Crash of a Britten-Norman BN-2A-6 Islander off Caracas

Date & Time: Aug 16, 2009 at 1806 LT
Type of aircraft:
Registration:
YV212T
Survivors:
Yes
Schedule:
Los Roques – Caracas
MSN:
171
YOM:
1970
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
10187
Circumstances:
The twin engine airplane departed Los Roques on a charter flight to Caracas with nine passengers and one pilot on board. While approaching Caracas-Maiquetía-Simón Bolívar Airport, at a distance of about 13 km, the pilot was cleared to descend to 1,500 feet where he completed two circuits. After being cleared to descend to 1,000 feet, he flew two other circuits as he was n°7 on approach. While descending at an altitude of 600 feet, both engines failed simultaneously. The pilot ditched the aircraft some 4 km off the airport. All 10 occupants were rescued, among them three were injured. The aircraft was damaged beyond repair.
Probable cause:
Double engine failure on approach caused by a fuel exhaustion. Poor flight preparation and planning on part of the pilot who miscalculated the fuel consumption for the required trip.
Final Report:

Crash of a Britten-Norman BN-2A-27 Islander in Port Hope Simpson: 1 killed

Date & Time: Jun 7, 2009 at 0830 LT
Type of aircraft:
Operator:
Registration:
C-FJJR
Flight Type:
Survivors:
No
Schedule:
Lourdes-de-Blanc-Sablon - Port Hope Simpson
MSN:
424
YOM:
1975
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
13500
Captain / Total hours on type:
600.00
Circumstances:
The pilot was tasked with a medical evacuation flight to take a patient from Port Hope Simpson to St. Anthony, Newfoundland and Labrador. The aircraft departed the company’s base of operations at Forteau, Newfoundland and Labrador, at approximately 0620 Newfoundland and Labrador daylight time. At approximately 0650, he made radio contact with the airfield attendant at the Port Hope Simpson Airport, advising that he was four nautical miles from the airport for landing. The weather in Port Hope Simpson was reported to be foggy. There were no further transmissions from the aircraft. Although the aircraft could not be seen, it could be heard west of the field. An application of power was heard, followed shortly thereafter by the sound of an impact. Once the fog cleared about 30 minutes later, smoke was visible in the hills approximately four nautical miles to the west of the Port Hope Simpson Airport. A ground search team was dispatched from Port Hope Simpson and the wreckage was found at approximately 1100. The sole occupant of the aircraft was fatally injured. The aircraft was destroyed by impact forces and a severe post-crash fire. There was no emergency locator transmitter signal.
Probable cause:
Finding as to Causes and Contributing Factors:
1. The aircraft departed controlled flight, likely in an aerodynamic stall, and impacted terrain for undetermined reasons.
Other Finding:
1. The lack of onboard recording devices prevented the investigation from determining the reasons why the aircraft departed controlled flight.
Final Report:

Crash of a Britten-Norman BN-2A-26 Islander near Tuguegarao: 7 killed

Date & Time: Apr 2, 2009
Type of aircraft:
Operator:
Registration:
RP-C764
Flight Phase:
Survivors:
No
Site:
Schedule:
Tuguegarao – Maconacon
MSN:
318
YOM:
1973
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
7
Circumstances:
The twin engine aircraft departed Tuguegarao Airport at 0855LT on a charter flight to Maconacon, carrying five passengers and two pilots. Weather conditions at departure were considered as good. As the airplane failed to arrive at destination, SAR operations were initiated. The wreckage was found 13 days later in a wooded and hilly terrain located about 30 km southeast of Tuguegarao. The aircraft was destroyed and all 7 occupants were killed. It is believed that weather conditions deteriorated en route and that the mountain was shrouded in clouds.

Crash of a Britten-Norman BN-2A-20 Islander in Espiritu Santo: 2 killed

Date & Time: Dec 19, 2008 at 1110 LT
Type of aircraft:
Operator:
Registration:
YJ-RV2
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Olpoi - Luganville
MSN:
172
YOM:
1970
Flight number:
AVN261
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
8395
Captain / Total hours on type:
1300.00
Aircraft flight hours:
15314
Aircraft flight cycles:
26340
Circumstances:
On Friday 19 December 2008, YJ-RV2, a Britten-Norman Islander aeroplane, was scheduled to fly a routine commercial passenger service for Air Vanuatu (Domestic) Limited (the operator). The service was to start from Bauerfield International Airport, Port Vila and was to include 5 flights or legs, taking the aircraft north via an intermediate landing at Norsup and onto Pekoa International Airport (also known as Santo Airport) near Luganville on Espiritu Santo. At Santo Airport the aircraft was to be refuelled and after a stopover of about 2 hours the service was to continue north to Gaua and Mota Lava before returning to Santo where it was planned to terminate. The pilot arrived at the operator’s base at about 0700 and started his before-flight duties. The flight departed Bauerfield on schedule at 0730 and progressed normally to Santo. The operator’s agent at Santo had early Friday morning called the company operations office in Port Vila and asked if a flight from Santo to Lajmoli and return could be added to the service. The regular Thursday flight had been cancelled and 9 passengers had been left stranded at Lajmoli. The operations staff approved the request and the agent advised he would confirm with the pilot of YJ-RV2 when he arrived at Santo. At Santo the pilot was met by the agent and agreed to the request for the additional flight to Lajmoli. No interruption to the original schedule was envisaged as the flight should have returned to Santo well before the planned 1230 departure north to Gaua. The aircraft was checked and 246 litres of fuel were added. The aircraft departed Santo for Lajmoli at 1016 with the pilot and 4 passengers onboard. At Lajmoli, the local agent, aware that YJ-RV2 was inbound, weighed the passengers and their bags in preparation for the return flight. At 1043 YJ-RV2 landed at Lajmoli and the agent off-loaded the passengers and baggage while the pilot waited by the aircraft. The agent later reported that he informed the pilot of the planned load of 9 passengers and baggage, and that the aircraft would likely be at about maximum allowable weight. The pilot was reported to have advised the agent that he was happy to continue and instructed him to load the aircraft. The pilot remained near the aircraft while the agent loaded first the baggage then the passengers. The pilot instructed one of the passengers to enter the aircraft through the forward door and sit in the front-right seat next to the pilot. The agent added the weight of the passengers and baggage to the load sheet for the flight, but he wasn’t aware of the fuel weight so omitted this from the sheet. The load sheet, which included a passenger manifest, was returned to the pilot, who signed it. A copy was retained by the agent and later handed to the investigation team. At 1055 the pilot started the engines and taxied the aircraft for grass runway 14. YJ-RV2 took off at 1058 and at 1100 the pilot called Santo air traffic services on the high frequency (HF) radio,reporting airborne and climbing to 7000 feet. He gave an estimated time of arrival at Santo of 130. Witnesses, both on the ground at Lajmoli and passengers on board, later commented that the aircraft took longer to get airborne than normal and was slower to climb. The pilot followed the coastline south and approaching the village of Wunavae turned left inland. Passengers later commented that the aircraft flew in a direct line towards the rising hilly ground and, based on their previous flying experiences, crossed several ridges at a lower-than-normal height. The passengers also commented that the pilot increased power on the engines as they flew in an easterly direction. The passengers later spoken to (7) reported no significant turbulence and while there was perhaps some light cloud about, they were able to see the terrain ahead. The passengers recalled becoming increasingly concerned about the low height of the aircraft as it flew directly at a right-angle towards the last ridgeline before crossing over into Big Bay. Some of the passengers described the pilot closing the throttles and shutting down the engines as they approached the ridgeline. At about the same time they heard a loud buzzing sound, later identified as the aircraft’s stall warning. Shortly afterwards, the aircraft struck the trees and bush and quickly came to a halt. No communication was heard from the pilot during this time, although he was observed throughout making movements typical of someone who was awake. Within a couple of minutes of impacting into the bush, the passengers started vacating the aircraft. Fuel was smelled about the aircraft and seen dripping from the wing. The passengers were unable to rouse the pilot and front-seat passenger, who were trapped in the now-deformed front of the aircraft. A second passenger, who had suffered a severe head wound and suspected broken leg, was slower to vacate the aircraft and remained semi-conscious near its right side. The remaining 7 passengers assembled at the rear of the aircraft, near the rear left baggage door. Thinking that the pilot and front-seat passenger were dead, and fearing the aircraft might catch fire, they agreed to start walking downhill towards the coast and Wunavae village. The eighth passenger, now aware that the main group had departed downhill, attempted to follow but was unable to catch up owing to his injuries. At about 1115, Santo air traffic services called the pilot of YJ-RV2 to coordinate his arrival with those of several other aircraft also approaching Santo. The controller received no response, so requested other aircraft to call YJ-RV2 on various radio frequencies. Again there was no response. At 1130 the controller declared the aircraft overdue and informed the authorities and the operator. The crews of a company ATR 42 and a DH6 Twin Otter on scheduled local flights were asked to conduct an initial search for YJ-RV2, focusing on the direct track from Lajmoli to Santo. A third private aircraft also assisted in the search. At about 1245 the crew of the ATR 42 located the wreckage of YJ-RV2 at about 4000 feet (1200 m) in the mountainous area west of Big Bay. The crew was unable to fly close enough to confirm if there were any survivors. At 1500, a light helicopter based in Port Vila departed for Santo and the accident site. Inclement weather prevented the helicopter reaching the site that evening and rescue operations were halted until the next day. Additional support was also requested from New Caledonia, and a French military Super Puma helicopter and medical team arrived in Santo on Saturday morning. At about 0700 on Saturday 20 December, the first rescue personnel reached YJ-RV2 and confirmed that the pilot was dead and the front-seat passenger critically injured. There was no sign of the remaining 8 passengers. The critically injured passenger was initially evacuated to Luganville Hospital and was subsequently taken to Australia for further treatment. He died of his injuries on 1 January 2009. During Saturday morning a group of searchers from Wunavae village started walking towards the accident site looking for survivors. About mid-afternoon, the group of 7 passengers was located by the crew of the Super Puma some 3 to 4 km west of the accident site and airlifted to Santo for treatment. The last passenger was located by the villagers the following day and after a third night in the bush was airlifted to hospital.
Probable cause:
Findings:
Findings are listed in order of development and not in order of priority.
- The pilot was appropriately licensed to fly the aeroplane, but his route and aerodrome qualification had been allowed to lapse. However, this lapse was unlikely to have contributed to the accident.
- There was no evidence that the pilot was not fit to conduct the flight, but he was observed by the local agent and passengers to be less communicative than usual, both before and during the flight.
- The aeroplane had been maintained in accordance with approved standards and there was no evidence of mechanical failure that could have contributed to the accident.
- The weather was suitable for the pilot to maintain appropriate terrain separation visually.
- The aeroplane was overloaded by at least 7%, which affected its climb performance and made it unlikely that it would be able to cross the final ridge without deviating from the path flown by the
pilot.
- The aeroplane did not have sufficient height margin to approach the lee of the ridge where downdraughts were foreseeable, and the pilot had not approached the ridge from a direction that
would have afforded him an escape route when he decided to abort the crossing.
- The poor configuration of the seat belts in the aeroplane increased the risk of injury to the occupants, and may have contributed to the death of one passenger.
- The chances of survival for those passengers who survived the impact were reduced by their decision to leave the accident site.
Final Report:

Crash of a Britten-Norman BN-2A-26 near Barberton: 9 killed

Date & Time: Oct 5, 2008 at 1538 LT
Type of aircraft:
Operator:
Registration:
ZS-OSD
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Inhambane - Nelspruit - Bloemfontein
MSN:
461
YOM:
1975
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
9
Captain / Total flying hours:
275
Captain / Total hours on type:
9.00
Circumstances:
The purpose of the flight was to spend a week in Mozambique during the school holidays following the 3rd term. The regular pilot of the aircraft was unable to undertake the journey due to an injured leg, so a replacement pilot was trained over a three-day period to fly two families to Mozambique. The pilot, together with four adults accompanied by four children, departed New Tempe aerodrome (FATP) on the 27th of September 2008. The first leg of the journey would see the aircraft fly from New Tempe aerodrome (FATP) to Kruger Mpumalanga International Airport (FAKN). After a brief stop at Kruger Mpumalanga International Airport (FAKN) for customs formalities, the aircraft then proceeded to Inhambane (FQIN) in Mozambique. On the 5th of October 2008, the aircraft was refuelled with 200 litres of fuel at Inhambane (FQIN) in Mozambique for the return leg of the journey. The return leg of the journey would see the aircraft fly from Inhambane (FQIN) in Mozambique to Kruger Mpumalanga International Airport (FAKN) for customs formalities and refuelling. 326 litres of fuel was uplifted at Kruger Mpumalanga International Airport (FAKN). The pilot filed a visual flight rules (VFR) flight plan with the ATC at Kruger Mpumalanga International Airport (FAKN) for the flight to New Tempe aerodrome (FATP) on the day of the accident. The aircraft departed Kruger Mpumalanga International Airport (FAKN) at 1317Z for the final leg of the flight to New Tempe aerodrome (FATP). Approximately 20 minutes after take-off from FAKN, a witness observed the aircraft flying at an altitude of approximately 1,000 feet AGL with the wings level in a southerly direction, overhead the farm, in the direction of the mountains. The witness noted that the aircraft was flying much lower than aircraft would normally fly when they flew over the farm. Thick mist covered approximately one third (1/3) of the top of the mountain at the time. The witness then lost sight of the aircraft and approximately two minutes later he heard an explosion. The witness immediately notified the Kruger Mpumalanga Airport authorities that an aircraft may have been involved in an accident. A search and rescue operation was initiated after the appropriate authorities had been informed. The search and rescue operation that consisted of air and ground searches were hampered by adverse weather conditions in the area from where the witness had heard the explosion emanating. The wreckage was located the following day during the air search operation, approximately 170 feet below the mountain top, where the aircraft had impacted with terrain. The aircraft had ploughed through a pine tree plantation, and was destroyed in the impact sequence and by the post-impact fire that had erupted. All the occupants on board the aircraft were fatally injured in the accident.
Probable cause:
The pilot encountered adverse weather (IMC) conditions en route during a VFR flight, which resulted in controlled flight into terrain (CFIT) near the top of the mountain.
Final Report:

Crash of a Britten-Norman BN-2A-26 Islander in El Prado

Date & Time: Feb 7, 2008 at 1720 LT
Type of aircraft:
Operator:
Registration:
HI-653CA
Flight Phase:
Survivors:
Yes
Schedule:
Santiago de los Caballeros – Punta Cana
MSN:
8
YOM:
1967
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
0
Aircraft flight hours:
21405
Circumstances:
The twin engine aircraft was completing a touristic flight from Punta Cana to Santiago de los Caballeros and back. During the return flight to Punta Cana, the pilot elected to make a fuel stop at La Romana because he failed to refuel at Santiago de los Caballeros and was aware that the left tank fuel gage was inoperative. En route, the left engine failed. The pilot elected to restart it but without success. He decided to attempt an emergency landing in a sugarcane field located in El Prado. Upon landing, the aircraft lost its undercarriage and slid for few dozen metres before coming to rest. All nine occupants escaped uninjured while the aircraft was damaged beyond repair.
Probable cause:
The accident occurred due to the fact that engine # 1 was turned off due to lack of fuel and when making the emergency landing the captain could not keep the aircraft in the correct path of the selected lane for said landing.
Final Report:

Crash of a Britten-Norman BN-2A-26 Islander in Anguilla

Date & Time: Feb 2, 2008 at 1420 LT
Type of aircraft:
Operator:
Registration:
VP-AAG
Flight Type:
Survivors:
Yes
Schedule:
Anguilla - Sint Maarten
MSN:
88
YOM:
1969
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4217
Captain / Total hours on type:
693.00
Circumstances:
The commander intended to fly the BN-2 Islander aircraft from Anguilla Wallblake International Airport (AXA) to the neighbouring island of St Maarten (SXM) to await cargo inbound on another flight. The cabin of the aircraft was configured for cargo operations with no passenger seats fitted, as the only other planned occupant was the operator’s Chief Engineer, who would be sitting beside the commander in the right hand seat. However, the commander asked the operator if he could take a family member with him to SXM. The operator agreed and an extra seat was fitted. Witnesses stated that the commander appeared "rushed" prior to departure. The commander stated that he partially carried out the normal pre-flight inspection. He then started the engines. Before taxiing he realised that the nose landing gear chocks were still in place so he shut down the left hand engine, removed and stowed the chocks and then restarted the left engine. The aircraft took off from runway 10 at 14:15 hrs. At between 100 ft and 150 ft the commander initiated a left turn but after some initial movement the ailerons jammed. When he discovered that he was unable to straighten the ailerons he attempted to return to land on runway 10. The other flight controls did not appear to be restricted. With the ailerons jammed, the aircraft continued to turn to the left, losing altitude as it flew over a settlement to the north of the aerodrome, until pointed directly at the Air Traffic Control tower, causing the Air Traffic Control Officer (ATCO) to abandon the tower. The commander judged that the aircraft was too fast and high to attempt a landing and therefore initiated a go-around, applying full power. He continued the left turn, losing height and speed to position the aircraft for another approach but, as the aircraft descended over the northern edge of the runway, its left wing struck the perimeter fence. On impact the aircraft spun about its vertical axis with its wings level and continued sliding sideways on its right side for approximately 80 ft before coming to rest facing north-west.
Probable cause:
The commander was probably distracted from his normal duties whilst arranging additional seating to accommodate the second passenger. He did not complete the requisite pre-flight check or the subsequent check of full and free movement of the flight controls, either of which would have revealed an obstruction to proper operation of the ailerons.
Final Report:

Crash of a Britten-Norman BN-2A-6R Islander in Bahia Piña

Date & Time: Jan 3, 2008 at 1125 LT
Type of aircraft:
Registration:
SAN-208
Flight Type:
Survivors:
Yes
MSN:
256
YOM:
1971
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The crew was completing a flight to Bahia Piña Airport on behalf of the Ministry of Social Development to pickup a woman and her child. Approaching the destination, the crew encountered engine problems when the aircraft crashed near Punta Caracoles. Both pilots were injured and the aircraft was destroyed.

Crash of a Britten-Norman BN-2A-21 Islander in Guadalcanal: 1 killed

Date & Time: Oct 17, 2007 at 1930 LT
Type of aircraft:
Registration:
G-CHES
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Guadalcanal - Guadalcanal
MSN:
2011
YOM:
1977
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Copilot / Total flying hours:
2400
Aircraft flight hours:
8500
Aircraft flight cycles:
8900
Circumstances:
The Britten Norman “Islander” aircraft, registration G-CHES, had flown on the morning of 17 October 2007 over various points of the Sierra Morena and the north part of the province of Seville. Its mission had been to scout the various flight fields which would be available to the aircraft in future operations. The purpose of that day’s flight was to land at a temporary runway in the town of Guadalcanal, in the province of Seville on the border with the province of Badajoz. This runway, used by airplanes on agricultural flights, is some five kilometers SW of the town. The pilot, however, mistakenly landed at another temporary field, with the same bearing and approximately halfway between the town and the other runway on Guadalcanal. The runway on which it landed, called Los Tomillares (after the name of the ranch on which it is located), is considerably shorter. The distance available was sufficient for the airplane’s sole pilot to land normally. In order to be able to depart from that strip, which measured only 400 m in length, the pilot telephoned for help and guidance in order to make the short four-kilometer flight from that strip to the runway in Guadalcanal, his original destination. In response to his call for help, a pilot with experience on that type of airplane reported to the strip early in the afternoon and joined the pilot as a crew advisor on the aircraft in order to aid the pilot in command. Two other persons on the ground provided assistance loading fuel in the main tanks. The gasoline was taken to the aerodrome in 50-liter plastic drums, which were placed inside the aircraft once emptied, since they were operating between runways in which there was no refueling service. A total of 250 liters of AV100LL fuel was deposited in the main tanks. Both pilots walked the length of the field at Los Tomillares to check its condition and dimensions. They determined its length by counting their steps. They also determined its gradient. Although the surface was made of uncompacted dirt, they calculated that it was sufficient for takeoff, which they decided to do toward the southeast to take advantage of the favorable negative slope. Specifically, they planned to depart on a SE heading, turn 90° right, and continue flying south until they were lined up with the Guadalcanal runway. They planned to land on a NW course. They postponed the operation until late in the afternoon, before sunset, so as to avoid glare from the setting sun while landing at Guadalcanal. According to eyewitness accounts, the pilot in command did the pre-flight check and dismissed the ground assistants, who left before the airplane took off. A few minutes later, at 19:30, half an hour prior to sunset, the aircraft headed for the runway threshold. Shortly thereafter it started its takeoff, gaining speed and becoming airborne prior to reaching the opposite threshold. The right engine then started to fail partially, causing the airplane to yaw hard to the right. The pilot in command, seated to the left, was flying the airplane. According to the statement of the accompanying pilot, who was seated in the RH seat, when the engine failed, the pilot asked him to take the flight controls while he attempted to restore power to the right engine. After lowering the nose, they started to descend slightly, managing to correct the right yaw by applying left rudder. They had practically managed to regain directional control of the aircraft when the right engine started to run at full power once more, propelling the aircraft, which caused it to veer left, toward higher ground. They were unable to avoid the impact. The aircraft’s left wingtip impacted first, hitting some bushes on the hillside. A few meters later the left gear wheel made contact. After crossing a small river bed, the aircraft’s left wing and forward fuselage impacted, with the airplane coming to a stop after traveling along the ground for a few meters. The impact site was on the runway centerline extension and some 400 m from the southeast threshold, which they had overflown a few seconds earlier when taking off. The aircraft was seriously damaged and was essentially destroyed. There was no fire after the impact.
Probable cause:
It is believed that the fault and abnormal operation of the right engine was probably caused by the presence of water in the fuel being supplied to it. This water could have come from condensation inside the tanks that was not properly drained when the airplane was serviced. Alternatively, the water could have come from the jugs that were used to transport the fuel prior to the refueling in the field. The cause behind the airplane’s loss of lateral control and its ability to climb was probably the result of the oscillating condition of the high asymmetric drag as the stationary propeller, and the counteracting forces being applied by the rudder, were suddenly and immediately replaced by a condition of high symmetric thrust with the left rudder pedal still fully depressed.
Final Report: