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

Date & Time: Dec 1, 2001 at 0143 LT
Type of aircraft:
Registration:
N499BA
Flight Type:
Survivors:
No
Schedule:
Little Rock - Bessemer
MSN:
208B-0689
YOM:
1998
Flight number:
FCI600
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
5773
Captain / Total hours on type:
990.00
Copilot / Total flying hours:
1675
Aircraft flight hours:
4867
Circumstances:
The flight departed from Little Rock, Arkansas, about 2356 cst, and approximately 49 minutes after takeoff, the FAA approved un-augmented Automated Weather Observing System (AWOS-3) installed at the destination airport began reporting the visibility as 1/4 statute mile; the visibility continued to be reported as that value for several hours after the accident. Title 14 CFR Part 135.225 indicates no pilot may begin an instrument approach procedure to an airport with an approved weather reporting facility unless the latest weather report issued by that weather reporting facility indicates that weather conditions are at or above the authorized IFR landing minimums for that airport. The listed minimums for the ILS approach to runway 05 was in part 3/4 mile visibility. A METAR taken at the destination airport approximately 2 minutes after the accident indicated overcast clouds existed at 100 feet, the temperature and dew point were 4 and 2 degrees Celsius, respectively, and the altimeter setting was 30.16 inHg. No precipitation was present across Arkansas, Mississippi, or Alabama, and no radar echoes were noted along the accident airplane's route of flight. The freezing level near the departure and destination airports at the nominal time of 0600 (4 hours 17 minutes after the accident) was 12000 and 14,500 feet mean sea level, respectively. A witness at the airport reported the fog was the thickest he had seen since working at the airport for the previous year. The flight was cleared for an ILS approach to runway 05, and the pilot was advised frequency change was approved. The witness waiting at the airport reported hearing a sound he associated with a shotgun report. Radar data indicated that between 0138:47, and 0142:11, the airplane was flying on a northeasterly heading and descended from 2,400 feet msl, to 900 feet msl. At 0142:11, the airplane was located .43 nautical mile from the approach end of runway 05. The next recorded radar target 24 seconds later indicated 1,000 feet msl, and was .20 nautical mile from the approach end of runway 05. The touchdown zone elevation for runway 05 is 700 feet msl. The airplane crashed in a wooded area located approximately 342 degrees and .37 nautical mile from the approach end of runway 05; the wreckage was located approximately 4 hours after the accident. Examination of trees revealed evidence the airplane was banked to the left approximately 24 degrees, and the descent angle from the trees to the ground was calculated to be approximately 22 degrees. All components necessary to sustain flight were either attached to the airplane or in close proximity to the main wreckage. There was no evidence of post crash fire and a strong odor of fuel was noted at the scene upon NTSB arrival. A 8-inch diameter pine tree located near the initial ground impact sight exhibited black paint transfer and a smooth cut surface that measured approximately 46 inches in length. The bottom portion of the cut was located 4 feet above ground level. The flap actuator was found nearly retracted; examination of the components of the flap system revealed no evidence of preimpact failure or malfunction. Examination of the flight control system for roll, pitch, and yaw revealed no evidence of preimpact failure or malfunction. Examination of the engine and engine components with TSB of Canada oversight revealed no evidence of preimpact failure of the engine or engine components. Examination of the propeller with FAA oversight revealed no evidence of preimpact failure or malfunction. Examination of the components of the autopilot system, selected avionics and flight instruments from the airplane with FAA oversight revealed no evidence of preimpact failure or malfunction. The pilot's attitude indicator had been replaced on October 14, 2001, and according to FAA personnel, the mechanic and facility that performed the installation did not have the necessary equipment to perform the operational checks required to return the airplane to service. The FAA flight checked the ILS approach to runway 05 two times after the accident and reported no discrepancies.
Probable cause:
The poor in-flight planning by the pilot-in-command for his initiation of the ILS approach to runway 05 with weather conditions below minimums for the approach contrary to the federal aviation regulations, and the failure of the pilot to maintain control of the airplane during a missed approach resulting in the in-flight collision with trees then terrain.
Final Report:

Crash of a Cessna 208B Grand Caravan near Quepos: 3 killed

Date & Time: Nov 29, 2001 at 1148 LT
Type of aircraft:
Operator:
Registration:
HP-1405APP
Survivors:
Yes
Site:
Schedule:
San José – Quepos – Puerto Jiménez
MSN:
208B-0788
YOM:
1999
Flight number:
LRS1625
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
5000
Copilot / Total flying hours:
800
Aircraft flight hours:
1955
Circumstances:
The single engine airplane departed San José Airport on a schedule flight to Puerto Jiménez with an intermediate stop in Quepos, carrying six passengers (3 Americans, 2 Germans and one Dutch) and two pilots. While descending in clouds to Quepos Airport, the aircraft collided with trees and crashed on the slope of a wooded mountain located about 13 km from Quepos Airport. Both pilots and one passenger were killed while five other passengers were seriously injured. The aircraft was totally destroyed by impact forces.
Probable cause:
Collision with terrain after the captain failed to ensure that the vertical, horizontal and lateral separation was sufficient to fly over the mountains while descending under VMC conditions. Also the crew failed to take appropriate corrective actions to prevent the aircraft to continue the descent until it impacted ground, resulting in a controlled flight into terrain. The following contributin factors were identified:
- Momentary loss of situational awareness on the part of the flight crew,
- Inadequate supervision by the pilot-in-command,
- Non-compliance with standard operating procedures published by the operator,
- Use of flight procedures neither written down in manuals nor approved by the authority,
- Violation of safety rules,
- Non-application of visual flight rules by the flight crew,
- Shortcomings in the crew resources management,
- Adverse weather conditions.
Final Report:

Crash of a Cessna 208B Grand Caravan in Viacha

Date & Time: Jul 10, 2001 at 1646 LT
Type of aircraft:
Operator:
Registration:
CP-2395
Flight Phase:
Survivors:
Yes
Schedule:
La Paz - Rurrenabaque
MSN:
208B-0842
YOM:
2000
Location:
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2428
Captain / Total hours on type:
304.00
Copilot / Total flying hours:
18340
Copilot / Total hours on type:
18
Circumstances:
The single engine aircraft departed La Paz-El Alto Airport at 1637LT on a regular schedule flight to Rurrenabaque, carrying 11 passengers and two pilots. About six minutes later, while cruising at an altitude of 14,500 feet, the engine failed. The crew reduced his altitude and attempted an emergency landing when the aircraft crash landed in a field and came to rest upside down. Both pilots and two passengers were seriously injured while nine other occupants were slightly injured. The aircraft was destroyed.
Probable cause:
The probable cause of the accident was the failure of the engine due to the fracture and separation of all turbine compressor blades due to factors undetermined.
Final Report:

Crash of a Cessna 208B Grand Caravan off Fort Lauderdale

Date & Time: Jul 6, 2001 at 1900 LT
Type of aircraft:
Operator:
Registration:
N812MA
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Freeport – Fort Lauderdale
MSN:
208B-0553
YOM:
1996
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3700
Captain / Total hours on type:
1200.00
Aircraft flight hours:
5936
Circumstances:
While in cruise flight at 6,500 feet, the airplane's engine jolted and made a whining noise. The propeller stopped and feathered. Attempts to restore engine power were unsuccessful. An emergency was declared, and the airplane was ditched into the Atlantic Ocean 20 miles east of Ft. Lauderdale, Florida. The airplane was not recovered for post-crash examination.
Probable cause:
The undetermined malfunction of the propeller system.
Final Report:

Crash of a Cessna 208B Super Cargomaster in Steamboat Springs: 1 killed

Date & Time: May 5, 2001 at 0858 LT
Type of aircraft:
Operator:
Registration:
N948FE
Flight Type:
Survivors:
No
Schedule:
Casper – Steamboat Springs
MSN:
208B-0052
YOM:
1987
Flight number:
FDX8810
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2916
Captain / Total hours on type:
43.00
Aircraft flight hours:
8690
Circumstances:
The pilot obtained a weather briefing, filed an IFR flight plan, and departed on a nonscheduled domestic cargo flight, carrying 270 pounds of freight. The flight proceeded uneventfully until it was established on the VOR/DME-C approach. Radar data indicates that after turning inbound towards the VORTAC from the DME arc, the airplane began its descent from 10,600 feet to the VOR crossing altitude of 9,200 feet. Enlargement of the radar track showed the airplane correcting slightly to the left as it proceeded inbound to the VORTAC at 9,400 feet. Shortly thereafter, aircraft track and altitude deviated 0.75 miles northwest and 9,700 feet, 0.5 miles southeast and 9,600 feet, and 0.5 miles northwest and 9,400 feet before disappearing from radar. Witnesses said the weather at the time of the accident was 600 foot overcast, 1.5 miles visibility in "misting" rain that became "almost slushy on the ground," and a temperature of 36 degrees Fahrenheit. One weather study indicated "an icing potential greater than 50% and visible moisture" in the accident area. Another report said "icing conditions were likely present in the area of the accident." The airplane was equipped and certified for flight into known icing conditions. The wreckage was found in a closely area. There was no evidence of pre-impact airframe, engine, or propeller malfunction/failure. The pilot was properly certificated, but his flight time in aircraft make/model was only 38 hours. He had previously recorded 16 icing encounters, totaling 11.2 hours in actual meteorological conditions. He recorded no ice encounters and only 1.0 hour of simulated (hooded) instrument time in the Cessna 208. Microscopic examination of annunciator light bulbs revealed the GENERATOR OFF light was illuminated. This condition indicates a generator disconnection due to a line surge, tripped circuit breaker, or inadvertent switch operation. The operator's chief pilot agreed, noting that one of the items on the Before Landing Checklist requires the IGNITION SWITCH be placed in the ON position. The START SWITCH is located next to the IGNITION SWITCH. Inadvertently moving the START SWITCH to the ON position would cause the generator to disconnect and the GENERATOR OFF annunciator light to illuminate. He said this would be distracting to the pilot.
Probable cause:
An inadvertent stall during an instrument approach, which resulted in a loss of control. Contributing factors were the pilot's attention being diverted by an abnormal indication, conditions conducive to airframe icing, and the pilot's lack of total experience in the type of operation (icing conditions) in aircraft make/model.
Final Report:

Crash of a Cessna 208B Grand Caravan near Roque Pérez: 10 killed

Date & Time: Apr 28, 2001 at 0517 LT
Type of aircraft:
Registration:
LV-WSC
Flight Phase:
Survivors:
No
Schedule:
San Fernando – Trelew
MSN:
208B-0580
YOM:
1996
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
10
Captain / Total flying hours:
4700
Captain / Total hours on type:
605.00
Aircraft flight hours:
1467
Circumstances:
Owned by the Argentinian company Les Grands Jorasses, the single engine airplane was completing a charter flight from San Fernando to Trelew, carrying eight passengers and two pilots, among them the President of the Techint Group and the managing editor of the La Nación newspaper. After departure from San Fernando Airport, the crew was cleared to climb to 6,000 feet then 8,000 feet and later 10,000 feet. Because he encountered icing conditions, the crew asked ATC to climb to 12,000 feet and was cleared to proceed when control was lost. The aircraft entered a dive and crashed in a farmland. The aircraft was totally destroyed by impact forces and all 10 occupants were killed.
Probable cause:
Impact with the ground following a spiral fall due to a stall probably consecutive to an asymmetric accumulation of ice on the fuselage.
Final Report:

Crash of a Cessna 208B Super Cargomaster in Plattsburgh

Date & Time: Apr 26, 2001 at 1945 LT
Type of aircraft:
Operator:
Registration:
N974FE
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Plattsburgh – Albany
MSN:
208B-0099
YOM:
1988
Flight number:
FDX7417
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9144
Captain / Total hours on type:
137.00
Aircraft flight hours:
5993
Circumstances:
The pilot said the preflight, engine start, run-up, taxi and takeoff were "normal". The pilot said that during the climb after takeoff, approximately 1,000 to 1,500 feet above the ground, the airplane's engine "spooled down, slowly and smoothly, like a loss of torque or the propeller going to feather." The pilot performed a forced landing to a field, where the airplane nosed over, and came to rest inverted. Examination of the engine and propeller revealed that the propeller-reversing lever was installed on the wrong side of the reversing lever guide pin, and that the reversing linkage carbon block was no longer installed, and had departed the airplane. Examination of the airplane's maintenance records revealed that the carbon block was replaced during a 100-hour maintenance inspection, 5 hours prior to the accident. Installation of the reversing lever on the incorrect side of the guide pin resulted in improper seating and premature wear of the carbon block. According to the engine manufacturer, any disconnection in operation of the propeller control linkage will cause the propeller governor beta control valve to extend, and drive the propeller into feather.
Probable cause:
The incorrect installation of the propeller reversing lever and carbon block assembly, which resulted in a loss of propeller thrust.
Final Report:

Crash of a Cessna 208B Grand Caravan in Tembo

Date & Time: Apr 14, 2001
Type of aircraft:
Operator:
Registration:
ZS-OCZ
Flight Phase:
Survivors:
Yes
MSN:
208B-0617
YOM:
1997
Location:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff from Tembo Airstrip, while in initial climb, the pilot encountered problems to gain sufficient height as the engine lost power. He attempted an emergency landing when the aircraft crash landed in an open field located about one km from the airfield, bursting into flames. All nine occupants escaped uninjured while the aircraft was destroyed by fire.