Crash of a Cessna T207 Turbo Skywagon in Colorado Springs

Date & Time: Sep 4, 2013 at 0758 LT
Registration:
N211AS
Flight Phase:
Survivors:
Yes
Schedule:
Colorado Springs – Lubbock
MSN:
207-0259
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5200
Captain / Total hours on type:
18.00
Aircraft flight hours:
13482
Circumstances:
The pilot reported that he performed the takeoff with the airplane at gross weight and with the flaps up and the engine set for maximum power, which he verified by reading the instruments. During the takeoff, the airplane accelerated and achieved liftoff about 65 to 70 mph and then climbed a couple hundred feet before the pilot began to lower the nose to accelerate to normal climb speed (90 to 100 mph). The airplane then stopped climbing and would not accelerate more than 80 mph. While the pilot attempted to maintain altitude, the airplane decelerated to 70 mph with the engine still at the full-power setting. With insufficient runway remaining to land, the pilot made a shallow right turn toward lower terrain and subsequently made a hard landing in a field. The pilot likely allowed the airplane to climb out of ground effect before establishing a proper pitch attitude and airspeed for the climb, which resulted in the airplane inadvertently entering a “region of reversed command” at a low altitude. In this state, the airplane may be incapable of climbing and would require either more engine power or further lowering of the airplane’s nose to increase airspeed. Because engine power was already at its maximum and the airplane was at a low altitude, the pilot was unable to take remedial action to fly out of the region of reversed command.
Probable cause:
The pilot’s failure to establish the proper pitch attitude and airspeed during takeoff with the engine at maximum power, which resulted in the exceedance of the airplane’s climb performance capability.
Final Report:

Crash of a Lockheed C-130H Hercules near Edgemont: 4 killed

Date & Time: Jul 1, 2012 at 1738 LT
Type of aircraft:
Operator:
Registration:
93-1458
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Colorado Springs - Colorado Springs
MSN:
5363
YOM:
1994
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
4
Captain / Total hours on type:
1966.00
Copilot / Total hours on type:
3647
Circumstances:
On 1 July 2012, at approximately 1738 Local time, a C-130H3, Tail Number 93-1458, assigned to the 145th Airlift Wing, North Carolina Air National Guard, Charlotte Douglas International Airport (KCLT), Charlotte, North Carolina, crashed on public land managed by the United States Forest Service (USFS), while conducting wildland firefighting operations near Edgemont, South Dakota. At the time of the mishap all members of the Mishap Crew (MC) were assigned or attached to the 156th Airlift Squadron, based at KCLT. The Mishap Crew (MC) consisted of Mishap Pilot 1 (MP1), Mishap Pilot 2 (MP2), Mishap Navigator (MN), Mishap Flight Engineer (ME), Mishap Loadmaster 1 (ML1) and Mishap Loadmaster 2 (ML2). For the mishap sortie, MP1 was the aircraft commander and pilot flying in the left seat. MP2 was in the right seat as the instructor pilot. MN occupied the navigator station on the right side of the flight deck behind MP2. ME was seated in the flight engineer seat located between MP1 and MP2, immediately aft of the center flight console. ML1 and ML2 were seated on the Modular Airborne Fire Fighting System (MAFFS) unit, near the right paratroop door. ML1 occupied the aft MAFFS control station seat and ML2 occupied the forward MAFFS observer station seat. MP1, MP2, MN and ME died in the mishap. ML1 and ML2 survived the mishap, but suffered significant injuries. The mishap aircraft (MA) and a USFS-owned MAFFS unit were destroyed. The monetary loss is valued at $43,453,295, which includes an estimated $150,000 in post aircraft removal and site environmental cleanup costs. There were no additional fatalities, injuries or damage to other government or civilian property.
Probable cause:
The accident investigation report released by the Air Force Air Mobility Command said:
I developed my opinion by inspecting the mishap site and wreckage, as well as analyzing factual data from the following: historical records, Air Force directives and guidance, USFS and Interagency guidance, reconstructing the mishap sortie in a C-130H3 simulator, engineering analysis, witness testimony, flight data, weather radar data, computer animated reconstruction, consulting with subject matter experts and information provided by technical experts. The failure of the Digital Flight Data Recorder severely complicated the recreation of the mishap, and impacted my ability to determine facts in this investigation. I find by clear and convincing evidence the cause of the mishap was MPl, MP2, MN and ME's inadequate assessment of operational conditions, resulting in the MA impacting the ground after flying into a microburst. Additionally, I find by the preponderance of evidence, the failure of the White Draw Fire Lead Plane aircrew and Air Attack aircrew to communicate critical operational information; and conflicting operational guidance concerning thunderstorm avoidance, substantially contributed to the mishap.
Final Report:

Crash of an Excel Jet Sport Jet I in Colorado Springs

Date & Time: Jun 22, 2006 at 0953 LT
Type of aircraft:
Operator:
Registration:
N350SJ
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Colorado Springs - Colorado Springs
MSN:
001
YOM:
2006
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5307
Captain / Total hours on type:
11.00
Aircraft flight hours:
24
Circumstances:
According to the pilot, passenger, and several witnesses, during takeoff the light jet became airborne momentarily, and then banked aggressively to the left. It impacted the runway in a left wing low attitude and cartwheeled down the runway. An examination of the airplane's systems revealed no anomalies. Approximately 1.5 minutes before the airplane was cleared for takeoff, a De Havilland Dash 8 (DH-8) airplane departed. A wake turbulence study conducted by an NTSB aircraft performance engineer concluded that even slight movement in the atmosphere would have caused the circulation of the vortices near the accident site to decay to zero within two minutes, that is, before the time accident jet would have encountered the wake from the DH-8. The study states, in part: "Given the time of day of the accident, consistent reports of easterly surface wind speeds on the order of 6 to 7 knots, higher wind speeds aloft, and the mountainous terrain near Colorado Springs, it is unlikely that the atmosphere was quiescent enough to allow the wake vortices near the Sport-Jet to retain any significant circulation after two minutes. Furthermore, easterly surface winds would have blown the wake vortices well to the west of the runway by the time of the accident. Consequently, while in smooth air the wake vortices from the DH-8 that preceded Sport-Jet off of the runway may have retained enough circulation after two minutes to produce rolling moments on Sport-Jet on the order of the rolling moment available from the Sport-Jet's ailerons, it is most likely that the wake vortices were neither strong enough nor close enough to the Sport-Jet to cause the violent roll to the left reported by the pilot and witnesses to the accident."
Probable cause:
A loss of control for an undetermined reason during takeoff-initial climb that resulted in an in-flight collision with terrain.
Final Report:

Crash of a Piper PA-31-350 Navajo Chieftain in Hayden: 1 killed

Date & Time: Oct 28, 1998 at 0858 LT
Operator:
Registration:
N35533
Flight Type:
Survivors:
No
Schedule:
Colorado Springs - Hayden
MSN:
31-8052047
YOM:
1980
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
1800
Captain / Total hours on type:
375.00
Aircraft flight hours:
12411
Circumstances:
The Part 135 cargo flight was approaching its destination on an IFR flight plan. The pilot had requested the ILS-DME approach to runway 10, but 2 minutes later, he changed his request to the VOR-B approach to runway 28. ARTCC cleared him for the approach to the non-towered airport. The pilot contacted the airport's Unicom, and requested that the ramp personnel be standing by with fuel and oxygen. The airplane was found 5.8 nm from the approach end of runway 28, at 7,900 feet. The approach minimums for the VOR-B was 7,900 feet, which the pilot could descend to at 8.7 nm. The VOR was located 285 degrees at 13.6 nm from the accident site, and the ILS-DME transmitter was located 285 degrees at 5.6 nm from the accident site. The airplane was equipped with a single DME display head, and it had a Nav 1/Nav 2 selector switch.
Probable cause:
The pilot not following instrument procedures and subsequently descended to minimums prematurely. Factors were the mountainous terrain and the falling snow.
Final Report:

Crash of a Beechcraft A100 King Air in Colorado Springs: 2 killed

Date & Time: Dec 21, 1997 at 0626 LT
Type of aircraft:
Operator:
Registration:
N100BE
Survivors:
Yes
Schedule:
Eden Prairie - Colorado Springs
MSN:
BB-221
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
3400
Captain / Total hours on type:
65.00
Aircraft flight hours:
8651
Circumstances:
The pilot was cleared for an ILS DME approach to runway 17L. During the final stage of the approach, the aircraft entered fog and disappeared from view of the control tower personnel. Radar and radio communications were lost also. After searching for 31 minutes, the aircraft was found by airport operations personnel over half way down the runway and 600 feet east of the runway. There was no evidence the aircraft touched down on the runway. The aircraft was configured with the landing gear up and the flaps deployed. Missed approach procedures require the flaps and landing gear to be retracted after initiating the procedure. The decision
height for the approach is 6,384 feet msl (200 feet above ground level) and the required RVR for a 14 CFR Part 135 flight to commence and approach is 2400 (1/2 mile). When on the glide slope, the decision height is 0.4 miles from the runway touchdown zone. Examination of the airplane did not disclose evidence of mechanical malfunction.
Probable cause:
Failure of the pilot to follow IFR Procedures and maintain the minimum descent altitude (MDA). A related factor was fog.
Final Report:

Crash of a Lockheed C-130E Hercules near Bliss: 6 killed

Date & Time: May 13, 1995
Type of aircraft:
Operator:
Registration:
62-1838
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Boise - Colorado Springs
MSN:
3801
YOM:
1963
Flight number:
Sumit 38
Location:
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
After departure from Boise-Gowen Field, en route to Peterson AFB in Colorado Springs, the crew encountered technical problems with the engine n°2. The crew declared an emergency and elected to divert to Mountain Home AFB. About 20 minutes into the flight, the engine n°2 compressor disintegrated. The aircraft entered an uncontrolled descent and crashed 12 miles north of Bliss. All six crew members were killed.
Crew:
Lt Col Robert Buckout, Commander
1st Lt Lance Daugherty, pilot,
Cpt Geoffery Boyd, navigator,
CMSgt Jimmy Vail, flight engineer,
M/Sgt Jay Kemp, loadmaster,
S/Sgt Michael Scheideman, loadmaster.
Probable cause:
The cause of the crash was that the number 2 (inside left wing) engine had a buggy undertemp sensor, causing the crew to enrich the fuel mixture, leading to an actual engine overtemp. One of the fuel lines ruptured or melted, causing the fire, and one of the crewmen hit the fire carts, but the fire re-erupted moments later, and there were no more extinguishers available for that engine. One of the pins that was supposed to melt in an engine fire, releasing the engine from the AC, failed to release the engine properly, while another worked properly. Still half connected to the wing hard point, the engine torqued at an awkward angle, causing severe wing and fuselage damage, which led to the crash.

Crash of a Beechcraft 60 Duke in Cheyenne: 1 killed

Date & Time: Apr 21, 1995 at 1016 LT
Type of aircraft:
Registration:
N711PS
Flight Type:
Survivors:
No
Schedule:
Cheyenne – Colorado Springs
MSN:
P-4
YOM:
1968
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
683
Captain / Total hours on type:
143.00
Aircraft flight hours:
3462
Circumstances:
Shortly after takeoff, the pilot reported he had 'a problem...an overboost situation,' and wanted to return for landing. Instrument meteorological conditions prevailed, so the pilot was cleared for the ILS runway 26 approach. A witness saw the airplane emerge from the low overcast in a wings level descent, then pitch over to a near vertical attitude and impact a shopping center sign. The left turbocharger wastegate was found in the open (low boost) position, and the right turbocharger wastegate was found in the closed (high boost) position. The right turbocharger butterfly valve was severely eroded, the pin was missing, and the valve was free to rotate on the shaft. A hole was burnt through the right engine number 1 cylinder exhaust valve. Both propellers were in the low pitch-high rpm range. Both engines and turbochargers were original equipment and had not been overhauled in 21 years. A toxicology test showed 0.564 mcg/ml of sertraline (antidepressant) in the pilot's blood. Sertraline was not approved for use while flying an aircraft.
Probable cause:
The pilot's failure to maintain aircraft control. Factors were the instrument weather conditions and the excessive workload imposed on the solo pilot attempting to deal with an emergency situation while flying in instrument meteorological conditions.
Final Report:

Crash of a Boeing 737-291 in Colorado Springs: 25 killed

Date & Time: Mar 3, 1991 at 0944 LT
Type of aircraft:
Operator:
Registration:
N999UA
Survivors:
No
Schedule:
Peoria – Moline – Denver – Colorado Springs
MSN:
22742
YOM:
1982
Flight number:
UA585
Crew on board:
5
Crew fatalities:
Pax on board:
20
Pax fatalities:
Other fatalities:
Total fatalities:
25
Captain / Total flying hours:
9902
Captain / Total hours on type:
1732.00
Copilot / Total flying hours:
3903
Copilot / Total hours on type:
1077
Aircraft flight hours:
26050
Aircraft flight cycles:
19734
Circumstances:
On March 3, 1991, a United Airlines Boeing 737, registration number N999UA, operating as flight 585, was on a scheduled passenger flight from Denver, Colorado, to Colorado Springs, Colorado. Visual meteorological conditions prevailed at the time, and the flight was on an instrument flight rules flight plan. Numerous witnesses reported that shortly after completing its turn onto the final approach course to runway 35 at Colorado Springs Municipal Airport, about 0944 mountain standard time, the airplane rolled steadily to the right and pitched nose down until it reached a nearly vertical attitude before hitting the ground in an area known as Widefield Park. The airplane was destroyed, and the 2 flight crewmembers, 3 flight attendants, and 20 passengers aboard were fatally injured.
Probable cause:
A loss of control of the airplane resulting from the movement of the rudder surface to its blowdown limit. The rudder surface most likely deflected in a direction opposite to that commanded by the pilots as a result of a jam of the main rudder power control unit servo valve secondary slide to the servo valve housing offset from its neutral position and overtravel of the primary slide.
Final Report:

Crash of a Rockwell Gulfstream 690D Jetprop 900 in Price: 6 killed

Date & Time: May 7, 1986 at 1106 LT
Operator:
Registration:
N200PR
Flight Phase:
Survivors:
No
Site:
Schedule:
Colorado Springs - Price
MSN:
690-15029
YOM:
1983
Location:
Crew on board:
2
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
6
Captain / Total flying hours:
6578
Captain / Total hours on type:
421.00
Aircraft flight hours:
1560
Circumstances:
At 1042 mdt, the flight reported moderate turbulences at FL240, but elected to remain at that altitude. At 1055, they were cleared to descend at pilot's discretion to maintain 12,000 feet. Approximately 8 minutes later, shortly after beginning a descent, the flight was instructed to change frequency; but 21 seconds later, they replied 'standby please,' then radio and radar contact were lost. Wreckage was found approximately 26 miles east of the destination airport in mountains. An examination revealed the empennage had separated in flight; pieces of it were found up to one mile away with indication of overload failure. There was evidence that: engines were not operating at ground impact, ignition switches were engaged; left engine start switch was in the 'air' start position and right switch was beyond the 'ground' start position; right propeller was feathered; pax oxygen masks were deployed, indicating cabin had depressurized above 15,000 feet. Weather info indicated cloud bases at 10,000 feet with IMC and turbulences to 25,000 feet, mixed icing from 20,000 feet to 25,000 feet, light rain/snow showers, widely scattered thunderstorms; approximately 15 miles south, 4 inches to 5 inches of hail fellat approximately that time. TPE331 engines had history of flameouts due to ice ingestion caused by impossible use of anti-ice/ignition. All six occupants were killed.
Probable cause:
Occurrence #1: in flight encounter with weather
Phase of operation: descent - normal
Findings
1. (f) weather condition - clouds
2. (f) weather condition - low ceiling
3. (f) weather condition - turbulence in clouds
4. (f) weather condition - icing conditions
----------
Occurrence #2: loss of engine power (total) - nonmechanical
Phase of operation: descent - normal
Findings
5. (c) in-flight planning/decision - improper - pilot in command
6. (c) procedures/directives - not followed - pilot in command
7. (c) anti-ice/deice system - improper use of - pilot in command
8. (f) aircraft performance, two or more engines - inoperative
9. Fuselage, cabin - decompression
----------
Occurrence #3: loss of control - in flight
Phase of operation: descent - emergency
Findings
10. (c) aircraft handling - not maintained - pilot in command
11. (c) spatial disorientation - pilot in command
12. Remedial action - attempted
----------
Occurrence #4: airframe/component/system failure/malfunction
Phase of operation: descent - uncontrolled
Findings
13. (c) design stress limits of aircraft - exceeded
14. Horizontal stabilizer attachment - overload
15. Vertical stabilizer attachment - overload
16. Stabilizer - separation
----------
Occurrence #5: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Findings
17. Terrain condition - mountainous/hilly
Final Report:

Crash of a Rockwell Grand Commander 690A in Calumet: 2 killed

Date & Time: May 27, 1978 at 1010 LT
Registration:
N299F
Flight Phase:
Survivors:
No
Schedule:
Oklahoma City - Colorado Springs
MSN:
690-11112
YOM:
1973
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
7000
Captain / Total hours on type:
500.00
Circumstances:
Few minutes after takeoff from Oklahoma City Airport, from climb to cruise, the crew encountered bad weather condition with thunderstorm activity. In severe turbulences, the airplane suffered a general disintegration and crashed in Calumet. The aircraft was totally destroyed and both occupants were killed.
Probable cause:
In-flight airframe failure during climb to cruise due to inadequate preflight preparation. The following contributing factors were reported:
- Initiated flight in adverse weather conditions,
- Exceeded designed stress limits of aircraft,
- Airframe failure of wings spars,
- Airframe failure of flight control surfaces: horizontal stabilizer, attachments,
- Overload failure,
- Separation in flight,
- Low ceiling,
- Thunderstorm activity,
- General disintegration,
- Embedded thunderstorms.
Final Report: