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Crash of a Rockwell Grand Commander 690B in Thunder Bay: 1 killed

Date & Time: Aug 16, 2021 at 2109 LT
Operator:
Registration:
C-GYLD
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Thunder Bay – Dryden
MSN:
690-11426
YOM:
1977
Flight number:
BD160
Country:
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2662
Captain / Total hours on type:
230.00
Aircraft flight hours:
7620
Circumstances:
The airplane, operated by MAG Aerospace Canada Corp. as flight BD160, was conducting a visual flight rules flight from Thunder Bay Airport, Ontario, to Dryden Regional Airport, Ontario, with only the pilot on board. At 2109 Eastern Daylight Time, the aircraft began a takeoff on Runway 12. Shortly after rotation, the aircraft entered a left bank, continued to roll, and then struck the surface of Runway 07 in an inverted attitude. The pilot was fatally injured. The aircraft was destroyed by the impact and postimpact fire. The emergency locator transmitter activated on impact.
Probable cause:
Findings as to causes and contributing factors:
1. After takeoff from Runway 12 at Thunder Bay Airport, Ontario, as the pilot conducted a rapid, low-level, climbing steep turn, the aircraft entered an accelerated stall that resulted in a loss of control and subsequent collision with the surface of Runway 07 in an inverted attitude.
2. The decision to conduct the rapid, low-level, climbing steep turn was likely influenced by an altered perception of risk from previous similar takeoffs that did not result in any adverse consequences.

Findings as to risk:
1. If air traffic controllers engage in communications that may be perceived by pilots to encourage unusual flight manoeuvres, pilots may perceive this encouragement as a confirmation that the manoeuvres are acceptable to perform, increasing the risk of an accident.
2. If NAV CANADA’s reporting procedures do not contain specific criteria for situations where air traffic services personnel perceive aircraft to be conducting unsafe flight manoeuvres, there is a risk that these manoeuvres will continue and result in an accident.

Other findings
1. Most of the wires that comprised the elevator trim cable failed before the impact as a result of excessive wear; however, this did not contribute to the occurrence because the trim tab remained in the normal take-off position.
Final Report:

Crash of a Rockwell Aero Commander 500B near Armstrong

Date & Time: Nov 30, 2007 at 0917 LT
Operator:
Registration:
C-GETK
Flight Phase:
Survivors:
Yes
Schedule:
Dryden – Geraldton
MSN:
500-1093-56
YOM:
1961
Country:
Crew on board:
2
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
The aircraft departed from Dryden, Ontario, en route to Geraldton, Ontario. The flight was conducted under visual flight rules at 5500 feet above sea level with ambient temperatures aloft of -33°C. Approximately 40 minutes into the flight, the crew observed an abnormal right engine fuel flow indication. While troubleshooting the right engine, the engine rpm and fuel flow began to decrease and the crew diverted toward Armstrong, Ontario. A short time later, the left engine rpm and fuel flow began to decrease and the crew could no longer maintain level flight. At 0917 central standard time, the crew made a forced landing 20 nautical miles southwest of Armstrong, into a marshy wooded area. The captain sustained serious injuries and the co-pilot and passenger sustained minor injuries. The aircraft was substantially damaged. The crew and passenger were stabilized and transported to Thunder Bay, Ontario, for medical assistance.
Probable cause:
Findings as to Causes and Contributing Factors:
1. Suspended water in the fuel system precipitated out of solution and froze in the fuel distributor valve. This blocked the fuel supply to the fuel nozzles and led to the loss of engine power.
2. The aircraft was being operated without a fuel additive icing inhibiter. Use of such an additive would have inhibited ice formation in the aircraft’s fuel system and would likely have prevented the fuel system blockage.
Findings as to Risk:
1. The fuel distributor valve on the Aero Commander 500B is exposed directly to the cooling blast of the outside air, which under extremely cold conditions, can lead to the freezing of super-cooled water droplets present in the fuel stream.
2. The operator did not have procedures to describe how fuel additive icing inhibiter should be used during winter operations.
Final Report:

Crash of a Fokker F28 Fellowship 1000 in Dryden: 24 killed

Date & Time: Mar 10, 1989 at 1209 LT
Type of aircraft:
Operator:
Registration:
C-FONF
Flight Phase:
Survivors:
Yes
Schedule:
Thunder Bay - Dryden - Winnipeg
MSN:
11060
YOM:
1972
Flight number:
GX1363
Location:
Country:
Crew on board:
4
Crew fatalities:
Pax on board:
65
Pax fatalities:
Other fatalities:
Total fatalities:
24
Captain / Total flying hours:
24100
Captain / Total hours on type:
82.00
Copilot / Total hours on type:
65
Aircraft flight hours:
20852
Aircraft flight cycles:
23773
Circumstances:
Air Ontario Flight 1363, a Fokker F-28 jet, crashed during takeoff from Dryden Municipal Airport, Ontario, Canada. Of the 69 persons on board, 24 suffered fatal injuries. The aircraft in question, registration C-FONF, had suffered from a malfunctioning auxiliary power unit (APU) for the five days preceding the accident. Throughout the week preceding March 10, Air Ontario maintenance attempted, with limited success, to cure the APU problems. On March 9 it was decided to defer the repair of the APU until the aircraft returned to Toronto on the night of March 10. This meant that the aircraft was dispatched with the APU inoperable. On the morning of March 10, C-FONF departed Winnipeg on a round trip flight to Dryden, Thunder Bay and back as flight 1362/3. Since no external power unit was available at Dryden, the engines couldn't be restarted in case of engine shutdown on the ground. The flight to Thunder Bay was uneventful apart from a slight delay due to poor weather at Thunder Bay. As the aircraft was prepared for the return flight, it appeared that the aircraft was overweight as a result of ten additional passengers having transferred to the flight due to an earlier cancellation. The Air Ontario duty manager decided to off-load fuel and to arrange refuelling at Dryden. This caused an additional delay of 35 minutes. The Fokker F-28 departed Thunder Bay at 11:55 hours EST, about one hour behind schedule. The aircraft landed at Dryden at 11:39 hours CST. It began to snow lightly when the aircraft landed. Between 11:40 and 12:01, Air Ontario 1363 was refuelled with the right engine operating and with the passengers remaining on board the aircraft. This so called 'hot refuelling' procedure was followed because the APU was unserviceable. Eight passengers deplaned in Dryden and seven passengers boarded the aircraft. Meanwhile, snow was accumulating on the wings, forming a layer of 1/8-1/4 inch. No de-icing was done because de-icing with either engine running was prohibited by both Fokker and Air Ontario. The aircraft then taxied to runway 29 for departure, but was instructed to hold as there was a Cessna 150 on approach. The snow was continuing to fall heavily, becoming increasingly thick on the wings. At 12:09 the aircraft started it's takeoff roll on the slush-covered runway 29. There was an accumulation of at least one-half inch of wet, layered snow on the wings of the F-28 as it began its takeoff roll. After a longer than normal takeoff roll, the aircraft was rotated near taxiway Alpha, at approximately the 3500 foot mark. The aircraft lifted off slightly, began to shudder, and then settled back down onto the runway. The takeoff roll then continued and the aircraft was rotated a second time, finally lifting off at approximately the 5700 mark of the 6000 foot runway. It flew over the end of the runway approximately 15 feet above the ground. It thereafter failed to gain altitude and mushed through the air in a nose-high attitude, before commencing to strike trees. The aircraft crashed and came to rest in a wooded area, 3156 feet past the runway end and caught fire.
Probable cause:
The captain, as the pilot-in-command, must bear responsibility for the decision to land and take off in Dryden on the day in question. However, it is equally clear that the air transportation system failed him by allowing him to be placed in a situation where he did not have all the necessary tools that should have supported him in making the proper decision.
Final Report:

Crash of a Noorduyn Norseman near Dryden

Date & Time: Nov 22, 1968
Type of aircraft:
Operator:
Registration:
CF-CRU
Flight Phase:
Survivors:
Yes
MSN:
8
YOM:
1937
Location:
Country:
Crew on board:
0
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Circumstances:
En route, the pilot encountered icing conditions when the engine failed. He reduced his altitude in an attempt to make an emergency landing. The aircraft crash landed in the bush and was damaged beyond repair. All occupants escaped without injuries.
Probable cause:
Engine failure in flight caused by the carburetor icing while flying in freezing rain.