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Crash of a Beechcraft A60 Duke in Santa Rosa: 2 killed

Date & Time: May 5, 2019 at 1600 LT
Type of aircraft:
Operator:
Registration:
N102SN
Flight Type:
Survivors:
No
Schedule:
Arlington - Santa Fe
MSN:
P-217
YOM:
1973
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
4100
Circumstances:
The pilot was performing a personal cross-country flight. While en route to the intended destination, the pilot contacted air traffic control to report that the airplane was having a fuel pump issue and requested to divert to the nearest airport. The pilot stated that the request was only precautionary and did not declare an emergency during the flight; he provided no further information about the fuel pump. As the airplane approached the diversion airport, witnesses observed the airplane flying low and rolling to the left just before impacting terrain, after which a postcrash fire ensued. An examination of the airframe revealed no preimpact mechanical malfunctions or failures that would have precluded normal operation. A postaccident examination and review of recorded data indicated that the left engine was secured and in the feather position, and that the right engine was operating at a high RPM setting. The left engine-driven fuel pump was found fractured. Further examination of the fuel pump revealed fatigue failure of the pressure relief valve. The fatigue failure initiated in upward bending on one side of the valve disk and progressed around both sides of the valve stem. As the cracks grew, the stem separated from the disk on one side and began to tilt in relation to the disk and the valve guide due to the non-symmetric support, which caused the lower end of the stem to rub against the valve guide, creating wear marks. The increasing stem tilt would have impinged against the valve guide, and the valve might have begun to stick in the closed position. If the valve were stuck in the closed position, it would not be able to open, and the outlet fuel pressure could rise above the set point pressure. Because the pump was driven by the engine, there would not be a way for the pilot to shut it off, disconnect it, or bypass it. Instead, the fuel pressure would continue to rise until the valve were to unstick. Thus, the pilot was likely experiencing variable fuel pressure as the valve became stuck and unstuck. Examination of the spring seat and the diaphragm plate, which were in contact with each other in the fuel pump assembly, revealed wear marks on the surface of each component, with one mark on the diaphragm plate and two wear marks on the spring seat. The two wear marks on the spring seat were distinct features separated by material with no wear indications in between. The only way that these wear marks could have occurred were if the spring seat was separated from the diaphragm plate and reinstalled in a different orientation. Thus, it is likely that the pilot had encountered a fuel pump problem before the accident flight and that someone tried to troubleshoot the problem. The last radar data point indicated that the airplane was traveling at a groundspeed of about 98 knots, and had passed north of the airport, traveling to the southwest. The minimum control speed for the airplane with single-engine operation was 88 knots. However, it is likely that if the pilot initiated a left turn back toward the airport, that the right engine torque and the 14 knot wind with gusts to 24 knots would have necessitated a higher speed. Because appropriate control inputs and airspeed were not maintained, the airplane rolled in the direction of the feathered engine (due to the left fuel pump problem), resulting in a loss of control. The pilot's toxicology report was positive for cetirizine, sumatriptan, gabapentin, topiramate, and duloxetine. All of these drugs act in the central nervous system and can be impairing alone or in combination. Although this investigation could not determine the reason(s) for the pilot's use of these drugs, they are commonly used to treat chronic pain syndromes or seizures. It is likely that the pilot was experiencing some impairment because of multiple impairing medications and was unable to successfully respond to the in-flight urgent situation and safely land the airplane.
Probable cause:
The pilot's loss of airplane control due to his failure to maintain appropriate control inputs and airspeed after shutting down an engine because of a progressive failure of the pressure relief valve in the fuel pump, which resulted in variable fuel pressure in the engine. Contributing to the loss of control was the pilot's use of multiple impairing medications.
Final Report:

Crash of a Cessna T303 Crusader in Rogers: 2 killed

Date & Time: Nov 25, 1993 at 1804 LT
Type of aircraft:
Registration:
N2297C
Flight Type:
Survivors:
No
Schedule:
Arlington - Rogers
MSN:
303-00093
YOM:
1982
Location:
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1786
Captain / Total hours on type:
907.00
Aircraft flight hours:
1450
Circumstances:
The instrument rated private pilot departed on a night ifr cross country flight into forecasted icing conditions. During the approach at his destination airport, the pilot requested lower altitude to attempt to breakout from the weather. After being assigned 3,100 feet and obtaining a clearance for the ILS approach, the pilot cancelled ifr during descent and proceeded visually for the airport. The aircraft operated in an area of reported freezing rain and ice pellets, with fog and drizzle. Control was lost during the turn from base to final approach. Both occupants were killed.
Probable cause:
The pilot's continued flight into known adverse weather conditions, and the ensuing inadvertent stall. Factors were the icing conditions, the fog, the drizzle, the dark night light conditions, and the pilot's disregard for the forecasted weather conditions.
Final Report:

Crash of a Douglas C-54R Skymaster in the Pacific Ocean

Date & Time: Dec 23, 1986 at 1750 LT
Type of aircraft:
Registration:
N96361
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Arlington - Arlington
MSN:
27368
YOM:
1944
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4500
Captain / Total hours on type:
400.00
Aircraft flight hours:
27804
Circumstances:
The pilot reported that he ditched his DC-4 in the Pacific Ocean on the evening of december 23 after experiencing an uncontrollable n°3 engine fire at the conclusion of a training flight. The ditching occurred in dark night conditions with minimal 10 foot swells having a period of approximately 10 seconds and the aircraft was reported to have remained afloat approximately 10 minutes after the ditching. Although the flight penetrated the Pacific coastal adiz on at least 2 occasions no radar evidence corroborated the penetrations nor was there any receipt of the pilots mayday on 121.5 mhz. No wreckage has been observed along the Washington shoreline since the event. Weather conditions at 1750 hrs pst within 20 miles of the ditching were reported as measured 900 foot overcast with 1.5 miles visibilit in light rain and fog. Surface winds prevailed from the southeast yet the two pilots reportedly drifted northeast covering a distance of at least 14 nautical miles via raft in 16 hours. The board's findings surrounding this event remain undetermined.
Probable cause:
Occurrence #1: fire
Phase of operation: cruise - normal
Findings
1. (c) engine assembly - undetermined
2. (c) reason for occurrence undetermined
----------
Occurrence #2: forced landing
Phase of operation: descent - emergency
----------
Occurrence #3: ditching
Phase of operation: landing - flare/touchdown
Final Report:

Crash of a Boeing 707-227 near Arlington: 4 killed

Date & Time: Oct 19, 1959 at 1620 LT
Type of aircraft:
Operator:
Registration:
N7071
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Seattle - Seattle
MSN:
17691
YOM:
1959
Crew on board:
8
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total flying hours:
5015
Captain / Total hours on type:
369.00
Copilot / Total flying hours:
23563
Aircraft flight hours:
173
Circumstances:
A Boeing Airplane Company test pilot was acting as an instructor-pilot on a demonstration and acceptance flight prior to the aircraft being delivered to the customer. The company was also utilizing this flight time for flight instruction purposes in qualifying airline personnel in the aircraft. The instructor-pilot demonstrated several maneuvers, including Dutch Rolls, to a pilot-trainee, an airline captain who was making his first training flight training flight prior to checkout on the Boeing 707. The instructor-pilot initiated a Dutch Roll in which the roll-park angle of the aircraft reached 40 to 60 degrees. This bank angle is in excess of limitation set by the company for demonstration of his maneuver. The pilot-trainee, who was to make the recovery, rolled full right aileron control while the right rank was still increasing. The instructor-pilot immediately rolled in full opposite aileron. The airplane stopped its right roll at a point well past a vertical bank and then rolled to the left even more violently. Several gyrations followed and after control of the aircraft was regained, it was determined that three of the four engines had separated from the aircraft and it was on fire. The fire rapidly reduced controllability of the aircraft and an emergency landing was attempted, however, the aircraft struck trees and crashed short of the intended landing area because power on the engine remaining had to be shut down to keep the aircraft wings level. The aircraft was destroyed and four crew members were killed while four others were injured.
Probable cause:
The Board determines that the probable cause of this accident was the structural failures induced during an improper recovery attempt from a Dutch Roll which exceeded the angle-of-bank limits prescribed by the company.
Final Report: