Zone

Crash of a Beechcraft 1900D in Kayenta

Date & Time: Feb 22, 2008 at 0745 LT
Type of aircraft:
Operator:
Registration:
N305PC
Survivors:
Yes
Schedule:
Flagstaff – Kayenta
MSN:
UE-299
YOM:
1997
Crew on board:
2
Crew fatalities:
Pax on board:
18
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
5080
Captain / Total hours on type:
2700.00
Copilot / Total flying hours:
5524
Copilot / Total hours on type:
4207
Aircraft flight hours:
6497
Circumstances:
The captain initially flew the GPS (global positioning system) runway 2 approach down to minimums and executed a missed approach. The approach chart listed the minimum visibility for the straight-in approach as 1 mile, the minimum descent altitude (MDA) as 6,860 feet mean sea level (329 feet above ground level), and the missed approach point as the runway threshold. The audio information extracted from the CVR indicated the flight crew listened to the automated weather station at the airport twice during the second approach; both times the report stated, in part, "visibility one half [mile] light snow sky conditions ceiling two hundred broken one thousand overcast." At 0744:09, the first officer said, "there's MDA," and at 0744:27, "there's the runway right below ya." The CVR recorded the ground proximity warning system (GPWS) audio alert "sink rate, sink rate, sink rate, sink rate" at 0744:37, the sound of touchdown at 0744:52, and the sound of impact at 0745:00. According to both pilots, the airplane touched down even with the midfield windsock. The captain applied brakes and full reverse on both propellers; however, the airplane did not slow down and continued off the end of the runway, impacted and knocked down a chain link fence, and continued into downsloping rough terrain. The landing gear collapsed and the airplane slid to a stop. The operator reported that there was 2 to 3 inches of slush on the runway. The runway was equipped with pilot activated medium intensity runway lights, runway end identifier lights, and a visual approach slope indicator. The first officer said that on both approaches, he attempted to turn on the lights, but the lights did not activate. The Federal Aviation Regulation that specifies the instrument flight rules for takeoff and landing states, in part, that no pilot may operate an aircraft below the authorized MDA unless (1) the aircraft is continuously in a position from which a descent to a landing on the intended runway can be made at a normal rate of descent using normal maneuvers, and (2) the flight visibility is not less than the visibility prescribed in the standard instrument approach being used. The regulation further states that if these conditions are not met when the aircraft is being operated below the MDA or upon arrival at the missed approach point, the pilot shall immediately execute an appropriate missed approach procedure. In this case, the minimum required visibility was 1 mile versus the 1/2- mile visibility reported by the automated weather station. Additionally, the activation of the GPWS "sink rate" audio alert indicates a normal rate of descent was exceeded during the landing. Both of these conditions should have prompted the flight crew to execute a missed approach, which would have prevented the accident.
Probable cause:
The flight crew's failure to execute a missed approach, which resulted in a runway excursion after landing. Contributing to the accident were the inoperative lights, weather conditions below published approach minimums, and the slush contaminated runway.
Final Report:

Crash of a Rockwell Grand Commander 690 in Temecula

Date & Time: Oct 13, 2001 at 2220 LT
Registration:
N690JM
Flight Type:
Survivors:
Yes
Schedule:
Flagstaff – Temecula
MSN:
690-11072
YOM:
1973
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
12880
Captain / Total hours on type:
4205.00
Aircraft flight hours:
4844
Circumstances:
The airplane collided with an airport boundary fence during an aborted landing. The pilot made a normal approach following the visual approach slope indicator (VASI) with gear down and full flaps and touched down just past the numbers and began to decelerate. The pilot selected reverse thrust with both engines. As he added power to decelerate, the airplane suddenly veered to the left and off the runway when the right engine did not go into reverse thrust. He deselected reverse thrust and aligned the airplane with the runway. He was approaching the end of the runway at high speed and elected to attempt a takeoff. The airplane went off the end of the runway onto smooth grass. The pilot rotated the airplane, but the airplane collided with an airport boundary fence and came to rest in a field. In a post accident examination, when the power levers were placed in the full reverse position, the left fuel control measured 4°, while the right measured 0°. The left pitch control measured 10°, while the right measured 0°; the controls should have read 0°. A controls engineer determined that during landing, there would be a 10° propeller pitch control (PPC) angle mismatch, which would be about 2.5° of BETA angle. With matched levers, there would be asymmetric reverse thrust with the left engine lower in torque. This would result in the airplane turning towards the left if both propellers had gone into reverse pitch.
Probable cause:
A misrigging of the engine controls that resulted in an asymmetric reverse thrust condition.
Final Report:

Crash of a Beechcraft E90 King Air in Flagstaff: 3 killed

Date & Time: Jan 31, 1996 at 1305 LT
Type of aircraft:
Operator:
Registration:
N300SP
Flight Type:
Survivors:
No
Site:
Schedule:
Flagstaff - Phoenix
MSN:
LW-166
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
3
Captain / Total flying hours:
10700
Captain / Total hours on type:
613.00
Aircraft flight hours:
5952
Circumstances:
The pilot and 2 nurses departed IFR to transport a patient from another location. During the initial climb, the pilot observed a gear unsafe light. He requested clearance to an area of VFR conditions to address the gear problem. Subsequently, the gear was manually extended with safe gear indications. The flight department requested that the pilot return to base. The pilot obtained an IFR clearance to return for an ILS approach. After handoff to the tower, he was requested to report the FAF inbound after an eastbound procedure turn. That was the last communication from the pilot. Subsequently, the aircraft crashed on the southeast side of Humphreys Peak at an elevation of about 10,500 feet and about 10 miles west of the final approach course. Wreckage was scattered along a heading of 230 degrees. There was evidence that the airplane was in a steep descent when it crashed. Radar data revealed an outbound track west of the published course and no procedure turn. The weather was IMC with light snow and rain. Moderate to severe turbulence was forecast and confirmed by other pilots. The winds at 10,000 feet were forecast to be 50 knots out of the southwest. Moderate turbulence and light rime ice had been reported along the ILS approach course before to the accident time.
Probable cause:
Failure of the pilot to follow prescribed IFR procedures and his failure to maintain control of the aircraft. Factors relating to the accident were: the adverse weather conditions with icing and turbulence.
Final Report:

Crash of a Cessna 208B Super Cargomaster in Flagstaff: 1 killed

Date & Time: Jan 11, 1995 at 1805 LT
Type of aircraft:
Operator:
Registration:
N746FE
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Flagstaff - Phoenix
MSN:
208-0236
YOM:
1990
Flight number:
FDX7551
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
10000
Captain / Total hours on type:
2000.00
Aircraft flight hours:
2439
Circumstances:
A witness located near the departure end of the runway saw the airplane initially climb in a normal manner, then stay below the clouds and make a shallow bank 180-degree left turn and descend below a tree line. Tower tapes revealed that the pilot twice transmitted that he was "coming back" to the airport during which the background sound of the "fuel selector off" warning horn was heard. The pilot then informed the controller "I've got to get back", and no warning horn was heard. The airplane collided with trees and came to rest about 6,500 feet sse of the runway's end. Prior to departure, the airplane was refueled with 40 gals of jet a (20 gals per tank), which increased the total fuel load to 148 gals. The flight manual required that the fuel balance between the left and right tanks be kept within 200 pounds, and suggested turning off one fuel selector to correct unbalance situations. The condition of one fuel selector turned off will cause the "fuel selector off" warning horn to sound. Exam of the aircraft revealed no evidence of preimpact failures. Prop blade butt signatures indicated it was operating in the governing range, and engine power was being produced at impact.
Probable cause:
The pilot's failure to properly configure the aircraft fuel system prior to takeoff, and his failure maintain an adequate terrain clearance altitude while maneuvering to return to the airport. Factors in the accident were the dark night lighting conditions, low ceilings, restricted visibility conditions, and the pilot's diverted attention which resulted from activation of the airplane's fuel selector warning horn system.
Final Report:

Crash of a Beechcraft E90 King Air in Tuba City

Date & Time: May 31, 1989 at 2215 LT
Type of aircraft:
Operator:
Registration:
N987GM
Flight Type:
Survivors:
Yes
Schedule:
Flagstaff - Tuba City
MSN:
LW-98
YOM:
1974
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4445
Captain / Total hours on type:
260.00
Aircraft flight hours:
5344
Circumstances:
The pilot stated that 15 minutes prior to arrival he notified the hospital and asked them to check the runway. As he entered downwind security advised him of animals on the runway so he circled until they called back stating it was clear. Just as the airplane was touching down, two horses began to cross the runway. The pilot attempted to go-around; however, the airplane contacted both animals and the pilot elected to abort the go-around. The left main landing gear collapsed and the airplane slid to a stop. A post crash fire ignited and was extinguished shortly thereafter. The landing was being made during dark night conditions.
Probable cause:
Ground personnel did not properly clear the runway of animals prior to reporting to the pilot that it was clear to land.
Final Report:

Crash of a Cessna 441 Conquest in Flagstaff: 2 killed

Date & Time: Feb 20, 1987 at 1845 LT
Type of aircraft:
Operator:
Registration:
N6858S
Flight Type:
Survivors:
No
Schedule:
Phoenix - Flagstaff
MSN:
441-0253
YOM:
1982
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
2311
Captain / Total hours on type:
24.00
Aircraft flight hours:
3349
Circumstances:
The aircraft was on an emergency medical service (ems/medevac) flight with a pilot and a flight nurse aboard to transport a maternity patient from Flagstaff to Phoenix. During a night arrival, the pilot began a VOR-A approach in IMC, then he reported a problem with his avionics and elected to make a missed approach. During the missed approach, he said that he 'lost' an inverter, then reported the gyros were inoperative. Radar vectors were being provided when he stated 'we have big trouble here.' Soon thereafter, radar and radio contacts were lost and the aircraft crashed approximately 7 miles southeast of the airport. During impact, the aircraft made a deep crater and was demolished. No preimpact engine or airframe failure was found. An investigation revealed the #2 (copilot's) attitude indicator was inoperative on the previous flight. A discrepancy report was taken to the avionics department, but the requested entry was not made in the aircraft form-4. The pilot took off before corrective action was taken. The operations manual requested 1,000 hours multi-engine time as pic and training by esignated cfi's. The pilot had approximately 837 hours multi-engine time, recorded 9 training flights in N6858S with non-designated instructors, completed a part 135 flight check on 2/17/88. Both occupants were killed.
Probable cause:
Occurrence #1: airframe/component/system failure/malfunction
Phase of operation: approach
Findings
1. Maintenance, recordkeeping - improper
2. Procedures/directives - not followed
3. (f) inadequate surveillance of operation - company/operator mgmt
4. (c) electrical system - undetermined
5. Electrical system, inverter - inoperative
6. Flight/nav instruments, attitude indicator - inoperative
----------
Occurrence #2: loss of control - in flight
Phase of operation: approach
Findings
7. (f) light condition - dark night
8. (f) weather condition - low ceiling
9. (f) weather condition - snow
10. (c) aircraft handling - not maintained - pilot in command
11. (c) spatial disorientation - pilot in command
12. (f) lack of total experience in type of aircraft - pilot in command
----------
Occurrence #3: in flight collision with terrain/water
Phase of operation: descent - uncontrolled
Final Report:

Crash of a Cessna 411 near Show Low: 1 killed

Date & Time: Jul 2, 1975 at 0935 LT
Type of aircraft:
Operator:
Registration:
N4956T
Flight Phase:
Flight Type:
Survivors:
No
Schedule:
Flagstaff - Silver City
MSN:
411-156
YOM:
1966
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
10000
Captain / Total hours on type:
58.00
Circumstances:
While in cruising altitude on a ferry flight from Flagstaff to Silver City, the pilot lost control of the airplane that entered a dive and crashed in flames near Show Low. The aircraft was totally destroyed and the pilot, sole occupant, was killed.
Probable cause:
Loss of control in flight and uncontrolled descent after the pilot suffered physical impairment. The following contributing factors were reported:
- Alcoholic impairment of efficiency and judgment,
- Misjudged altitude,
- Peak gusts 15 knots,
- The pilot suffered a heart attack at an undetermined time,
- Alcohol content 2,6‰.
Final Report:

Crash of a Consolidated TB-24J Liberator near Flagstaff: 8 killed

Date & Time: Sep 15, 1944 at 0330 LT
Operator:
Registration:
42-50890
Flight Phase:
Flight Type:
Survivors:
No
Site:
Schedule:
Bakersfield - Kirtland AFB
MSN:
2775
Crew on board:
8
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
8
Captain / Total flying hours:
762
Captain / Total hours on type:
512.00
Circumstances:
The crew was performing a flight from Bakersfield to the Kirtland Field AFB in New Mexico. While cruising by night at an altitude of 12,000 feet, the crew maintained a last contact radio with ATC at 0302LT. Less than thirty minutes later, the bomber aircraft hit the west slope of Mt Humphreys located some 10 miles north of Flagstaff and disintegrated. The wreckage was reached by the SAR teams in the next early morning and all eight occupants perished.
Photos available on:
http://www.lostflights.com/Other-1/91544-USAAF-Consolidated-B-24J/5673630_LqhLS2
Probable cause:
According to the investigation, the visibility was poor due to the presence of clouds down to 6,000 feet and at the time of the accident, the aircraft was off course by 15 miles following a navigation error on part of the crew.

Crash of a Douglas R4D-1 in Flagstaff: 6 killed

Date & Time: Jan 21, 1943
Operator:
Registration:
05051
Flight Phase:
Flight Type:
Survivors:
No
Site:
MSN:
4555
YOM:
1942
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
In flight, the twin engine aircraft hit the slope of Fremont Peak located 7 miles north of Flagstaff. The aircraft was destroyed upon impact and all six crew members were killed.

Crash of a Douglas B-18A Bolo near Flagstaff: 6 killed

Date & Time: Oct 2, 1941
Type of aircraft:
Operator:
Registration:
37-515
Flight Phase:
Flight Type:
Survivors:
No
MSN:
2515
YOM:
1937
Crew on board:
6
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
6
Circumstances:
While cruising in poor weather conditions (stormy conditions), the twin engine airplane entered an uncontrolled descent and crashed in a huge explosion north of Flagstaff. All six occupants were killed.
Crew:
2nd Lt Donald Gladney Boyd,
2nd Lt R. H. Conway,
2nd Lt William Wesley Crim,
Cpl Leo E. Gillem,
1st Lt Arnold T. King,
Pfc Lawrence T. Morfeld.