Crash of a Cessna 402C in Vineyard Haven: 1 killed

Date & Time: Sep 26, 2008 at 2003 LT
Type of aircraft:
Operator:
Registration:
N770CA
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Vineyard Haven - Boston
MSN:
402C-0432
YOM:
1981
Flight number:
9K1055
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
16746
Captain / Total hours on type:
2330.00
Aircraft flight hours:
26809
Circumstances:
The pilot of the multi engine airplane, operated by a regional airline, was conducting a positioning flight in night instrument meteorological conditions. After takeoff, the airplane made a slight left turn before making a right turn that continued until radar contact was lost. The airplane reached a maximum altitude of 700 feet before impacting terrain about 3 miles northwest of the departure airport. Post accident examination of the wreckage did not reveal any preimpact failures. The weather reported at the airport, about the time of the accident, included a visibility of 5 statute miles in light rain and mist and an overcast ceiling at 400 feet. Analysis of the radar and weather data indicated that, with the flight accelerating and turning just after having entered clouds, the pilot likely experienced spatial disorientation.
Probable cause:
A loss of aircraft control due to spatial disorientation.
Final Report:

Crash of a Cessna 402 in Coventry: 4 killed

Date & Time: Aug 17, 2008 at 1136 LT
Type of aircraft:
Operator:
Registration:
G-EYES
Flight Type:
Survivors:
No
Schedule:
Coventry - Coventry
MSN:
402-0008
YOM:
1979
Region:
Crew on board:
4
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
1627
Captain / Total hours on type:
125.00
Copilot / Total flying hours:
2281
Copilot / Total hours on type:
339
Circumstances:
Cessna 402C aircraft G-EYES was engaged in flight calibration training and was making an ILS approach to Runway 23 at Coventry Airport when it was involved in a mid-air collision with a Rand KR-2 aircraft, G-BOLZ, operating in the visual circuit. The collision occurred in Class G (uncontrolled) airspace. The four occupants of G-EYES and the single occupant of G-BOLZ received fatal injuries.
Probable cause:
The investigation identified the following primary causal factor:
The two aircraft collided because their respective pilots either did not see the other aircraft, or did not see it in time to take effective avoiding action.
The investigation identified the following contributory factors:
1. The likelihood that the crew of G-EYES would see G-BOLZ in time to carry out effective avoiding action was reduced by the small size of G-BOLZ, its position relative to G-EYES and the high rate of closure between the aircraft.
2. Insufficient or inaccurate information was provided to the pilots, which did not assist them in fulfilling their duty to take all possible measures to avoid collisions with other aircraft.
3. The Aerodrome Controller’s sequencing plan, which was based on an incomplete understanding of the nature of G-EYES’ flight, was unlikely to have been successful. By the time the risk of a collision was identified, it was too late to devise an effective method of resolving the situation.
4. There were no effective measures in place to give G-EYES priority over traffic in the visual circuit
Final Report:

Crash of a Cessna 402B in Ocean Ridge

Date & Time: Jul 22, 2008 at 1350 LT
Type of aircraft:
Registration:
N3990C
Flight Phase:
Flight Type:
Survivors:
Yes
Site:
Schedule:
Lantana - Pompano Beach
MSN:
402B-0857
YOM:
1975
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1565
Aircraft flight hours:
7222
Circumstances:
The commercial pilot, who was also the former owner of the twin-engine airplane, stated that the purpose of the flight was to reposition the airplane to an airport approximately 22 miles south of the departure airport. Just prior to the flight, he purchased 10 gallons of fuel for each of the two main tanks. The pilot reported that about 5 minutes after takeoff, at an altitude of approximately 1,000 feet, he experienced a "loss of engine power." However, his three separate accounts of the event were inconsistent with respect to which engine had a problem, or the specific nature of the problem. The pilot reported that the airplane started to lose altitude "rapidly," and that he attempted to "wag the wings" in order to "get all the fuel to be useable." The airplane struck a building and terrain approximately 8 miles south of the departure airport. The pilot sustained serious injuries, but there was no fire. Damage to the left engine and propeller was consistent with the engine running at impact, and precluded an attempt to run the left engine in a test cell. Damage to the right engine and propeller was consistent with low or no power at impact. The right engine was subsequently successfully run in a test cell. No evidence of any pre-accident anomalies that could have contributed to the accident was noted with the airframe, engines, or propellers. The fuel selector valve placards did not accurately depict the fuel system configuration. The fuel quantity and its distribution in the tanks, either at the beginning of the flight or at the time of the accident, could not be determined.
Probable cause:
A partial loss of engine power due to fuel starvation. Contributing to the accident was the pilot’s decision to add only a limited amount of fuel prior to the flight, and the fuel selector valve placards' inaccurate depiction of the airplane fuel tank configuration.
Final Report:

Crash of a Cessna 402C in Freeport

Date & Time: Apr 21, 2006 at 0023 LT
Type of aircraft:
Registration:
C6-KEV
Survivors:
Yes
Schedule:
Fort Lauderdale – Freeport
MSN:
402C-0051
YOM:
1979
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
3033
Circumstances:
At approximately 0423UTC on April 21, 2006 the pilot reported that approximately 20 miles out of Freeport, both hydraulic pressure lights illuminated on the annunciator panel. He extended the gear and noticed only the right gear safe light illuminated. The pilot obtained the assistance of a passenger, who retrieved the aircraft pilot operating handbook and read the appropriate procedures as the pilot followed the instructions for emergency gear extension. The pilot stated that he landed the aircraft on the right main gear, hoping this action would release the left main and nose gear. After realizing that this manoeuvre was not successful, he decided to initiate a go-around. Before he could get the aircraft airborne the left propeller made contact with the ground. The aircraft touched down approximately 9,000 feet from the threshold of runway 06; which has a total length of 11,000 feet. The aircraft travelled approximately 1,500 feet on its right main wheel before it veered off the left shoulder of the runway, struck several trees and finally came to rest pointing in a northwesterly direction. The approximate final position was measured to be 180 feet from the side of the runway. The aircraft left wing burst into flames. The left wing and left side of the fuselage was substantially damaged by fire. The four occupants escaped with only minor injuries.
Probable cause:
The investigation determines that the probable causes of this accident to be the following;
• Substandard maintenance that was performed. (Due to the improper flange on the hydraulic line, the hydraulic line came loose from its housing and depleted the fluid from the hydraulic
reservoir).
• Failure of the back up emergency blow down bottle system. It has been determined from inspection that the cable that connects the emergency blow down bottle system in the nose well of the aircraft to the T-handle in the cockpit, exhibited excessive play. Therefore even though the cable was pulled all the way to its fullest extent, it did not allow movement of the pin that would have provided activation of the system. Annual inspection report completed in December 2005 revealed that the portion of the Annual Inspection that required inspection of the emergency blow down bottle was not signed off by the mechanic as having been accomplished. However, the aircraft was returned to service with this discrepancy outstanding.
• Pilot’s lack of qualification and unfamiliarity with this aircraft, its systems and emergency procedures. ( Evidence of falsification of qualification and time requirement exists in pilot’s logbook).
• Pilot’s poor decision making and impaired judgement. (Possibility of impaired judgement due to pilot fatigue).
• Pilot’s failure in assessing the severity of his situation.
• Pilot’s failure to notify ATC of his problem. (Problem was discovered 20 miles prior to the accident).
• Pilot’s failure to properly assess the conditions for landing and maintain vigilant situational awareness while manoeuvring the aircraft after landing. (From post accident inspection, it was noted that the flaps were not extended for the landing. Had it been extended the aircraft glide path as well as the distance required for roll out after landing may have been greatly decreased).
• Pilot’s failure to take immediate action once he realized his predicament. (Pilot stated that after the propeller made contact with the ground, he decided to apply power and go around, but it was too late. Failure to act also can be attributed to possible pilot fatigue as (pilot was out all day shopping and then decided to leave at such a late hour) well as pilot’s unfamiliarity with aircraft systems and performance capabilities).
• Pilot’s failure to request Emergency Service Assistance. Had this service been requested in a timely manner, preparations could have been made to prevent the fire from spreading to the degree in which it did.
Final Report:

Crash of a Cessna 402B in Walker's Cay

Date & Time: Mar 31, 2004 at 1235 LT
Type of aircraft:
Operator:
Registration:
N269JH
Flight Type:
Survivors:
Yes
Schedule:
Fort Lauderdale – Walker’s Cay
MSN:
402B-1213
YOM:
1976
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On March 31, 2004, about 1235 eastern standard time, a Cessna 402B, N269JH, registered to and operated by Tropic Air Charters, Inc., experienced collapse of all landing gears at the Walker's Cay Airport, Walker's Cay, Bahamas. Visual meteorological conditions prevailed at the time and a visual flight rules flight plan was filed for the 14 CFR Part 135 on-demand, non-scheduled, international, cargo flight from the Fort Lauderdale Executive Airport, Fort Lauderdale, Florida, to the Walker's Cay Airport, Walker's Cay, Bahamas. The airplane was substantially damaged and the commercial-rated pilot, the sole occupant, was not injured. The flight originated about 45 minutes earlier from the Fort Lauderdale Executive Airport. The pilot stated that after landing, the right wing tipped down in what appeared to be a flat tire. He attempted to maintain control of the airplane using the rudder and was successful until the airplane rolled approximately 1,000 feet. The airplane then veered to the right and collided with a tree. The left wing and fuselage were damaged.

Crash of a Cessna 402C in Nantucket: 1 killed

Date & Time: Sep 23, 2003 at 0523 LT
Type of aircraft:
Operator:
Registration:
N405BK
Flight Type:
Survivors:
Yes
Schedule:
Hyannis – Nantucket
MSN:
402C-0459
YOM:
1981
Flight number:
IS400
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
14000
Captain / Total hours on type:
4000.00
Aircraft flight hours:
9795
Circumstances:
The pilot was conducting an instrument landing system approach during night instrument meteorological conditions. The airplane was observed to descend toward the runway threshold to an altitude consistent with the approach decision height. A witness reported that he heard the airplane overhead, and assumed that the pilot had performed a missed approach. He described the engine noise as "cruise power" and did not hear any unusual sounds. Shortly thereafter, he received a call from airport operations stating that an airplane had crashed. The airplane impacted the ground about 1/4 mile to the left of the runway centerline, about 3,500 feet beyond the approach end of the runway. Examination of the airplane did not reveal any pre-impact mechanical malfunctions. A weather observation taken around the time of the accident, included a visibility 1/2 statue mile in fog, and an indefinite ceiling at 100 feet. The witness described the weather at the time of the accident as thick fog, and "pitch black."
Probable cause:
The pilot's failure to maintain aircraft control during a missed approach. Factors in this accident were fog and the night light conditions.
Final Report:

Crash of a Cessna 402B near Tecalitlán: 8 killed

Date & Time: Sep 13, 2003 at 1830 LT
Type of aircraft:
Operator:
Registration:
XB-FTA
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Toluca – Colima
MSN:
402B-1049
YOM:
1976
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
7
Pax fatalities:
Other fatalities:
Total fatalities:
8
Circumstances:
While cruising under VFR mode at an altitude of 8,400 feet in poor weather conditions, the twin engine aircraft struck the slope of a mountain located near Tecalitlán. The aircraft was totally destroyed and all eight occupants were killed. At the time of the accident, weather conditions were poor over State of Jalisco due to a tropical storm with heavy rain falls and strong winds.
Probable cause:
Controlled flight into terrain after the pilot decided to continue under VFR mode in IMC conditions.

Crash of a Cessna 402 in Guadalajara

Date & Time: Sep 13, 2003
Type of aircraft:
Operator:
Registration:
XA-TVX
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Guadalajara – Zihuatanejo
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Shortly after takeoff, the twin engine lost height and crashed in a cornfield. All seven occupants were injured and the aircraft was damaged beyond repair.

Crash of a Cessna 402C off Treasure Cay: 2 killed

Date & Time: Jul 13, 2003 at 1530 LT
Type of aircraft:
Operator:
Registration:
N314AB
Survivors:
Yes
Schedule:
Fort Lauderdale – Treasure Cay
MSN:
402C-0413
YOM:
1980
Flight number:
RSI502
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
7904
Captain / Total hours on type:
4964.00
Aircraft flight hours:
17589
Circumstances:
On July 13, 2003, about 1530 eastern daylight time, Air Sunshine, Inc. (doing business as Tropical Aviation Services, Inc.), flight 527, a Cessna 402C, N314AB, was ditched in the Atlantic Ocean about 7.35 nautical miles west-northwest of Treasure Cay Airport (MYAT), Treasure Cay, Great Abaco Island, Bahamas, following the in-flight failure of the right engine. Four of the nine passengers sustained no injuries, three passengers and the pilot sustained minor injuries, and one adult and one child passenger died after they evacuated the airplane. The airplane sustained substantial damage. The airplane was being operated under the provisions of 14 Code of Federal Regulations Part 135 as a scheduled international passenger commuter flight from Fort Lauderdale/Hollywood International Airport, Fort Lauderdale, Florida, to MYAT. Visual meteorological conditions prevailed for the flight, which operated on a visual flight rules flight plan.
Probable cause:
The in-flight failure of the right engine and the pilotís failure to adequately manage the airplaneís performance after the engine failed. The right engine failure resulted from inadequate maintenance that was performed by Air Sunshine's maintenance personnel during undocumented maintenance. Contributing to the passenger fatalities was the pilotís failure to provide an emergency briefing after the right engine failed.
Final Report: