Crash of a Douglas DC-3C in Mayne Island: 2 killed

Date & Time: Jan 13, 1999 at 0633 LT
Type of aircraft:
Operator:
Registration:
C-GWUG
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Vancouver - Victoria
MSN:
16215/32963
YOM:
1945
Flight number:
KFA301
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
18000
Captain / Total hours on type:
9500.00
Copilot / Total flying hours:
9000
Copilot / Total hours on type:
430
Aircraft flight hours:
20123
Circumstances:
The accident aircraft, a Douglas DC-3C, C-GWUG, was owned and operated by Kelowna Flightcraft Air Charter Ltd. (Kelowna Flightcraft) and was under charter to Purolator Courier Ltd. (Purolator). Since April 1998, the aircraft had been dedicated to transporting cargo on a route between Vancouver and Nanaimo, British Columbia. On occasion, it was also used for flights to Victoria to meet Purolator=s scheduling or cargo-loading contingencies. On the day of the accident, the aircraft, operating as KFA300, was rerouted and tasked to fly from Vancouver to Victoria and then proceed to Nanaimo. This change was precipitated by the delayed arrival of Purolator=s Boeing 727 at Vancouver because of inclement weather in the Toronto/Hamilton, Ontario, area. Warning of this route change was passed to the crew members with their pre-flight planning package, which included filed instrument flight rules (IFR) flight plans for the Vancouver-to-Victoria and Victoria-to-Nanaimo legs of the trip. The captain of the occurrence flight cancelled his IFR flight plan and refiled visual flight rules (VFR) on first contact with air traffic control. Vancouver tower cleared KFA300 for take-off at 0622 Pacific standard time (PST) from runway 26L. After take-off, the aircraft turned left on a track toward Active Pass, as seen in Figure 1. During the departure climb, the captain requested an altitude of 1000 feet above sea level (asl); the tower controller approved this request. Recorded radar data indicate that the aircraft climbed to and levelled at 1000 feet asl and then accelerated to a steady en route ground speed of 130 knots. The aircraft left the Vancouver control zone at 0626 and entered Class E (controlled) airspace. There are no special requirements for VFR aircraft operating within this class of airspace, nor are any specific services required of the air traffic control system. As the aircraft approached the Gulf Islands, it descended slightly and remained level at 900 feet asl. It crossed about 0.25 nautical mile (nm) west of the Active Pass non-directional beacon (NDB) at 0632 while remaining steady at 130 knots (ground speed) and level at 900 feet asl. At 0633:04, the aircraft descended to 800 feet asl for about nine seconds. The last radar data show the aircraft at 900 feet asl and 130 knots. The last radar-depicted position of the aircraft is on a bearing of 189 degrees (true) and 21.8 nm from the Sea Island radar source, coincident with the crash location.
Probable cause:
Findings as to Causes and Contributing Factors:
1. The accident flight was not conducted in accordance with the night obstacle clearance requirements of Canadian Aviation Regulation (CAR) 705.32.
2. The Kelowna Flightcraft company operations manual did not reflect the restrictive conditions imposed on night visual flight rules (VFR) flight by CAR 705.32. Such information might have
prevented the accident by ensuring the crew's awareness of those night obstacle clearance standards.
3. As the aircraft approached Mayne Island, it encountered a low cloud ceiling that was based about 800 feet and that reduced visual reference with the surface.
4. When the aircraft struck trees, it was being flown in controlled, level flight at an altitude below the surrounding terrain.
5. The aircraft was not equipped with a ground proximity warning system or any other similar system that could warn the crew of an impending collision with terrain. Such systems were not required by regulation.
Findings as to Risk:
1. Kelowna Flightcraft flight operations personnel were not aware that most of the DC-3 flights were being conducted under VFR.
2. First responders were not aware of the presence of the dangerous goods and were therefore at increased risk during their response activities on the site.
Other Findings:
1. Transport Canada officials responsible for monitoring this operation were not aware that most of the DC-3 flights were being conducted under VFR at night and below the required obstacle
clearance altitudes.
Final Report:

Crash of a Douglas DC-3C in Canaima: 1 killed

Date & Time: Oct 2, 1998 at 0945 LT
Type of aircraft:
Operator:
Registration:
YV-611C
Survivors:
Yes
Schedule:
Canaima - Canaima
MSN:
1977
YOM:
1938
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
22
Pax fatalities:
Other fatalities:
Total fatalities:
1
Circumstances:
The aircraft was completing a charter flight over the Salto Angel falls east of the Mt Auyán-Tepui, in the Canaima National Park, carrying 22 tourists and a crew of three. On approach to Canaima Airport, at an altitude of 3,000 feet, the right engine lost power. The crew continued the approach when the left engine suffered a loss of power as well. The aircraft stalled and crashed in an open field located 1,600 metres short of runway. The copilot was killed and three other occupants were seriously injured.

Crash of an AMI Turbo DC-3-65TP in Pretoria: 1 killed

Date & Time: Aug 24, 1998 at 1646 LT
Type of aircraft:
Operator:
Registration:
ZS-NKK
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Pretoria - Durban
MSN:
13143
YOM:
1944
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
11691
Circumstances:
Final power assurance checks were carried out on the aircraft’s engines on the morning of the accident. The AME (Aircraft Maintenance Engineer) trimmed the elevator-trim tab to the Full Nose UP position in order to reduce the stick forces required to hold the tail down during the engine power checks, but he did not set the elevator trim back to the neutral position on completion of the checks. The AME was requested by the pilot(s) to remove the aileron and elevator external gust locks and the landing gear down lock pins. He left the rudder lock in place, which was later removed by one of the pilots. The pilot(s) did not carry out a pre-flight inspection. At approximately 1646 on 24 August 1998 the DC3TP, registration number ZS-NKK, crashed during take-off from runway 11 at Wonderboom Airport. The PIC (Pilot-in-Command), who did not wear a shoulder harness, sustained fatal injuries and the co-pilot, who did wear a shoulder harness, serious injures. The accident occurred on the first flight after the aircraft had undergone a maintenance inspection, which included power assurance checks of the engines. The co-pilot sat in the left-hand seat and while he started the engines, the PIC attended to the cockpit checklist.
Probable cause:
It would appear that the accident was as a result of the PIC taking-off with the elevator trim set to the full nose-up position. This resulted in the nose of the aircraft pitching up after rotation, causing the pilot to lose control of the aircraft.
Final Report:

Crash of a Douglas DC-3C in Memphis

Date & Time: Nov 7, 1997 at 1956 LT
Type of aircraft:
Operator:
Registration:
N59316
Flight Type:
Survivors:
Yes
Schedule:
Gulfport - West Memphis
MSN:
18986
YOM:
1943
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
7853
Captain / Total hours on type:
2603.00
Aircraft flight hours:
24516
Circumstances:
The PIC stated he was established on an instrument approach when the left engine fuel pressure dropped to zero and the engine quit. He moved the fuel selector to the right rear fuel tank and the engine started. He continued the approach for about 2 miles when the right engine quit followed by the left engine. He made a forced landing to a sandbar. Examination of the airplane revealed the fuel tanks were not ruptured and the fuel tanks were empty.
Probable cause:
The pilot-in-command's improper management of fuel resulting in a total loss of engine power on both engines during an instrument approach due to fuel exhaustion.
Final Report:

Crash of a Douglas DC-3C in San Juan

Date & Time: Oct 31, 1996 at 0330 LT
Type of aircraft:
Registration:
N37AP
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
San Juan - San Juan
MSN:
4430
YOM:
1942
Country:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4242
Captain / Total hours on type:
1256.00
Aircraft flight hours:
16179
Circumstances:
After takeoff from runway 09, a climbing left turn was made. At about 1,000 feet, the #2 (right) engine backfired, emitted flames, and lost power. The captain instructed the copilot to feather the #2 propeller, which the copilot initiated with the feathering button. When the captain requested gear and flap extension, the copilot released the feathering button which did not remain engaged, contrary to system design. The airplane had arrived on a left downwind abeam the landing area at 500 feet and 95 to 100 knots. The captain turned toward the runway, then he ordered the gear and flaps to be retracted and initiated a go-around by increasing the left throttle without increasing propeller speed. A right turn was then made, and the airplane eventually crashed about 3 miles from the runway. During a postaccident examination, the propellers were found unfeathered, and the right engine fuel selector was in the main tank position. The emergency procedure listed the best single engine speed as 85 knots. The procedure for engine fire/failure was to feather the propeller and to move the respective fuel selector to 'OFF.' Examination revealed the number 11 cylinder on the right engine was cracked. There was evidence of fire, adjacent to the cylinder on the cowling, which consisted of scorching, sooting, and a burned through area of the underside of the right engine cowling. The copilot indicated a previous problem with the feathering system, but maintenance records did not contain any previous discrepancies regarding this anomaly.
Probable cause:
failure of the #11 cylinder on the right (#2) engine, which resulted in an in-flight fire and loss of power in that engine; and a malfunction/failure of the #2 feathering system, which led to a subsequent forced landing before the flight crew could return to the airport. A factor related to the accident was failure of the flight crew to increase the left (#1) engine rpm (in accordance with emergency procedures) after loss of power in the #2 engine.
Final Report:

Crash of a Douglas DC-3A-S1C3G in Conroe

Date & Time: Jun 20, 1996 at 1408 LT
Type of aircraft:
Registration:
N23WT
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Conroe - Conroe
MSN:
11650
YOM:
1943
Location:
Crew on board:
3
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
16500
Captain / Total hours on type:
707.00
Aircraft flight hours:
51307
Circumstances:
During initial takeoff climb the copilot who was manipulating the controls called for METO (maximum except takeoff) power. After the pilot-in-command set METO power, the left engine lost power. The PIC took the controls from the copilot and called for him to feather the left propeller. The copilot did not hear the call to feather the left propeller. Maintaining an indicated airspeed of 90 knots and wings level attitude, the airplane descended into trees and impacted a rural residential paved street. The cockpit area and main fuselage were consumed by a post crash fire. Examination of the throttle quadrant revealed the propeller control levers were forward, the mixture control levers were autorich, the throttle for the right engine was forward, and the throttle for the left engine was at idle. According to a FAA operations inspector maintaining 90 knots with the propeller not feathered would result in the aircraft descending. The pilot and copilot had not completed a proficiency check or flight check for the DC3 type aircraft within the previous 24 months. Examination of the left engine did not disclose any preexisting anomalies.
Probable cause:
The flight instructor's failure to use the single engine best angle of climb airspeed resulting in a loss of control of the aircraft. Factors were the loss of power to the left engine for undetermined reasons, the flight instructor not being qualified to be pilot-in-command in the DC3, his lack of recent experience in the DC3, and the lack of suitable terrain for the forced landing.
Final Report:

Crash of a Douglas DC-3C in Kenty Lake

Date & Time: May 5, 1996 at 1400 LT
Type of aircraft:
Operator:
Registration:
C-GCZG
Flight Type:
Survivors:
Yes
MSN:
17118/34385
YOM:
1945
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
Upon landing on the icy Kenty Lake, the right ski struck a snowbank, causing the gear to collapse. All three occupants were evacuated safely while the aircraft was damaged beyond repair.

Crash of a Douglas DC-3C in Miraflores: 5 killed

Date & Time: May 25, 1995 at 1515 LT
Type of aircraft:
Operator:
Registration:
HK-3213
Flight Type:
Survivors:
Yes
Schedule:
Villavicencio - Miraflores
MSN:
14214/25659
YOM:
1944
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
9
Pax fatalities:
Other fatalities:
Total fatalities:
5
Aircraft flight hours:
15000
Circumstances:
The aircraft was completing a cargo flight from Villavicencio, carrying livestock, nine passengers and four crew members. The approach to Miraflores Airport was completed in poor weather conditions. On short final, the left engine failed. The aircraft lost height, collided with trees and crashed in a wooded area. Three passengers and both pilots were killed while eight other occupants were injured.
Probable cause:
The probable cause of this accident is the loss of lift, induced by explosions and fire in the left engine, problems that the pilot was unable to overcome because he was flying under VFR mode in IMC conditions.
Final Report: