Indianapolis

The twin-engine airplane, flown by an airline transport pilot, was approaching the destination airport after a cross-country flight in night instrument meteorological conditions. The destination airport weather conditions about 1 minute before the accident included an overcast ceiling at 200 ft and 1/2-mile visibility with light rain and fog. According to air traffic control (ATC) data, the flight received radar vectors to the final approach course for an instrument landing system (ILS) approach to runway 20. As shown by a post accident simulation study based on radar data and data recovered from the airplane's electronic horizontal situation indicator (EHSI), the airplane's flight path did not properly intercept and track either the localizer or the glideslope during the instrument approach. The airplane crossed the final approach fix about 360 ft below the glideslope and then maintained a descent profile below the glideslope until it leveled briefly near the minimum descent altitude, likely for a localizer-only instrument approach. However, the lateral flight path from the final approach fix inbound was one or more dots to the right of the localizer centerline until the airplane was about 1 nautical mile from the runway 20 threshold when it turned 90° left to an east course. The turn was initiated before the airplane had reached the missed approach point; additionally, the left turn was not in accordance with the published missed approach instructions, which specified a climb on runway heading before making a right turn to a 270° magnetic heading. The airplane made a series of pitch excursions as it flew away from the localizer. The simulation study determined that dual engine power was required to match the recorded flight trajectory and ground speeds, which indicated that both engines were operating throughout the approach. The simulation results also indicated that, based on calculated angle of attack and lift coefficient data, the airplane likely encountered an aerodynamic stall during its course deviation to the east. The airplane impacted the ground about 2.2 miles east-northeast of the runway 20 threshold and about 1.75 miles east of the localizer centerline. According to FAA documentation, at the time of the accident, all components of the airport's ILS were functional, with no recorded errors, and the localizer was radiating a front-course to the correct runway. Additionally, a post accident flight check found no anomalies with the instrument approach.An onsite examination established that the airplane impacted the ground upright and in a nose-low attitude, and the lack of an appreciable debris path was consistent with an aerodynamic stall/spin. Wreckage examinations did not reveal any anomalies with the airplane's flight control systems, engines, or propellers. The glideslope antenna was found disconnected from its associated cable circuit. Laboratory examination and testing determined that the glideslope antenna cable was likely inadequately connected/secured during the flight, which resulted in an unusable glideslope signal to the cockpit avionics. There was no history of recent maintenance on the glideslope antenna, and the reason for the inadequate connection could not be determined. Data downloaded from the airplane's EHSI established that the device was in the ILS mode during the instrument approach phase and that it had achieved a valid localizer state on both navigation channels; however, the device never achieved a valid glideslope state on either channel during the flight. Further, a replay of the recorded EHSI data confirmed that, during the approach, the device displayed a large "X" through the glideslope scale and did not display a deviation pointer, both of which were indications of an invalid glideslope state. There was no evidence of cumulative sleep loss, acute sleep loss, or medical conditions that indicated poor sleep quality for the pilot. However, the accident occurred more than 2 hours after the pilot routinely went to sleep, which suggests that the pilot's circadian system would not have been promoting alertness during the flight. Further, at the time of the accident, the pilot likely had been awake for 18 hours. Thus, the time at which the accident occurred and the extended hours of continuous wakefulness likely led to the development of fatigue. The presence of low cloud ceilings and the lack of glideslope guidance would have been stresses to the pilot during a critical phase of flight. This would have increased the pilot's workload and situational stress as he flew the localizer approach, a procedure that he likely did not anticipate or plan to conduct. In addition, weight and balance calculations indicated that the airplane's center of gravity (CG) was aft of the allowable limit, and the series of pitch excursions that began shortly after the airplane turned left and flew away from the localizer suggests that the pilot had difficulty controlling airplane pitch. This difficulty was likely due to the adverse handling characteristics associated with the aft CG. These adverse handling characteristics would have further increased the pilot's workload and provided another distraction from maintaining control of the airplane. Therefore, it is likely that the higher workload caused by the pilot's attempt to fly an unanticipated localizer approach at night in low ceilings and his difficulty maintaining pitch control of the airplane with an aft CG contributed to his degraded task performance in the minutes preceding the accident.

A witness reported that, despite the darkness, he was able to see the navigation lights on the airplane as it flew over the south end of the airport at an altitude of 150 to 200 feet above the ground. The airplane made a left turn to the downwind leg of the traffic pattern and continued a descending turn until the airplane impacted the ground in a near-vertical attitude. Due to the airplane’s turn, the 10- to 20-knot quartering headwind became a quartering tailwind. The airplane was also turned toward a rural area with very little ground lighting. A postaccident examination of the airplane and engines did not reveal any preimpact anomalies that would have precluded normal operation of the airplane.

American Eagle Flight 4184 was scheduled to depart the gate in Indianapolis at 14:10; however, due to a change in the traffic flow because of deteriorating weather conditions at destination Chicago-O'Hare, the flight left the gate at 14:14 and was held on the ground for 42 minutes before receiving an IFR clearance to O'Hare. At 14:55, the controller cleared flight 4184 for takeoff. The aircraft climbed to an enroute altitude of 16,300 feet. At 15:13, flight 4184 began the descent to 10,000 feet. During the descent, the FDR recorded the activation of the Level III airframe de-icing system. At 15:18, shortly after flight 4184 leveled off at 10,000 feet, the crew received a clearance to enter a holding pattern near the LUCIT intersection and they were told to expect further clearance at 15:45, which was revised to 16:00 at 15:38. Three minutes later the Level III airframe de-icing system activated again. At 15:56, the controller contacted flight 4184 and instructed the flight crew to descend to 8,000 feet. The engine power was reduced to the flight idle position, the propeller speed was 86 percent, and the autopilot remained engaged in the vertical speed (VS) and heading select (HDG SEL) modes. At 15:57:21, as the airplane was descending in a 15-degree right-wing-down attitude at 186 KIAS, the sound of the flap overspeed warning was recorded on the CVR. The crew selected flaps from 15 to zero degrees and the AOA and pitch attitude began to increase. At 15:57:33, as the airplane was descending through 9,130 feet, the AOA increased through 5 degrees, and the ailerons began deflecting to a right-wing-down position. About 1/2 second later, the ailerons rapidly deflected to 13:43 degrees right-wing-down, the autopilot disconnected. The airplane rolled rapidly to the right, and the pitch attitude and AOA began to decrease. Within several seconds of the initial aileron and roll excursion, the AOA decreased through 3.5 degrees, the ailerons moved to a nearly neutral position, and the airplane stopped rolling at 77 degrees right-wing-down. The airplane then began to roll to the left toward a wings-level attitude, the elevator began moving in a nose-up direction, the AOA began increasing, and the pitch attitude stopped at approximately 15 degrees nose down. At 15:57:38, as the airplane rolled back to the left through 59 degrees right-wing-down (towards wings level), the AOA increased again through 5 degrees and the ailerons again deflected rapidly to a right-wing-down position. The captain's nose-up control column force exceeded 22 pounds, and the airplane rolled rapidly to the right, at a rate in excess of 50 degrees per second. The captain's nose-up control column force decreased below 22 pounds as the airplane rolled through 120 degrees, and the first officer's nose-up control column force exceeded 22 pounds just after the airplane rolled through the inverted position (180 degrees). Nose-up elevator inputs were indicated on the FDR throughout the roll, and the AOA increased when nose-up elevator increased. At 15:57:45 the airplane rolled through the wings-level attitude (completion of first full roll). The nose-up elevator and AOA then decreased rapidly, the ailerons immediately deflected to 6 degrees left-wing-down and then stabilized at about 1 degree right-wing-down, and the airplane stopped rolling at 144 degrees right wing down. At 15:57:48, as the airplane began rolling left, back towards wings level, the airspeed increased through 260 knots, the pitch attitude decreased through 60 degrees nose down, normal acceleration fluctuated between 2.0 and 2.5 G, and the altitude decreased through 6,000 feet. At 15:57:51, as the roll attitude passed through 90 degrees, continuing towards wings level, the captain applied more than 22 pounds of nose-up control column force, the elevator position increased to about 3 degrees nose up, pitch attitude stopped decreasing at 73 degrees nose down, the airspeed increased through 300 KIAS, normal acceleration remained above 2 G, and the altitude decreased through 4,900 feet. At 15:57:53, as the captain's nose-up control column force decreased below 22 pounds, the first officer's nose-up control column force again exceeded 22 pounds and the captain made the statement "nice and easy." At 15:57:55, the normal acceleration increased to over 3.0 G. Approximately 1.7 seconds later, as the altitude decreased through 1,700 feet, the elevator position and vertical acceleration began to increase rapidly. The last recorded data on the FDR occurred at an altitude of 1,682 feet (vertical speed of approximately 500 feet per second), and indicated that the airplane was at an airspeed of 375 KIAS, a pitch attitude of 38 degrees nose down with 5 degrees of nose-up elevator, and was experiencing a vertical acceleration of 3.6 G. The airplane impacted a wet soybean field partially inverted, in a nose down, left-wing-low attitude. Based on petitions filed for reconsideration of the probable cause, the NTSB on September 2002 updated it's findings.

The pilot was making a contract cargo flight under far 91 rules and had experienced icing enroute. When just past Dayton, he indicated that he 'had a little fuel problem' and needed to get into OSU without delays. A short time later he indicated that he needed to go to the nearest airport. He was vectored toward SGH for landing. He then indicated that he had lost an engine and a short time later indicated that he had lost the other engine. The aircraft crashed in a residential area. There was no fire and only residual fuel was found in the airplane. The company president indicated that he did not encourage his pilots to carry 'excess fuel'. It was reported that this pilot, along with others, had been 'chewed out' for carrying 'excess fuel'. The operation should have been conducted under far 135 rules since the company had retained operational control of the operation. The pilot, sole on board, was killed.

During an IFR flight at FL170, the pilot reported airframe icing and requested a higher altitude. The pilot climbed to FL210 where he started a descent and reported loss of manifold pressure in the left engine. The pilot indicated that weather was in his flight path and descent was required to avoid icing. 90 seconds later the pilot transmitted '...losing it...'. Radar data indicated aircraft had an inflight breakup at approximately 17,000 feet msl. There was no evidence of mechanical or structural malfunction prior to the breakup. The aircraft did not have a complete current annual and de-ice equipment was inoperative. The pilot had no actual instrument experience and was not certified for multi engine IFR flight. The pilot had a medical history of anxiety attacks and had been taking prescription medication, Xanax and Tofranil, for approximately three years prior to the accident. The blood contained 1.2 mcg/ml of imipramine (Tofranil) and 2.6 mcg/ml desipramine (metabolite of Tofranil). Xanax (alprazolam) was not reported in blood toxicology. These drugs have been known to produce side effects that include poor judgement. The pilot, sole on board, was killed.

The flight crew failed to adhere to appropriate procedures and directives when they failed to select the hp cock levers to the hswl (lock out) position while performing an approach to landing stall during a training/test flight. When stall recovery was initiated, both propellers 'hung up' when the high (cruise pitch) stops of each propeller failed to withdraw. As the power levers were advanced, turbine gas temperatures (tgt's) exceeded limitations; the left propeller auto-feathered, the right propeller was later feathered by the captain. Restart procedures were attempted without success, and a forced landing in a plowed cornfield ensued. Examination of the engines revealed that the turbines had been 'subjected to severe (and destructive) thermal degradation during operation' as a result of the propellers being constrained during low speed operations. Testing of the relays revealed that the high stop withdrawal relay for the right propeller functioned intermittently. All three crew members escaped uninjured.

On final approach to Indianapolis Airport, both engines failed due to fuel exhaustion. The pilot lost control of the airplane that struck trees and crashed. A passenger was killed while both other occupants were injured. The aircraft was destroyed.

At liftoff, the twin engine airplane stalled and crashed in flames. The pilot, sole on board, was injured. He was en route to Indianapolis.

Just after liftoff at Indianapolis Airport, while in initial climb, the twin engine airplane stalled and crashed. Both occupants were injured and the aircraft was destroyed.

While in cruising altitude and approaching Indianapolis from the east, the pilot encountered very bad weather conditions. He informed ATC about severe turbulences when control was lost. The twin engine airplane entered a spin and eventually crashed in a field located in Arlington. The aircraft was totally destroyed and all nine occupants were killed, among them seven employees of the United States Auto Club.