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Crash of a Pilatus PC-12 NGX in the Pacific Ocean

Date & Time: Nov 6, 2020 at 1520 LT
Type of aircraft:
Registration:
N400PW
Flight Phase:
Flight Type:
Survivors:
Yes
Schedule:
Santa Maria - Hilo
MSN:
2003
YOM:
2020
Country:
Region:
Crew on board:
2
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
2740
Captain / Total hours on type:
22.00
Circumstances:
On November 6, 2020, about 1600 Pacific standard time, a Pilatus PC-12, N400PW, was substantially damaged when it was ditched in the Pacific Ocean about 1000 miles east of Hilo, Hawaii. The two pilots sustained no injuries. The airplane was operated as a Title 14 Code of Federal Regulations Part 91 ferry flight. According to the pilot-in-command (PIC), who was also the ferry company owner, he and another pilot were ferrying a new airplane from California to Australia. The first transoceanic leg was planned for 10 hours from Santa Maria Airport (KSMX), Santa Maria, California to Hilo Airport (PHTO), Hilo, Hawaii. The manufacturer had an auxiliary ferry fuel line and check valve installed in the left wing before delivery. About 1 month before the trip, the pilot hired a ferry company to install an internal temporary ferry fuel system for the trip. The crew attempted the first transoceanic flight on November 2, but the ferry fuel system did not transfer properly, so the crew diverted to Merced Airport (KMCE), Merced, California. The system was modified with the addition of two 30 psi fuel transfer pumps that could overcome the ferry system check valve. The final system consisted of 2 aluminum tanks, 2 transfer pumps, transfer and tank valves, and associated fuel lines and fittings. The ferry fuel supply line was connected to the factory installed ferry fuel line fitting at the left wing bulkhead, which then fed directly to the main fuel line through a check valve and directly to the turbine engine. The installed system was ground and flight checked before the trip. According to Federal Aviation Administration automatic dependent surveillance broadcast (ADS-B) data, the airplane departed KSMX about 1000. The pilots each stated that the ferry fuel system worked as designed during the flight and they utilized the operating procedures that were supplied by the installer. About 5 hours after takeoff, approaching ETNIC intersection, the PIC climbed the airplane to flight level 280. At that time, the rear ferry fuel tank was almost empty, and the forward tank was about 1/2 full. The crew was concerned about introducing air into the engine as they emptied the rear ferry tank, so the PIC placed the ignition switch to ON. According to the copilot (CP), she went to the cabin to monitor the transparent fuel line from the transfer pumps to ensure positive fuel flow while she transferred the last of the available rear tank fuel to the main fuel line. When she determined that all of the usable fuel was transferred, and fuel still remained in the pressurized fuel line, she turned the transfer pumps to off and before she could access the transfer and tank valves, the engine surged and flamed out. The PIC stated that the crew alerting system (CAS) fuel low pressure light illuminated about 5 to 15 seconds after the transfer pumps were turned off, and then the engine lost power and the propeller auto feathered. The PIC immediately placed the fuel boost pumps from AUTO to ON. The CP went back to her crew seat and they commenced the pilot operating handbook’s emergency checklist procedures for emergency descent and then loss of engine power in flight. According to both crew members, they attempted an engine air start. The propeller unfeathered and the engine started; however, it did not reach flight idle and movement of the power control lever did not affect the engine. The crew secured the engine and attempted another air start. The engine did not restart and grinding sounds and a loud bang were heard. The propeller never unfeathered and multiple CAS warning lights illuminated, including the EPECS FAIL light (Engine and Propeller Electronic Control System). The crew performed the procedures for a restart with EPECS FAIL light and multiple other starts that were unsuccessful. There were no flames nor smoke from either exhaust pipe during the air start attempts. About 8,000 ft mean sea level, the crew committed to ditching in the ocean. About 1600, after preparing the survival gear, donning life vests, and making mayday calls on VHF 121.5, the PIC performed a full flaps gear up landing at an angle to the sea swells and into the wind. He estimated that the swells were 5 to 10 ft high with crests 20 feet apart. During the landing, the pilot held back elevator pressure for as long as possible and the airplane landed upright. The crew evacuated through the right over wing exit and boarded the 6 man covered life raft. A photograph of the airplane revealed that the bottom of the rudder was substantially damaged. The airplane remained afloat after landing. The crew utilized a satellite phone to communicate with Oakland Center. The USCG coordinated a rescue mission. About 4 hours later, a C-130 arrived on scene and coordinated with a nearby oil tanker, the M/V Ariel, for rescue of the crew. According to the pilots, during the night, many rescue attempts were made by the M/V Ariel; however, the ship was too fast for them to grab lines and the seas were too rough. After a night of high seas, the M/V Ariel attempted rescue again; however, they were unsuccessful. That afternoon, a container ship in the area, the M/V Horizon Reliance, successfully maneuvered slowly to the raft, then the ship’s crew shot rope cannons that propelled lines to the raft, and they were able to assist the survivors onboard. The pilots had been in the raft for about 22 hours. The airplane was a new 2020 production PC-12 47E with a newly designed Pratt and Whitney PT6E-67XP engine which featured an Engine and Propeller Electronic Control System. The airplane is presumed to be lost at sea.
Probable cause:
A total loss of engine power due to fuel starvation for reasons that could not be determined based on the available evidence.
Final Report:

Crash of a Cessna 421C Golden Eagle III in Santa Maria

Date & Time: Nov 22, 1992 at 1321 LT
Registration:
N52AK
Survivors:
Yes
Schedule:
Lake Tahoe - Santa Maria
MSN:
421C-0204
YOM:
1976
Crew on board:
1
Crew fatalities:
Pax on board:
2
Pax fatalities:
Other fatalities:
Total fatalities:
0
Captain / Total flying hours:
4512
Captain / Total hours on type:
503.00
Aircraft flight hours:
4384
Circumstances:
Twelve minutes after departure, the left engine began to run rough and vibrate. The pilot said he could not correct the problem and shut the left engine down. No emergency was declared and the pilot told ATC that he would continue to his destination, 210 nm and 1.5 hours away. The pilot overflew 5 airports with runways over 5,000 feet long and a mountain range. The pilot executed a VOR approach and entered an extended downwind pattern. On short final the pilot executed a go around because he did not get any gear down indications. He then maneuvered for a downwind landing on runway 12. The aircraft hit the ground 100 yards short of the runway, then collided with a ditch and the airport fence. An FAA inspector said there were three clear tire tracks from the point of touchdown to the ditch, where the gear was sheared off. He found no problems with the gear system. Exam of the left engine revealed a left magneto internal failure due to lack of lubrication and wear, which caused cylinder cross firing.
Probable cause:
1) The internal failure of the left engine, left magneto due to inadequate maintenance and non compliance with the manufacturers service bulletins and recommendations, and
2) The failure of the pilot to attain the proper touchdown point during the landing attempt.
Factors in the accident were the inability of the pilot to shut off the left magneto and the false landing gear indications, both for undetermined reasons.
Final Report:

Crash of a Boeing 707-331B in Santa Maria: 144 killed

Date & Time: Feb 8, 1989 at 1408 LT
Type of aircraft:
Operator:
Registration:
N7231T
Survivors:
No
Schedule:
Bergame - Santa Maria - Punta Cana
MSN:
19572
YOM:
1968
Flight number:
IDN1851
Country:
Region:
Crew on board:
7
Crew fatalities:
Pax on board:
137
Pax fatalities:
Other fatalities:
Total fatalities:
144
Aircraft flight hours:
44755
Aircraft flight cycles:
12589
Circumstances:
Independent Air flight IDN1851, a Boeing 707, departed Bergamo, Italy (BGY) at 10:04 UTC for a flight to Punta Cana, Dominican Republic (PUJ) via Santa Maria, Azores (SMA). At 13:56:47 Santa Maria Tower cleared the flight to descend to 3000 feet for a runway 19 ILS approach: "Independent Air one eight five one roger reclear to three thousand feet on QNH one zero two seven and runway will be one niner." In that transmission, the trainee controller had transmitted an incorrect QNH that was 9 hPa too high. The actual QNH was 1018.7 hPa. After a brief pause the message resumed at 13:56:59: "expect ILS approach runway one niner report reaching three thousand." This transmission was not recorded on the voice recorder of Flight 1851, probably because the first officer keyed his mike and read back: "We’re recleared to 2,000 feet and ah ... ." The first officer paused from 13:57:02 to 13:57:04, then unkeyed the mike momentarily. This transmission was not recorded on the ATS tapes. In the cockpit, the first officer questioned aloud the QNH value, but the captain agreed that the first officer had correctly understood the controller. After being cleared for the ILS approach the crew failed to accomplish an approach briefing, which would have included a review of the approach plate and minimum safe altitude. If the approach plate had been properly studied, they would have noticed that the minimum safe altitude was 3,000 feet and not 2,000 feet, as it had been understood, and they would have noticed the existence and elevation of Pico Alto. At 14:06, the flight was 7.5 nm from the point of impact, and beginning to level at 2,000 feet (610 meters) in light turbulence at 250 KIAS. At 14:07, the flight was over Santa Barbara and entering clouds at approximately 700 feet (213 meters) AGL in heavy turbulence at 223 KIAS. At 14:07:52, the captain said, "Can’t keep this SOB thing straight up and down". At approximately 14:08, the radio altimeter began to whine, followed by the GPWS alarm as the aircraft began to climb because of turbulence, but there was no reaction on the part of the flight crew. At 14:08:12, the aircraft was level when it impacted a mountain ridge of Pico Alto. It collided with a rock wall on the side of a road at the mountain top at an altitude of approximately 1,795 feet (547 meters) AMSL.
Probable cause:
The Board of Inquiry understands that the accident was due to the non-observance by the crew of established operating procedures, which led to the deliberate descent of the aircraft to 2000ft in violation the minimum sector altitude of 3,000 feet, published in the appropriate aeronautical charts and cleared by the Santa Maria Aerodrome Control Tower.
Other factors:
1) Transmission by the Santa Maria Aerodrome Control Tower of a QNH value 9 hPa higher than the actual value, which put the aircraft at an actual altitude 240 feet below that indicated on board,
2) Deficient communications technique on the part of the co-pilot, who started reading back the Tower's clearance to descend to 3000ft before the Tower completed its transmission, causing a communications overlap,
3) Violation by the Aerodrome Control Tower of established procedures by not requiring a complete read back of the descent clearance,
4) Non-adherence by the crew to the operating procedures published in the appropriate company manuals, namely with respect to cockpit discipline, approach briefing , repeating aloud descent clearances, and informal conversations in the cockpit below 10,000 feet,
5) General crew apathy in dealing with the mistakes they made relating to the minimum sector altitude, which was known by at least one of the crew members, and to the ground proximity alarms,
6) Non-adherence to standard phraseology both by the crew and by Air Traffic Control in some of the air-ground communications,
7) Limited experience of the crew, especially the co-pilot, in international flights,
8) Deficient crew training, namely concerning the GPWS as it did not include emergency manoeuvres to avoid collision into terrain,
9) Use of a route which was not authorized in the AIP Portugal,
10) The operational flight plan, whose final destination was not the SMA beacon, was not developed in accordance with the AIP Portugal.

Crash of a Cessna 340 near Santa Maria: 1 killed

Date & Time: Mar 25, 1981 at 1118 LT
Type of aircraft:
Registration:
N24MH
Flight Phase:
Survivors:
No
Schedule:
Santa Ana - Oakland
MSN:
340-0169
YOM:
1972
Crew on board:
1
Crew fatalities:
Pax on board:
0
Pax fatalities:
Other fatalities:
Total fatalities:
1
Captain / Total flying hours:
2585
Captain / Total hours on type:
245.00
Circumstances:
En route from Santa Ana to Oakland, the pilot lost control of the airplane that entered a dive and crashed north of Santa Maria, bursting into flames. The pilot, sole on board, was killed.
Probable cause:
The exact cause of the accident could not be determined. At the time of the accident, the pilot was performing acrobatics.
Final Report:

Crash of a Rockwell Aero Commander 500B in Santa Maria: 2 killed

Date & Time: Sep 24, 1980 at 1947 LT
Operator:
Registration:
N6206X
Survivors:
No
Site:
Schedule:
Burbank - Santa Maria
MSN:
500-1072-50
YOM:
1961
Crew on board:
1
Crew fatalities:
Pax on board:
1
Pax fatalities:
Other fatalities:
Total fatalities:
2
Captain / Total flying hours:
1250
Captain / Total hours on type:
700.00
Circumstances:
On approach to Santa Maria, the pilot encountered poor weather conditions with low ceiling and a limited visibility due to fog. He initiated a go-around manoeuvre and started a second ILS approach few minutes later. In a visibility limited to two miles or less, he failed to realize his altitude was too low when the airplane struck a mountain slope located about six miles from the airport. The aircraft was destroyed and both occupants were killed.
Probable cause:
Controlled collision with ground on final approach after the pilot attempted operation beyond experience/ability level. The following contributing factors were reported:
- Improper IFR operation,
- Low ceiling,
- Fog,
- Weather slightly worse than forecast,
- Visibility 2 miles or less.
Final Report:

Crash of a Rockwell Aero Commander 500A near Solvang: 7 killed

Date & Time: Feb 28, 1978 at 1030 LT
Registration:
N6143X
Flight Phase:
Survivors:
No
Site:
Schedule:
Visalia – Santa Maria – Santa Barbara
MSN:
500-931-26
YOM:
1960
Crew on board:
3
Crew fatalities:
Pax on board:
4
Pax fatalities:
Other fatalities:
Total fatalities:
7
Captain / Total flying hours:
17770
Captain / Total hours on type:
2440.00
Circumstances:
While cruising under VFR mode, the crew encountered limited visibility due to low ceiling and ground fog when the airplane struck the slope of a mountain located near Solvang. The aircraft was destroyed upon impact and all seven occupants were killed.
Probable cause:
Controlled flight into terrain after the crew continued VFR flight into adverse weather conditions. The following contributing factors were reported:
- Low ceiling,
- Ground fog.
Final Report:

Crash of a Lockheed 1 Vega in Santa Maria: 4 killed

Date & Time: May 26, 1937
Type of aircraft:
Registration:
NC7427
Flight Phase:
Survivors:
No
Schedule:
Santa Maria – Los Angeles
MSN:
15
YOM:
1928
Crew on board:
1
Crew fatalities:
Pax on board:
3
Pax fatalities:
Other fatalities:
Total fatalities:
4
Circumstances:
Shortly after takeoff from Santa Maria Airport, while climbing to a height of 100 feet, the single engine airplane stalled and crashed, bursting into flames. All four occupants were killed.