Country
Crash of a Piper PA-31-350 Navajo Chieftain off Fort Lauderdale: 1 killed
Date & Time:
Jan 1, 2002 at 1802 LT
Registration:
N3525Y
Survivors:
Yes
Schedule:
North Eleuthera - Fort Lauderdale
MSN:
31-7952127
YOM:
1979
Crew on board:
1
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total hours on type:
72.00
Aircraft flight hours:
7132
Circumstances:
The pilot stated that on the day of the accident he ordered fuel only on the first flight of the day. He said he did not add additional fuel during subsequent flights. He said he flew the accident airplane from Fort Lauderdale Executive Airport, Fort Lauderdale, Florida, to Chubb Cay, Bahamas, to Big Whale Cay, Bahamas, back to the Fort Lauderdale Executive Airport. He said he then departed Fort Lauderdale Executive Airport with his next load of passengers and flew to the North Eleuthera Airport, North Eleuthera, Bahamas, without having refueled, and was returning from North Eleuthera, Bahamas, to the Fort Lauderdale International Airport, when he ditched the airplane off Dania Beach, Florida, in the Atlantic Ocean. When asked whether the fuel on board the airplane had been exhausted, the pilot stated, " the way the engines were acting, it seemed like the airplane ran out of fuel." On scene examination of the airplane, as well as follow on examination of its engines revealed no pre accident anomalies with the airplane or its systems. Information obtained from the FAA showed that at 1757, the pilot contacted FAA Miami Approach Control and advised "minimum fuel, further stating that he was not declaring an emergency at that time. At 1758, the controller responded, passing communications control to the FAA Fort Lauderdale Air Traffic Control Tower (ATCT). In response to the pilot's initial communications call to the Fort Lauderdale ATCT, the pilot was given a clearance to land on runway 09R, and told that he was number one. At 1758:43, the pilot replied, asking if there was any chance of getting runway 27L, and at 1759:17, the controller instructed the pilot to descend at his discretion and remain slightly south of final for landing on runway 27L, and to expect 27L. At 1800:07, the pilot contacted the controller and stated, "two five yankee would like to declare an emergency at this time." At 1800:10, the controller responded, "two five yankee yes sir runway two seven left you are cleared to land the wind zero one zero at six." At 1800:16 the pilot responded acknowledging the wind report, and at 1800:27, the controller asked whether the nature of the emergency was minimum fuel, to which the pilot responded, "exactly two five yankee may be coming in dead stick. At 1800:40, the pilot stated that he had the airport in sight and will try to glide, and at 1801:32, the pilot said "two five yankee I'm going to be short of the shore." At 1802, the pilot ditched the airplane about 300 yards from the Dania Beach shoreline, in the area of John Lloyd State Park, in about 15 feet of water. The occupants of the airplane consisted of the pilot and four passengers. All exited the airplane and one passenger drowned in the Atlantic Ocean when according to the pilot "he was in a state of panic" when he tried to instruct him in the use of the life vest while they was in the water, and subsequently tried to use him for flotation when he tried to help him. All remaining passengers confirmed that the pilot had not given them any pre departure safety related briefing prior to or during the accident flight.
Probable cause:
The pilot's inadequate planning for a Title 14 CFR Part 135 on-demand air taxi flight, and his failure to refuel the airplane, which resulted in fuel exhaustion while en route over the Atlantic Ocean, a power off glide, and ditching in the ocean.
Final Report:
Crash of a Piper PA-31-350 Navajo Chieftain in Fort Liard: 3 killed
Date & Time:
Oct 15, 2001 at 2233 LT
Registration:
C-GIPB
Survivors:
Yes
Schedule:
Yellowknife – Fort Liard
MSN:
31-7852170
YOM:
1978
Crew on board:
1
Crew fatalities:
Pax on board:
5
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total hours on type:
77.00
Aircraft flight hours:
11520
Circumstances:
A Piper PA-31 Navajo Chieftain, C-GIPB, serial number 31-7852170, departed Yellowknife, Northwest Territories, at 2043 mountain daylight time on a night instrument flight rules (IFR) charter flight to Fort Liard. One pilot and five passengers were on board. On arrival at Fort Liard, in conditions of moderate to heavy snow, the pilot initiated a non-directional beacon approach with a circling procedure for Runway 02. At about 2233, the aircraft struck a gravel bar on the west shoreline of the Liard River, 1.3 nautical miles short of the threshold of Runway 02, and 0.3 nautical mile to the left of the runway centreline. The aircraft sustained substantial damage, but no fire ensued. Three passengers were fatally injured, and the pilot and two passengers were seriously injured. The emergency locator transmitter activated and was received by the search and rescue satellite system, and two Canadian Forces aircraft were dispatched to conduct a search. The wreckage was electronically located the following morning, and a civilian helicopter arrived at the accident site approximately 10 hours after the occurrence.
Probable cause:
Findings as to Causes and Contributing Factors:
1. For undetermined reasons, the pilot did not maintain adequate altitude during a night circling approach in IMC and the aircraft struck the ground.
2. The pilot and front seat passenger were not wearing available shoulder harnesses, as required by regulation, which likely contributed to the severity of their injuries.
Findings as to Risk:
1. The aircraft was not fitted with, and was not required to be fitted with, a GPWS or a radio altimeter.
2. The pilot used an unauthorized remote altimeter setting that would have resulted in the cockpit altimeters reading approximately 200 feet higher than the actual altitude.
3. The pilot did not meet the night recency requirements necessary to carry passengers, as specified in CAR 401.05 (2).
4. Risk management responsibilities had been placed almost entirely on the pilot.
5. While the company had taken the voluntary initiative to appoint a safety officer, and appeared to have a safety program in place, the program may not have been directed at the needs.
Other Findings:
1. Approximately 28 hours of flight time that the pilot had logged as multi-engine dual would not have qualified as flight experience for the issue of a higher license.
2. CAR do not define 'flight familiarization', 'flight experience', or 'dual', and therefore do not address flight time 'quality'.
3. Opportunities for local community searchers to identify and access the accident site earlier were hampered by initial inaccurate SARSAT location information, by the time required to locate SAR aircraft to the Fort Liard area, and by darkness and poor weather conditions.
4. The decreased time required to alert the SAR system and the higher degree of accuracy permitted by the utilization of a 406 MHz ELT, particularly one interfaced with the onboard GPS, would have likely permitted rescuers to access the site in a more timely manner.
5. 703 Air Taxi operations continue to have a much higher accident rate than 704 Commuter and 705 Airline operations.
1. For undetermined reasons, the pilot did not maintain adequate altitude during a night circling approach in IMC and the aircraft struck the ground.
2. The pilot and front seat passenger were not wearing available shoulder harnesses, as required by regulation, which likely contributed to the severity of their injuries.
Findings as to Risk:
1. The aircraft was not fitted with, and was not required to be fitted with, a GPWS or a radio altimeter.
2. The pilot used an unauthorized remote altimeter setting that would have resulted in the cockpit altimeters reading approximately 200 feet higher than the actual altitude.
3. The pilot did not meet the night recency requirements necessary to carry passengers, as specified in CAR 401.05 (2).
4. Risk management responsibilities had been placed almost entirely on the pilot.
5. While the company had taken the voluntary initiative to appoint a safety officer, and appeared to have a safety program in place, the program may not have been directed at the needs.
Other Findings:
1. Approximately 28 hours of flight time that the pilot had logged as multi-engine dual would not have qualified as flight experience for the issue of a higher license.
2. CAR do not define 'flight familiarization', 'flight experience', or 'dual', and therefore do not address flight time 'quality'.
3. Opportunities for local community searchers to identify and access the accident site earlier were hampered by initial inaccurate SARSAT location information, by the time required to locate SAR aircraft to the Fort Liard area, and by darkness and poor weather conditions.
4. The decreased time required to alert the SAR system and the higher degree of accuracy permitted by the utilization of a 406 MHz ELT, particularly one interfaced with the onboard GPS, would have likely permitted rescuers to access the site in a more timely manner.
5. 703 Air Taxi operations continue to have a much higher accident rate than 704 Commuter and 705 Airline operations.
Final Report:
Crash of a Piper PA-31-350 Navajo Chieftain near Pagosa Springs: 2 killed
Date & Time:
Sep 24, 2001 at 0904 LT
Registration:
N161RB
Survivors:
No
Schedule:
Alamosa – Durango
MSN:
31-7952097
YOM:
1979
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total hours on type:
614.00
Copilot / Total hours on type:
208
Aircraft flight hours:
9022
Circumstances:
The airplane was on a non-scheduled cargo flight which was projected to fly an approximate 240 degree course for 92 nm. The accident site was located on a heavily forested steep mountain side, 15 to 16 nm north of the airplane's projected course. The debris field began at an east-west ridge line, and progressed for 300 feet on a 010 degree track to the downed airplane. Examination of the airframe and engines revealed no evidence of preimpact discrepancies. The accident site was in an area where the Fall color of the aspens was at its peak. Additionally, it was an area where elk were sometimes observed.
Probable cause:
The flight crews' intentional low altitude flight, and failure to maintain obstacle clearance.
Final Report:
Crash of a Piper PA-31-350 Navajo Chieftain in Reading: 1 killed
Date & Time:
Sep 5, 2001 at 1313 LT
Registration:
N8PK
Survivors:
No
Schedule:
Reading – Montgomery
MSN:
31-8152141
YOM:
1981
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total hours on type:
20.00
Aircraft flight hours:
6204
Circumstances:
After takeoff, the pilot reported "an engine problem," but did not elaborate. A witness on the ground saw that the left engine was trailing smoke, but the engine was still operating, and did not sound like it was "missing". When asked by the tower controller if he required assistance, the pilot answered "no". The controller cleared the pilot for left traffic to a landing, and provided the current weather. There were no further transmissions from the pilot. Smoothed radar tracking data revealed that the airplane turned toward a left downwind, and leveled off at 1,400 feet msl (about 1,050 feet agl) and 156 knots. During the next 14 seconds, the airplane descended to 1,100 feet and increased airspeed to 173 knots. Then radar contact was lost. Witnesses observed the airplane variously in a right snap roll and a left wingover, followed by a sharp dive to the ground. The airplane had just undergone maintenance. During maintenance, unused oil was found in the left engine cowling, which the pilot admitted he had previously spilled. Following maintenance, the pilot was observed adding 3 additional quarts of oil to the left engine. The engine oil dipsticks were calibrated on both sides, with each side pertaining to the oil level in a specific engine. The side for the right engine was calibrated to read 1 3/4 quarts lower than the left engine. The airplane's wreckage was fragmented. No evidence of mechanical defect was found, nor was there any evidence of an extreme out-of-trim condition. There was also no evidence of engine failure, detonation, or pre-impact failure. The pilot held an airline transport pilot certificate. He reported 3,210 hours of flight time to the operator, and had recently been cleared to fly the airplane on 14 CFR Part 91 flights. The flight to the maintenance facility was the pilot's first solo flight in the airplane. An autopsy of the pilot revealed the presence of a prostate adenocarcinoma; however, according to his physician, the pilot was unaware of it.
Probable cause:
The pilot's loss of control for undetermined reasons, which resulted in a high speed dive to the ground.
Final Report: