep this SOB thing straight up and down". At approximately 14:08, the radio altimeter began to whine, followed by the GPWS alarm as the aircraft began to climb because of turbulence, but there was no reaction on the part of the flight crew. At 14:08:12, the aircraft was level when it impacted a mountain ridge of Pico Alto. It collided with a rock wall on the side of a road at the mountain top at an altitude of approximately 1,795 feet (547 meters) AMSL.
Probable cause:
The Board of Inquiry understands that the accident was due to the non-observance by the crew of established operating procedures, which led to the deliberate descent of the aircraft to 2000ft in violation the minimum sector altitude of 3,000 feet, published in the appropriate aeronautical charts and cleared by the Santa Maria Aerodrome Control Tower.
Other factors:
1) Transmission by the Santa Maria Aerodrome Control Tower of a QNH value 9 hPa higher than the actual value, which put the aircraft at an actual altitude 240 feet below that indicated on board,
2) Deficient communications technique on the part of the co-pilot, who started reading back the Tower's clearance to descend to 3000ft before the Tower completed its transmission, causing a communications overlap,
3) Violation by the Aerodrome Control Tower of established procedures by not requiring a complete read back of the descent clearance,
4) Non-adherence by the crew to the operating procedures published in the appropriate company manuals, namely with respect to cockpit discipline, approach briefing , repeating aloud descent clearances, and informal conversations in the cockpit below 10,000 feet,
5) General crew apathy in dealing with the mistakes they made relating to the minimum sector altitude, which was known by at least one of the crew members, and to the ground proximity alarms,
6) Non-adherence to standard phraseology both by the crew and by Air Traffic Control in some of the air-ground communications,
7) Limited experience of the crew, especially the co-pilot, in international flights,
8) Deficient crew training, namely concerning the GPWS as it did not include emergency manoeuvres to avoid collision into terrain,
9) Use of a route which was not authorized in the AIP Portugal,
10) The operational flight plan, whose final destination was not the SMA beacon, was not developed in accordance with the AIP Portugal.

Crash of a Boeing 707-351C in Karm Umran: 9 killed

Date & Time: Dec 14, 1988 at 2150 LT
Type of aircraft:
Operator:
Registration:
5N-AYJ
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Dar es-Salaam - Cairo - Brussels
MSN:
19168
YOM:
1966
Location:
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
9
Circumstances:
During a night approach to Cairo-Intl Airport, the crew initiated a go-around as the visibility was too low (400 meters). A second attempt to land few minutes later was also abandoned. The crew decided to divert to Luxor Airport where weather conditions were better. While approaching Luxor from the north, the crew declared an emergency due to low fuel when the aircraft lost height and crashed onto several houses located in the city of Karm Umran, about 45 km north of Luxor Airport runway 20 threshold. The aircraft was destroyed and all eight occupants were killed as well as one people on the ground.
Probable cause:
It is believed that the crew was forced to attempt an emergency landing due to fuel exhaustion.