Crash of a Cessna 550 Citation II in Cocal do Sul: 2 killed

Date & Time: Aug 15, 1997 at 1925 LT
Type of aircraft:
Operator:
Registration:
PT-LML
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Porto Alegre - Rio de Janeiro
MSN:
550-0013
YOM:
1978
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
On a flight from Porto Alegre to Rio de Janeiro, while cruising at an altitude of 33,000 feet, the aircraft entered an uncontrolled descent. The crew did not send any distress call. The aircraft descended with a rate of 20,000 feet per minute. At an altitude of 1,500 feet, it disintegrated in the air and eventually crashed. Both pilots were killed.
Probable cause:
It is believed that the crew failed to prepare the flight according to published procedures, did not follow the pre-departure checklist and failed to verify the position of the pressurization mode selector prior to take off. At an altitude of 33,000 feet, after suffering hypoxia, both pilot lost consciousness and situational awareness. Maybe one of them fell and the control column, causing the aircraft to enter an uncontrolled descent.
Final Report:

Crash of a Cessna 550 Citation II in Freilassing: 10 killed

Date & Time: Feb 19, 1996 at 0954 LT
Type of aircraft:
Operator:
Registration:
D-CASH
Survivors:
No
Schedule:
Berlin - Salzburg
MSN:
550-0564
YOM:
1987
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
10
Aircraft flight hours:
5242
Circumstances:
Following an uneventful charter flight from Berlin, the crew was cleared to descend from FL140 and started the approach to Salzburg-Wolfgang Amadeus Mozart Airport. After being established on the ILS, the crew was cleared to land when, on short final, the aircraft stalled and crashed in a wooded area located in Freilassing, about 5,5 km short of runway 16, bursting into flames. The aircraft was destroyed by impact forces and a post crash fire and all 10 occupants were killed. At the time of the accident, severe icing conditions were reported in the area.
Probable cause:
The exact cause of the accident could not be determined with certainty. It was reported that the aircraft' speed dropped on short final, causing the aircraft to stall. It was not established if the stall was the consequence of icing or not as the aircraft was totally destroyed by a post crash fire and no trace of any icing was found on the wreckage. It was also reported that the electrical system failed on approach, causing the autopilot system to be disconnected and the attitude indicator to be out of service.

Crash of a Cessna 550 Citation II in Marco Island: 2 killed

Date & Time: Dec 31, 1995 at 1225 LT
Type of aircraft:
Operator:
Registration:
N91MJ
Flight Type:
Survivors:
No
Schedule:
Saint Louis - Marco Island
MSN:
550-0101
YOM:
1979
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
13026
Captain / Total hours on type:
2500.00
Aircraft flight hours:
6025
Circumstances:
The flight was cleared for the VOR/DME approach to runway 17 at the Marco Island Airport. The CVR recorded conversation between the pilot and co-pilot reference to the approach, specifically the MDA both in mean sea level and absolute altitude for a straight-in-approach to runway 17. The flight crew announced that the flight was landing on runway 35. The flight crew did not discuss the missed approach procedure nor the circling minimums. The flight continued and the co-pilot announced that the flight was 5 miles from the airport to descend to the MDA to visually acquire the airport. While descending about 8.5 feet of the left wing of the airplane was severed by a guy wire about 587 feet above ground level from an antenna that was 3.36 nautical miles from the threshold of runway 17. The tower is listed on the approach chart that was provided to the flight crew. The airplane then rolled left wing low, recovered to wings level, then was observed to roll to the left, pitch nose down, and impacted the ground. A fireball was then observed by witnesses. The altimeters, air data computer, and pilot's airspeed indicator were last calibrated about 8 months before the accident. The co-pilots altimeter was found set .01 high from the last known altimeter setting provided to the flight crew. The CVR did not record any conversation pertaining to failure or malfunction of either the pilot or copilot's HSI, the DME or Altimeters. There were no alarms from the VOR/DME monitoring equipment the day of the accident. The flight crew of another airplane executed the same approach about 30 minutes before the accident and they reported no discrepancies with the approach. The MDA for the segment of the approach between where the tower is located is no lower than 974 feet above ground level.
Probable cause:
The pilot's disregard for the MDA for a specific segment of the VOR/DME approach which resulted in the inflight collision with a guy wire of an antenna and separation of 8.5 feet of the left wing.
Final Report:

Crash of a Cessna 550 Citation II in Walker's Cay

Date & Time: Apr 26, 1995 at 1430 LT
Type of aircraft:
Registration:
N7RC
Flight Type:
Survivors:
Yes
Schedule:
Naples - Walker's Cay
MSN:
550-0019
YOM:
1978
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On final approach to Walker's Cay Airfield, the aircraft was too low and struck the ground few metres short of runway threshold. Out of control, it rolled to the right when the right wing collided with a tree and was torn off. The aircraft rolled for another 100 metres before coming to rest, bursting into flames. All five occupants were injured and the aircraft was destroyed.
Probable cause:
The runway at Walker's Cay is less than 800 metres which is insufficient for such aircraft. The crew elected to land as early as possible but landed too short, causing the aircraft to crash.

Crash of a Cessna 550 Citation II in Allendorf: 2 killed

Date & Time: Jan 25, 1995
Type of aircraft:
Operator:
Registration:
D-CHVB
Flight Type:
Survivors:
No
MSN:
550-0629
YOM:
1989
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
The descent to Allendorf-Eder Airport was completed in poor weather conditions. On approach, the captain cancelled the IFR flight plan and decided to initiate a go-around procedure for unknown reasons. The aircraft nosed down to 30° then rolled to the right to 60° and crashed in a wooded area. Both pilots were killed. It was reported that the copilot was the PIC at the time of the accident.

Crash of a Cessna 550 Citation II in Southampton

Date & Time: May 26, 1993 at 0634 LT
Type of aircraft:
Registration:
G-JETB
Flight Type:
Survivors:
Yes
Schedule:
Oxford - Southampton - Eindhoven
MSN:
550-0288
YOM:
1981
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
16700
Captain / Total hours on type:
850.00
Copilot / Total flying hours:
1322
Copilot / Total hours on type:
109
Aircraft flight hours:
4315
Aircraft flight cycles:
3306
Circumstances:
Cessna Citation G-JETB was to fly eight passengers from Southampton (SOU) to Eindhoven (EIN). Because G-JETB had arrived at Oxford (OXF) the previous evening, the airplane had to be ferried to Southampton early in the morning. This as a regular occurrence. The co-pilot had agreed with the airport authorities at both Oxford and Southampton that the aircraft would operate outside normal hours on the understanding that no fire cover would be provided. Following the takeoff from Oxford at 05:19 the crew contacted Brize Norton ATC and agreed a Flight Information Service. They maintained VMC for the transit at 2,400 feet QNH and called Southampton ATC on their alternate radio at 05:25 when they were approximately 30 nm from Southampton. The Southampton controller was surprised at their initial call and advised them that the airport did not open until 06:00. The crew informed him that arrangements had been made for an early arrival and the controller asked them to standby while he checked this agreement. At 05:27 he called G-JETB, informed the crew that they could land before the normal opening hours and asked them to confirm that no fire cover was required. The crew confirmed this and were then told that runway 02 was in use with a wind of 020 deg./14 kt and that there was a thunderstorm right over the airport. The crew then advised Brize Norton radar that they were going to Southampton ATC and left the Brize Norton frequency. Following a further check with Southampton they were given the 0520 weather observation: "Surface wind 040 deg/12 kt, thunderstorms, 2 oktas of stratus at 800 feet, 3 oktas of cumulonimbus at 1,800 feet, temperature 12 C, qnh 1007 mb, qfe 1006 mb, the runway is very wet." At 05:30 the controller asked the crew for the aircraft type and, after being told that it was a Citation II, told the crew that the visibility was deteriorating ("Now 2,000 metres in heavy thunderstorms" ) and cleared them to the Southampton VOR at 3,000 feet QNH. After checking that they were now IFR the controller confirmed the clearance, and the QNH of 1007 mb, and informed the crew that there was no controlled airspace and that he had no radar available to assist them. Shortly afterwards the controller advised the crew that: "Entirely at your discretion you may establish on the ILS localiser for runway 20 for visual break-off to land on runway 02." The commander accepted this offer and, within the cockpit, asked the co-pilot for the surface wind. He was informed that it was 040 degrees but that earlier they had been given 020 deg/14 kt. At 05:32 the commander had positioned on the ILS for runway 20 and began his descent; the co-pilot advised Southampton that they were established. The controller acknowledged this and again passed the QNH. Shortly afterwards he asked the crew to report at the outer marker and this message was acknowledged. At 05:33 the crew called that they were visual with the runway and the controller cleared them for a visual approach, left or right at their convenience, for runway 02. As this transmission was taking place, the commander informed his co-pilot that they would land on runway 20. The commander decided this because he could see that the weather at the other end of the runway appeared very black and he had mentally computed the tailwind component to be about 10 kt. After a confirmation request from the co-pilot to the commander, the co-pilot informed the Southampton controller that they would land on runway 20. The controller then advised them that: "You'll be landing with a fifteen knot, one five knot, tailwind component on a very wet runway" ; this was immediately acknowledged by the co-pilot with: "roger, copied thank you". The crew continued with their approach, initially at 15 kt above their computed threshold speed (VREF) of 110 kt and then at a constant VREF+10 kt. Within the cockpit the commander briefed the co-pilot that if they were too fast the co-pilot was to select flap to the takeoff position and they would go-around; they also discussed the use of the speedbrake and the commander stated that he would call for it when he wanted it. The speed at touchdown was within 5 kt of the target threshold speed and touchdown was in the vicinity of the Precision Approach Path Indicators (PAPIs), according to witnesses in the Control Tower and on the airport; the commander was certain that he had made a touchdown within the first 300 feet of the runway. The PAPIs are located 267 metres along the runway. Speedbrake was selected as the aircraft touched down and, although the commander applied and maintained heavy foot pressure on the brakes, no retardation was apparent; external observers reported heavy spray from around the aircraft. At some stage down the runway the commander stated that the brakes were not stopping them and the co-pilot called for a go-around ; the commander replied : "No we can't" as he considered that a go-around at that stage would be more dangerous. He maintained brake pressure and, in an attempt to increase distance, steered the aircraft to the right edge of the runway before trying to steer back left. Initially the aircraft nose turned to the left and the aircraft slid diagonally off the right side of the runway on to the grass. It continued across the grass for a distance of approximately 233 metres while at the same time yawing to the left. However, 90 metres beyond the end of the runway there is an embankment which forms the side of the M27 motorway and G-JETB slid down this embankment on to the motorway. The aircraft continued to rotate as it descended and came to rest, having turned through approximately 150 degrees, with its tail on the central barrier. During these final manoeuvres the aircraft collided with two cars travelling on the eastbound carriageway; the aircraft and one of the cars caught fire. During the approach of the aircraft, the airport Rescue and Fire Fighting Service (RFFS) duty officer had discussed with the duty ATC controller the imminent arrival of G-JETB. Although not all checks had been complete, the fire officer offered his two fire vehicles as a weather standby ; he did not declare his section operational but agreed with ATC that they would position themselves to the west of the runway. When the aircraft was 1/2 to 2/3 down the runway, the ATC controller considered that the aircraft would not stop in the runway available and activated the crash alarm. The fire section obtained clearance to enter the runway after G-JETB had passed their position and followed the aircraft. Assessing the situation on the move, the fire officer ordered the FIRE 2 vehicle to disperse through the crash gate to the motorway, and took his own vehicle (FIRE 1) to the edge of the embankment. On arrival, the fire section contained the fires. The occupants of the aircraft and cars escaped with minor injuries.
Probable cause:
The investigation identified the following causal factors:
- The commander landed with a reported tailwind of 15 knots which was outside the aircraft maximum tailwind limit of 10 knots specified in the Cessna 550 Flight Manual.
- The copilot did not warn the commander that he was landing with a reported tailwind component which was outside the aircraft limit.
- With a tailwind component of 10 knots, the landing distance available was less than the landing distance required.
Final Report:

Crash of a Cessna 550 Citation II in Billings: 8 killed

Date & Time: Dec 18, 1992 at 1645 LT
Type of aircraft:
Operator:
Registration:
N6887Y
Flight Type:
Survivors:
No
Schedule:
Watertown - Billings
MSN:
550-0293
YOM:
1981
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
8
Captain / Total flying hours:
6200
Captain / Total hours on type:
4415.00
Aircraft flight hours:
5275
Circumstances:
During descent into Billings, the Citation was sequenced behind a Boeing 757, and both airplanes were eventually cleared for visual approaches. About 1-1/2 mile from the runway the Citation was observed to roll rapidly to the inverted position and descended almost vertically into the ground. According to ATC transcripts and the airplane's cockpit voice recorder, the crew of the Citation had maintained visual awareness of the position of the B757 throughout the approach. At the time of the upset, the vertical separation between airplanes was 600 - 1,000 feet, and the horizontal separation was decreasing below 2.6 miles. One of the Citation captain's last comments was 'almost ran over a seven fifty seven.' Winds were 5 knots. All eight occupants were killed.
Probable cause:
The pilot-in-command's failure to follow established vortex avoidance procedures, as published in the airman's information manual, to provide his own wake turbulence separation.
Final Report:

Crash of a Cessna 550 Citation S/II in São Paulo

Date & Time: Dec 1, 1992 at 1205 LT
Type of aircraft:
Operator:
Registration:
PT-LKT
Flight Type:
Survivors:
Yes
Schedule:
São Paulo - São Paulo
MSN:
550-0117
YOM:
1986
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft departed São Paulo-Congonhas Airport for a local training flight, carrying two pilots under supervision and two instructors. Weather conditions were marginal with ceiling down to 300 metres, horizontal visibility 3 km with rain. After touchdown on wet runway 17R, the aircraft was unable to stop within the remaining distance. It overran, went down an embankment and came to rest. All four occupants escaped uninjured while the aircraft was destroyed.