Crash of a De Havilland DHC-2 Beaver I in Traitor's Cove: 6 killed

Date & Time: Aug 16, 2007 at 1730 LT
Type of aircraft:
Registration:
N345KA
Flight Phase:
Survivors:
Yes
Schedule:
Traitor's Cove - Ketchikan
MSN:
1306
YOM:
1959
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
17000
Captain / Total hours on type:
7000.00
Aircraft flight hours:
22409
Circumstances:
The float-equipped airplane was departing from a remote bay 20 miles north of Ketchikan, Alaska, to return air taxi passengers to Ketchikan after a ground tour. The accident pilot, who reported that he had 17,000 flight hours and 7,000 hours in the make and model of the accident airplane, said that southeasterly winds had begun to increase while he was waiting at the bay for the passengers to return from the tour. He said that, unlike when he had landed about 2.5 hours earlier, it was no longer “nice and calm” when the passengers returned. The pilot noticed choppy waves in parts of a nearby cove. To avoid some of the wind and waves, the pilot elected to take off toward the interior of the bay, in the direction of rising terrain. The pilot said that he had never taken off in that direction before. The pilot also said that he had intended to make a shallow, right-climbing turn toward the mouth of the bay and away from the terrain, but shortly after takeoff, he saw numerous choppy waves concentrated along his proposed departure flightpath, which he said indicated to him that strong winds were likely along that path. The pilot decided to change his plan and continue flying straight temporarily, away from the waves, and to make a left, 180-degree turn inside the bay, which was surrounded by high terrain. The pilot indicated that when the turn was initiated, the airplane was about 400 feet above the water, and he did not recall the indicated airspeed. The attempted 180-degree turn was within the airplane’s performance capabilities but placed it closer to rising terrain. While attempting this turn, the pilot encountered a downdraft, was unable to climb above the terrain, and stalled the airplane about 60 feet above the ground. The downdraft likely made it more difficult to avoid descending into the rising terrain. A weather study by the National Transportation Safety Board confirmed that there was a gust front in the area and an abrupt wind change about the time of the accident. Pilots flying nearby also reported low-level windshear, strong winds, and turbulence. No mechanical anomalies were discovered during postaccident inspections by the Safety Board. Five passengers including two children were killed. A month later, one of the survivor died from his injuries.
Probable cause:
An inadvertent aerodynamic stall resulting from the pilot's poor decision-making and inadequate planning and execution when he took off toward nearby rising terrain, in strong winds, under circumstances where his options for maneuvering were severely limited and where his safety margin was, thus, insufficient.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Dodger Channel

Date & Time: Jul 31, 2007 at 1258 LT
Type of aircraft:
Operator:
Registration:
N340KA
Survivors:
Yes
Schedule:
Patricia Bay - Dodger Channel
MSN:
1127
YOM:
1957
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The Sound Flight DHC-2 float-equipped Beaver aircraft, N340KA, flew from Patricia Bay to Dodger Channel where the pilot planned to land. He set up an approach to land to the south in Dodger Channel, into the wind. On short final, the pilot noticed a shoal so he decided to overshoot, make a circuit, and land beyond the shoal. He applied power, established a climb and began a left turn. As the aircraft turned, it came into the lee of Diana Island. The aircraft encountered subsiding air and began to descend. The pilot was unable to arrest the descent. The aircraft struck the water and sank. All six occupants escaped without any injury but the aircraft was damaged beyond repair.

Crash of a De Havilland DHC-2 Beaver in Ketchikan: 5 killed

Date & Time: Jul 24, 2007 at 1405 LT
Type of aircraft:
Operator:
Registration:
N995WA
Flight Phase:
Survivors:
No
Schedule:
Ketchikan - Ketchikan
MSN:
1100
YOM:
1957
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
5273
Captain / Total hours on type:
178.00
Aircraft flight hours:
17356
Circumstances:
The air taxi float-equipped airplane was the second of three airplanes on an air tour flight over a remote scenic area in southeast Alaska. As the flight of three airplanes flew into mountainous terrain, the first pilot reported low clouds, with rain and fog, which required him to descend to 700 feet msl to maintain VFR flight conditions. The pilot of the third tour airplane, which was about 5 minutes behind the accident airplane, stated that as he approached the area around the accident site, he encountered "a wall of weather" which blocked his intended flight route, and he turned around. The accident airplane's fragmented wreckage was discovered in an area of steep, tree-covered terrain, about 2,500 feet msl, near the area where the third airplane turned around. The NTSB discovered no mechanical problems with the airplane during postaccident inspections. An NTSB weather study revealed instrument meteorological conditions in the area at the time of the accident. Photographs recovered from a passenger's camera depicted deteriorating weather conditions as the flight progressed. A charter boat captain, who had seen numerous float-equipped tour airplanes operating in adverse weather conditions, called the local FAA Flight Standards District Office (FSDO) 9 days before the accident, to report his sightings. According to the FAA, no specific tour operator could be identified during their ensuing investigation, and no enforcement actions or additional surveillance of any operators was initiated. According to the FSDO manager, the local FSDO had lost inspectors due to downsizing. He reported they had not attempted to observe operators' adherence to weather minimums via ground-based viewing locations along the heavily traveled tour routes, and noted that FAA inspectors used to purchase air tour tickets to provide en route, on-board surveillance, but had not done so for approximately the last 10 years. He noted that additional inspector assistance from other FAA offices was not requested
Probable cause:
The pilot's decision to continue under visual flight rules into an area of instrument metrological conditions. Contributing to the accident was the pilot's inadequate weather evaluation, and the FAA's inadequate surveillance of the commercial air tour operator.
Final Report:

Crash of a De Havilland DHC-2 Beaver III in Headcorn: 1 killed

Date & Time: Mar 11, 2007 at 1600 LT
Type of aircraft:
Operator:
Registration:
OY-JRR
Flight Phase:
Survivors:
Yes
Schedule:
Headcorn - Headcorn
MSN:
1632
YOM:
1966
Location:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
8
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
932
Captain / Total hours on type:
27.00
Circumstances:
The pilot was conducting flights for the purpose of parachute operations; these flights are known colloquially as ‘lifts’. On the previous day, he had conducted 13 lifts, of which eleven were to an altitude of 12,000 ft and two to an altitude of 5,500 ft or less. On the day of the accident the pilot recorded that he took off for the first lift at 0927 hrs. The aircraft, with nine parachutists aboard, climbed to 12,000 ft and landed at 0946 hrs. There followed three flights of an average 18 minute duration, between each of which the aircraft was on the ground for no more than 7 minutes. The last of these flights landed at 1100 hrs, after which the aircraft uplifted 230 ltr of Jet A1 fuel. The aircraft utilised the main runway, Runway 29, for each of these flights. The surface wind had freshened from the south and the pilot requested the use of the shorter Runway 21. The air/ground radio operator refused this request because he believed that the pilot had not been checked out to use this runway, as required by the Headcorn Aerodrome Manual. Accordingly, the pilot approached a nominated check pilot who agreed to observe his next flight. The check pilot briefed the pilot of OY-JRR on the procedures for using the short runway, emphasising the need to make an early decision to abort the takeoff if necessary. The check pilot stated that the pilot of OY-JRR performed a thorough pre-takeoff check using the full checklist available in the cockpit and that the subsequent flight was entirely satisfactory. Following the check flight the aircraft took off again at 1148 hrs and flew a further five flights, each separated by periods that ranged between 7 and 36 minutes. The check pilot observed several of these flights, all of which were from Runway 21, and most appeared to proceed normally. He and another witness noticed that on one occasion the climb gradient after takeoff appeared shallower than normal, but they believed that the wind speed had decreased at this time. The pilot recorded that the aircraft was refuelled again after landing at 1443 hrs, this time uplifting 266 ltr of fuel. The next takeoff was at 1447 hrs and having climbed to 12,000 ft again the aircraft landed at 1521 hrs. The accident occurred on the pilot’s eleventh flight of the day. Prior to the flight the aircraft was refuelled with a further 100 ltr at 1555 hrs. Shortly before 1605 hrs the aircraft taxied to Runway 21. It appeared to accelerate normally but at no time was the tail seen to rise in its usual manner prior to becoming airborne. Onboard, the experienced jump-master noticed that the aircraft was passing the aerodrome refuelling installation and several aircraft parked close to the runway, beyond the intersection of Runway 21 with Runway 29. He was aware that the aircraft had now passed the point where it would normally become airborne. Almost simultaneously, he heard the pilot shout “Abort”. One of the parachutists shouted to the other occupants “Brace - Brace, everyone on the floor”. The aircraft stopped abruptly when its left wing and cockpit collided with a camouflaged F100 fighter aircraft which was parked as a museum exhibit to the left of the southern edge of Runway 21. The occupants of the cabin were able to vacate the aircraft with mutual assistance. Members of the aerodrome fire service extinguished a small fire, which had started in the area of the engine, and other witnesses helped the occupants to move away from the aircraft. The pilot, however, remained unconscious in the cockpit. He was attended subsequently by paramedics and taken to hospital, where he succumbed to his injuries.
Probable cause:
The pilot’s training was probably adequate for the normal and abnormal circumstances envisaged by his instructor. However, the pilot was not familiar with the handling or performance characteristics of the aircraft during takeoff with the flaps in the UP position and consequently he may not have identified that the aircraft was in the wrong configuration for takeoff. The design authority for this type considered that this configuration was “outside the normal flight envelope” and had produced no performance charts or procedures for its use. In such circumstances, it is essential that the pilot follows the published procedures and positively ensures that the aircraft is correctly configured for takeoff.
Final Report:

Crash of a De Havilland DHC-2 Beaver I near La Grande-4

Date & Time: Jan 21, 2007 at 1212 LT
Type of aircraft:
Operator:
Registration:
C-GUGQ
Flight Phase:
Survivors:
Yes
MSN:
400
YOM:
1952
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1200
Captain / Total hours on type:
400.00
Circumstances:
The ski-equipped aircraft took off around 1130 eastern standard time from Mirage Outfitter, located 60 miles east of La Grande-4 Airport, Quebec, with a pilot and four passengers on board, to locate caribou herds. About 40 minutes after departure, the engine stopped as a result of fuel starvation. The pilot was not able to regain power and made a forced landing on rugged ground. The aircraft was heavily damaged and two passengers were seriously injured. The pilot used a satellite telephone to request assistance. First-aid assistance arrived by helicopter about 1 hour 30 minutes after the occurrence. The aircraft fuel system had been modified after the installation of wings made by Advanced Wing Technologies Corporation.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The engine stopped as a result of fuel starvation; the amount of fuel in the wings was less than the amount estimated by the pilot, the fuel senders gave an incorrect reading, and the low fuel pressure warning light could illuminate randomly.
2. The engine stopped at low altitude, which reduced the time needed to complete the emergency procedure. The pilot was unable to glide to the lake and made a forced landing on an unsuitable terrain, causing significant damage to the aircraft and injuries to the occupants.
Findings as to Risk:
1. The wing tank selection system was subject to icing in cold weather, and the pilots adopted the practice to place the wing tank selector in the middle position, which is contrary to the aircraft flight manual supplement instructions and a placard posted on the instrument panel.
2. When the change to the type design was approved through issuance of the Supplementary Type Certificate (STC), Transport Canada did not notice the fact that the fuel senders and triple fuel level gauge did not meet airworthiness standards; Transport Canada issued an STC that contained several deficiencies. 3. Storage of the shoulder harnesses underneath the aircraft interior covering made them inaccessible; since the pilot and the front seat passenger did not wear their shoulder harness, their protection was reduced.
Final Report:

Crash of a De Havilland DHC-2 Beaver I in Swikshak: 1 killed

Date & Time: Sep 21, 2006 at 1315 LT
Type of aircraft:
Operator:
Registration:
N5154G
Survivors:
Yes
Schedule:
Kodiak - Igiugig
MSN:
405
YOM:
1952
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
4770
Captain / Total hours on type:
1860.00
Aircraft flight hours:
11613
Circumstances:
The airline transport pilot was departing to the north from a narrow stream in a float-equipped airplane with lodge guests aboard, on a Title 14, CFR Part 91 flight. Northerly winds between 25 and 35 knots, were reported at the time of the accident. The accident pilot reported that after departure, he turned left, and a strong downdraft "threw the airplane to the ground." The passengers said that the airplane started its takeoff run directly into the strong winds, but shortly after becoming airborne, the pilot made a steep turn to the left, about 150 feet above the ground. The passengers indicated that as the airplane continued to turn left, it began to shudder and buffet, then abruptly descended nose low into the marsh-covered terrain. During the impact, the right wing folded, and the airplane's fuselage came to rest on its right side. One of the occupants, seated next to the right main cabin door, was partially ejected during the impact sequence, and was pinned under the fuselage and covered by water. Rescue efforts by the pilot and passengers were unsuccessful. In the pilot's written statement to the NTSB, he reported that there were no pre accident mechanical anomalies with the airplane, and during the on-site examination of the wreckage by the NTSB investigator-in-charge, no pre accident mechanical anomalies were discovered.
Probable cause:
The pilot's failure to maintain adequate airspeed while maneuvering to reverse direction, which resulted in an inadvertent stall and an uncontrolled descent. Factors associated with the accident were the inadvertent stall and wind gusts.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Skwentna: 2 killed

Date & Time: Sep 15, 2006 at 1620 LT
Type of aircraft:
Operator:
Registration:
N836KA
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Galena - Anchorage
MSN:
604
YOM:
1954
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2700
Aircraft flight hours:
34896
Circumstances:
The private pilot and the sole passenger were in the first of two airplanes of a flight of two, operating as a personal flight under Title 14, CFR part 91. The pilot of the second airplane reported that both airplanes were in radio contact, and the accident airplane was about one mile ahead as they entered a mountain pass along the intended flight route. As the flight progressed, both airplanes descended due to deteriorating weather conditions as they neared the narrowest part of the pass. The second pilot said that visibility deteriorated to a point that it was difficult to discern topographical features, and he told the accident pilot that he was uncomfortable with the lack of visibility and was turning around. The second pilot stated that the accident pilot responded by saying, in part: "Turn around if you can... I am not able to." The second pilot indicated that the last time he saw the accident airplane was as it entered a cloudbank. During the accident pilot's final radio transmission, prompted by the second pilot's inquiry about how he was doing, he responded that he was just trying to get through the pass. No further radio communications were received from the accident airplane. There was no ELT signal, and the search for the airplane was unsuccessful until three days later. The wreckage was located at the 3,100-foot level of the mountain pass, in an area of steep terrain. Impact forces and a post crash fire had destroyed the airplane. During the IIC's on-site examination of the wreckage, no pre accident mechanical anomalies were discovered.
Probable cause:
The pilot's continued VFR flight into instrument meteorological conditions, which resulted in an in-flight collision with mountainous terrain. A factor associated with the accident was a low cloud ceiling.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Hamburg: 5 killed

Date & Time: Jul 2, 2006 at 1038 LT
Type of aircraft:
Operator:
Registration:
D-FVIP
Flight Phase:
Survivors:
Yes
Site:
Schedule:
Hamburg - Hamburg
MSN:
1512
YOM:
1962
Location:
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
5
Aircraft flight hours:
17729
Circumstances:
The aircraft, owned by the German operator Himmelsschreiber Azur GmbH, was planned to make a sightseeing tour over Hamburg. This was a present from a father for his son aged 12. Less than 2 minutes after takeoff from the Hamburg-Norderelbe Seaplane Base, in the city center, the engine lost power and caught fire. The pilot elected to make an emergency landing when the aircraft lost height, collided with a wagon and crashed on a railway road located in a marshalling yard about 2 km south from the departure point, bursting into flames. The aircraft was totally destroyed by a post crash fire. Four passengers were killed while the pilot and a fifth passenger were seriously injured. The pilot died the following day.
Probable cause:
A technical problem occurred on a fuel supply line shortly after takeoff, at an altitude below 800 feet, resulting in the immediate failure of the engine that caught fire shortly later. There were no suitable terrain available for an emergency landing in the vicinity, which was considered as a contributing factor.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Hallo Bay

Date & Time: May 22, 2006 at 1300 LT
Type of aircraft:
Operator:
Registration:
N1543
Flight Phase:
Survivors:
Yes
Schedule:
Hallo Bay-Kodiak
MSN:
1687
YOM:
1967
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7460
Captain / Total hours on type:
40.00
Aircraft flight hours:
16360
Circumstances:
The commercial certificated pilot was departing a remote bay with five passengers in an amphibious float-equipped airplane on the return portion of a Title 14, CFR Part 135 sightseeing flight. The pilot began the takeoff run toward the north, with the wind from the north between 15 to 20 knots, and 4 to 6 foot sea swells. When the airplane had climbed to about 10 to 15 feet, the pilot said a windshear was encountered, which pushed the airplane down. The airplane's floats struck a wave, missed about 4 to 5 swells, and then struck another wave, which produced a loud "bang." The company guide, seated in the right front seat, told the pilot that the right float assembly was broken and displaced upward. The airplane cleared a few additional swells, and then collided with the water. Both float assemblies were crushed upward, and the left float began flooding. The guide exited the airplane onto the right float, and made a distress call via a satellite telephone. All occupants donned a life preserver as the airplane began sinking. The pilot said that after about 15 minutes, the rising water level in the airplane necessitated an evacuation, and all occupants exited into the water, and held onto the right float as the airplane rolled left. The airplane remained floating from the right float, and was being moved away from shore by wind and wave action. The pilot said that one passenger was washed away from the float within about 5 minutes, and two more passengers followed shortly thereafter. Within about 5 minutes after entering the water, the pilot said he lost his grip on the float, and does not remember anything further until regaining consciousness in a hospital. He was told by medical staff that he had been severely hypothermic. U.S. Coast Guard aircraft were already airborne on a training mission, and diverted to rescue the occupants. About 1320, a C-130 flew overhead, and began dropping inflatable rafts. The company guide was the only one able to climb into a raft. When the helicopters arrived, they completed the rescue using a hoist and a rescue swimmer. The passengers reported that they also were unable to hold onto the airplane after entering the water, became unconscious, and were severely hypothermic upon reaching a hospital. The airplane was not equipped with a life raft, and was not required to be so equipped.
Probable cause:
The pilot's inadequate evaluation of the weather conditions, and his selection of unsuitable terrain (rough water) for takeoff, which resulted in a collision with ocean swells during takeoff initial climb, and a hard emergency landing and a roll over. Factors contributing to the accident were a windshear, rough water, and buckling of the float assemblies when the airplane struck the waves.
Final Report:

Crash of a De Havilland DHC-2 Beaver near Elross Lake: 1 killed

Date & Time: Sep 1, 2005 at 1630 LT
Type of aircraft:
Operator:
Registration:
C-FODG
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Pons Camp - Squaw Lake
MSN:
205
YOM:
1952
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2550
Captain / Total hours on type:
1700.00
Aircraft flight hours:
20900
Circumstances:
The float-equipped de Havilland DHC-2 Beaver (registration C-FODG, serial number 205) departed the outfitter base camp at Squaw Lake, Quebec, at 0925 eastern daylight time, with a passenger and a few supplies on board, for a round-trip visual flight rules (VFR) flight to two wilderness camps, Camp 2 and Camp Pons. The weather in Squaw Lake was suitable for visual flight at the time of take-off but was forecast to deteriorate later in the day. The pilot completed the flights to the two camps and on the way back to Squaw Lake, the weather forced the pilot to make a precautionary landing on Elross Lake, 15 nautical miles (nm) northwest of Squaw Lake. At 1630, he reported to the company via high frequency (HF) radio that he intended to take off from Elross Lake, as there seemed to be a break in the weather. Rescue efforts were initiated in the evening when the aircraft did not arrive at the base camp. The aircraft was located at 1230 the following day, 4 nm from Elross Lake. The aircraft was destroyed by a post-impact fire. The pilot sustained fatal injuries.
Probable cause:
Finding as to Causes and Contributing Factors:
1. The pilot attempted to cross the mountain ridge in adverse weather, and the aircraft stalled at an altitude from which recovery was not possible. Loss of visual references, strong updrafts, moderate to severe turbulence and possible wind shear likely contributed to the onset of the aerodynamic stall.
Other Finding:
1. Had this been a survivable accident, rescue efforts may have been compromised by a lack of communication. A satellite phone provides a more effective means of communication when in remote areas.
Final Report: