Crash of a Convair CV-580 in Belvidere Centre: 2 killed

Date & Time: Sep 18, 1991 at 2150 LT
Type of aircraft:
Operator:
Registration:
C-FICA
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Moncton - Hamilton
MSN:
98
YOM:
1968
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
10400
Captain / Total hours on type:
1200.00
Aircraft flight hours:
39323
Circumstances:
The airplane was cruising in night instrument meteorological conditions when it entered a left turn and exceeded the design airframe limits. The airplane broke up in the descent due to aerodynamic forces and was destroyed. The outboard wing panels had failed downward and center wing section separated from the fuselage. The horizontal stabilizer and elevators had failed down and aft. The captain was found out of the cockpit with no evidence of him being in the seat at impact a human factors study found the aircraft's last minute of flight matched a profile of a pilot experiencing spatial disorientation. Both pilots were killed.
Probable cause:
Failure of the first officer (co-pilot) to maintain control of the aircraft after becoming spatially disoriented, and his exceeding the design stress limits of the aircraft. Factors related to the accident were: the lack of two pilots in the cockpit, darkness, and instrument meteorological conditions (IMC) at flight altitude.
Final Report:

Crash of a Convair CV-580 off Hirtshals: 55 killed

Date & Time: Sep 8, 1989 at 1638 LT
Type of aircraft:
Operator:
Registration:
LN-PAA
Flight Phase:
Survivors:
No
Schedule:
Oslo - Hamburg
MSN:
56
YOM:
1960
Flight number:
PD394
Country:
Region:
Crew on board:
5
Crew fatalities:
Pax on board:
50
Pax fatalities:
Other fatalities:
Total fatalities:
55
Captain / Total flying hours:
16779
Captain / Total hours on type:
1200.00
Copilot / Total flying hours:
16731
Copilot / Total hours on type:
675
Aircraft flight hours:
36943
Aircraft flight cycles:
15116
Circumstances:
On September 8, 1989, LN-PAA was on a charter flight to Hamburg. The flight was due to depart at 1500 hrs. The call sign was Partnair (PAR) 394. The departure was delayed by almost an hour due to the Civil Aviation Administration, Norway (CAA/N) and the catering company having suspended PAS' credit. Once the financial problem was settled the crew was given permission to depart. During the period September 6-8, 1989 LN-PAA experienced some technical problems with the left AC power system. The AC generator was replaced, but the malfunction in the system remained. On the flight to Hamburg it was decided to use the APU generator as the electrical power source for the left AC system. LN-PAA took off at 1559:50 hrs. The flight proceeded normally to the planned cruise level, which was FL220. At 1604 hrs PAR 394 was cleared direct to AAL VOR/DME (Aalborg). When the aircraft climbed through FL 180 at 1616 hrs, the crew was informed by Oslo ACC about strong westerly winds at altitude. The air traffic controller suggested a 100 heading change to the right. At 1622 hrs PAR 394 was informed that the radar service from Oslo Ace terminated and that the flight would enter Danish-controlled air space in 2 minutes. PAR 394 was then requested to contact Copenhagen ACC. According to the aircraft's Flight Data Recorder (FOR), LNPAA reached its cruising level at 1623 hrs. Half a minute later the crew established contact with Copenhagen ACC and informed them that PAR 394 was maintaining FL220, whereupon Copenhagen ACC confirmed that they had radar contact. This was the last radio contact anyone had with PAR 394. The next control point was AAL VOR/DME. Apparently, the flight proceeded normally until the air traffic controller at Copenhagen ACC observed that the radar signals from PAR 394 showed an unexpected right turn and then disappeared from the radar scope. At 1640 hrs the air traffic controller tried to contact PAR 394, but there was no reply. He tried again several times. At 1642 hrs the ATS in both Denmark and Norway initiated an investigation to locate the aircraft. At 1659 hrs it was decided to inform the rescue authorities in Norway and Denmark. It turned out that a serious accident had occurred. None of the 55 persons on board survived.
Probable cause:
The accident was caused by loss of control due to the destruction of primary control surfaces in the tail section, which, in turn, was caused by aeroelastic oscillations initiated by abnormal clearances in the vertical stabiliser attachments to the fuselage structure. The condition of the attachments was a result of excessive wear in pins and sleeves used in this structural joint. The pins and sleeves were of an inferior quality and did not satisfy specified values for hardness and tensile strength. They had also been installed and inspected using sub-standard maintenance procedures. Undamped oscillations in the elevator contributed to the structural failure of the empennage.
Final Report:

Crash of a Convair CV-580 in Auckland: 3 killed

Date & Time: Jul 31, 1989 at 2200 LT
Type of aircraft:
Operator:
Registration:
ZK-FTB
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Palmerston North – Auckland – Christchurch
MSN:
180
YOM:
1968
Flight number:
AFZ001
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
3760
Captain / Total hours on type:
140.00
Copilot / Total flying hours:
1086
Copilot / Total hours on type:
6
Aircraft flight hours:
29999
Circumstances:
Flight Air Freight 1 was a scheduled night freight flight between Palmerston North, Auckland and Christchurch. The crew consisted of a training captain and two new co-pilots who were to fly alternate legs as co-pilot and observer. The co-pilot’s ADI of the Convair CV-580 in question had a known intermittent defect, but had been retained in service. The aircraft’s MEL however did not permit this flight to be undertaken with an unserviceable ADI. The aircraft nevertheless departed Palmerston North and arrived at Auckland at about 20:30. It was unloaded and reloaded with 11 pallets of cargo. On the next leg, to Christchurch, the handling pilot was to be the other co-pilot. Although she had completed her type rating on the Convair 580 this was her first line flight as a crew member. The flight was cleared to taxi to runway 23 for departure. Takeoff was commenced at 21:59. The aircraft climbed to a height of approx. 400 feet when it pitched down. It entered a gradual descent until it contacted the ground 387 m beyond the end of runway 23 and 91 m left of the extended centreline. The aircraft then crashed and broke up in the tidal waters of Manukau Harbour. The aircraft disintegrated on impact and all three crew members were killed.
Probable cause:
The probable cause of this accident was the training captain’s failure to monitor the aircraft’s climb flightpath during the critical stage of the climb after take-off.
Final Report:

Crash of a Convair CV-580 in Buena Vista

Date & Time: Jan 20, 1989 at 0925 LT
Type of aircraft:
Operator:
Registration:
N73160
Flight Phase:
Survivors:
Yes
Schedule:
Denver - Durango
MSN:
336
YOM:
1968
Crew on board:
3
Crew fatalities:
Pax on board:
23
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
18644
Captain / Total hours on type:
6224.00
Aircraft flight hours:
54108
Circumstances:
During flight, crew shut down the right engine when warning light for gearbox oil pressure illuminated and pressure was noted below minimum limit of 130 psi. Shortly after securing right engine, left engine lost power (fuel tank shutoff valve switch and fuel crossfeed valve switch were located near each other). Attempts to restart left engine were unsuccessful. With lack of alternative current electrical power, captain could not unfeather right engine for restart. During emergency landing, aircraft was damaged on uneven terrain. Operational check of right engine (at ground level) revealed no malfunction that would have prevented normal operation. Examination of left engine revealed turbine section had overheated and turbine blades had severe heat damage. Captain said that when he tried to restart left engine, fuel valves were in normal position and power lever was 1' above idle. He recalled an engine rpm of 8000, but didn't recall if he had used feather button to reduce rpm to 3000 (as directed by checklist). He verified fuel switches were 'on' and he tried to crossfeed fuel (in event of blockage). Cross feeding of fuel was not part of restart procedure. Flight manual cautioned about importance of reducing power to flight idle, to decrease fuel flow to engine and minimize possible overheating.
Probable cause:
Inadvertent deactivation of fuel to the left engine as the pilot was making a precautionary shutdown of the right engine, and his failure to follow the emergency checklist procedure. Related factors were: low gearbox oil pressure (at flight altitude), and uneven terrain that was encountered during the emergency landing.
Occurrence #1: loss of engine power (total) - nonmechanical
Phase of operation: cruise - normal
Findings
1. 1 engine
2. (f) lubricating system - pressure too low
3. Propeller feathering - intentional
----------
Occurrence #2: loss of engine power (total) - nonmechanical
Phase of operation: cruise
Findings
4. All engines
5. (c) fuel supply - inadvertent deactivation - pilot in command
----------
Occurrence #3: forced landing
Phase of operation: descent - emergency
Findings
6. (c) emergency procedure - improper - pilot in command
7. (c) checklist - not followed - pilot in command
----------
Occurrence #4: on ground/water encounter with terrain/water
Phase of operation: landing - roll
Findings
8. (f) terrain condition - rough/uneven
Final Report:

Crash of a Convair CV-580 in Durango

Date & Time: Feb 2, 1988 at 2032 LT
Type of aircraft:
Operator:
Registration:
N5808
Survivors:
Yes
Schedule:
Denver - Durango
MSN:
348
YOM:
1966
Crew on board:
3
Crew fatalities:
Pax on board:
38
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7342
Captain / Total hours on type:
2858.00
Aircraft flight hours:
53781
Circumstances:
After making an IFR approach, the pilot made a go-around because he was blinded by the reflection of the landing/taxi lights against the falling snow. The pilot landed the aircraft after the second approach. The pilot said he sensed the aircraft drifting to the left and he tried to correct, but it collided with a snow bank. The investigation disclosed no evidence of aircraft hydroplaning or skidding. Airport management elected to delay plowing the runway for fear of it freezing over. Passengers claimed there was 2-3 inches of snow on top of a 3/4- inch layer of slush. Further investigation revealed that the runway lights were of various intensities because some unapproved light bulbs of different amperage were used. The runway was not equipped with centerline lighting. The painted white centerline stripe was covered by snow and slush.
Probable cause:
Occurrence #1: on ground/water collision with object
Phase of operation: landing - roll
Findings
1. (f) airport facilities, runway marking - foreign substance covered
2. (c) airport snow removal - inadequate - airport personnel
3. (f) airport facilities, runway/landing area condition - snow covered
4. (f) airport facilities, runway/landing area condition - slush covered
5. (c) proper alignment - not maintained - pilot in command
6. Terrain condition - snowbank
7. (f) airport facilities, centerline lights - unavailable
8. (f) airport facilities, runway edge lights - unapproved
9. (f) light condition - dark night
Final Report:

Crash of a Convair CV-580 in Cabimas: 2 killed

Date & Time: May 28, 1985
Type of aircraft:
Operator:
Registration:
YV-84C
Flight Phase:
Survivors:
Yes
Schedule:
Cabimas - Caracas
MSN:
157
YOM:
1960
Flight number:
VE034
Country:
Crew on board:
5
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
2
Circumstances:
After takeoff from Cabimas-Oro Negro Airport runway 06, the aircraft encountered difficulties to gain height. The tail struck a hill located 500 meters past the runway end and the aircraft crashed in a wooded area located one km further. Both pilots were killed while 11 other occupants were injured.

Crash of a Convair CV-580 in Kalamazoo

Date & Time: Jul 25, 1978 at 0702 LT
Type of aircraft:
Operator:
Registration:
N4825C
Flight Phase:
Survivors:
Yes
Schedule:
Kalamazoo - Detroit
MSN:
380
YOM:
1967
Flight number:
NCA801
Crew on board:
3
Crew fatalities:
Pax on board:
40
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
9479
Captain / Total hours on type:
5022.00
Copilot / Total flying hours:
2490
Copilot / Total hours on type:
239
Aircraft flight hours:
53343
Aircraft flight cycles:
24284
Circumstances:
Just after takeoff from runway 17, while in initial climb, the left engine suffered a bird strike (sparrowhawk). The autofeather system activated and the airplane flew for 79 seconds when it banked left and crashed in a corn field. Three passengers were seriously injured while 40 other occupants were unhurt. the aircraft was damaged beyond repair.
Probable cause:
The failure of the captain to follow the prescribed engine-out procedures during instrument meteorological conditions, which allowed the aircraft to decelerate into a flight regime from which he could not recover. Contributing to the accident were inadequate cockpit coordination and discipline.
Final Report:

Crash of a Convair CV-580 in San Antonio del Táchira

Date & Time: Nov 4, 1977
Type of aircraft:
Operator:
Registration:
YV-59C
Survivors:
Yes
MSN:
445
YOM:
1958
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
30
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Crashed upon landing for unknown reasons. All 34 occupants escaped uninjured and the aircraft was damaged beyond repair.

Crash of a Convair CV-580 near Appleton: 5 killed

Date & Time: Jun 29, 1972 at 1037 LT
Type of aircraft:
Operator:
Registration:
N90858
Flight Phase:
Survivors:
No
Schedule:
Houghton – Ironwood – Green Bay – Oshkosh – Milwaukee – Chicago
MSN:
83
YOM:
1969
Flight number:
NC290
Crew on board:
3
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
15688
Captain / Total hours on type:
3079.00
Copilot / Total flying hours:
4462
Copilot / Total hours on type:
62
Aircraft flight hours:
45905
Circumstances:
The airplane was on its way from Green Bay to Oshkosh, flying at an altitude of 2,500 feet in relative good weather conditions when it collided with an Air Wisconsin De Havilland DHC-6 Twin Otter 200 registered N4043B. En route from Sheboygan to Appleton with six passengers and two pilots on board, the Twin Otter was descending to Appleton Airport. At the time of the accident, both airplanes were flying under VFR in an uncontrolled airspace. Following the collision, both aircraft crashed into Lake Winnebago, some five miles southeast of Appleton Airport. Debris were found floating on water, both airplanes were totally destroyed and all 13 occupants were killed.
Probable cause:
The failure of both flight crews to detect visually the other aircraft in sufficient time to initiate evasive action. the Board is unable to determine why each crew failed to see and avoid the other aircraft; however, the Board believes that the ability of both crews to detect the other aircraft in time to avoid a collision was reduced because of the atmospheric conditions and human visual limitations.
Final Report:

Crash of a Convair CV-580 in Pittsburgh

Date & Time: Aug 20, 1971 at 2040 LT
Type of aircraft:
Operator:
Registration:
N5844
Survivors:
Yes
Schedule:
Pittsburgh – Parkersburg – Cincinnati
MSN:
43
YOM:
1952
Crew on board:
3
Crew fatalities:
Pax on board:
50
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
8300
Captain / Total hours on type:
4100.00
Circumstances:
The aircraft was performing a flight from Pittsburgh to Cincinnati with an intermediate stop in Parkersburg. Upon landing at Parkersburg Airport, West Virginia, the crew encountered technical problems with the right main gear. The captain increased engine power and decided to return to Pittsburgh-Greater Pittsburgh Airport for a safe landing. Upon touchdown on runway 28R, as the wheels were missing on the right main gear, the airplane deviated from the centerline to the right when the left main gear collapsed as well. The airplane came to rest and was damaged beyond repair while all 53 occupants escaped uninjured.
Probable cause:
The right main gear lower assembly separated at Parkersburg Airport after a worn lock pin in the upper bearing sheared. The crew diverted to Pittsburgh. Failure of the landing gear, main gear-shock absorbing, assy, struts, attachments, etc.
Final Report: