Crash of a De Havilland DHC-2 Beaver in Port Blakely

Date & Time: Oct 1, 1999 at 1445 LT
Type of aircraft:
Operator:
Registration:
N9766Z
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Seattle - Seattle
MSN:
504
YOM:
1953
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
1829
Captain / Total hours on type:
240.00
Aircraft flight hours:
30792
Circumstances:
The pilot-in-command (PIC) departed Lake Union seaplane base with four British Broadcasting Company passengers aboard the De Havilland DHC-2 'Beaver.' The passengers were engaged in aerial videography of an east/west geological fault line crossing from south Seattle through Blakely Harbor near the south end of Bainbridge Island. An onboard video recorder captured a voice instructing 'Keep as low as you can and slow as you can while we're doing this please... .' The PIC's first pass over the south end of Bainbridge Island was uneventful and the aircraft was maneuvered for a second pass. The PIC reported that approaching the upsloping, tree covered terrain he applied climb flaps and power but shortly thereafter realized the climb rate was less than he expected. He attempted a shallow left turn towards down sloping terrain and then leveled the wings as the aircraft descended into the treetops. The scenario was corroborated by two onboard video recordings. The pilot reported no powerplant or control system malfunction during the accident flight. He also reported encountering a downdraft condition over the tree covered terrain. Winds remained below 12 knots throughout the day at reporting stations near the accident site, and the video recordings showed no wind streaking and only sporadic whitecaps on the surface of Puget Sound during the transit from Seattle to the south end of Bainbridge Island.
Probable cause:
The pilot-in-command's failure to maintain adequate clearance from trees/terrain. Contributing factors were rising terrain and trees.
Final Report:

Crash of a De Havilland DHC-2 Beaver near Telequana Pass: 5 killed

Date & Time: Sep 9, 1998 at 1045 LT
Type of aircraft:
Operator:
Registration:
N1433Z
Flight Phase:
Survivors:
No
Site:
Schedule:
Anchorage - Hoholitna River
MSN:
0595
YOM:
1953
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
1720
Captain / Total hours on type:
150.00
Aircraft flight hours:
12948
Circumstances:
The float equipped airplane was attempting to cross a mountain pass, following two other company airplanes. The first two pilots, and passengers, described five to seven miles visibility, 700 feet ceilings, clouds hanging on the mountainsides, and misty rain. The route of flight required several turns in the pass. The pilot had not flown through the pass in marginal Visual Flight Rules (VFR) weather before this flight. After the first two airplanes went through the pass, they lost radio contact with the accident pilot, and did not see or hear from him again. The wreckage was later located at the head of an intersecting canyon, two miles before the correct pass. The airplane had been modified with a Short Take Off and Landing (STOL) kit. Canadian certification flight tests had determined that this modification eliminated aerodynamic warning of impending stalls, and therefore required an audible stall warning. Company pilots indicated it was common for the stall warning system to activate at an airspeed 10-15 miles per hour above the actual stall. At the time of the accident, the airplane did not have the ventral fin installed, and a takeoff flaps setting was selected. The audible stall warning circuit breaker was found in the pulled (disabled) position.
Probable cause:
The pilot's failure to maintain adequate airspeed which resulted in an inadvertent stall. Factors associated with this accident were the pilot's unfamiliarity with the geographic area, the low clouds, his becoming disoriented, and the blind canyon into which he flew. An additional factor was the intentionally disabled stall warning system.
Final Report:

Crash of a De Havilland DHC-2 Beaver near Kincolith: 5 killed

Date & Time: Aug 4, 1998 at 1758 LT
Type of aircraft:
Operator:
Registration:
C-FOCJ
Survivors:
No
Schedule:
Prince Rupert - Kincolith
MSN:
39
YOM:
1949
Flight number:
H3709
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
5
Captain / Total flying hours:
1700
Captain / Total hours on type:
1250.00
Aircraft flight hours:
22369
Circumstances:
The float-equipped de Havilland DHC-2 Beaver, serial number 0039, departed Prince Rupert, British Columbia, at 1719 Pacific daylight time on a visual flight rules flight to Kincolith, British Columbia, with the pilot and four passengers on board. When the aircraft arrived at Kincolith at about 1750, witnesses watched it carry out three low approaches to the water landing area, each time descending to a few feet above the water before climbing away. On the fourth approach, at about 1758, the aircraft touched down, apparently in a controlled manner, and skipped on the water surface. The floats then dug into the water followed by the right wing, which was severed from the fuselage on water impact. The aircraft quickly overturned and came to rest inverted with only the bottom of the floats visible. Several members of the village community, who had been waiting for the aircraft on the Government Dock, rushed to the sunken aircraft in small boats but were unable to rescue the pilot or passengers inside the submerged cabin. The five occupants drowned in the accident, and the aircraft was substantially damaged.
Probable cause:
On touchdown, the float(s) struck the water and caused a flying attitude that the pilot could not control before the right wing dug in and the aircraft overturned. Contributing to the accident were conflicting wind and water conditions at the time of the occurrence.
Final Report:

Crash of a De Havilland DHC-2 Beaver off Ketchikan: 1 killed

Date & Time: Sep 29, 1997 at 1747 LT
Type of aircraft:
Operator:
Registration:
N4787C
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Ketchikan - Ketchikan
MSN:
1330
YOM:
1959
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2071
Captain / Total hours on type:
1200.00
Aircraft flight hours:
24267
Circumstances:
The float equipped airplane was observed taking off in light winds and calm water, and obtaining a steep climb and nose high attitude. Witnesses described hearing no reduction of engine noise from takeoff power to climb power. The airplane entered a steep left bank about 200 feet above the water, then rolled rapidly to the right and impacted at a steep angle into the water. The airplane had been modified with a Short Take Off and Landing (STOL) kit. Certification flight tests had determined that this modification eliminated aerodynamic warning of impending stalls, and therefore required an audible stall warning. Test results also required the addition of both a ventral fin, and horizontal stabilizer finlets, to meet directional stability certification. These tests determined that the least stable condition was in the takeoff flap configuration, during climb. The Supplemental Type Certificate (STC) for the modification required the ventral fin, and an audible stall warning system be installed. The manufacturer provided a marketing video, produced prior to the STC approval, which stated the stall warning system was not required in the U.S. The company indicated this tape was used for training, and was a basis for pilots routinely disabling the stall warning horn by pulling the circuit breaker. At the time of the accident, the airplane did not have the ventral fin installed, a takeoff flaps setting was selected, and the audible stall warning circuit breaker was in the pulled (disabled) position. The local FAA Flight Standards Office had inspected the accident airplane 14 times in the previous 29 months, and made no mention of the ventral fin not being installed.
Probable cause:
The pilot's excessive climb and turning maneuver at low altitude, the pilot's inadvertent stall, and the intentional operation of the airplane with the required stall warning system disabled. Factors associated with this accident were the pilot's overconfidence in the modified airplane's ability, the uninstalled ventral fin, inadequate compliance with the STC by the company, unclear information by the manufacturer, and inadequate surveillance by the FAA.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Skwentna: 4 killed

Date & Time: Jul 5, 1997 at 0930 LT
Type of aircraft:
Registration:
N5164G
Flight Phase:
Survivors:
Yes
Schedule:
Anchorage - Chelatna Lake
MSN:
506
YOM:
1953
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
3350
Captain / Total hours on type:
2200.00
Aircraft flight hours:
13864
Circumstances:
The pilot boarded the 4 passengers and cargo (unsecured) for a chartered flight to a fishing lodge. The floatplane departed uneventfully. About 45 min. later, while cruising about 1,700 feet above rugged terrain and a river, the engine began to lose power and the floatplane descended. The pilot attempted a forced landing in a small lake that was 1,200 ft. in length and located about 1 mile west of the river. During the approach to landing, the airplane stalled and impacted swampy terrain at the lake's edge in a steep nose down attitude. An examination of the wreckage revealed that the no.1 engine exhaust pushrod had failed in fatigue just below the top (valve) ball end. Examination of the pushrod revealed that material had been pushed away from the rod during installation of the ball end. The fatigue crack may have initiated from a score mark produced by the installation. Pushrod life is reduced due to surface scratches. The life of the failed pushrod could not be determined. Insufficient information exists in the overhaul manual regarding pushrod life/inspection.
Probable cause:
A loss of engine power due to the fatigue failure of the no.1 exhaust push rod. Factors contributing to the accident were: insufficient information on pushrod inspection and overhaul from the manufacturer, unsuitable terrain available for landing, and the pilot's failure to maintain airspeed during the approach which led to an inadvertent stall.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Saskatoon

Date & Time: May 29, 1997
Type of aircraft:
Operator:
Registration:
C-FOCS
Flight Phase:
Flight Type:
Survivors:
Yes
MSN:
54
YOM:
1949
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
11000
Captain / Total hours on type:
5000.00
Circumstances:
Shortly after takeoff from Saskatoon, while in initial climb, the single engine aircraft nosed down and crashed, bursting into flames. The pilot, sole on board, was seriously injured and the aircraft was totally destroyed by impact forces and a post crash fire.
Probable cause:
Bought by Athabaska Airways four days prior to the accident, the aircraft was checked by the company's mechanics. It was determined that the loss of control was the consequence of an issue with the elevator control cables that were not installed in a properly manner by the people in charge of the maintenance.

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

Date & Time: Dec 12, 1996 at 0905 LT
Type of aircraft:
Operator:
Registration:
N67694
Flight Phase:
Survivors:
Yes
Schedule:
Port Johnson – Ketchikan
MSN:
924
YOM:
1956
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
17800
Captain / Total hours on type:
8500.00
Aircraft flight hours:
20640
Circumstances:
According to the passenger, he and the pilot had just taken off, and as they were climbing out over an open water portion of a bay, the pilot said, 'here comes a gust.' Reportedly, the pilot added engine power, and the airplane began descending. The right wing started to dip, and the nose started to drop. The pilot had the control yoke turned all the way to the left, then yelled that they were going in. The airplane crashed in the water, and the passenger exited the airplane through the windshield. He did not see the pilot. The deceased pilot was found still strapped in his seat several days later, when a portion of the wreckage was recovered.
Probable cause:
The pilot's inadequate compensation for wind conditions, and failure to maintain adequate airspeed, which resulted in an inadvertent stall and collision with terrain (water). A factor associated with the accident was the gusty wind condition.
Final Report:

Crash of a De Havilland DHC-2 Beaver in Point Lookout: 1 killed

Date & Time: Nov 15, 1996 at 1300 LT
Type of aircraft:
Operator:
Registration:
VH-IDI
Flight Phase:
Survivors:
No
Schedule:
Kotupna - Kotupna
MSN:
1535
YOM:
1963
Country:
Region:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1400
Captain / Total hours on type:
200.00
Circumstances:
On the morning of the accident, the pilot and the loader-driver left Armidale in the aircraft between 0715 and 0730 and flew to the property "KOTUPNA". The task required the aircraft to operate from an agricultural strip 4,400 ft above mean sea level. Superphosphate spreading operations commenced between 0745 and 0800 and continued for approximately 1.5 hours after which the pilot and driver refuelled the aircraft and had a break. The pilot remarked to the driver that the aircraft was going very well and requested him to load a tonne of superphosphate. Operations resumed for about 1.5 hours and then ceased again whilst the aircraft was refuelled. After refuelling, the driver and the pilot had lunch and a break for about half an hour. The pilot again advised the loader driver that he would take a tonne, as the aircraft was performing well. After warming up the engine, the pilot made a normal take-off in a northeasterly direction and banked to the left to head southwest to the treatment area. The driver observed that the aircraft was lower and closer into the strip than had been the normal route to the treatment area. The aircraft did not seem to be climbing sufficiently to pass over the hill in front of it. The aircraft was then seen to be in a climbing left turn, toward the driver with superphosphate dumping from it. The aircraft's left wingtip contacted the ground after which the aircraft cartwheeled and came to rest 200-300 meters from the superphosphate dump. The driver ran down to the aircraft and found the pilot still strapped in the seat with no apparent sign of life. He moved the pilot clear of the aircraft in case of fire and then summoned help.
Probable cause:
The following factors were reported:
- Wind conditions, which were conducive to windshear and turbulence, were present in the area.
- The aircraft was climbing at near maximum weight.
- The aircraft was climbing into rising ground.
- The aircraft was operating at a high-density altitude, which would have placed it near its performance limit.
- Control of the aircraft was lost with insufficient height to effect recovery.
Final Report: