Crash of a De Havilland DHC-6 Twin Otter 300 in Dembi Dolo

Date & Time: Jun 22, 1986 at 0408 LT
Operator:
Registration:
ET-AIQ
Survivors:
Yes
Schedule:
Addis Ababa - Dembidolo
MSN:
819
YOM:
1985
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
17
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On approach to Dembidolo by night and stratus clouds, the crew failed to realize his altitude was too low. While facing a mountain, the crew increased engine power to gain height but the aircraft stalled, lost altitude and crashed on a hilly terrain located few km from the airfield. All 20 occupants were injured while the aircraft was damaged beyond repair.

Crash of a De Havilland DHC-6 Vista Liner 300 in Grand Canyon: 20 killed

Date & Time: Jun 18, 1986 at 0933 LT
Operator:
Registration:
N76GC
Flight Phase:
Survivors:
No
Site:
Schedule:
Grand Canyon - Grand Canyon
MSN:
248
YOM:
1969
Flight number:
YR06
Crew on board:
2
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
20
Captain / Total flying hours:
5970
Captain / Total hours on type:
1556.00
Copilot / Total flying hours:
4450
Copilot / Total hours on type:
1076
Aircraft flight hours:
30569
Circumstances:
On June 18, 1986, at 0855 mountain standard time, a Grand Canyon Airlines DHC-6, N76GC (Twin Otter), call sign Canyon 6, took off from runway 21 of the Grand Canyon Airport. The flight, a scheduled air tour over Grand Canyon National Park, was to be about 50 minutes in duration. Shortly thereafter, at 0913, a Helitech Bell 2068 (Jet Ranger), NGTC, call sign Tech 2, began its approximate 30-minute, on-demand air tour of the Grand Canyon. It took off from its base at a heliport adjacent to State route 64 in Tusayan, Arizona, located about 5 miles south of the main entrance to the south rim of the National Park. Visual meteorological conditions prevailed. The two aircraft collided at an altitude of 6,500 feet msl in the area of the Tonto Plateau. There were 18 passengers and 2 flightcrew members on the DHC-6 and 4 passengers and 1 flightcrew member on the Bell 206B. All 25 passengers and crew members on both aircraft were killed as a result of the collision. Because of the lack of cockpit voice recorders and flight data recorders in both aircraft, as well as the lack of radar data, no assessment of the flight path of either aircraft could be made. As a result, the reason for the failure of the pilots of each aircraft to “see and avoid” each other cannot be determined. Consequently, the issues highlighted in this report concern primarily the oversight of the Federal Aviation Administration (FAA) on Grand Canyon-based scenic air tours or sightseeing flights and the actions of the National Park Service to influence these operations. Because of an exemption to 14 Code of Federal Regulations (CFR) Part 135, local scenic air tours were conducted under 14 CFR Part 91. This investigation revealed that there was no FAA oversight on the routes and altitudes of Grand Canyon-based scenic air tour operators. This was contrary to the intent of Safety Recommendation A-84-52. Further, the National Park Service, through its authority under a 1975 law, was conducting a study to determine the effects of aircraft noise on the Grand Canyon and, at the same time, influencing the selection of air tour routes. The routes of the rotary-wing operators were ‘moved as a noise conservation measure to where they converged with those of Grand Canyon Airlines at the location of the accident. Other safety issues concern the lack of regulations to limit flight and duty times of pilots conducting scenic air tour flights, and the lack of a requirement for the pilots of such flights to use intercoms or public address systems when narrating during the flights. All 20 occupants of the Twin Otter were killed, among them 11 citizen from The Netherlands and two Swiss.
Probable cause:
The National Transportation Safety Board determines that the probable cause of this accident was the failure of the flightcrews of both aircraft to “see and avoid” each other for undetermined reasons. Contributing to the accident was the failure of the Federal Aviation Administration to exercise its oversight responsibility over flight operations in the Grand Canyon airspace and the actions of the National Park Service to influence the selection of routes by Grand Canyon scenic air tour operators. Also contributing to the accident was the modification and configuration of the routes of the rotary-wing operators resulting in their intersecting with the routes of Grand Canyon Airlines near Crystal Rapids.
Final Report:

Crash of a De Havilland CC-138 Twin Otter 300 near Calgary: 8 killed

Date & Time: Jun 14, 1986 at 1452 LT
Operator:
Registration:
13807
Flight Phase:
Survivors:
No
Site:
MSN:
309
YOM:
1971
Location:
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
6
Pax fatalities:
Other fatalities:
Total fatalities:
8
Circumstances:
The crew was engaged in a SAR mission after a small plane disappeared. While flying in relative good weather conditions, the aircraft struck the slope of a mountain located in the Kananaskis Park, about 75 km west of Calgary. The aircraft was destroyed and all eight occupants were killed, three crew members and five observers.
Crew:
Cpt Ted Katz, pilot
Cpt Wayne Plumbtree, copilot,
Brian Burkett, flight engineer.
Probable cause:
The accident was caused by a freak optical illusion. Color of rocks in mountain combined with sun angle at the time of the crash to make a large ledge, impossible to see.

Crash of a De Havilland DHC-6 Twin Otter 300 in Port Ellen: 1 killed

Date & Time: Jun 12, 1986 at 1522 LT
Operator:
Registration:
G-BGPC
Survivors:
Yes
Schedule:
Glasgow - Port Ellen
MSN:
635
YOM:
1979
Flight number:
LC423
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
14
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
12421
Captain / Total hours on type:
867.00
Copilot / Total flying hours:
2110
Copilot / Total hours on type:
27
Aircraft flight hours:
9206
Circumstances:
Loganair Flight LC423 was a scheduled passenger flight from Glasgow Airport (GLA) to Islay/Port Ellen (ILY). The handling pilot, who occupied the first pilot's position, had recently converted to flying the DHC-6 Twin Otter aircraft, and was completing a series of supervised route flights required by the airline before the award of full command status. A company supervisory captain, the designated commander for this flight, occupied the co-pilot's position. The Twin Otter's engines were started at 14:38, and, at 14:44, Glasgow Airport ATC approved taxy clearance to the holding point of runway 28. The aircraft was operating on a stored Instrument Flight Rules (IFR) flight plan. The requested routeing was a Standard Instrument Departure (SID), to join Airway Blue 2 for the Skipness VOR beacon, and thereafter direct to the Islay/Port Ellen NDB. The direct track is the 272° Magnetic (M) radial from Skipness. At 14:46 Glasgow ATC advised LC423 of their flight clearance. The requirement to fly the SID was cancelled and the aircraft was cleared direct to Skipness, cruising level FL55. The aircraft took off from runway 28 at 14:48. The aircraft reported a position overhead the Skipness VOR at 15:08. At this point Scottish Airways Control informed LC423 that they should clear controlled airspace, contact Port Ellen, and that there was no known traffic to affect their descent. After passing overhead the Skipness VOR the aircraft did not depart that position on the 272° radial, but instead turned 15° left, and descended on the 257° radial towards the south of the island of Islay. At 15:10, having already started to descend, LC423 contacted Islay/Port Ellen, reported an arrival time of 15:23, and requested details of the latest weather. The Islay/Port Ellen radio operator replied that the weather details were a surface wind of 220°/05 knots, visibility 2000 metres in drizzle, cloud 3 oktas at 400 feet, 5 oktas at 700 feet, and 8 oktas at 1400 feet. The sea level barometric pressure was 1018 millibars. LC423 acknowledged the information and was asked to advise when overhead the aerodrome at 3600 feet, or when in visual contact. The aircraft then continued to descend, on a track of about 260° M towards the south of the island, until it disappeared from radar cover at a height of 1400 feet and at a position 12 nautical miles (nm) from Islay/Port Ellen aerodrome on the 106° M radial. From the position that the aircraft descended below radar cover it is estimated that a direct track was flown towards the southern coast of the Isle of Islay. The flight continued at very low level parallel to the south coast. At 15:21 the Islay/Port Ellen radio operator transmitted further weather information which recorded that cloud conditions were similar to the previous report but that there was then heavy drizzle. Changes in barometric pressure settings were also reported. LC423 acknowledged this information and reported "over Port Ellen". However, the aircraft was not, at that time, over Port Ellen, but was in fact turning inland at very low level over Laphroaig. From overhead Laphroaig the aircraft settled on to a northwesterly heading and very shortly afterwards crashed into rising ground, that was obscured in hill fog, approximately 1 nm from the coast at a height of 360 feet amsl.
Probable cause:
The commander's decision to allow the handling pilot to carry out a visual approach in totally unsuitable meteorological conditions. An error in visual navigation was a contributory factor.
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 200 in Reliance

Date & Time: May 25, 1986
Operator:
Registration:
C-FZZM
Survivors:
Yes
MSN:
156
YOM:
1968
Country:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
On approximately 25-May-1986, the aircraft landed on lake ice at Reliance, NWT; while taxiing the nose gear settled into a crack in the ice. The people of the community managed to prevent the aircraft from sinking further using pallets and empty drums. While the insurance company assessed methods of possibly removing the aircraft it continued to sink, eventually to a depth where only the tail remained above water. A military Chinook helicopter was eventually dispatched to Reliance, and it successfully lifted the aircraft out of the lake, and set it down in front of the weather station pending preparations to sling load it 143 nm to Yellowknife. After lift off, and a distance of approximately 200 yards the helicopter's load master elected to drop the aircraft, which plowed nose first into the lake, through the remaining lake ice. Some parts were salvageable and barged back to Yellowknife, however the aircraft was a total loss.
Text & photos : www.twinotterworld.com

Crash of a De Havilland DHC-6 Twin Otter 300 near Tame: 13 killed

Date & Time: Apr 27, 1986 at 0835 LT
Operator:
Registration:
HK-2761
Flight Phase:
Survivors:
No
Site:
Schedule:
Bogotá – Saravena
MSN:
780
YOM:
1982
Location:
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
11
Pax fatalities:
Other fatalities:
Total fatalities:
13
Circumstances:
The twin engine aircraft was cruising at an altitude of 8,500 feet in marginal weather conditions when it struck the slope of a mountain located about 18 km east of Tame, some 50 km south of Saravena. The aircraft was destroyed and all 13 occupants were killed.
Probable cause:
Controlled flight into terrain.

Crash of a De Havilland DHC-6 Twin Otter near Homer City: 1 killed

Date & Time: Oct 11, 1985 at 2140 LT
Operator:
Registration:
N3257
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
State College – Pittsburgh
MSN:
192
YOM:
1969
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
5725
Captain / Total hours on type:
574.00
Aircraft flight hours:
33487
Circumstances:
The aircraft was observed flying at low altitude along about a 5 mile distance. Some witnesses described the aircraft altitude as just above treetops. Witness heard engine sounds and saw lights on the aircraft. The aircraft flight was on a southeast direction before it collided with rising terrain at a height of about 1,250 feet. The wreckage was scattered along a distance of 375 feet and oriented on a 160° magnetic heading. The destination, Pittsburgh, is located southwest of the departure point, State College. Evidence of aircraft malfunction was not disclosed. The aircraft had 1,902 lbs of cargo including 65 lbs of dry ice which was contained in styrofoam boxes. Autopsy and toxicological findings were negative. The pilot flew nightly, from State College to Pittsburgh and returned the following morning. He operated a business during the day. Witnesses stated the pilot was well rested and in good spirits before the flight.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: descent - normal
Findings
1. (f) terrain condition - high terrain
2. (f) terrain condition - rising
3. (c) altitude - not maintained - pilot in command
4. (c) clearance - improper - pilot in command
5. (c) low pass - performed - pilot in command
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 300 in Mulia: 8 killed

Date & Time: Aug 12, 1985
Operator:
Registration:
PK-NUG
Flight Phase:
Survivors:
Yes
MSN:
346
YOM:
1972
Country:
Region:
Crew on board:
3
Crew fatalities:
Pax on board:
16
Pax fatalities:
Other fatalities:
Total fatalities:
8
Circumstances:
Crashed shortly after takeoff from Mulia Airport for unknown reasons. Eight occupants were killed while 11 others were injured.

Crash of a De Havilland DHC-6 Twin Otter 300 in Kaktovik

Date & Time: Mar 12, 1985 at 0015 LT
Operator:
Registration:
N540N
Survivors:
Yes
Schedule:
Prudhoe Bay – Kaktovik
MSN:
401
YOM:
1973
Crew on board:
2
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5311
Captain / Total hours on type:
2098.00
Aircraft flight hours:
13652
Circumstances:
Aircraft crashed during missed approach to temporary winter landing strip. Aircraft hit in steep nose down attitude. Marginal weather conditions prevailed, with icing reported. All four occupants were injured, both pilots seriously.
Probable cause:
Occurrence #1: in flight collision with terrain/water
Phase of operation: go-around (vfr)
Findings
1. (f) terrain condition - snow covered
2. (c) flight manuals - not followed - pilot in command
3. (f) overconfidence in aircraft's ability - pilot in command
4. (f) inadequate surveillance of operation - company/operator mgmt
5. (f) weather condition - fog
6. (f) weather evaluation - inaccurate - pilot in command
7. (f) company-induced pressure - company/operator management
8. (f) inadequate surveillance of operation - faa (organization)
9. (f) light condition - dark night
10. (f) in-flight planning/decision - poor - pilot in command
11. (f) expectancy - other person
12. (f) insuff standards/requirements, operation/operator - company/operator mgmt
13. (f) light condition - dark night
14. (f) weather evaluation - inaccurate - pilot in command
15. (f) fatigue (flight and ground schedule) - pilot in command
16. (c) weather condition - icing conditions
17. (f) flight into known adverse weather - intentional - pilot in command
18. Fatigue (flight and ground schedule) - copilot/second pilot
19. (f) wing - ice
20. (f) anti-ice/deice system - not used - pilot in command
21. (c) altitude - inadequate - pilot in command
Final Report:

Crash of a De Havilland DHC-6 Twin Otter 300 on Mt El Plateado: 23 killed

Date & Time: Jan 23, 1985 at 1035 LT
Operator:
Registration:
HK-1910
Flight Phase:
Survivors:
No
Site:
Schedule:
Quibdó – Medellín
MSN:
497
YOM:
1976
Flight number:
VX052
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
20
Pax fatalities:
Other fatalities:
Total fatalities:
23
Circumstances:
En route from Quibdó to Medellín, the crew encountered marginal weather conditions with mist and intermittent rain falls. While cruising at an altitude of 11,500 feet, the aircraft struck the slope of Mt El Plateado located in the northeast part of the Chocó province, about 66 km northeast of Quibdó. The aircraft was destroyed upon impact and all 23 occupants were killed.
Probable cause:
Controlled flight into terrain after the crew decided to continue under VFR mode in IMC conditions.