Crash of a Cessna 208B Grand Caravan off Mohéli: 14 killed

Date & Time: Feb 26, 2022 at 1230 LT
Type of aircraft:
Operator:
Registration:
5H-MZA
Flight Phase:
Survivors:
No
Schedule:
Moroni - Mohéli
MSN:
208B-5278
YOM:
2016
Flight number:
Y61103
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
12
Pax fatalities:
Other fatalities:
Total fatalities:
14
Circumstances:
The single engine airplane departed Moroni Airport at 1155LT on a schedule flight to Mohéli, carrying 12 passengers and two pilots. While approaching Mohéli, the crew encountered marginal weather conditions when the aircraft crashed in the sea some 2,5 km northwest of Mohéli-Bander es Eslam Airport. After 24 hours of intense research, only few debris were found floating on water (such a wheel and wing fragments). No trace of the 14 occupants was found.

Crash of a Cessna 208B Grand Caravan in Fulshear: 2 killed

Date & Time: Dec 21, 2021 at 0926 LT
Type of aircraft:
Operator:
Registration:
N1116N
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Houston - Victoria
MSN:
208B-0417
YOM:
1994
Flight number:
MRA685
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3500
Aircraft flight hours:
13125
Circumstances:
A Cessna 208B airplane collided with a powered paraglider during cruise flight at 5,000 feet mean sea level (msl) in Class E airspace. Based on video evidence, the powered paraglider operator impacted the Cessna’s right wing leading edge, outboard of the lift strut attachment point. The outboard 10 ft of the Cessna’s right wing separated during the collision. The Cessna impacted terrain at high vertical speed in a steep nose-down and inverted attitude. The powered paraglider operator was found separated from his seat style harness. The paraglider wing, harness, and emergency parachute were located about 3.9 miles south of the Cessna’s main wreckage site. Based on video evidence and automatic dependent surveillance-broadcast (ADS-B) data, the Cessna and the powered paraglider converged with a 90° collision angle and a closing speed of about 164 knots. About 8 seconds before the collision, the powered paraglider operator suddenly turned his head to the right and about 6 seconds before the collision, the powered paraglider maneuvered in a manner consistent with an attempt to avoid a collision with the converging Cessna. Research indicates that about 12.5 seconds can be expected to elapse between the time that a pilot sees a conflicting aircraft and the time an avoidance maneuver begins. Additionally, research suggests that general aviation pilots may only spend 30-50% of their time scanning outside the cockpit. About 8 seconds before the collision (when the powered paraglider operator’s head suddenly turned to the right), the Cessna would have appeared in the powered paraglider operator’s peripheral view, where research has demonstrated visual acuity is very poor. Additionally, there would have been little apparent motion because the Cessna and the powered paraglider were on a collision course. Under optimal viewing conditions, the powered paraglider may have been recognizable to the Cessna pilot about 17.5 seconds before the collision. However, despite the powered paraglider’s position near the center of his field of view, the Cessna pilot did not attempt to maneuver his airplane to avoid a collision. Further review of the video evidence revealed that the powered paraglider was superimposed on a horizon containing terrain features creating a complex background. Research suggests that the powered paraglider in a complex background may have been recognizable about 7.4 seconds before the collision. However, the limited visual contrast of the powered paraglider and its occupant against the background may have further reduced visual detection to 2-3 seconds before the collision. Thus, after considering all the known variables, it is likely that the Cessna pilot did not see the powered paraglider with sufficient time to avoid the collision. The Cessna was equipped with a transponder and an ADS-B OUT transmitter, which made the airplane visible to the air traffic control system. The operation of the powered paraglider in Class E airspace did not require two-way radio communication with air traffic control, the use of a transponder, or an ADS-B OUT transmitter and therefore was not visible to air traffic control. Neither the Cessna nor the powered paraglider were equipped with ADS-B IN technology, cockpit display of traffic information, or a traffic alerting system. Postmortem toxicological testing detected the prescription antipsychotic medication quetiapine, which is not approved by the Federal Aviation Administration (FAA), in the Cessna pilot’s muscle specimen but the test results did not provide sufficient basis for determining whether he was drowsy or otherwise impaired at the time of the collision (especially in the absence of any supporting details to suggest quetiapine use). Testing also detected ethanol at a low level (0.022 g/dL) in the Cessna pilot’s muscle specimen, but ethanol was not detected (less than 0.01 g/dL) in another muscle specimen. Based on the available results, some, or all of the small amount of detected ethanol may have been from postmortem production, and it is unlikely that ethanol effects contributed to the accident. The Cessna pilot likely did not have sufficient time to see and avoid the powered paraglider (regardless of whether he was impaired by the quetiapine) and, thus, it is unlikely the effects of quetiapine or an associated medical condition contributed to the accident.
Probable cause:
The limitations of the see-and-avoid concept as a method for self-separation of aircraft, which resulted in an inflight collision. Contributing to the accident was the absence of collision avoidance technology on both aircraft.
Final Report:

Crash of a Cessna 208B Grand Caravan in Dagi Baru

Date & Time: Oct 29, 2021 at 1030 LT
Type of aircraft:
Registration:
PK-RVH
Flight Type:
Survivors:
Yes
Schedule:
Dekai - Dagi Baru
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine aircraft departed Dekai-Nop Goliat Airport for a short cargo flight to the Dagi Baru Airstrip with two pilots on board. Weather conditions were considered as good upon arrival. After landing, the aircraft went out of control, veered off runway and came to rest down a ravine. Both occupants were injured and the aircraft was destroyed.

Crash of a Cessna 208B Grand Caravan near Kombolcha

Date & Time: Jul 27, 2021
Type of aircraft:
Operator:
Registration:
ET-AMI
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Jigjiga - Dire Dawa
MSN:
208B-1260
YOM:
2007
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine aircraft departed Jigjiga Airport on a humanitarian mission to Dire Dawa, carrying two pilots and two employees of the World Food Program. En route, the crew encountered an unexpected situation and was forced to attempt an emergency landing. Upon landing, the aircraft came to rest on its nose in a near vertical position with its right wing partially torn off. All four occupants escaped with minor injuries.

Crash of a Cessna 208 Supervan 900 in Teuge

Date & Time: Jun 25, 2021 at 0933 LT
Type of aircraft:
Operator:
Registration:
PH-FST
Flight Phase:
Survivors:
Yes
Schedule:
Teuge - Teuge
MSN:
208B-0823
YOM:
2000
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
17
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
6115
Aircraft flight hours:
9251
Circumstances:
On the morning of 25 June 2021, the Cessna 208B with registration PH-FST was parked inside the hangar of a maintenance organization. The organization performed maintenance tasks on the aircraft on a regular basis. The maintenance organization had scheduled to perform a maintenance task before the planned flights that day. When the aircraft was on ground with the engine off, erratic and high engine Exhaust Gas Temperature (EGT) readings were reported. The maintenance organization suspected a faulty magnetic pick-up in the engine’s propeller governor to be the cause of these erratic EGT readings. A mechanic under supervision of a licensed engineer was tasked to replace the magnetic pick-up. After removal of the old magnetic pick-up, the mechanic followed steps one through four of the maintenance manual to install the new magnetic pick-up. Steps five through eight, a system voltage test to check correct installation, were not noticed by the mechanic and as a result not carried out. After connecting the wiring and tightening the lock nut, the mechanic, together with the pilot, did a static engine test run and performed the Single Red Line (SRL) check to verify the system and EGT readings. After the system was found to be functioning correctly, the mechanic left the aircraft and the pilot taxied to the skydive organization's building to pick up parachutists. Following the boarding of seventeen parachutists, the pilot taxied to runway 26 and commenced the takeoff roll. Shortly after takeoff, without any warning, the engine lost power at approximately 400 feet above field level. The pilot made an emergency landing in a field whereby the aircraft sustained substantial damage to the fuselage, wings, landing gear and propeller. One parachutist suffered minor injuries.
Probable cause:
During the initial climb after takeoff, the aircraft suffered a complete loss of engine power as a result of the uncommanded feathering of the propeller. This feathering was the result of damage that occurred within the propeller governor. Most probably, the incorrect installation of the magnetic pick-up in the propeller governor prior to the accident flight led to contact damage between the pick-up and the rotating toothed gear. Debris restricted the free movement of the ball head assembly in the governor housing, allowing all oil to drain from the propeller dome and causing the propeller to continuously move to the feather position and eventually cease rotation. The increasing pitch of the propeller led to a power reduction of the engine which reinforced itself. The distorted output signal of the damaged magnetic pick-up did not cause the engine flame out. The design of the propeller governor’s toothed gear makes it possible to position the magnetic pick-up in between its teeth. The maintenance procedure for the replacement of the magnetic pick-up did not specifically mention or address this. The final steps of this procedure, a voltage check to verify the correct placement of the pick-up, were not performed by the maintenance staff. The design of the toothed gear in combination with the procedure in the maintenance manual allowed for the incorrect installation.
Final Report:

Crash of a Cessna 208B Grand Caravan in Marsabit: 2 killed

Date & Time: Mar 20, 2021 at 1000 LT
Type of aircraft:
Operator:
Registration:
5Y-JKN
Flight Type:
Survivors:
No
Site:
Schedule:
Nairobi – Marsabit
MSN:
208B-0688
YOM:
1998
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4235
Captain / Total hours on type:
2329.00
Copilot / Total flying hours:
344
Copilot / Total hours on type:
104
Aircraft flight hours:
16343
Circumstances:
The report describes the accident to C208B type of aircraft, registration 5Y-JKN with two crew on onboard that occurred on Marsabit Hill on 20th March 2021 in which the aircraft crashed killing two crew onboard. The aircraft with 2200lbs fuel onboard was chartered to ferry Marsabit County Officials to a peace keeping mission at Illeret 156 nautical miles North West of Marsabit town. Preliminary information revealed that the aircraft departed Wilson Airport at 08.20am (0520Z) and arrived within the vicinity of Marsabit town at around 10.00a.m (0700Z). It collided with Kofia Mbaya Hill - Marsabit terrain while attempting to approach Marsabit airstrip. The aircraft first impacted the terrain with its nose-wheel and the main landing gears leaving parts of the fuselage and iron box with its content kept in the lower baggage compartment on the sport. It then ballooned and missed a house before it flipped upside down and impacted the ground and came to rest facing opposite direction. It left a trail of aircraft parts along its path before it came to rest. The nosewheel and its assembly separated and fell off and was found next to the house 110m from its first point of impact. There was no fire after impact but all the occupants received fatal injuries.
Probable cause:
The probable cause of the accident was a continued descend into terrain without forward visibility in thick fog.
The following contributing factors were identified:
- Location of the airstrip which is surrounded by high hills,
- Inadequate flight planning and crew resource management.
Final Report:

Crash of a Cessna AC-208B Combat Caravan near Balad: 2 killed

Date & Time: Oct 31, 2020
Type of aircraft:
Operator:
Registration:
YI-118
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Balad - Balad
MSN:
208B-2016
YOM:
2008
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The single engine airplane crashed in unknown circumstances near Balad Airport while completing a local mission. The aircraft was destroyed by a post crash fire and both pilots were killed.

Crash of a Cessna 208B Grand Caravan in Mundri

Date & Time: Oct 10, 2020
Type of aircraft:
Operator:
Registration:
5H-NWA
Flight Phase:
Survivors:
Yes
Schedule:
Mundri - Juba
MSN:
208B-0891
YOM:
2001
Country:
Region:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The single engine airplane suffered an accident while taking off from Mundri Airfield, causing the right main gear and the nose gear to be torn off. Also, both wings were severely damaged. There were no fire and no injuries. The aircraft was damaged beyond repair. It seems it was owned by Newton Air and leased to Zantas Air Services.

Crash of a Cessna 208B Grand Caravan in Guaymaral

Date & Time: Sep 22, 2020 at 0655 LT
Type of aircraft:
Registration:
HK-4669G
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Guaymaral – Flandes
MSN:
208B-0968
YOM:
2002
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
13220
Captain / Total hours on type:
1506.00
Aircraft flight hours:
2830
Circumstances:
After takeoff from Guaymaral-Flaminio Suárez Camacho Airport runway 29, while climbing to a height of 200 feet, the engine suffered and explosion and lost power. The airplane started to descend, impacted a brick wall and lost its undercarriage. It then crash landed in a prairie and slid for few dozen metres before coming to rest. All five occupants escaped uninjured. The accident occurred three minutes after takeoff.
Probable cause:
The investigation determined that the accident was caused by the following probable causes:
- Emergency landing of the aircraft on an unprepared field, as a result of a decrease in power, generated by engine failure.
- An engine failure caused by the fracture of three (3) blades of the rotor disk of the high pressure compressor, which caused severe backwards damage to the hot and power section.
Contributing Factors:
- Non-compliance in the engine maintenance process, of what was ordered in AD. No. 2014-17-08R1 FAA (year 2014), which establishes the replacement of the engine blades high pressure compressor in anticipation of material failures in these components.
- Deficient maintenance processes by the provider of this service to the aircraft HK4669G, by not detecting the condition of the high-pressure rotor blades in the boroscopic inspections of the high pressure during routine boroscopic inspections.
- Deficient verification of the Operator's contracted maintenance processes, by not verifying the quality and compliance the quality and full compliance of these processes by the maintenance service provider.
Final Report: